{"title":"The Ethical Obligations of Health-Care Delivery Organizations: <i>a dynamic view</i>.","authors":"Kelsey N Berry, Lauren Taylor","doi":"10.1353/pbm.2025.a962015","DOIUrl":null,"url":null,"abstract":"<p><p>The ethical obligations of health-care delivery organizations are complex, often generating deep disagreements about what justice requires of organizations operating within unjust social conditions. This article maps such disagreements onto the implicit tension between ideal and nonideal perspectives on justice and offers a dynamic way of bridging them. The ideal-nonideal tension and its potential resolution are illustrated with an organizational ethics case on social and medical care integration. By identifying and relating ideal and nonideal perspectives in a dynamic framework, the authors offer a new set of analytic and pragmatic tools by which health-care managers can navigate a broad range of complex questions of organizational ethics and health justice.</p>","PeriodicalId":54627,"journal":{"name":"Perspectives in Biology and Medicine","volume":"68 2","pages":"145-160"},"PeriodicalIF":0.7000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perspectives in Biology and Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1353/pbm.2025.a962015","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HISTORY & PHILOSOPHY OF SCIENCE","Score":null,"Total":0}
引用次数: 0
Abstract
The ethical obligations of health-care delivery organizations are complex, often generating deep disagreements about what justice requires of organizations operating within unjust social conditions. This article maps such disagreements onto the implicit tension between ideal and nonideal perspectives on justice and offers a dynamic way of bridging them. The ideal-nonideal tension and its potential resolution are illustrated with an organizational ethics case on social and medical care integration. By identifying and relating ideal and nonideal perspectives in a dynamic framework, the authors offer a new set of analytic and pragmatic tools by which health-care managers can navigate a broad range of complex questions of organizational ethics and health justice.
期刊介绍：
Perspectives in Biology and Medicine, an interdisciplinary scholarly journal whose readers include biologists, physicians, students, and scholars, publishes essays that place important biological or medical subjects in broader scientific, social, or humanistic contexts. These essays span a wide range of subjects, from biomedical topics such as neurobiology, genetics, and evolution, to topics in ethics, history, philosophy, and medical education and practice. The editors encourage an informal style that has literary merit and that preserves the warmth, excitement, and color of the biological and medical sciences.
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