About the Book
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 collection 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 study concludes by integrating the main ideas and perspectives in a position paper, 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:
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.
About the Author :
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 are in clinical ethics, medical professionalism and the methodology of empirical-ethical research. Her work has been published in a broad range of ethical and medical journals and she has won scholarships and prizes, including by the Ethox Centre (University of Oxford), the Akademie für Ethik in der Medizin (AEM) and The North Rhine-Westphalian Academy of Sciences, Humanities and the Arts.
Verena Sandow is freelancer for project management and coordination. She is a trained philosopher and scientist in the fields of medical ethics and applied ethics. Following her studies in Philosophy, Media Studies and Economic History at the Heinrich-Heine-University Düsseldorf, she was a member of the research training group “Bioethics” at the International Centre in Science and Humanities, Eberhard-Karls-University Tübingen. She worked in the fields of human medical research and research ethics and co-organised several conferences in the field of Medical Ethics at the Institute for Medical Ethics and History of Medicine, Ruhr-University Bochum, Germany.
Jan Schildmann is a physician and senior researcher at the Institute for Medical Ethics and History of Medicine, Ruhr-University Bochum, Germany. His research covers a range of topics in clinical ethics and research ethics. In addition he is interested in methodological aspects of combining normative and empirical analysis. With regards to teaching he has developed several modules on professionalism and ethics for students and healthcare professionals. His work has been awarded with several research and teaching prizes.
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. His 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. He was honoured with the Prize for Brain Research in Geriatrics of the University of Witten/Herdecke, the Stehr-Boldt-Prize for Medical Ethics of the University of Zurich, the Research Award of the German Association of Palliative Medicine, as well as the University Teaching Award “lehrreich” of the Ruhr-University Bochum and the “Gaudium docendi” Teaching Award of the Society of Friends and Sponsors of the Ruhr-University Bochum.
Review :
`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