Proenca E Jose
Department of Health and Medical Services Administration, School of Business Administration, Widener University, Chester, PA, USA.
Health Care Manage Rev. 2004 Jan-Mar;29(1):40-50. doi: 10.1097/00004010-200401000-00006.
Increasing scrutiny of ethical misconduct by federal and state agencies has prompted health services organizations to adopt codes of ethics and institute legal compliance programs. However, there is little understanding of the impact of ethics programs or the manner in which program elements act to enhance organizational integrity. This study examined the effect of five ethics program elements on organizational integrity and the mediating role played by ethics orientation in this relationship. It found that program elements influence organizational integrity by engendering among employees a values orientation, a compliance orientation, or both. Furthermore, program elements that induced both orientations have a larger impact on integrity. These findings have important implications for health services managers involved in designing and implementing an ethics program.
联邦和州机构对道德失范行为的审查日益严格，促使医疗服务组织采用道德准则并制定法律合规计划。然而，对于道德计划的影响或计划要素增强组织诚信的方式，人们了解甚少。本研究考察了五项道德计划要素对组织诚信的影响，以及道德取向在这种关系中所起的中介作用。研究发现，计划要素通过在员工中培养价值观取向、合规取向或两者兼而有之来影响组织诚信。此外，引发两种取向的计划要素对诚信有更大影响。这些发现对参与设计和实施道德计划的医疗服务管理者具有重要意义。
