topic:"Social Responsibility" found 5 records - Provincial Hospitals Library Catalogue

Ethical, legal and social issues in medical informatics

https://libcat.nshealth.ca/en/permalink/provcat23823

Duquenoy, Penny. --Hershey, PA: Medical Information Science Reference , 2008.

Call Number: W 26.5 E84 2008

Location: Halifax Infirmary

Call Number: W 26.5 E84 2008

Author: Duquenoy, Penny

Other Authors: George, Carlisle; Kimppa, Kai

Place of Publication: Hershey, PA

Publisher: Medical Information Science Reference

Date of Publication: 2008

Physical Description: 299 p.

ISBN: 9781599047805

Subjects (MeSH): Medical Informatics - ethics; Medical Records Systems, Computerized - organization & administration; Access to Information; Confidentiality; Social Responsibility

Format: Book

Location: Halifax Infirmary

Loan Period: 3 weeks

Managing Care : A Shared Responsibility

https://libcat.nshealth.ca/en/permalink/provcat40520

by L. Joseph Verheijde. --Dordrecht: Springer , c2006.

Available Online: View e-Book

Location: Online

The effective management of appropriate health care should be able to contain medical care costs and improve accessibility while addressing rationing concerns. However, managed care in the United States has not lived up to the expectations set for it. Managed care quickly gained popularity among employers and public policy makers as a mechanism for curbing the excessive growth of health care insurance costs. Nonetheless, since its introduction, the system of largely for-profit managed care has …

Available Online: View e-Book

Author: Verheijde, L. Joseph

Responsibility: by L. Joseph Verheijde

Place of Publication: Dordrecht

Publisher: Springer

Date of Publication: c2006

Physical Description: 1 online resource (xiv, 229 p.)

Series Vol.: v. 22

Series Title: Issues in Business Ethics

ISBN: 9781402041853; 9781402041846 (print ed.)

ISSN: 0925-6733

Subjects (MeSH): Bioethical Issues; Health Care Rationing - ethics; Health Services Administration - ethics; Managed Care Programs - ethics; Social Responsibility

Other Subjects: United States

Abstract: The effective management of appropriate health care should be able to contain medical care costs and improve accessibility while addressing rationing concerns. However, managed care in the United States has not lived up to the expectations set for it. Managed care quickly gained popularity among employers and public policy makers as a mechanism for curbing the excessive growth of health care insurance costs. Nonetheless, since its introduction, the system of largely for-profit managed care has been the subject of much public and political debate. The change from a fee-for-service system toward a system in which the health care insurance component is combined with the delivery of a broad range of integrated health care services for populations of plan enrollees that are financed prospectively from a limited budget has been widely criticized and has even been called repugnant. Instead of placing the blame on managed care organizations, however, we need to keep in mind that such organizations operate without societal agreement on critical issues such as a workable definition of health, an authoritative standard for defining the scope of entitlements, and on the distribution of labor between public and private sector entities. The health care system in the United States is also characterized by decentralization as well as the absence of a comprehensive health care planning or budgeting system, substantive access rules, and agreed-upon minimum health care benefit package. Therefore, managed care organizations only have limited responsibilities. The nonexistence of a shared, unifying paradigm of responsibility has been called the leading cause of the inability to manage health care appropriately. The stakeholders in health care operate on a set of widely varying interpretations of the notion of responsibility. The concept of genuine responsibility, recognizing the complexity of health care and the need for stakeholder-specific interpretations of responsibility, proposes as the underlying premise of responsibility (at least in regard to health care) the social agreement that distributive choices should be made on the basis of the premise of deliberate reciprocity. When all parties share the same foundation on which the notion of responsibility is built the resulting trust and cooperation among stakeholders enables them to find morally appropriate solutions in reforming health care.

Contents: Chapter 1. Health Care Costs and Scarcity of Health Care Resources -- Introduction -- Development of Managed Care -- Rationing: A Dilemma for Ethicists -- Responsibility -- Chapter 2. The Concept of Managed Care and its Practical Implications -- Introduction -- Quality of Care in Managed Care -- History of Managed Care -- Where Does Managed Care Find its Market -- Definition of Managed Care -- Managed Care as Unknown Territory -- Methodological Concerns Regarding Data Collection -- Population-Based Distribution and Individual Autonomy -- Balancing Responsibilities -- Changes in Managed Care -- Chapter 3. Ideology: The Silent Partner -- Introduction -- The Concept of Ideology -- Ideology In Medicine -- The Context of Scarcity and its Ideological Impact on Health Care -- Conclusion -- Chapter 4. Concept of Genuine Responsibility -- Introduction -- Changing the Focus In Health Care Distribution -- The Notion of Responsibility -- Justice And Health Care -- Key Presumptions -- Chapter 5: Revising The Template For Modeling Health Care -- Introduction -- Necessity For Change -- Defining Health And Health Care -- The Main Parties Involved -- Chapter 6: Theoretical Reflections -- Introduction -- Managed Care -- The Problem: Who Is Responsible For What? -- Justice As Appropriation -- A Template For Responsible Healthcare Distribution -- Chapter 7: Implementation In U.S. Health Care System: Challenges And Opportunities -- Introduction -- Changing The Views on Business And Profits -- Individual Entitlement And Social Justice -- The Role of Government -- Health Care Planning -- Health Care Budgeting -- Special Interest Groups And Policy Making -- The Minimum Health Care Benefit Package -- The Contribution of Evidence-Based Medicine.