1. Health Services Organization and Management HSA 500 Ethical Issues in Public Health and Health Services Williams, S. J., & Torrens, P. R. (2008). Introduction to Health Services (7 th ed.). New York: Cengage Delmar Learning.

2. Objectives Upon completion of this lesson, you will be able to: –Explain the impact that policy, social and financial forces have on health care access and quality of care in the United States

3. Public Health Provision of care Equity in distribution of resources Respect for human rights Role of law

4. Ethical Issues in Developing Resources The numbers and kinds of personnel required and their distribution are critical to public health Principle of autonomy Research is central to developing public health resources

5. Ethical Issues in Developing Resources, continued Ethical implications Biomedical research Conflict of interest with scientists Policy makers –Protecting public health and protecting the rights of individual patients

6. Check Your Understanding

7. Ethical Issues in Economic Support Personal autonomy Financial barriers exist Social Security and Medicare Society has an obligation to assure equitable access to health care for all its citizens

8. Ethical Issues in Organization of Services The principal ethical imperative –Services be organized and distributed in accordance with health needs and the ability to benefit To be fair and just, a health system must minimize geographic inequity in distributing care

9. Ethical Issues in Management of Health Services All activities that involve ethical choices: –Organization –Staffing –Budgeting –Supervision –Consultation –Procurement and Logistics –Records and reporting –Coordination –Evaluation Distribution of scarce health resources

10. Ethical Issues in Delivery of Care Resource allocation Rationing Organ transplants –Mandatory donation

11. Ethical Issues in Delivery of Care, continued The practice of medicine and public health screening Provide care for those found to be affected –Ethical principles of beneficence and social justice

12. Check Your Understanding

13. Summary Public Health Ethical issues in developing resources Ethical issues in economic support Ethical issues in organization of services Ethical issues in management of Health Services Ethical issues in delivery of care