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Obvious difficulties with these principles lie in defining the exact nature and impact of a contribution and accounting for the inherent differences in the outcomes of individual efforts regardless of the amount of effort expended.
Two very specific categories of justice, included under the broad umbrella of distributive justice, are also relevant to the health care context and health care leadership. Procedural justice requires processes that are impartial and fair. This form of justice underlies the requirement of due process when conducting disciplinary action against an employee or the manner in which a patient complaint is investigated. Procedural justice might also relate to how resources are allocated in situations where other relevant criteria such as need or effort are substantively equal.
The second category, compensatory justice, involves compensation for wrongs or harms that have been done. Damage awards to patients for malpractice or negligence are obvious examples of compensatory justice, along with damages awarded for discriminatory personnel practices or fines levied for violations of legal or regulatory requirements.
For more on principles of justice see:
- Ascension Health - Principle of Distributive Justice
- Beyond Intractability - Distributive Justice
- University of Washington School of Medicine - The Principle of Justice
