A Matter of Justice

Author(s):  
Andrea Dörries

A crucial aspect of a fair allocation of scarce resources in hospital is the close cooperation of hospital executives and physicians. This chapter has three aims. Firstly, it provides an analysis of basic elements of medical and hospital executives' ethics. Secondly, it discusses the role of concepts of justice in hospital decision-making. Thirdly, it reflects on process criteria and structures that might support coping with allocation conflicts in hospitals. While hospital executives mainly act according to economic, legal, and strategic considerations, physicians are traditionally obliged to professional ethics codes. These include patient welfare as the primary concern with economic aspects a secondary priority. Therefore, implementing and applying ethical principles for the allocation of scarce resources requires an ongoing constructive discourse between hospital managers and physicians. Furthermore, in order to build trust between the two stakeholders, an effective structure for solving ethical conflicts and a fair decision-making process is paramount.

2015 ◽  
pp. 1046-1064
Author(s):  
Andrea Dörries

A crucial aspect of a fair allocation of scarce resources in hospital is the close cooperation of hospital executives and physicians. This chapter has three aims. Firstly, it provides an analysis of basic elements of medical and hospital executives' ethics. Secondly, it discusses the role of concepts of justice in hospital decision-making. Thirdly, it reflects on process criteria and structures that might support coping with allocation conflicts in hospitals. While hospital executives mainly act according to economic, legal, and strategic considerations, physicians are traditionally obliged to professional ethics codes. These include patient welfare as the primary concern with economic aspects a secondary priority. Therefore, implementing and applying ethical principles for the allocation of scarce resources requires an ongoing constructive discourse between hospital managers and physicians. Furthermore, in order to build trust between the two stakeholders, an effective structure for solving ethical conflicts and a fair decision-making process is paramount.


2019 ◽  
Vol 17 (Suppl.1) ◽  
pp. 600-605
Author(s):  
Monika Kabadzhova

CAP Greening is an important part of the sustainable development of scarce resources, conservation of habitats and species diversity. The aim of the study is to examine the role of mandatory requirements resulting from the CAP greening for farm development and environmental conservation. Analysis of available literature data on the CAP greening direct payments was conducted in order to highlight environmentally friendly agricultural practices. The results show that climate and environmentally friendly agrucultural practices are set out in three groups as follows: crop diversification, maintenance of permanent grassland and maintaining minimum 5% of the farming's area as ecological focus areas. In conclusion, farmers should consider these activities during the decision-making process at farm level and have to comply with the mandatory requirements of cross-compliance.


2018 ◽  
Vol 41 ◽  
Author(s):  
Kevin Arceneaux

AbstractIntuitions guide decision-making, and looking to the evolutionary history of humans illuminates why some behavioral responses are more intuitive than others. Yet a place remains for cognitive processes to second-guess intuitive responses – that is, to be reflective – and individual differences abound in automatic, intuitive processing as well.


2014 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Helen Pryce ◽  
Amanda Hall

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.


2011 ◽  
Author(s):  
Gergana Y. Nenkov ◽  
Deborah MacInnis ◽  
Maureen Morrin

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