Defense Date

3-22-2018

Graduation Date

Spring 5-11-2018

Availability

One-year Embargo

Submission Type

dissertation

Degree Name

PhD

Department

Health Care Ethics

School

McAnulty College and Graduate School of Liberal Arts

Committee Chair

Gerald Magill

Committee Member

Henk Ten Have

Committee Member

Joris Gielen

Keywords

Organizational Ethics, Health Care, Rationing, Medical Futility, Cultural Competency, Shared Decision-Making, Resource Allocation

Abstract

Unanswered questions on how to allocate scarce resources in health care settings are often left to either bedside decision-making or, at best, the organizational policy level. Yet, there is little attention and no consensus on how organizational policy should address resource allocation in health care. An ethically sound framework is needed to guide policy development for resource allocation within health care organizations. In addition, a more comprehensive study of concepts tied to moral obligations of health care organizations is needed in terms of human rights, health disparities, and patient care quality. Until now, human rights literature has largely focused on obligations of governments and rarely addresses which obligations organizations may have to protect or promote the human right to health. This dissertation seeks to address the gaps in literature about the moral obligations of health care organizations to protect human rights and develop equitable resource allocation policies. The purpose of the dissertation is to establish an ethical framework for organizational resource allocation in health care.

Language

English

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