Kekewich Michael, Landry Joshua, Roth Virginia
1 Department of Clinical and Organizational Ethics, The Ottawa Hospital, Ottawa, Ontario, Canada.
2 Champlain Centre for Healthcare Ethics, The Ottawa Hospital, Ottawa, Ontario, Canada.
Healthc Manage Forum. 2018 Jan;31(1):29-31. doi: 10.1177/0840470417745612. Epub 2017 Dec 5.
In terms of their expertise, experience, and impact on patient care, health leaders occupy an important position in our health system. These leaders are expected to provide value to their constituents, and this value is connected to moral objectives that are fundamental to the delivery of healthcare. In some cases, leaders may interpret a certain politico-medical decision, policy, or directive to interfere with these moral objectives. In these instances, leaders can either expressly object to a decision or sideline moral views while enacting these policies or directives. We present several contemporary examples of these issues as well as the experiences of health leaders. Subsequently, we review relevant sections of the Canadian College of Health Leaders' Code of Ethics to identify existing guidance. Ultimately, we conclude that more work is needed to define the role of leaders in these circumstances, as well as the limitations of any resistance.
就其专业知识、经验以及对患者护理的影响而言，卫生领域的领导者在我们的卫生系统中占据着重要地位。这些领导者应向其选民提供价值，而这种价值与医疗保健提供的基本道德目标相关联。在某些情况下，领导者可能会对某项政治医疗决策、政策或指令进行解读，从而干扰这些道德目标。在这些情况下，领导者可以明确反对某项决策，或者在执行这些政策或指令时将道德观点搁置一旁。我们列举了这些问题的几个当代实例以及卫生领域领导者的经历。随后，我们查阅了加拿大卫生领导者学院道德准则的相关章节，以确定现有的指导意见。最终，我们得出结论，需要开展更多工作来界定领导者在这些情况下的角色，以及任何抵制行为的局限性。
