Ethical Dilemmas in Healthcare Management: A Detailed Analysis

This essay delves into the ethical challenges prevalent in healthcare management, primarily focusing on the impact of managed care. It highlights issues such as balancing profit with patient care, addressing disparities in treatment between influential individuals and the general public, and the ethical considerations in providing services based on financial benefits. The essay further includes an informational interview with a Human Resource Manager from a Managed Care Unit, exploring aspects of job recruitment and the skills required in this sector. Recommendations are provided to address these ethical dilemmas, emphasizing the importance of fair ethics education for nurses, clear policies on patient treatment, and the establishment of ethical mechanisms within hospitals. The essay concludes by referencing relevant literature on healthcare ethics and managed care.

Running Head: ETHICS IN HEALTH CARE MANAGEMENT 1
Ethics in Health Care Management
Student
Lecture
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ETHICS IN HEALTH CARE MANAGEMENT 2
Ethical challenges that managed care has on health care industry
Health care cost has increased rapidly in the recent years due to an inflationary reimbursement
system, technological advances and the increasing patient expectations. This has led to growth of
managed care organizations that greatly attempts to control costs. (Bondeson & James,
2016)However, this managed care has come with so many ethical challenges which have
affected the health care industry. The ethical challenges are as follows; one of the ethical
challenges is the balancing of profit with serving and providing charity care. Nurses are few and
expensive to keep them, therefore. Health organization must balance their costs to keep them
open.
Another ethical problem in the managed care is wrestling with equal treatment and VIP treatment
for influential people. In healthcare facilities influential people will be allocated longer
consultation time and their care is always first-class. (Morrison, 2018)This is usually unfair to
the public as it shows a bad picture of lack of equality in the healthcare industry. Another
challenge is nurses fail to observe ethical morals when serving patients with lower financial
benefits. Nurses will tend not to provide proper services to patients who are perceived to have
minimal benefit and other nurses will put some patients in life support machines for several years
in order to benefit themselves. Another ethical challenge is the use of false advertising where
managed care usually advertises that it offers mental health services and yet it only offers brief
examination of the mental health condition which may be ineffective. (Barrett, Gail, Angus,
Leonard, & Andreas , Public Health Ethics: Cases Spanning the Globe)
Recommendations
The ethical issue of equalizing profit which hospital gets and the services it offers can be solved
by healthcare organizations investing scarce funds in sectors that are to be beneficial to a few

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people of the total population. Moreover, it is the mandate of healthcare organizations to ensure
proper care with ethically proper policy and fair ethics educations for nurses at all levels. In
addition, policies should be put in place to clarify on treatment of influential people in the
society and the general public and also all accredited hospitals need to have an ethnic mechanism
that helps stuff deal with ethical dilemmas. (Lo, 2013).
An informational interview on managed care carried out by Mr. Maya Collins, Human
Resource Manager, Managed Care Unit
Mr. Maya is the human resource manager and his department mainly concerns with job
recruitments in the managed care unit.
Preparatory information
Some of the information that I will prepare myself on, is the questions on why I want the job?
Why I left my former job? And how much I know about the company?
Interview questions
 What attracted you to this job?
 What do you most enjoy working in the managed care unit?
 What did you do before getting into this job?
 How do you measure your abilities in the managed care unit?
 What are the major disappointments in this job?
I am most comfortable with aspects like proper training and experience of the candidate,
emotional maturity. Attentive listening, ability to control aggression but some of the aspects can
be challenging as information about them can be quite difficult to find. For example, it may be a
bit hard for me to share my feelings and attitude to others as most companies may require.

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References
Barrett, D. H., Gail, B., Angus, D., Leonard, O., & Andreas, R. (2016). Public Health Ethics:
Cases Spanning Globe. Cham: Springer International Publisher.

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Bondeson, W. B., & James, J. W. (2016). The Ethics of Managed Care: Professional Integrity
and Patient Rights. Dordrecht: Springer Netherlands.
Lo, B. (2013). Resolving ethical dilemmas: a guide for clinicians. Philadelphia. Pa.: Lippincott
Williams & Wilkins.
Morrison, E. E. (2018). Health care ethics: critical issues for 21st century. Jones & Bartlett
Learning.