A Possible Diagnostic of the State of Health of Ethics Management in the Hospitals in Romania – an Exploratory Study
Keywords:management of the ethics system, ethics programme, Romanian hospitals
AbstractBackground. Our article presents the results of an empirical study having as objective the identification of the preoccupations for the management of ethics, the formal or informal ethics programme existing in the practice of the Romanian hospitals. Methods. Our exploratory qualitative research is based on semi-structured interviews, conducted in 2016 in the hospitals in Romania. A number of 19 respondents from nine hospital units in several towns in the country have participated. Results. Our research reveals that the ethics management system in Romanian hospitals is strongly limited to the applying methods and tools to comply to the legal requirements for the healthcare sector activity and mostly focused to the activity of the Council of ethics (organism founded by law, that functions in the hospitals), but a holistic and integrated approach is still missing. Conclusions. As a general conclusion, we notice the managers„ awareness of the importance and need to implement an ethics management system, but this is a field that requires more attention and clearly improvement in the Romanian hospital units in terms of vision and systemic approach, ethical culture and leadership, ethics system, policies and programs. The study could be useful first to all hospital managers in improving the global performance and ethical reputation of their unit, but also to public authorities that adopt policies in healthcare system, to accreditation bodies and academics interested in this research area.
Agheorghiesei (Corodeanu), D.T., & Poroch, V. (2016). The Informal Payments and their Managerial Implications in the Medical System. An Analysis from the Perspective of the Values and of the “Gift Culture” in the Romanian People. Future Academy. The European Proceedings of Social and Behavioral Sciences, 15: 37-55. eISSN : 2357-1330. Doi: http://dx.doi.org/10.15405/epsbs.2016.09.6
Agheorghiesei (Corodeanu), D.T., Poroch, V., & Perțea, M. (2015). Ethical Leadership In The Healthcare Institutions From Romania. An Approach from a Management Perspective. Revista Română de Bioetică, 13(1):186-207.
Agheorghiesei (Corodeanu), D.T., Dabija, M., & Copoeru, I. (2014). An ethical approach to accreditation standards for hospitals in Romania. The need for ethics audit to improve the quality of care for patients. Revista Română de Bioetică, 12(2):70-83.
Agheorghiesei (Corodeanu), D.T., Iliescu, L., Gavrilovici, C., & Oprea, L. (2014). Why is an ethical and integrated audit accreditation process required for Romanian hospitals. South African Journal of Economic and Management Sciences, 17(3): 284-296.
Agheorghiesei (Corodeanu), D.T., Iliescu, L., Gavrilovici, C., & Oprea, L. (2013). What Is To Be Expected from an Ethics Audit Integrated Within the Accreditation Process of Hospitals from Romania?. Iranian Journal of Public Health, 42(7):737-747.
Agheorghiesei (Corodeanu), D.T., & Poroch, V. (2013). Pilot-study concerning the management of ethical behaviour in healthcare institutions from Iasi. Values, visions, objectives and ethics policies. Revista Română de Bioetică, 11(2): 134-148.
Agheorghiesei (Corodeanu), D.T., & Copoeru, I. (2013). Evaluating Patient Satisfaction A Matter of Ethics in the Context of the accreditation Process of the Romanian Hospitals. Procedia - Social and Behavioral Sciences, 82:404 – 410.
Anonymous (2004). Ethics program a must!. Commercial Law Bulletin, 19(4):6.
Baker, D.M. (n.d.). Compliance Professional. We all assess risk – but what do we do with it?. The Health Care Compliance Association. Retrieved from http://www.hccainfo.org/Resources/View/tabid/451/ArticleId/5157/We-all-assess-riskbut-what-do-we-do-with-it.aspx.
Barker, R.A. (1993). An evaluation of the ethics program at General Dynamics. Journal of Business Ethics, 12(3):165-177.
Barry, M. (2002). Why ethics & compliance programs can fail. The Journal of Business Strategy, 23(6): 37-40.
Bikard, A. (2011). Building Ethics into the Compliance Program. Retrieved from https://www.complianceweek.com/news/news-article/building-ethicsinto-the-compliance-program#.WqodLT8XeDI.
Burrows, M. (2006). The Seven Elements Of An Effective Compliance And Ethics Program. Practical Lawyer, Feb, 52(1); ProQuest Central, pg. 21.
