Administrative Decision Making in Response to Sudden Health Care Agency Funding Reductions: is there a role for ethics?
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Nursing Ethics 5 (4):319-329 (1998)
In October 1993, a survey of health care agency administrators was undertaken shortly after they had experienced two sudden reductions in public funding. The purpose of this investigation was to gain insight into the role of ethics in health administrator decision making. A mail questionnaire was designed for this purpose. Descriptive statistics and content analysis were used to summarize the data. Staff reductions and bed closures were the two most frequently reported mechanisms for addressing the funding reductions. Most administrators did not believe that these changes would have a negative public impact. In contrast, the majority indicated that future changes in reaction to additional funding reductions would have a negative public impact. Approximately one-third of the administrators reported ethics to be an element of recent administrative decision making, and one-half could foresee that ethics would be important in the future if reductions continued. These findings are discussed in relation to ethics. Issues for additional research are outlined
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
|Through your library||Configure|
Similar books and articles
E. Fenton (2010). Making Fair Funding Decisions for High Cost Cancer Care: The Case of Herceptin in New Zealand. Public Health Ethics 3 (2):137-146.
Gretchen B. Chapman & Frank A. Sonnenberg (eds.) (2000). Decision Making in Health Care: Theory, Psychology, and Applications. Cambridge University Press.
Peter A. Ubel (1999). The Challenge of Measuring Community Values in Ways Appropriate for Setting Health Care Priorities. Kennedy Institute of Ethics Journal 9 (3):263-284.
Gary R. Anderson & Valerie A. Glesnes-Anderson (eds.) (1987). Health Care Ethics: A Guide for Decision Makers. Aspen Publishers.
Bryn Williams-Jones & Michael M. Burgess (2004). Social Contract Theory and Just Decision Making: Lessons From Genetic Testing for the BRCA Mutations. Kennedy Institute of Ethics Journal 14 (2):115-142.
Fiona Randall (1996). Palliative Care Ethics: A Good Companion. Oxford University Press.
Laurence D. Houlgate (2002). Lainie Friedman Ross, Children, Families, and Health Care Decision‐Making:Children, Families, and Health Care Decision‐Making. Ethics 112 (3):639-641.
Christian Munthe, Lars Sandman & Daniela Cutas (2012). Person Centred Care and Shared Decision Making: Implications for Ethics, Public Health and Research. [REVIEW] Health Care Analysis 20 (3):231-249.
Kath M. Melia (2004). Health Care Ethics: Lessons From Intensive Care. Sage Publications.
Robert Keith Shaw, Michael A. Peters & James D. Marshall (1986). The Development and Trials of a Decision-Making Model. Evaluation Review, 10 (1):5-27.
James L. Werth & Dean Blevins (eds.) (2008). Decision Making Near the End of Life: Issues, Development, and Future Directions. Brunner-Routledge.
Elizabeth Weeks Leonard (2011). Rhetorical Federalism: The Role of State Resistance in Health Care Decision-Making. Journal of Law, Medicine and Ethics 39:73-76.
Sorry, there are not enough data points to plot this chart.
Added to index2010-08-31
Total downloads1 ( #301,748 of 1,011,665 )
Recent downloads (6 months)0
How can I increase my downloads?