Ethics Day 2

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Day 2 lecture 1 (AM)
Yasir Aziz
Flashcards by Yasir Aziz, updated more than 1 year ago
Yasir Aziz
Created by Yasir Aziz over 6 years ago
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Resource summary

Question Answer
Principle General criteria that make human actions morally right or wrong
Virtue Disposition or trait of an individual that is considered praiseworthy
Value A good outcome; things that are considered good or beneficial
Ethical Principle of Veracity The obligation of healthcare providers to tell the truth (be honest)
Moral Rule of Confidentiality The patient has the right to give or refuse consent to release privileged information
Moral Principle of Fidelity Responsibility of the healthcare provider to be trustworthy and to keep promises
List the 2 types of Fidelity and define them Covenantal Fidelity – an intimate and spiritual commitment between individuals Contractual Fidelity – level of commitment does not exceed that which is owed to a partner in a binding agreement
Violation of Confidentiality or Privacy: Filling a prescription for a classmate during a shift at Walgreens and then telling another classmate about the prescription/condition Confidentiality
Violation of Confidentiality or Privacy: Searching for prescription information on a colleague or classmate just to see what that individual has filled Privacy
List and Describe the 4 Principles of Medical Ethics 1. Beneficence – the duty to “do good” 2. Nonmaleficence – the duty to “do no harm” 3. Autonomy – the duty to respect a patients’ choices 4. Justice – the duty to treat patients fairly
List the Five-Step Model for resolving an ethical problem 1. Respond to the “sense” or feeling that something is wrong. 2. Gather information/make an assessment. 3. Identify the ethical problem/consider a moral diagnosis. 4. Seek a resolution. 5. Work with others to determine a course of action.
What is the "more precise" definition of rationing? 1. Limitation of resources ($$) going to medical care such that not all care expected to be beneficial is provided to all patients 2. Distribution of these limited resources is conducted in a fair manner
Define the 2 conditions of rationing Fiscal Scarcity (common) - Saving money by rationing services in one area does not always benefit another area (healthcare funding is not a closed system) Commodity Scarcity (rare) - Hospital beds and physicians are generally plentiful in this country
Rationing involves ____ cost control; a reduction in access to effective medical care painful
Cost Containment is... (painful or painless) it can be either painful or painless. It is painless when it does not reduce the a patients access to effective medical care.
Cost Containment or Rationing: Two of the 4 pathology labs could be closed, allowing the remaining 2 labs to reduce overhead and payroll costs overall Cost Containment - there is no mention of patients receiving reduced quality of care
Cost Containment or Rationing: Healthy HMO could stop paying for living donor kidney transplants for patients with ESRD Rationing (painful) - patients with ESRD are refused care
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