Caras (Frunză), A., & Sandu, A. (2014). Epistemic and Pragmatic Backgrounds of Supervision of Ethics. Procedia – Social and Behavioral Sciences, 149: 142-151.
Ciancio, N. (2007). The seven pillars of an effective ethics and compliance program. Health Care Compliance Association. July: 42-43. Retrieved from www.hcca-info.org.
Dubinsky, J.E., & Verschoor, C.C. (2003). 10 Steps to an Effective Ethics and Compliance Program. Strategic Finance, 85(6): 16-18.
Ethics Resource Center. (2009). The 2009 National Business Ethics Survey. Ethics in the Recession. Retrieved from: observgo.uquebec.ca/observgo/fichiers/92684_nbes-final.pdf.
European Union [EU]. (2017). Special Eurobarometer 470. October 2017 “Corruption” Report, 2017. Available from: ec.europa.eu/commfrontoffice/publicopinion/index.cfm/ResultDoc/dow nload/.../81007.
Haraga, O. (2016). New corruption scandal shakes Romanian public healthcare system. Healthcare, May 04. Available from: http://www.businessreview.eu/news/new-corruption-scandal-shakes-romanian-publichealthcare-system-105112.
Joseph, J. (2002). Integrating Business Ethics and Compliance Programs: A Study of Ethics Officers in Leading Organizations. Business and Society Review, 107(3): 309–347.
Kaptein, M. (1998). Ethics Management. Auditing and Developing the Ethical Content of the Organization. Dordrecht: Kluwer Academic Publishers.
Kaptein, M. (2015). The Effectiveness of Ethics Programs: The Role of Scope, Composition and Sequence. Journal of Business Ethics, 132(2): 415–431. An electronic copy is also available at: http://ssrn.com/abstract=2464004.
Kaptein, M. (2009). Ethics Programs and Ethical Culture: A Next Step in Unraveling Their Multi-Faceted Relationship. Journal of Business Ethics, 89(2): 261–281.
McGrath, S. (2016). Hospital Scandal Brings Down Romanian Pharma Co.. Retrieved from http://www.forbes.com/sites/stephenmcgrath/2016/05/13/hospitalscandal-brings-down-romanian-pharma-co/#24d6bc857aa5.
Mills, A. E. & Wicks, A.C. (2005). healthcare ethics and business ethics. In P. H. Werhane & R. E. Freeman (Eds.), The Blackwell Encyclopedia of Management (2nd ed., pp. 221-223). Volume II. Business Ethics. Malden, MA: Blackwell Publishing.
Pearson, S.D., Sabin, J.E., & Emanuel, E.J. (2003). No Margin, No Mission. HealthCare Organizations and the Quest For Ethical Excellence. Oxford University Press.
Peterson, E.A. (2013). Compliance and ethics programs: competitive advantage through the law. Journal of Management & Governance, 17(4): 1027–1045.
Roberts, M.J., & Reich, M.R. (2002). Ethical analysis in public health. The Lancet, 359 (9311), 1055-1059.
Sandu, A., & Caras (Frunză), A. (2014). Some Consideration on the Construction of Ethics Policies. Shared Ethics and Communicative Action. Procedia – Social and Behavioral Sciences 149: 846-854.
Snell, R. (2007). Compliance/Ethics Program Hierarchy of Needs. Journal of Health Care Compliance, 9(1): 33-38.
Stancu, E. (2014). Mass exodus: Why corruption in Romania's healthcare system is forcing its doctors to work abroad. Retrieved from http://www.independent.co.uk/news/world/europe/mass-exodus-whycorruption-in-romanias-healthcare-system-is-forcing-its-doctors-to-workabroad-9035108.html.
Stouffer, R. (2006). Compliance and ethics programs crucial to investigators. Tribune - Review / Pittsburgh Tribune - Review ,[Greensburg, Pa], 01 June: n/a.
Treviño, L.K., & Nelson, K.A. (2011). Managing business ethics: straight talk about how to do it right. Fifth edition. John Wiley & Sons, Inc.
Wulf, K. (2011). Ethics and Compliance Programs in Multinational Organization. Dissertation Freie Universität Berlin. Springer Gabler.
How to Cite
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant this journal right of first publication, with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work, with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g. post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g. in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as an earlier and greater citation of published work (See The Effect of Open Access).
Postmodern Openings Journal has an Attribution-NonCommercial-NoDerivs