Recent social developments, such as demographic change, skill shortages and new medical technologies, have necessitated a transition in the traditional roles of health-care professions. New forms of division of labour and inter-professional health-care education are emerging while at the same time ethical challenges, such as corruption and conflicts of interest, have to be mastered. This book addresses historical, conceptual and empirical aspects of professionalism and inter-professionalism in health care from an international and interdisciplinary perspective. The work is divided into five sections: historical and societal aspects of health care professions; learning and teaching medical professionalism; transformation of health care professions; professional leadership and team decision-making in health care; and ethical challenges to health care professionalism. The final chapter integrates the main ideas and perspectives on health-care professionalism which have been developed throughout the book and highlights how the work in the diverse disciplines is interrelated. The book will be a valuable reference for the many researchers and students with an interest in medical ethics, professionalism and comparative systems of healthcare.
Table of Contents
Introduction, Sabine Salloch, Verena Sandow, Jan Schildmann and Jochen Vollmann. Part I Historical and Societal Aspects of Health-Care Professions: A shifting focus from patients to employees. Withdrawal of religious communities and the emergence of political activity in Protestant hospitals in Berlin between 1960 and 1990, Clemens Tangerding; How to write a letter. Physician's letters from the viewpoint of medical humanities, Katharina Fürholzer. Part II Learning and Teaching Healthcare Professionalism: Collaborative decision-making - a normative synthesis of decision-making models in health care, Sarah Berger, Cornelia Mahler, Jobst-Hendrik Schultz, Joachim Szecsenyi and Katja Götz; The Regensburg Model (‘pain care manager’): an integrated interprofessional pain curriculum for health professionals in German-speaking countries, Kirstin Fragemann, Nicole Lindenberg, Bernhard M. Graf and Christoph H.R. Wiese. Part III Transformation of Health-Care Professions: Professionalism of health workforce in Ukraine, Tetiana Stepurko, Alona Goroshko and Paolo Carlo Belli; Transformation of the role of healthcare ethics committees and the concept of clinical ethics in Belarus: implications for medical professionalism, Andrei Famenka; Ethical problems concerning the international brain drain of healthcare professionals, Dorina Maria Stănescu. Part IV Professional Leadership and Team Decision-Making in Health Care: Substituted or supported decisions? Examining models of decision-making within interprofessional team decision-making for individuals at risk of lacking decision-making capacity, Gemma Clarke, Sarah Galbraith, Jeremy Woodward, Anthony Holland and Stephen Barclay; Attitudinal, motivational and behavioural correlates of ethical leadership in health care teams, Martina Šendula-Pavelić, Zoran Sušanj and Ana Jakopec; Cooperation between managers and the medical profession in the context of strategic decision making in non-profit hospitals. A manageable challenge?, Stephanie Rüsch. Part V Ethical Challenges to Health-Care Professionalism: Akrasia and obedience in medicine: deferring to authority in a decision you believe to be wrong, Tim Wray, Christopher Yu and Christopher Philbey; Professionalism in public health medicine and policy: the challenge of enhancement, Alex McKeown; Ethics and professionalism in health care - a position paper, Sarah Berger, Andrei Famenka, Kirstin Fragemann, Katharina Fürholzer, Alex McKeown, Stephanie Rüsch, Martina Šendula-Pavelić, Dorina Maria Stănescu, Tetiana Stepurko, Clemens Tangerding and Christopher Yu. Index.
Sabine Salloch is a Researcher in Medical Ethics at the Institute for Medical Ethics and History of Medicine, Ruhr-University Bochum, Germany. Her research interests include end-of-life decision-making, medical professionalism and bioethical methodology.
Verena Sandow is a Researcher in Medical Ethics and Applied Ethics at the Institute for Medical Ethics and History of Medicine, Ruhr-University Bochum, Germany. She works in the field of human medical research and research ethics.
Jan Schildmann is a Medical Ethicist and Physician. He is Researcher at the Institute for Medical Ethics and History of Medicine, Ruhr-University Bochum, Germany. His research covers topics in clinical ethics (i.e. end-of-life decisions, ethics support services), research ethics (i.e. personalised medicine, conflict of interest) and methodological aspects of empirical medical ethics.
Jochen Vollmann is Professor and Director at the Institute for Medical Ethics and History of Medicine and Chair of the Centre for Medical Ethics, Ruhr-University Bochum, Germany. Professor Vollmann’s research interests include informed consent and capacity assessment, mental health ethics, end-of-life decision making, advance directives, personalised medicine, medical professionalism, clinical ethics committees and clinical ethics consultation.
‘Ethics and Professionalism in Healthcare brings a fresh view to the debates over changing healthcare provision by applying an ethics lens. This collection includes international and multi-professional perspectives at the crossroads of research and clinical practice, thus broadening our scope of knowledge of medical development. This book will be a very valuable source for students, researchers and practitioners.’
Ellen Kuhlmann, Karolinska Institutet, Sweden
`I would highly recommend this exceptional book. Accomplished young researchers from across Europe present an impressive range of disciplinary theory and practice to illuminate professionalism in evolving healthcare contexts. From the writing of a letter, communication challenges in practice and the impact of organisational and social factors, they explore important philosophical, moral, ethical and educational questions.’
Professor Annie Cushing PhD, FDSRCS(Eng), BDS, Barts and The London School of Medicine and Dentistry, Queen Mary, University of London