4 Key Ethical Concepts (that we, as a Committee and NHF, should want to continue striving towards)
To help others
To do no harm
Allowing others to make their own choice
Fair decision making
Distribution of good (or bad) things evenly
7 Related Ethical Concepts
- Truth Telling
- Fiduciary Duty
- Conflict of Interest
- Relationship Boundaries
- Prescribing Authority
- Greatest Good
1. TRUTH TELLING
- Key to respecting autonomy
- Subjects must know potential benefit vs. potential harm
- Truth between professional and client/patient
- Example: You can’t give “fake medicine” to someone and pretend it’s real
2. FIDUCIARY DUTY
- To act in the best interest of the patient.
- If a health care professional cannot do this, then they owe it to the patient to say so.
- Example: Care provider has a responsibility to advocate for the patient versus pharmaceutical company.
3. CONFLICT OF INTEREST
- Acting in one’s own interest vs. interest of others.
- May affect fiduciary responsibility
- Money often the cause
- Example: Receiving free drug samples from a pharmaceutical representative may influence health care provider to prescribe it.
4. RELATIONSHIP BOUNDARIES
- Health care professionals must maintain professional relationship with patients: funding/business relationships should
not affect judgment.
- Businesses must maintain professional relationships and boundaries.
- Community: Must maintain professional relationships.
- Example: A female health care provider should not date a patient’s relative.
5. PRESCRIBING AUTHORITY
- By law, only qualified individuals are permitted to prescribe medical treatments or medications
- Must distinguish between providing limited information and advice versus prescribing treatments
6. GREATEST GOOD
- “Distributive Justice” How to give scarce or expensive resource (e.g. medicine) to a group
- One theory: Distribute so the group benefits versus an individual (controversial)
- Example: Should factor be given prophylactically for sports when there is a no factor in other countries?
- Example: Mission statement with supportive goals and objectives/clear procedural policies