What Critical Ethical Values Guide Strategic Planning Processes in Health Care Organizations?

This case explores a fictitious hospital's use of co-creation to make a decision about redesign of inpatient units as a first step in incorporating stakeholder input into creation of governing policies. We apply a "procedural fairness" framework to reveal that conditions required for...

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Bibliographic Details
Published in:AMA journal of ethics 2017-11, Vol.19 (11), p.1073-1080
Main Authors: Kucmanic, Matthew, Sheon, Amy R
Format: Article
Language:English
Subjects:
Attitude
Decision Making - ethics
Environment Design
Focus Groups
Hospitalization
Hospitals
Humans
Leadership
Morals
Organizations
Social Justice
Stakeholder Participation
Strategic Planning
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Summary:This case explores a fictitious hospital's use of co-creation to make a decision about redesign of inpatient units as a first step in incorporating stakeholder input into creation of governing policies. We apply a "procedural fairness" framework to reveal that conditions required for an ethical decision about space redesign were not met by using clinician and patient focus groups to obtain stakeholder input. In this article, we identify epistemic injustices resulting from this process that could undermine confidence in leadership decisions. Suggestions are offered for incorporating stakeholder input going forward that address prior shortcomings. The result should be conditions that are perceived as procedurally fair and decisions that engender confidence in institutional leadership.
ISSN:2376-6980
2376-6980
DOI:10.1001/journalofethics.2017.19.11.ecas1-1711