| Ethical challenges within Veterans Administration healthcare facilities: perspectives of managers, clinicians, patients, and ethics committee chairpersons. | |
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MedLine Citation:
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PMID: 19326309 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To promote ethical practices, healthcare managers must understand the ethical challenges encountered by key stakeholders. To characterize ethical challenges in Veterans Administration (VA) facilities from the perspectives of managers, clinicians, patients, and ethics consultants. We conducted focus groups with patients (n = 32) and managers (n = 38); semi-structured interviews with managers (n = 31), clinicians (n = 55), and ethics committee chairpersons (n = 21). Data were analyzed using content analysis. Managers reported that the greatest ethical challenge was fairly distributing resources across programs and services, whereas clinicians identified the effect of resource constraints on patient care. Ethics committee chairpersons identified end-of-life care as the greatest ethical challenge, whereas patients identified obtaining fair, respectful, and caring treatment. Perspectives on ethical challenges varied depending on the respondent's role. Understanding these differences can help managers take practical steps to address these challenges. Further, ethics committees seemingly, are not addressing the range of ethical challenges within their institutions. |
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Authors:
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Mary Beth Foglia; Robert A Pearlman; Melissa Bottrell; Jane K Altemose; Ellen Fox |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The American journal of bioethics : AJOB Volume: 9 ISSN: 1536-0075 ISO Abbreviation: Am J Bioeth Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-03-27 Completed Date: 2009-04-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100898738 Medline TA: Am J Bioeth Country: United States |
Other Details:
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Languages: eng Pagination: 28-36 Citation Subset: E; IM |
Affiliation:
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National Center for Ethics in Health Care, Veterans Health Administration, Seattle, WA 98108, USA. marybeth.foglia@va.gov |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel* Conflict of Interest* Decision Making / ethics Empathy* Ethics Committees* Ethics, Institutional* Focus Groups Health Care Rationing / ethics* Hospital Administrators* Hospitals, Veterans / economics, ethics* Humans Narration Palliative Care Patients* / psychology Personnel, Hospital* Physician's Role* Qualitative Research Quality of Health Care / ethics Questionnaires Terminal Care United States |
| Comments/Corrections | |
Comment In:
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Am J Bioeth. 2009 Apr;9(4):W3-4
[PMID:
19326300
]
Am J Bioeth. 2009 Apr;9(4):1-2 [PMID: 19326297 ] Am J Bioeth. 2009 Apr;9(4):43-4 [PMID: 19326313 ] Am J Bioeth. 2009 Apr;9(4):45-6 [PMID: 19326314 ] Am J Bioeth. 2009 Apr;9(4):37-9 [PMID: 19326310 ] Am J Bioeth. 2009 Apr;9(4):39-41 [PMID: 19326311 ] Am J Bioeth. 2009 Apr;9(4):41-2 [PMID: 19326312 ] |
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