The Caux Round Table principles for business

Article Abstract:

The ethical business principles formulated at the Caux Round Table in Switzerland in 1994 have been presented. These principles may also have important implications within the health care profession. The bases for these principles are the concept of human dignity and the Japanese philosophy of kyosei, a cooperative spirit of competition. Principles cover interactions globally, at an individual customer level, within the business community, and as they impact the environment.

Models, Management, Health care industry, Business ethics

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DSM ... or who's on first?

Article Abstract:

Disease state management (DSM) treats humans essentially as sites for disease, which is a bad idea. DSM has grown from a marketing strategy introduced by pharmaceutical companies to a continuum of care including all medical interventions required by people with high-cost illnesses. Drug companies make DSM profitable by forming partnerships with managed care organizations that undercut competition. A nurse case manager is needed to bridge the gaps in care DSM encourages.

Editorial, Analysis, Medical economics, Economic aspects, Practice, Chronic diseases, Nurse administrators

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First you suffer, then you die: findings of a major study on dying in U.S. hospitals

Article Abstract:

Health care professionals may need to view deaths of patients not as their failure and help patients live their last days with dignity and as free of pain as possible. A medical organization conducted a study of 9000 dying patients regarding their end-stage care. Doctors did not follow patients' wishes not to be resuscitated or to prescribe adequate pain medication. Doctors may not pay attention to nurses' comments in advocacy of patients.

Laws, regulations and rules, Terminally ill persons, Terminally ill, Ethical aspects, Right to refuse treatment, Right to die, Treatment refusal, Patient advocacy

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