Galambos C
College of Social Work, University of Tennessee, Nashville 37203, USA.
Health Soc Work. 1999 Aug;24(3):191-7. doi: 10.1093/hsw/24.3.191.
The managed health care environment is replete with situations that create ethical conflicts for the professional social worker. This article examines two such conflicts--competing fiduciary relationships and justice versus injustice--as they relate to social work practice and the 1996 revised NASW Code of Ethics. Mechanisms to reduce these ethical conflicts are presented. The obligation for social workers to participate in social action as a method of reducing injustices found in managed care environments is examined through the principle of distributive justice, egalitarianism, and the NASW Code of Ethics.
管理式医疗环境中充满了给专业社会工作者带来伦理冲突的情况。本文探讨了两种此类冲突——相互竞争的信托关系以及正义与非正义——及其与社会工作实践和1996年修订的美国社会工作者协会伦理守则的关系。文中还提出了减少这些伦理冲突的机制。通过分配正义原则、平等主义和美国社会工作者协会伦理守则，探讨了社会工作者作为减少管理式医疗环境中存在的不公正现象的一种方法而参与社会行动的义务。
