Authors: Carol Tamparo, Marcia (marti) Lewis, Carol D. Tamparo
ISBN-13: 9780803617308, ISBN-10: 0803617305
Format: Paperback
Publisher: F. A. Davis Company
Date Published: May 2007
Edition: 6th Edition
Carol D. Tamparo, PhD, CMA-A, Dean, Business and Allied Health Division, Lake Washington Technical College, Kirkland, Washington
Marcia A. Lewis, EdD, RN, CMA-AC, Associate Dean, Mathematics, Science, and Health Occupations; Instructor, Medical Assisting, Olympic College, Bremerton, Washington
Now in its sixth edition, Medical Law, Ethics and Bioethics for Health Professions continues to champion the "Have a Care" cause while providing readers with a strong ethical and legal foundation to better serve their clients. Any direct client contact involves ethical and legal responsibility and a certain level of ambulatory health care knowledge. This book provides that and provides a solid groundwork for ambulatory care as it pertains to legal concepts and laws, ethical issues, and bioethics faced in today's medical practices - by today's health care professionals.
Illustrates medical ethics concepts and controversies with brief cases and scenarios, and provides learning features such as definitions, chapter objectives, vignettes, discussion questions, and case law examples. Subjects covered include professional liability, consent, genetic engineering, abortion, and death and dying. For ambulatory health care workers. This fourth edition, revised from the 1993 edition of , includes material on managed care, health care reform, and cultural perspectives. Annotation c. by Book News, Inc., Portland, Or.
Preface | ||
Acknowledgments | ||
Have a Care | 1 | |
1 | Medical Law, Ethics, and Bioethics | 6 |
Law | 7 | |
Ethics | 7 | |
Bioethics | 7 | |
Ethical Issues in Modern Medicine | 8 | |
Comparing Law, Ethics, and Bioethics | 9 | |
The Importance of Medical Law, Ethics, and Bioethics | 9 | |
Codes of Ethics | 11 | |
An Ethics Check | 12 | |
Characteristics of a Professional Ambulatory Health Care Employee | 13 | |
2 | Medical Practice Management | 16 |
Sale Proprietors | 18 | |
Partnerships | 20 | |
Professional Service Corporations | 21 | |
Group Practices | 23 | |
Managed Care | 25 | |
Health Maintenance Organizations | 27 | |
Other Business Arrangements | 29 | |
A Word of Caution | 31 | |
General Liability | 31 | |
Employers' Responsibilities to Employees | 33 | |
3 | The Employees in Ambulatory Health Care | 35 |
Licensed Personnel (Nurses) | 37 | |
Nonlicensed Personnel | 39 | |
Other Employees | 41 | |
Considerations for Ambulatory Health Care Employees | 42 | |
4 | Legal Guidelines for Ambulatory Health Care | 44 |
Sources of Law | 46 | |
Types of Law | 47 | |
Controlled Substances Act and Regulations | 52 | |
Drug Schedules | 53 | |
Issuing Prescriptions | 55 | |
Types of Court | 55 | |
Subpoenas | 59 | |
The Trail Process | 60 | |
Expert Witness | 62 | |
5 | Regulations and Professional Liability for the Health Care Professional | 64 |
Medical Practice Acts | 65 | |
Professional Liability | 67 | |
Standard of Care | 67 | |
Confidentiality | 68 | |
Physician Liability for Client Injury | 69 | |
Contracts | 69 | |
Torts | 73 | |
Doctrine of Respondent Superior | 77 | |
Statue of Limitations | 78 | |
Professional Liability or Malpractice Insurance | 80 | |
Alternatives to Litigation | 81 | |
Malpractice Prevention | 81 | |
6 | Public Duties | 84 |
Birth and Deaths | 86 | |
Communicable and Notifiable Diseases | 92 | |
Victims of Abuse | 94 | |
Elder Abuse | 95 | |
Child Abuse | 95 | |
Evidence | 97 | |
Drug Abuse | 98 | |
Good Samaritan Laws | 99 | |
7 | Consent | 102 |
Informed and Uninformed Consent | 104 | |
The Doctrine of Informed Consent | 104 | |
Problems in Consent | 105 | |
Implementing Consent | 108 | |
8 | Medical Records | 113 |
Purposes | 114 | |
Problem-Oriented Medical Records | 114 | |
SOAP | 115 | |
Use of Records in Litigation | 117 | |
Computerized Medical Records | 120 | |
121 | ||
Fax Machines | 122 | |
Ownership of Medical Records | 123 | |
Retention of Medical Records | 124 | |
9 | Reimbursement and Collection Practices | 126 |
Truth in Lending Act | 127 | |
Collection Guidelines | 128 | |
Collection Do's | 129 | |
Collection Don'ts | 131 | |
Collection Problems | 131 | |
Collection Agencies | 132 | |
Reimbursement Attitudes | 133 | |
10 | Employment Practices | 135 |
Personnel Policies | 136 | |
Job Descriptions | 136 | |
Office Hours and Work Week | 137 | |
Benefits and Salaries | 137 | |
The Employment Process | 137 | |
Legal Implications | 144 | |
11 | A Cultural Perspective for Ambulatory Health Care | 150 |
Components of Cultural Diversity | 151 | |
Establishing a New Culture in Ambulatory Health Care | 154 | |
12 | Allocation of Scarce Medical Resources | 157 |
Macroallocation and Microallocation | 159 | |
The Influence of Politics, Economics, and Ethics on Health Care | 160 | |
Systems for Decision Making | 161 | |
How Would You Decide? | 162 | |
13 | Genetic Engineering | 165 |
Genetic, Screening, Testing, and Counseling | 167 | |
Sterilization | 170 | |
Human Genome Project and Gene Therapy | 171 | |
Assisted Reproduction | 172 | |
Artificial Insemination | 173 | |
Legal and Ethical Implications of AIH and AID | 173 | |
In Vitro Fertilization and Other Forms of Assisted Reproduction | 175 | |
Surrogacy | 176 | |
Legal and Ethical Implications of Assisted Reproduction | 176 | |
Cord Blood and Stem Cell Research | 178 | |
Tissue and Organ Engineering | 179 | |
Reproductive Cloning | 179 | |
Considerations for Ambulatory Care Employees | 180 | |
14 | Abortion | 181 |
Fetal Development | 182 | |
When Does Life Begin? | 182 | |
Methods of Abortion | 184 | |
Legal Implications | 186 | |
Ethical Implications | 190 | |
Ambulatory Health Care Protocol | 192 | |
15 | Life and Death | 195 |
Choices in Life and Death | 196 | |
Choices in Dying | 199 | |
Living Wills, Advance Directives, and the Patient Self-Determination Act | 200 | |
Durable Power of Attorney for Health Care | 202 | |
Legal Definitions of Death | 204 | |
Legal Implications | 206 | |
Ethical Considerations | 207 | |
The Role of Health Professionals in Ambulatory Care | 209 | |
16 | Dying and Death | 212 |
Suffering in Dying | 213 | |
Use of Medications | 214 | |
Psychologic Aspects of Dying | 215 | |
Physiologic Aspects of Dying | 215 | |
Stages of Grief | 217 | |
Hospice | 219 | |
Assisted Suicide | 220 | |
Uniform Anatomical Gift Act | 222 | |
Autopsy | 223 | |
The Role of the Physician and Ambulatory Health Care Professionals | 224 | |
App. I | Code of Ethics | 227 |
App. II | Sample Documents for Choices about Health Care, Life, and Death | 239 |
Bibliography | 246 | |
Index | 253 |