In Ethical Decision Making: Define And Give Examples

In Ethical Decision Making Define And Give Examples Of The Followi

In ethical decision-making, define and give examples of the following: individual rights and duties, utilitarianism, and caring. Additionally, define the term “ethical dilemma” and provide an example. The assignment also includes completing a health insurance matrix for various healthcare models, describing each model’s structure, financing, benefits, and challenges.

Paper For Above instruction

Ethical decision-making is a fundamental aspect of healthcare practice, guiding professionals in navigating complex moral landscapes to provide equitable and just care. It involves considering various ethical principles such as individual rights and duties, utilitarianism, and caring—each influencing decisions differently and serving as vital components in ethical deliberations.

Individual Rights and Duties form a core principle in ethics, emphasizing that every person possesses inherent moral rights that stem from their human dignity. These rights include the freedom to pursue personal interests and the corresponding duties of others to respect these rights. For instance, a patient's right to informed consent exemplifies individual rights—patients should be fully informed about their treatment options and have the autonomy to accept or refuse care. Healthcare providers, in turn, have the duty to respect this autonomy and provide necessary information without coercion. Respecting individual rights ensures dignity and promotes trust in healthcare relationships, forming the ethical backbone for patient-centered care.

Utilitarianism is an ethical theory that evaluates actions based on their consequences, specifically seeking to maximize the overall net benefit or happiness. Unlike deontological frameworks that emphasize duties, utilitarianism focuses on outcomes, aiming for the greatest good for the greatest number. For example, in resource allocation, a utilitarian approach might prioritize treatments that benefit the largest portion of the population, even if it means limited access for some. Such decisions often involve challenging trade-offs but are intended to achieve the most beneficial results overall. Utilitarianism guides policymakers and clinicians to consider the collective impact of their choices, promoting efficiency and societal well-being.

Caring is an ethical principle rooted in compassion and concern for others' well-being. It underscores the responsibilities healthcare professionals have towards their patients, emphasizing empathy, kindness, and the moral obligation to nurture and support. An example of caring in healthcare is providing emotional support to a terminally ill patient, ensuring they feel valued and understood. Caring extends beyond mere clinical tasks and influences the quality of patient interactions, fostering trust and promoting holistic healing. It highlights the unique human connection essential for effective healthcare delivery, aligning with virtues such as compassion and altruism.

An ethical dilemma occurs when an individual faces a conflict between two ethical values or principles, making it challenging to determine the correct course of action. This situation often involves choosing between two goods or ethical duties, each with compelling reasons. For instance, consider a healthcare professional who must decide whether to respect a patient's confidentiality or report suspected child abuse. Upholding confidentiality respects patient privacy but may prevent addressing harm, while reporting may violate privacy but protect a vulnerable child. Ethical dilemmas require careful evaluation of principles such as autonomy, beneficence, and justice to arrive at a morally justifiable decision.

Additionally, understanding different healthcare delivery models enhances an ethical approach by providing insight into how care is financed and organized. Filling out the health insurance matrix involves describing each model, its structure, financing mechanism, and benefits and challenges for providers.

The Health Maintenance Organization (HMO) operates as an integrated group practice where care is often coordinated through a primary care physician acting as a gatekeeper. Care is financed via prepaid monthly premiums, emphasizing cost containment and preventive care. Benefits include lower costs for patients and streamlined services, but challenges involve limited provider choice and potential restrictions on specialists.

The Preferred Provider Organization (PPO) offers flexibility by allowing patients to see any healthcare provider, with higher costs for out-of-network services. It is financed through premiums and co-payments. The structure encourages open-access with selective contracting of preferred providers, benefiting patients with choice while challenging providers with increased administrative complexity.

The Point-of-Service (POS) model combines features of HMOs and PPOs, requiring primary care gatekeeping but allowing out-of-network services at higher costs. It is financed similarly through premiums and co-pays. For providers, POS models create opportunities for diverse patient access but pose challenges related to managing different network requirements and reimbursement schemes.

In terms of Provider Sponsored Organizations (PSOs), these are networks of providers that collectively manage care, often emphasizing coordination and quality improvement. They are financed through premiums paid by members or employers. The structure promotes provider-led care, benefits include tailored services and potential cost savings, while challenges include administrative complexity and ensuring broad participation.

Lastly, High Deductible Health Plans (HDHPs) and Savings Options focus on consumer-driven healthcare, where plans feature higher deductibles and tax-advantaged savings accounts. Care is financed through premiums and out-of-pocket payments until deductibles are met. These plans incentivize cost-conscious behavior but may lead to delays in seeking care and financial hardship for some individuals. Providers face challenges in managing patient expectations and adapting to variable out-of-pocket costs.

References

• Ginsburg, P. B., & Slonim, A. D. (2017). The healthcare delivery system. In J. K. Gustafson & B. M. Williams (Eds.), Introduction to Healthcare Management (pp. 45-65). Jones & Bartlett Learning.
• Levinson, W. (2016). What is patient-centered care?. British Medical Journal, 332(7546), 1198-1199.
• Sultz, H. A., & Young, K. M. (2013). Health Care USA: Understanding its Organization and Delivery. Jones & Bartlett Learning.
• World Health Organization. (2010). framework for action on interprofessional education & collaborative practice. WHO Publication.
• Kovner, A. R., & Knickman, J. R. (2014). Healthcare delivery in the United States. In A. R. Kovner & J. R. Knickman (Eds.), Health Care Delivery: Contexts and Complexities (pp. 12-40). Springer Publishing.
• McGinnis, J. M., Williams-Russo, P., & Knickman, J. R. (2002). The case for more active policy attention to health promotion. Health Affairs, 21(2), 78-93.
• Shapiro, J., & Friedman, C. P. (2010). Models of care delivery and health systems. American Journal of Medicine, 123(10), 855-859.
• Clancy, C. M., & Patel, V. (2018). Patient-Centered Medical Homes: Promises and Challenges. JAMA, 319(16), 1657-1658.
• National Committee for Quality Assurance. (2019). Understanding Health Plan Types. NCQA.
• Hoffman, B. (2014). Capitation, incentives, and quality of care. Healthcare Management Review, 39(3), 188-193.