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The impact of dual loyalty on health care practitioners' decisions
Mini Dissertation (MPhil)--University of Pretoria, 2019.
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| Other Authors: | |
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2020
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| _version_ | 1867613729349173248 |
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| access_status_str | Open Access |
| author2 | Carstens, Pieter Albert, 1960- |
| author_browse | Carstens, Pieter Albert, 1960- |
| author_facet | Carstens, Pieter Albert, 1960- |
| collection | Thesis |
| dc_rights_str_mv | © 2020 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Mini Dissertation (MPhil)--University of Pretoria, 2019. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/76725 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:40:46.593Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/76725 The impact of dual loyalty on health care practitioners' decisions Carstens, Pieter Albert, 1960- u20231769@tuks.co.za Mokoboto, Dipalesa UCTD Medical ethics Medical incapacity Discrimination Occupational medical practitioner Dual loyalty Mini Dissertation (MPhil)--University of Pretoria, 2019. While ethical codes have been established for practitioners, there is a possibility that dual loyalty affects occupational medical practitioners’ (OMPs) decisions in determining fitness status of employees. Literature indicates dual loyalty of OMPs leads to ethical dilemmas. The study’s main objective is to determine if dual loyalty participates in OMPs’ decisions and influences OMPs to breach medical ethics required in their profession, resulting in employees unfairly losing their jobs. The study interrogates literature review on dual loyalty and adopts a multi-layered approach focussing on the Constitution; relevant Acts and guidelines; case law and ethical principles. Case studies from the Medical Inspector’s archives are interrogated to determine the influence dual loyalty has on OMPs’ decision-making. Case law indicates that conflict of interest is the source of dual loyalty. Occupational medical practitioners have fiduciary duties and need to serve the best interests of the employees. From case studies discussed, the study shows that OMPs are affected by dual loyalty and tend to disregard medical ethics. They may be conflicted when making decisions concerning employees’ fitness to work, especially when individualised assessments are not conducted. A guideline addressing ethical obligations and human rights should be drafted for OMPs, guiding them on dealing with dual loyalty. Employers will need awareness training in various institutions so that OMPs are supported and encouraged to have sound medical ethics. This will promote best practice in doctor-patient relationships, avoiding dual loyalty dilemmas. Public Law MPhil Unrestricted 2020-11-04T15:09:42Z 2020-11-04T15:09:42Z 2020/04/09 2019 Mini Dissertation Mokoboto, D 2019, The impact of dual loyalty on health care practitioners' decisions, MPhil Mini Dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/76725> A2020 http://hdl.handle.net/2263/76725 en © 2020 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | UCTD Medical ethics Medical incapacity Discrimination Occupational medical practitioner Dual loyalty The impact of dual loyalty on health care practitioners' decisions |
| title | The impact of dual loyalty on health care practitioners' decisions |
| title_full | The impact of dual loyalty on health care practitioners' decisions |
| title_fullStr | The impact of dual loyalty on health care practitioners' decisions |
| title_full_unstemmed | The impact of dual loyalty on health care practitioners' decisions |
| title_short | The impact of dual loyalty on health care practitioners' decisions |
| title_sort | impact of dual loyalty on health care practitioners decisions |
| topic | UCTD Medical ethics Medical incapacity Discrimination Occupational medical practitioner Dual loyalty |
| url | http://hdl.handle.net/2263/76725 |