How physician executives and clinicians perceive ethical issues in Saudi Arabian hospitals

Journal of Medical Ethics 25 (1):51-56 (1999)
Abstract
OBJECTIVES: To compare the perceptions of physician executives and clinicians regarding ethical issues in Saudi Arabian hospitals and the attributes that might lead to the existence of these ethical issues. DESIGN: Self-completion questionnaire administered from February to July 1997. SETTING: Different health regions in the Kingdom of Saudi Arabia. PARTICIPANTS: Random sample of 457 physicians (317 clinicians and 140 physician executives) from several hospitals in various regions across the kingdom. RESULTS: There were statistically significant differences in the perceptions of physician executives and clinicians regarding the existence of various ethical issues in their hospitals. The vast majority of physician executives did not perceive that seven of the eight issues addressed by the study were ethical concerns in their hospitals. However, the majority of the clinicians perceived that six of the same eight issues were ethical considerations in their hospitals. Statistically significant differences in the perceptions of physician executives and clinicians were observed in only three out of eight attributes that might possibly lead to the existence of ethical issues. The most significant attribute that was perceived to result in ethical issues was that of hospitals having a multinational staff. CONCLUSION: The study calls for the formulation of a code of ethics that will address specifically the physicians who work in the kingdom of Saudi Arabia. As a more immediate initiative, it is recommended that seminars and workshops be conducted to provide physicians with an opportunity to discuss the ethical dilemmas they face in their medical practice
Keywords info:mesh/Social Control, Formal  info:mesh/Cultural Diversity  info:mesh/Attitude of Health Personnel  info:mesh/Patient Rights  info:mesh/Ethics Committees  info:mesh/Needs Assessment  info:mesh/Withholding Treatment  info:mesh/Codes of Ethics  info:mesh/Physician Executives  info:mesh/Ethics, Institutional  info:mesh/Humans  info:mesh/Medical Staff, Hospital  info:mesh/Saudi Arabia  info:mesh/Ethics, Medical  info:mesh/Gift Giving  info:mesh/Conflict (Psychology)  info:mesh/Practice Guidelines as Topic  Humans   Withholding Treatment   Questionnaires   Attitude of Health Personnel   Health Knowledge, Attitudes, Practice   Gift Giving   Professional Misconduct   Conflict (Psychology)   Social Values   Cultural Diversity   Resource Allocation   Social Control, Formal   Patient Rights   Needs Assessment   Bioethical Issues   Ethical Theory   Ethics Committees   Ethics, Institutional   Codes of Ethics   Ethics, Medical   Physician Executives   Medical Staff, Hospital   Saudi Arabia   Practice Guidelines as Topic  info:mesh/Eth
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