An ethics framework for organizational change.
The proliferation of managed care has introduced conflicts of interest in health care that can create tension in the traditional care provider-patient relationship. In order to address the emerging trends and potential ethical dilemmas presented by managed care, health systems must develop a framework for intentional ethical reflection. The article outlines the essential elements of a caring ethical framework and describes how one integrated health system created a framework of ethical guiding principles and an ethical organizational structure to facilitate integration of those principles throughout the organization.
Koloroutis
M
M
Allina Health System, Abbott Northwestern Hospital, Minneapolis, Minnesota, USA.
Thorstenson
T
T
D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D004645:Empathy; D004993:Ethics, Nursing; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration*; D008910:Minnesota; D016294:Models, Nursing; D017146:Models, Organizational; D009745:Nursing, Supervisory / Q000458:organization & administration; D019982:Organizational Case Studies; D009936:Organizational Innovation