Moral decisions are not always easy decisions to make. However, necessary means are often provided to fulfill these difficult decisions. In health care, there are certain ethical principles or guidelines that help us make the appropriate choice when it comes to giving the best care to a patient, and they help justify the purpose for providing the best care to a patient. These principles are relevant in our health care system today in order for patient care to be as appropriate and as effective as possible.
Social Justice Applied to Healthcare Social justice, the fair distribution of resources amongst the population, strives towards bringing equality to all, in this case, in the form of healthcare. The reasoning behind healthcare reform stems from distributive justice, which attempts to correct the disparity between readily accessible healthcare for the insured and the unavailability under and uninsured (Lachman, 2012, p. 249). The passage of the Affordable Care Act in 2010, opened up access to basic healthcare for a wider range of the population, many who had no healthcare access previously (Kelly, 2014, p. 1). With the wide distribution of healthcare access brings the duty of responsibility. This paper will explore and present the rationale
Discuss the ethical implications of “medical necessity” in patient care. Ethical Implications of Medical Necessity When it comes to medical necessity can often refers to the determination that is made for the insurance purposes. For example, If the patient has a condition that is chronic or terminal, the treatment could be considered medically necessary whether then the patient can afford the treatment or not. Networked doctors may face ethical dilemmas when recommending treatment or specialist referrals. When it comes to medical necessities it can be controversial, it can be the use of marijuana when there can be others that are more a moral ethical in which it can be in manage care and network providers.
Atul Gawande is an American surgeon, professor, notable author, and writer for the New Yorker. In his 2015 article “Overkill,” he describes many of the flaws the American healthcare system holds. Throughout the article, Gawande intertwines personal stories, patient stories, and expert testimonies to make his argument stronger. Gawande argues, “Millions of Americans get tests, drugs, and operations that won’t make them better, may cause harm, and costs billions.” Or in many cases, he redefines over testing and “low-value” care as providing “no-value” care.
Ethics of healthcare depends on 4 moral standards and how they are utilised; autonomy, non-maleficence, beneficence, and justice. Autonomy, which means self-governance, is the rule for regarding the privileges of a person to settle on a choice for them self, and respecting that decision. In healthcare this implies regarding a patient's choice on treatments, regardless of the possibility that it could bring about damage or demise to themselves. Autonomy is about self-rule, control free, without impact or influence from any other person, and is tied in with making an educated and un-forced choice about their care and medicines, based from their qualities and inclinations. Alongside autonomy is the principle of justice, which incorporates reasonableness
The nurse has an ethical obligation to advocate that the doctor completes this duty linking moral obligations with the patients need and reflecting utility and absolving vicarious liability. This demonstrates the Aristotelian principle of justice, where the idea of fairness is a virtue (Robichaux, 2017). This is not a new situation as ED's balance moral equality with patient deterioration and escalation daily, as part of their service (Atkins, De Lacey, & Britton, 2014, p.40). Deontological theory supports this concept in healthcare ethics, wherefore each human being is worthy of respect and dignity (Robichaux, 2017). Jeremy Bentham, the moral philosopher credited with the theory of Traditional utilitarianism, said "truth is that it is the greatest happiness of the greatest number that is the measure of right and wrong", based not on an individual but as on society as a whole (Crimmins, 2017).
Healthcare ethics involves making well researched and considerate decisions about medical treatments, while taking into consideration a patient's beliefs and wishes regarding all aspects of their health. The healthcare industry has regard for the issues surrounding the welfare of their patients. Doctors, nurses, and other professionals who have the ability to affect a patient's health are all forced to make ethical decisions on a daily basis. I believe the result of ability to pay versus quality of care comes into ethical question in today’s society.
Your discussion presents an interesting perspective on business principles. Managing financial needs of a hospital and patient’s satisfaction goes hand and hand in the hospital field. This also can create a negative impact when it comes to prescribing pain medication. An ethical dilemma arises for emergency room providers who in relation to new reimbursement tactics centered upon patient satisfaction scores (Kelly, Johnson, & Harbison, 2016)
The ethical principle of utilitarianism should be applied. Utilitarianism is maximizing the happiness, good, or moral consequences of one’s decisions and actions. Utilitarianism in healthcare is to produce the greatest good for the greatest number of people (Butts & Rich,
A few proposals that some people have come up with are as follows, price-based self-rationing, which is when a person is sick and has little or no health insurance. They decide by weighing the cost of receiving care against the benefits of the care. Another is bedside-rationing, it is described as when a doctor decides whether a patient should have an expensive treatment or not. Others have suggested like it was suggested earlier, quality-adjusted life years method.
The Hippocratic oath is an oath that requires a new physician to swear, by a number of healing gods, to uphold specific ethical standards. The Hippocratic oath He explains that this situation is all based off of “doing no harm.” Klosterman asks, “are you doing harm by allowing someone to be penalized for a crime they did not commit?” If the doctor follows The Virtue Approach and resolves the situation with what option helps him act as the sort of person he is, he will still be doing harm. This is because he could help the innocent person get out of trouble and the patient be the person convicted.
Given the well documented relationship between way of life, ailment weight and medicinal services costs, it bodes well to consider people ethically in charge of their health related decisions. While this view has a lot of instinctive interest, it likewise confronts various objections. First, considering people totally in charge of their own wellbeing clashes with prescription 's commitment to treat the wiped out and society 's commitment to deal with defenseless people. Second, it is uncalled for to consider people in charge of their own wellbeing on the off chance that they can 't settle on sound health related decisions on account of numbness, mental inadequacy, addictive practices or social pressures. Third, it would be exceedingly hard
Another very important ethical principle is beneficence. Beneficence as described in the article, ‘Ethics and Pain Management in Hospitalized Patients’ by Bernhofer (2012), is the principle of doing good. What this principle means is that care must be provided in an appropriate and timely manner. Nurses must provide pain relief on time and at the right dose for effective pain relief. Based on research pain is best treated before it becomes severe.
There is a common phenomenon in the China that many people treated with inequality and injustice in health care. As as Martin Luther King, Jr.’s saying goes “Of all the forms of inequality, injustice in health care is the most shocking and inhumane”. From my point of view, i firmly agree with this point in that each individual has equal right to enjoy the suitable health care. It is intolerable for the whole society to make the health care injustice as a seriously public health problem. In this essay, some facts about the injustice will be given. Also, the solutions to deal with these problems will be provided so that this public health problem will be resolved in the future.
The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to