need help with Ethical dilemmas can occur at any level of health care. Analyze the area of "standards" by using the ethical decision-making-process.
Health care challenges occur among three primary relationships.
These relationships include the patient
and provider, patient and payer, and provider and payer. A plethora
of leadership models exist with regard to leading
change; however, these models do not consider that leaders are not
always concerned with the ethical decision-making
process. Evaluation of the ethical principles, healthcare
relationships, and recent healthcare changes found in the
Patient Protection and Affordable Care Act guide the articles
discussion.
Application of ethical principles to transformational leadership
improves healthcare relationships
and alleviates stress and tension produced by change. Healthcare
leaders have an expectation to provide ethical
considerations during change management and the decision-making
process which influences the various relationships
found in healthcare.
Healthcare leaders are in the unique position to improve
healthcare using ethical principles. Because health
care reform requires ethical decision-making from leaders, the
application of ethical principles to the various
relationships
health care leaders’ influence creates fundamental and successful
change in health care.
Health care leaders must provide the common vision of these relationships and define these shared visions based on ethical standards and principles. Without appropriate modeling of ethical behaviors vision and values are lost. Providers, patients, and payers that do not display behaviors consistent with the common vision threaten the relationships. The challenge for stakeholders comes from forgetting the past and failures of ethical behaviors and moving forward to build and model the common vision. Health care leaders must identify, describe, and reinforce the benefits of collaboration between the various health care relationships. This includes clarification of the ethical standards around decisions. Decisions based on ethical principles increase collaboration and help develop understanding of the consequences of failure to collaborate. When providers collaborate with patients on care decisions the similarities and differences of opinion are able to be discussed and understood from each perspective. Focusing on the similarities helps develop shared decisions and mutual respect. These processes improve the outcomes of care.
Application of ethical standards to decision-making and change decreases healthcare cost and improves trust in change processes.
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