Ethical Practice:For each of the ethical dilemmas outlined in Box 2.10, consider whether you would consult with colleagues. If so, what questions would you ask?
Case #3.When a nonprofit hospital downsized, all social work positions were eliminated. The social workers were transferred to an affiliated home health care agency. The hospital then offered to contract with the home health social workers for the same work they had done previously for the hospital. At times, the social workers who do both hospital and home-based work experience conflicts of interest when faced with the need to refer hospital patients to . The that they should not exclusively refer to the hospitals home health care agency and that self-determination requires that patients have information about a range of available, appropriate services. But from the patients perspective, they also see that it would often be more desirable to be able to continue to work with the social worker who had been assigned during the hospitalization period. The hospitals risk management officer has argued, however, that when patients choose their home health care agency, the same social worker should not continue to work with the patient because of the appearance of conflict of interestthat is, the social worker would receive compensation for services because of a referral he or she made.
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