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Rural Health
Resources by Topic: Ethics

Pregnancy Options Counseling and Abortion Referrals Among US Primary Care Physicians: Results From a National Survey
Results of a representative survey of 755 primary care physicians, related to their options counseling for unintended pregnancies. Features statistics with breakdowns including residency training area, religious affiliation, current practice type, geographic region, and rural, suburban, or urban location.
Author(s): Kelsey Holt, Elizabeth Janiak, Marie C. McCormick, et al.
Location: Family Medicine, 49(7), 527-536
Date: 2017
Type: Document
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The Ethics of Place: Differences in Ethical Perspectives Among Urban, Suburban, and Rural Physicians in Georgia
A discussion of the impact of geographic location (urban, suburban, rural) on the ethical decision making process of physicians in Georgia. Organized into eight areas of comparison including payment and conflict of interest; access to care; boundary and dual role issues; patient autonomy issues; sociological and cultural differences; truth-telling and professionalism; stress and burnout; and ethics training/leadership. Includes rural-urban difference statistics for each area.
Author(s): Mary Eleanor E. Wickersham, Jean Rawlings Sumner
Location: Online Journal of Health Ethics, 11(2)
Date: 2015
Type: Document
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Rural Community–Academic Partnership Model for Community Engagement and Partnered Research
Describes a bidirectional community-academic partnership between Eastern Shore Area Health Education Center (ESAHEC) and the University of Maryland School of Medicine’s (UMSOM) Office of Policy and Planning (OPP) to address the health and social issues on the rural Eastern Shore of Maryland. Provides an overview of the partnership's design to address rural health needs through the development and support for partnered research, clinical trials education and recruitment, bioethics education, and public trust in research.
Author(s): Claudia R. Baquet, Jeanne L. Bromwell, Margruetta B. Hall, Jacob F. Frego
Location: Progress in Community Health Partnerships, 7(3), 281-290
Date: 2013
Type: Document
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Continuing Education Training Focused on the Development of Behavioral Telehealth Competencies in Behavioral Healthcare Providers
Examines the impact of a Behavioral Telehealth Ethical Competencies Training Program on 16 behavioral health providers' developing a behavioral telehealth competency education training program. Fourteen behavioral telehealth competencies were developed that require an understanding of the roles and responsibilities of a behavioral telehealth coordinator working at a distal site and of a therapist. Behavioral telehealth competency training was provided to 21 providers, six of those were from rural areas in Alaska and evaluated using video vignettes and self-reported competence surveys.
Author(s): Valerie Gifford, Britton Niles, Inna Rivkin, Catherine Koverola, Jodi Polaha
Location: Rural and Remote Health, 12, 2108
Date: 12/2012
Type: Document
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Proceedings Report of the Fourth United States-México Border Health Research Forum
Summarizes a June 2012 meeting of federal, state, academic, government, and non-governmental organizations from both countries to initiate cross-border research. Topics addressed included guidelines for a bi-national institutional review board (IRB) process, resource sharing and collaboration, and ethics in research.
Date: 06/2012
Type: Document
Sponsoring organization: United States-México Border Health Commission
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Critical Access Hospital Ethics Committee Resource Guide
Offers practical suggestions for the development of an effective Critical Access Hospital ethics committee and includes examples that highlight the challenging and all too familiar ethics conflicts common to rural settings.
Author(s): William A. Nelson, Barbara A. Elliott
Date: 2012
Type: Document
Sponsoring organization: The Dartmouth Institute for Health Policy and Clinical Practice
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'Any Body Is Better than Nobody?' Ethical Questions Around Recruiting and/or Retaining Health Professionals in Rural Areas
Argues that ethics play a large role in recruitment and retention of rural health care providers and that all stakeholders consider the ethical dimension.
Author(s): Christy Simpson, Fiona McDonald
Location: Rural and Remote Health, 11, 1867
Date: 11/2011
Type: Document
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The Country Doctor
Thematic issue focused on ethical concerns physicians face in a rural setting, including issues related to patient privacy, overlapping roles for rural physicians, and other topics.
Location: AMA Journal of Ethics, 13(5)
Date: 05/2011
Type: Document
Sponsoring organization: American Medical Association
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Health Care Ethics and Rural Life
Describes growing awareness of value conflicts and ethical challenges common to rural settings, and the way they influence health care delivery. Examines issues such as limited economic resources, lack of access to services, poorer overall health, emphasis on self-reliance, overlapping professional-patient relationships, and caregiver isolation and stress.
Author(s): William A. Nelson
Location: Health Progress, 91(5)
Date: 2010
Type: Document
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Handbook for Rural Health Care Ethics: A Practical Guide for Professionals
Analyzes, solves, and anticipates healthcare ethics dilemmas to provide general ethics information and related guidance for clinicians and administrators of rural health care facilities.
Date: 2009
Type: Document
Sponsoring organization: Board of Trustees of Dartmouth College
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