The ethics of policy writing: How should hospitals deal with moral disagreement about controversial medical practices?

Journal of Medical Ethics

Volumn 31, Issue 10, 2005, Pages 559-566

  Winkler, Eva C ^a,b,c  

^a HARVARD UNIVERSITY   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c LUDWIG MAXIMILIANS UNIVERSITY   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH CARE ORGANIZATION; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HUMAN; HUMAN RIGHTS; INFORMED CONSENT; MEDICAL DECISION MAKING; MEDICAL ETHICS; MEDICAL PRACTICE; MEDICAL PROFESSION; MORALITY; PROFESSIONAL PRACTICE; PROFESSIONAL STANDARD; QUALITY CONTROL;

BIOETHICS AND PROFESSIONAL ETHICS;

BIOETHICAL ISSUES; BLOOD TRANSFUSION; DECISION MAKING; EFFICIENCY, ORGANIZATIONAL; ETHICS, INSTITUTIONAL; HEALTH POLICY; HOSPITALS; HUMANS; PERSONAL AUTONOMY; PROFESSIONAL PRACTICE; QUALITY OF HEALTH CARE; SOCIAL RESPONSIBILITY; TREATMENT REFUSAL;

EID: 15444369483     PISSN: 03066800     EISSN: None     Source Type: Journal    
DOI: 10.1136/jme.2004.011023     Document Type: Article

References (26)

1. Buchanan A. Toward a theory of the ethics of bureaucratic organisations. Bus Ethics Q 1996;6:419-40.
2. Trevino LK, Butterfield KD, McCabe DL. The ethical context in organisations: influences on employee attitudes and behaviors. Bus Ethics Q 1998;8:447-76.
3. Cropanzano R. Deontic justice: the role of moral principles in workplace fairness. J Org Behavior 2003;24:1019-24.
4. Thompson DF. The institutional turn in professional ethics. Ethics Behav 1999;9:109-18.
5. Vinicky JK, Smith ML, Connors Jr RB, et al. The Jehovah's Witness and blood: new perspectives on an old dilemma. J Clin Ethics 1990;1:65-74.
6. Weir RF, Peters C. Affirming the decisions adolescents make about life and death. Hastings Cent Rep 1997;27:29-40.
7. Tait AR, Voepel-Lewis T, Malviya S. Do they understand? (part II): assent of children participating in clinical anesthesia and surgery research. Anesthesiology 2003;98:609-14.
8. Scott ES, Reppucci ND, Woolard JL. Evaluating adolescent decision making in legal contexts. Law Hum Behav 1995;19:221-44.
9. Beauchamp TL, Childress JF. Principles of biomedical ethics. New York: Oxford University Press, 2001:57-272.
10. Benn SI. Persons and values: reasons in conflict and moral disagreement. Ethics 1984;95:20-37.
11. Sunstein C. Why societies need dissent. Cambridge, MA: Harvard University Press, 2003:16.
12. Schein E. Culture: the missing concept in organisation studies. Adm Sc Q 1996;41:109-19.
13. Schauer F. Playing by the rules: a philosophical examination of rule based decision making in law and in life. New York: Oxford University Press, 1993:136.
14. French PA. Collective responsibility and the practice of medicine. J Med Philos 1982;7:65-85.
15. Walzer M. Obligations: essays on disobedience, war, and citizenship. Cambridge, MA: Harvard University Press, 1970:28.
16. Raz J. Authority and justification. Authority. New York: New York University Press, 1990:134.
17. Gutmann A, Thompson DF. Democracy and disagreement: why moral conflict cannot be avoided in politics, and what should be done about it. Cambridge, MA: Harvard University Press, 1996:41, 50.
18. McMahon C. Authority and democracy: a general theory of government and management. Princeton, NJ: Princeton University Press, 1994:12.
19. Habermas J. Reconciliation through the public use of reason: remarks on John Rawls's political liberalism. J Philos 1995;92:109-31.
20. Clouser KD, Gert B. Morality versus principlism. In: Gillon R, Lloyd A, eds. Principles of health care ethics. New York: John Wiley and Sons, 1994:251.
21. Winkler EC, Gruen R. First principles: substantive ethics for health care organisations. J Healthc Manag 2005 [in press.]
22. Daniels N, Sabin J. The ethics of accountability in managed care reform. Health Aff (Millwood) 1998;17:50-64.
23. Buchanan A. Trust in managed care organisations. Kennedy Inst Ethics J 2000;10:189-212.
24. Hirschman AO. Exit, voice, and loyalty: response to declines in firms, organisations, and states. Cambridge, MA: Harvard University Press, 1970:33.
25. McGee G, Caplan AL, Spanogle JP, et al. A national study of ethics committees. Am J Bioeth 2001;1:60-4.
26. Pentz RD. Beyond case consultation: an expanded model for organisational ethics. J Clin Ethics 1999;10:34-41.