Ethics and rural healthcare: what really happens? What might help?
Relatively few articles discuss the ethical issues that accompany healthcare in rural areas. This article presents and discusses the key findings obtained from multi-method research studies conducted over a 9-year period of time in a multi-state rural area. It challenges the efficacy of current models for bioethics, shows what kinds of ethical issues develop in rural communities, and offers a framework for envisioning resources and approaches that may be more appropriate.
Cook
Ann Freeman
AF
National Rural Bioethics Project, Psychology Department, University of Montana, MT 59812, USA. ann.cook@umontana.edu
Hoas
Helena
H
D026688:Bioethical Issues; D003406:Credentialing / Q000941:ethics / Q000592:standards; D003657:Decision Making / Q000941:ethics; D003695:Delivery of Health Care / Q000191:economics / Q000941:ethics* / Q000592:standards*; D004502:Education, Medical, Continuing; D033061:Ethics Consultation; D026690:Ethics, Clinical / Q000193:education; D004991:Ethics, Institutional; D004992:Ethics, Medical / Q000193:education; D015276:Health Care Rationing / Q000191:economics / Q000941:ethics / Q000592:standards; D006780:Hospitals, Rural / Q000191:economics / Q000941:ethics / Q000592:standards; D006801:Humans; D007588:Job Satisfaction; D019300:Medical Errors / Q000941:ethics; D028681:Moral Obligations; D009723:Nurse-Patient Relations / Q000941:ethics; D010067:Ownership; D010594:Pharmacies / Q000941:ethics / Q000592:standards; D010817:Physician-Patient Relations / Q000941:ethics*; D011787:Quality of Health Care / Q000191:economics / Q000941:ethics* / Q000592:standards*; D019035:Rural Health Services / Q000191:economics / Q000941:ethics* / Q000592:standards*; D012424:Rural Population; D035502:Trust; D014342:Truth Disclosure / Q000941:ethics; D014481:United States