Ethics Flashcards

1
Q

Inequality

A

Differences in health between individuals or groups

1. No determination whether difference is fair or just

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2
Q

Inequity

A

Health inequality that is due to unjust difference

  1. If difference unnecessary and/or preventable, unjust to allow to persist
  2. Race, religion, ethnicity, socioeconomic status
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3
Q

HIPPA

A

Keep in confidence

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4
Q

AOA code of ethics

A
  1. HIPPA
  2. Be honest w/ pts
  3. Relationship founded on trust, cooperation, and respect
    A. Pts/drs allowed to chose each other
    B. Dr. Can’t discriminate
  4. Dr. Can’t abandon pts
  5. Scientific knowledge + healing arts
    A. Evidence-based medicine
    B. CME
  6. Regulate itself
  7. Disputes between physicians referred to appropriate arbitrating bodies
  8. Respect the law
  9. Know when to ask for help
  10. No false advertising
  11. Bill accurately for provided services (Stark law)
  12. No sexual harassment
  13. Don’t use advertising products in front of pts if not intending to use product for pt benefit
  14. Don’t falsify data
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5
Q

Reasons to end pt-dr relationship

A
  1. Dr doesn’t know how to treat pt
  2. Pt violates policies
  3. Pt non compliant
  4. Pt inappropriate behavior
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6
Q

Stark law

A

No self-referral or referral to financial partners

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7
Q

Basic ethics principles

A
  1. Autonomy
  2. Non-maleficence
  3. Beneficence
  4. Justice
  5. Fidelity
  6. Utility
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8
Q

Autonomy

A
  1. Self-rule
  2. Pt freedom to make decisions
  3. Pt must be informed and understand risks and benefits
  4. Parents: child’s health > parent autonomy
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9
Q

Non-maleficence

A

Do no harm
1. Double-effect: create (+) outcome while potentially doing harm
2. No harmful meds
3. Violation = malpractice
A. Act or omission deviates from standard -> pt. Injury

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10
Q

Beneficence

A

Best interest of pt

  1. CMEs
  2. Consider individual circumstances
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11
Q

Justice

A
  1. Distribution of resources is fair and equal
  2. Burdens and benefits of experimental tx distributed equally
  3. Areas of consideration
    A. Fair distribution
    B. Competing needs
    C. Rights and obligations
    D. Potential conflicts w/ legislation
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12
Q

Fidelity

A
  1. Do what you say you will

2. Respect confidentiality

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13
Q

Utility

A
  1. Perfect =1

2. Death = 0

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