title: [Ethical dilemmas in public health care organizations].
abstract: Today you can ask if you can apply ethics to organizations because much of the greater overall impact decisions are not made by private individuals, are decided by organizations. Any organization is legitimate because it satisfies a need of society and this legitimacy depends if the organization does with quality. To offer a good service, quality service, organizations know they need to do well, but seem to forget that should do well not only instrumental level, must also make good on the ethical level. Public health care organizations claim to promote attitudes and actions based on ethics, level of their internal functioning and level of achievement of its goals, but increased awareness and analysis of its inner workings can question it. Such entities, for its structure and procedures, may make it difficult for ethical standards actually govern its operation, also can have negative ethical consequences at the population level. A healthcare organization must not be organized, either structurally or functionally, like any other organization that offers services. In addition, members of the organization can not simply be passive actors. It is necessary that operators and users have more pro-ethical behaviors. Operators from the professionalism and users from liability.
authors.affiliation: Centro de Salud Mental Rentería, Rentería, Gipúzcoa, España. Electronic address: mik.pereda@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Pereda Vicandi
mesh_terms: D032781:Codes of Ethics; D003220:Conflict, Psychological; D006801:Humans; D007857:Leadership; D016134:Organizational Policy; D011209:Power, Psychological; D011634:Public Health / Q000941:ethics*; D058996:Quality Improvement
keywords: Bioethics; Bioética; Delivery of health care; Ethics institutional; Health Services; Prestación sanitaria; Servicios de salud; Ética organizacional