alexa Improving Ethical Decision Making in Health Care Leadership
ISSN: 2151-6219

Business and Economics Journal
Open Access

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Improving Ethical Decision Making in Health Care Leadership

Paul Bruning1* and Timothy Baghurst2

1Summit Orthopedics, United States

2Oklahoma State University

*Corresponding Author:
Paul Bruning
Summit Orthopedics
United States
E-mail: [email protected]

Received Date August 25, 2013; Accepted Date August 27, 2013; Published Date September 02, 2013

Citation: Bruning P, Baghurst T (2013) Improving Ethical Decision Making in Health Care Leadership. Bus Eco J 4:e101. doi:10.4172/2151-6219.1000e101

Copyright: © 2013 Bruning P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Purpose: The purpose of this articles discussion is to describe the application of ethical decision-making and
the three primary relationships within health care leadership. Healthcare change occurs rapidly and increases tension
and mistrust between payers, providers, and patients. Application of ethical standards to decision-making and change
decreases healthcare cost and improves trust in change processes.
Approach: Health care challenges occur among three primary relationships. These relationships include the patient
and provider, patient and payer, and provider and payer. A plethora of leadership models exist with regard to leading
change; however, these models do not consider that leaders are not always concerned with the ethical decision-making
process. Evaluation of the ethical principles, healthcare relationships, and recent healthcare changes found in the
Patient Protection and Affordable Care Act guide the articles discussion.
Findings: Application of ethical principles to transformational leadership improves healthcare relationships
and alleviates stress and tension produced by change. Healthcare leaders have an expectation to provide ethical
considerations during change management and the decision-making process which influences the various relationships
found in healthcare.
Value: Healthcare leaders are in the unique position to improve healthcare using ethical principles. Because health
care reform requires ethical decision-making from leaders, the application of ethical principles to the various relationships
health care leaders’ influence creates fundamental and successful change in health care.


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