Ethics Flashcards
1
Q
Inequality
A
Differences in health between individuals or groups
1. No determination whether difference is fair or just
2
Q
Inequity
A
Health inequality that is due to unjust difference
- If difference unnecessary and/or preventable, unjust to allow to persist
- Race, religion, ethnicity, socioeconomic status
3
Q
HIPPA
A
Keep in confidence
4
Q
AOA code of ethics
A
- HIPPA
- Be honest w/ pts
- Relationship founded on trust, cooperation, and respect
A. Pts/drs allowed to chose each other
B. Dr. Can’t discriminate - Dr. Can’t abandon pts
- Scientific knowledge + healing arts
A. Evidence-based medicine
B. CME - Regulate itself
- Disputes between physicians referred to appropriate arbitrating bodies
- Respect the law
- Know when to ask for help
- No false advertising
- Bill accurately for provided services (Stark law)
- No sexual harassment
- Don’t use advertising products in front of pts if not intending to use product for pt benefit
- Don’t falsify data
5
Q
Reasons to end pt-dr relationship
A
- Dr doesn’t know how to treat pt
- Pt violates policies
- Pt non compliant
- Pt inappropriate behavior
6
Q
Stark law
A
No self-referral or referral to financial partners
7
Q
Basic ethics principles
A
- Autonomy
- Non-maleficence
- Beneficence
- Justice
- Fidelity
- Utility
8
Q
Autonomy
A
- Self-rule
- Pt freedom to make decisions
- Pt must be informed and understand risks and benefits
- Parents: child’s health > parent autonomy
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
10
Q
Beneficence
A
Best interest of pt
- CMEs
- Consider individual circumstances
11
Q
Justice
A
- Distribution of resources is fair and equal
- Burdens and benefits of experimental tx distributed equally
- Areas of consideration
A. Fair distribution
B. Competing needs
C. Rights and obligations
D. Potential conflicts w/ legislation
12
Q
Fidelity
A
- Do what you say you will
2. Respect confidentiality
13
Q
Utility
A
- Perfect =1
2. Death = 0