Business Ethics in Healthcare: Beyond Compliance

Contents

Contents Acknowledgments ix Introduction: Beyond Compliance, Beyond Integrity, Beyond Clinical Ethics xi part 1. business ethics with a difference One: Healthcare Business Ethics 3 Two: Ethics Is Not Neutral: A Framework for Making Decisions 13 part ii. the organization as caregiver Three: Ethics, Cost, and the Quality of Care 25 Four: Patient Rights in a Just Organization 35 Five: Clinicians and Con®icts of Interest: A Focus on Management 44 Six: A Fair Hearing of Appeals of Denied Coverage in Managed Care Plans 53 Seven: Organizational Ethics: A Code Is Only the Beginning 62 part iii. the organization as employer Eight: Just Wages and Salaries 73 Nine: Ethics and Downsizing 82 Ten: Patient Requests for Healthcare Providers of a Speci¤c Race or Sex 91 Eleven: Conscientious Objection to Participation in Certain Treatment Options 100 Twelve: Union Organizing and Employee Strikes 109 part iv. the organization as citizen Thirteen: Responsible Advertising 121 Fourteen: Environmental Responsibility and the Precautionary Principle 130 Fifteen: Community Serving Mergers and Acquisitions 140 Sixteen: Socially Responsible Investing 150 part v. institutionalizing business and management ethics Seventeen: Components of a Business Ethics Program 161 Eighteen: The Organizational Ethics Committee 171 Notes 181 Index 189 Contents viii ...