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Ethical issues in decision making by hospital health committee members in Turkey
  1. Nil Sari1,
  2. Hidayet Sari2
  1. 1Department of Medical Ethics and History, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey
  2. 2Department of Physical Medicine and Rehabilitation, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey
  1. Correspondence to Professor Nil Sari, Medical Ethics and History Department, Istanbul University, Cerrahpasa Medical School, Fatih/İstanbul 34098, Turkey; hnilsari{at}


Hospital health committees (HHC) in Turkey review medical reports from clinical practitioners and decide whether or not they are justified. As a rule, each HHC member is expected to observe and examine each patient and then evaluate the report. If the report from the patient's doctor is approved, then the Social Security Administration, a state organisation, will meet all of the patient's expenses covering treatment, medication and operations. Justification of health expenditure is crucial for the state because health resources have to be carefully allocated. Conflicts of obligation also generate ethical issues which have to be resolved as well. However, HHCs are not designed to make ethical decisions. An overall concept of organisational ethics needs to be developed.

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