Health Care Ethics Consultation in the United States

doi:10.1001/journalofethics.2017.18.5.fred1-1605

Cited by 3 publications

(2 citation statements)

References 8 publications

(8 reference statements)

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“…Insurers should establish committees to address ethical concerns, similar to hospital ethics committees 18 …”

Section: Suggestionsmentioning

confidence: 99%

“…-Insurers should establish committees to address ethical concerns, similar to hospital ethics committees. 18 These committees could determine how and when to disclose health care information. Each committee would develop policies and procedures that clarify the medical director's options, and could provide immediate review and guidance in urgent situations.…”

Section: Suggestionsmentioning

confidence: 99%

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Should Medical Insurance Review Serve the Patient’s Best Interests? Examples and Considerations Illustrated by Behavioral Health Cases

Harris

Abraham

Cohen

2023

Harv Rev Psychiatry

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Physician medical directors working for health care insurance companies conduct utilization reviews, participate in quality-of-care reviews, and adjudicate appeals. As a result, they have access to substantial and important clinical information. The medical director may have both current and historical information that can assist the treatment team in providing care. Sharing this information with a patient’s current health care provider(s) is problematic due to concerns about patient privacy and the insurer’s goal of not assuming legal liability for patient care. While this paper considers legal issues, it predominantly addresses the ethical responsibilities of medical directors who have valuable information unavailable to or unrecognized by the treatment team. Although it is important to consider sharing general medical information, this paper emphasizes the sharing of behavioral health information, which can be highly sensitive but also pertinent to psychiatric and other medical treatment choices. We suggest that clinical information should flow from insurer to provider when the insurer has information that will benefit the patient or prove crucial to optimal care rather than just flow from provider to insurer for the purposes of claims payments. To support and secure that flow, the paper outlines procedures for determining the need to share information, the means of providing that information, ways to separate liability, and processes for protecting privacy.

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“…Insurers should establish committees to address ethical concerns, similar to hospital ethics committees 18 …”

Section: Suggestionsmentioning

confidence: 99%

Section: Suggestionsmentioning

confidence: 99%

Should Medical Insurance Review Serve the Patient’s Best Interests? Examples and Considerations Illustrated by Behavioral Health Cases

Harris

Abraham

Cohen

2023

Harv Rev Psychiatry

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Effect of Simulation on Undergraduate Nursing Students’ Knowledge of Nursing Ethics Principles

et al. 2017

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Background Undergraduate nursing education standards include acquisition of knowledge of ethics principles and the prevalence of health-care ethical dilemmas mandates that nursing students study ethics. However, little research has been published to support best practices for teaching/learning ethics principles. Purpose This study sought to determine if participation in an ethics consultation simulation increased nursing students' knowledge of nursing ethics principles compared to students who were taught ethics principles in the traditional didactic format. Methods This quasi-experimental study utilized a pre-test/post-test design with randomized assignment of students at three universities into both control and experimental groups. Results Nursing students' knowledge of nursing ethics principles significantly improved from pre-test to post-test ( p = .002); however, there was no significant difference between the experimental and control groups knowledge scores ( p = .13). Conclusion Further research into use of simulation to teach ethics principles is indicated.

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How Should Ethics Consultants Weigh the Law (and other Authoritative Directives)?

Koch

2020

J. Law. Med. Ethics

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In the continuing debate about the role of the Clinical Ethics Consultant in performing clinical ethics consultations, it is often assumed that consultants should operate within ethical and legal standards. Recent scholarship has focused primarily on clarifying the consultant's role with respect to the ethical standards that serve as parameters of consulting. In the following, however, I wish to address the question of how the ethics consultant should weigh legal standards and, more broadly, how consultants might weigh authoritative directives, whether legal, institutional, or professional, against other normative considerations. I argue that consultants should reject the view that authoritative directives carry exclusionary reason for actions and, further, ethicists should interpret directives as lacking any moral weight qua authoritative directive. I then identify both implications and limitations of this view with respect to the evolving role of the ethics consultant in an institutional setting, and in doing so propose the kinds of considerations the ethicist should weigh when presented with an authoritative directive.

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Health Care Ethics Consultation in the United States

Cited by 3 publications

References 8 publications

Should Medical Insurance Review Serve the Patient’s Best Interests? Examples and Considerations Illustrated by Behavioral Health Cases

Should Medical Insurance Review Serve the Patient’s Best Interests? Examples and Considerations Illustrated by Behavioral Health Cases

Effect of Simulation on Undergraduate Nursing Students’ Knowledge of Nursing Ethics Principles

How Should Ethics Consultants Weigh the Law (and other Authoritative Directives)?

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