The changing healthcare landscape and implications of organizational ethics on modern medical practice.

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The changing healthcare landscape and implications of organizational ethics on modern medical practice.

World Neurosurg. 2017 Mar 24;:

Authors: Castlen JP, Cote DJ, Moojen WA, Robe PA, Balak N, Brennum J, Ammirati M, Mathiesen T, Broekman ML

Abstract
Medicine is rapidly changing, both in the level of collective medical knowledge and in how it is being delivered. The increased presence of administrators in hospitals helps to facilitate these changes and ease administrative workloads on physicians; however, tensions sometimes form between physicians and administrators. This is due to perceptions from both sides that physicians obstruct cost-saving measures and administrators put profits before patients. In reality, growing patient populations and changes in healthcare are necessitating action by hospitals to prevent excessive spending as healthcare systems become larger and more difficult to manage. Recognizing the cause of changes in healthcare, which do not always originate with physicians and administrators, along with implementing changes in hospitals such as increased physician leadership, could help to ease tensions and promote a more collaborative atmosphere. Ethically, there is a need to preserve physician autonomy, which is a tenet of medical professionalism, and a need to rein in spending costs while ensuring patients receive the best possible care. Physicians and administrators both need to have a well-developed personal ethic in order to achieve these goals. Ultimately, physicians need be allowed to retain relative autonomy over their practices as they support and participate in administrator-led efforts toward distributive justice.

PMID: 28347897 [PubMed - as supplied by publisher]

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