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A Matter of Justice: Building Trust among Hospital Managers and Physicians
Abstract
A crucial aspect of a fair allocation of scarce resources in hospital is the close cooperation of hospital executives and physicians. This chapter has three aims. Firstly, it provides an analysis of basic elements of medical and hospital executives' ethics. Secondly, it discusses the role of concepts of justice in hospital decision-making. Thirdly, it reflects on process criteria and structures that might support coping with allocation conflicts in hospitals. While hospital executives mainly act according to economic, legal, and strategic considerations, physicians are traditionally obliged to professional ethics codes. These include patient welfare as the primary concern with economic aspects a secondary priority. Therefore, implementing and applying ethical principles for the allocation of scarce resources requires an ongoing constructive discourse between hospital managers and physicians. Furthermore, in order to build trust between the two stakeholders, an effective structure for solving ethical conflicts and a fair decision-making process is paramount.
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