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‘Value, values and valued’

A tripod for organisational ethics

Bibliographic Data

ID21514951
AuthorsRaj Mohindra (0000-0002-8437-5066, Newcastle upon Tyne Hospital, corresponding author)
Year2022
Volume48
Issue3
Pages154-159
Publication date2022-03-01
Open AccessNo
TypeARTICLE
VenueJournal of Medical Ethics (JOURNAL)
Journal identifiersISSN: 0306-6800 • E-ISSN: 1473-4257
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/medethics-2020-106837
PMID33741679
OpenAlexW3136890638
LanguageEN
Citations received1
References cited23

Public benefit corporations are National Health Service, that is, state, entities whose function to provide healthcare in discharge of public duties. If we regard v alue as the output of such organisations, it seems logical to connect the values of the organisation to the v alue produced by such organisations. But, on closer examination there are competing underlying logics in play: (1) those based on promoting organisational efficiency and efficacy; and (2) those based on the idea of building service provision around the clinician–patient relationship. Underlying these logics are differing value sets. These clash. Because of the clashing of underlying moral frameworks the connection between values and v alue becomes hard, if not impossible. This paper argues that (1) the clash in these moral frameworks must be addressed by the organisation rather than between individuals or groups of individuals within the organisation; (2) alloying duties within hybrid professionals submerges but does not resolve these conflicts; (3) one approach could be to impose on the organisation itself an ethical imperative to promote, enhance and protect from deterioration the welfare of the patients; (4) a board ethics committee is a possible organisational structure that could transparently and fairly balance clashes within the competing moral frameworks in a way that could reconcile the competing logics and (5) if such conflicts can be better resolved at the organisational level what the organisation must do to achieve its objectives will become clearer because what needs to be valued would naturally emerge connecting values, v alue and what is valued

Business · Law and economics · Political science · Public relations · Sociology · Computer Science · Ethics in medical practice · Healthcare cost, quality, practices · Healthcare Quality and Management

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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