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Title No margin, no mission : health-care organizations and the quest for ethical excellence / Steven D. Pearson, James E. Sabin, Ezekiel J. Emanuel ; with contributions from Tracey Hyams, Lauren Randel
Published Oxford ; New York : Oxford University Press, 2003

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Description 1 online resource (xi, 176 pages)
Contents Ch. 1. Virtue among the ruins? -- Ch. 2. Evidence-based ethics and the BEST project -- Ch. 3. Organizational ethics -- Ch. 4. Consumer empowerment -- Ch. 5. Medical necessity, coverage decisions, and medical policy -- Ch. 6. The care of vulnerable populations -- Ch. 7. Community benefits -- Ch. 8. The confidentiality of personal health information -- Ch. 9. The perennial ethical challenges of health care in competitive systems
Summary Can the ethical mission of health care survive among organizations competing for survival in the marketplace? On this question hinges not only the future of health care in the US, but that of the health care systems of all advanced countries. This book presents both an analytic framework and a menu of pragmatic answers. The team of authors, physician-ethicists from Harvard Medical School and the National Institutes of Health, worked with a consortium of health care organizations to explore some of the most challenging dilemmas in health care today: How can health plans determine medical necessity in a way that ensures quality care, controls costs, and builds trust with patients and physicians? What are the strategies for caring for vulnerable populations that meet their special needs without dramatically increasing costs? To answer these and other similar questions the authors blend ethical analysis with real-world example. The outcome is a rich analysis of the ethical challenges facing health care organizations, combined with tangible examples of exemplary methods to address these challenges.; This book will help health care leaders, regulators, and policy makers incorporate exemplary practices, and the underlying themes they embody, into the very heart and soul of health care organizations
Bibliography Includes bibliographical references (pages 167-171) and index
Notes English
Print version record
Subject Managed care plans (Medical care) -- Moral and ethical aspects -- United States
Health facilities -- Moral and ethical aspects
Medical ethics.
Managed Care Programs -- organization & administration
Ethics, Medical
Economic Competition -- ethics
Ethics, Institutional
MEDICAL -- Ethics.
Managed care plans (Medical care) -- Moral and ethical aspects
Medical ethics
Medizinische Versorgung
Managed Care
Ethik
Gesundheitswesen
Marktwirtschaft
Verteilungsgerechtigkeit
SUBJECT United States
Subject United States
USA
Form Electronic book
Author Pearson, Steven D
Sabin, James E
Emanuel, Ezekiel J., 1957-
ISBN 1423763386
9781423763383
1280502924
9781280502927
9786610502929
6610502927
0199749078
9780199749072
1602569177
9781602569171