Frontiers in Management Research

Download PDF (638.8 KB) PP. 15 - 25 Pub. Date: January 10, 2019

DOI: 10.22606/fmr.2019.31003

• Homayara Latifa Ahmed
  PhD Fellow, Putra Business School, Malaysia

Employees in organizations face a myriad of moral issues in their everyday decision-making. It is of great significance when the decisions entail a professional conduct where the individuals have fiduciary relationship with one or more stakeholders – as in the case of doctors and patients. In the healthcare sector of Bangladesh, a number of malpractices and unethical behaviours have been highlighted in the media and by the insiders to the industry. Hence, the aim of this exploratory research was to see the prevalence of such practices and try to relate these practices with the existing HR scenario of the respective organizations. The study was conducted using the questionnaire survey method, where response from 128 patients were taken to carry out a one-tailed hypotheses testing. Moreover, a few semi-structured interviews were also carried out with a number of industry experts (particularly representing the management of a number of healthcare organizations). The findings indicated that majority of patients do feel that doctors wilfully prescribe specific brands of medicine in majority of the cases and they also perceive prescription of brand drugs, repeat medical tests (particularly from referred diagnostic centres) as unethical. Such behaviours are further questioned on account of the presence of similar to commission-based pay in their respective organizations etc.

healthcare sector, unethical behaviour, doctors, HR practices, Bangladesh.

[1] Baumane-Vitolina, I., Cals, I., & Sumilo, E. (2016). Is Ethics Rational? Teleological, Deontological and Virtue Ethics Theories Reconciled in the Context of Traditional Economic Decision Making. Procedia Economics and Finance, 39(November 2015), 108–114. https://doi.org/10.1016/S2212-5671(16)30249-0

[2] Buchholz, R. A. (1989). Fundamental Concepts and Problems in Business Ethics. New Jersey: Prentice Hall, Inc.

[3] Buelens, M., & Van Den Broeck, H. (2007). An analysis of differences in work motivation between public and private sector organizations. Public Administration Review, 67(1), 65–74. https://doi.org/10.1111/j.1540-6210.2006.00697.x

[4] Bush, V., Harris, S., & Bush, A. (1997). Establishing ethical boundaries for service providers: a narrative approach. Journal of Services Marketing, 11(4), 265–277. https://doi.org/10.1108/08876049710171722

[5] Cojuharenco, I., Shteynberg, G., Gelfand, M., & Schminke, M. (2012). Self-Construal and Unethical Behavior. Journal of Business Ethics, 109(4), 447–461. https://doi.org/10.1007/s10551-011-1139-8

[6] Dhaka_Tribune. (2018, January 27). Will medical professionals in Bangladesh receive immunity? Dhaka Tribune. Retrieved from https://www.dhakatribune.com/opinion/special/2018/01/27/will-medical-professionals-bangladesh-receive-immunity

[7] Fornaciari, D., & Callens, S. (2012). Competition rules and health care players: Principles and consequences. International Journal of Health Care Quality Assurance, 25(5), 379–386. https://doi.org/10.1108/ 09526861211235883

[8] Gino, F., Shu, L. L., & Bazerman, M. H. (2010). Nameless + harmless = blameless: When seemingly irrelevant factors influence judgment of (un)ethical behavior. Organizational Behavior and Human Decision Processes, 111(2), 93–101. https://doi.org/10.1016/j.obhdp.2009.11.001

[9] Gous, N. (2018, October 23). Nursing malpractice claims at private hospitals is on the rise. BusinessDay. Retrieved from https://www.businesslive.co.za/bd/national/health/2018-10-23-nursing-malpractice-claims-at-private-hospitals-is-on-the-rise/

[10] Heath, J. (2006). Business Ethics without stakeholders. Business Ethics Quarterly, 16(4), 533–557. https://doi.org/10.5840/beq200616448

[11] Holloway, K. A. (2010). Bangladesh - Pharmaceuticals in Health Care Delivery. New Delhi.

[12] King, M., & Bearman, P. S. (2017). Gifts and influence: Conflict of interest policies and prescribing of psychotropic medications in the United States. Social Science and Medicine, 172, 153–162. https://doi.org/ 10.1016/j.socscimed.2016.11.010

[13] Mamun, S. (2017, March 4). Draft Medical Services Act to protect doctors. Dhaka Tribune. Retrieved from https://www.dhakatribune.com/business/regulations/2017/03/04/draft-medical-services-act-protect-doctors

[14] Milkovich, G., & Newman, J. (2004). Compensation (8th ed.). New Delhi: Tata McGraw-Hill.

[15] Moskop, J. C., Iserson, K. V., Aswegan, A. L., Larkin, G. L., & Schears, R. M. (2012). Gifts to physicians from industry: The debate evolves. Annals of Emergency Medicine, 59(2), 89–97. https://doi.org/10.1016/ j.annemergmed.2011.08.001

[16] Moynihan, R. (2009). Doctors and drug companies: Is the dangerous liaison drawing to an end? Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen, 103(3), 141–148. https://doi.org/10.1016/ j.zefq.2009.03.022

[17] Nurunnabi, M., & Islam, S. K. (2012). Accountability in the Bangladeshi privatized healthcare sector. International Journal of Health Care Quality Assurance, 25(7), 625–644. https://doi.org/10.1108/ 09526861211261226

[18] Román, S., & Munuera, J. L. (2005). Determinants and consequences of ethical behaviour: An empirical study of salespeople. European Journal of Marketing, 39(5–6), 473–495. https://doi.org/10.1109/ CAMSAP.2017.8313221

[19] Rose, A. (2008). Ethics and Human Resource Management. In Exploring human resource management (pp. 29–42). London: McGraw-Hill Education.

[20] Silva, M. C. (1998). Financial Compensation and Ethical Issues in Health Care. Online Journal of Issues in Nursing, 3(1).

[21] Stolt, M., Leino-Kilpi, H., Ruokonen, M., Repo, H., & Suhonen, R. (2018). Ethics interventions for healthcare professionals and students: A systematic review. Nursing Ethics, 25(2), 133–152. https://doi.org/10.1177/ 0969733017700237

[22] Tiessen, J. H., & Kato, K. (2017). Japanese healthcare: Fostering competition and controlling costs. Healthcare Management Forum, 30(4), 175–180. https://doi.org/10.1177/0840470417698485

[23] UNB. (2018, July 9). High Court: Calling strike to justify doctors’ mistakes unethical | Dhaka Tribune. Dhaka Tribune. Retrieved from https://www.dhakatribune.com/bangladesh/nation/2018/07/09/high-court-calling-strike-to-justify-doctors-mistakes-unethical

[24] Vickers, M. (2005). Business ethics today and tomorrow. Retrieved November 15, 2018, from http//www.i4cp.com/ trendwatchers/2005/12/09/business-ethics- today-and-tomorrow

[25] Westra, D., Angeli, F., Carree, M., & Ruwaard, D. (2017). Understanding competition between healthcare providers: Introducing an intermediary inter-organizational perspective. Health Policy, 121(2), 149–157. https://doi.org/10.1016/j.healthpol.2016.11.018

[26] Wickham, M., & Donohue, W. O. (2012). Developing an Ethical Organization: Exploring the Role of Ethical Intelligence. Organizational Development Journal, 30(2), 9–30.

[27] Winter, V., & Thaler, J. (2016). Does Motivation Matter for Employer Choices? A Discrete-Choice Analysis of Medical Students’ Decisions Among Public, Nonprofit, and For-Profit Hospitals. Nonprofit and Voluntary Sector Quarterly, 45(4), 762–786. https://doi.org/10.1177/0899764015597784

[28] Yang, Z., & Fan, D. (2012). How to solve the crisis behind Bribegate for Chinese doctors. The Lancet, 379(9812), e13–e15. https://doi.org/10.1016/S0140-6736(11)60137-2