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Rural Health
Resources by Topic: Ethics

Ethical and Legal Challenges During the COVID‐19 Pandemic – Are We Thinking About Rural Hospitals?
Discusses the legal framework and ethical decisions hospitals are faced with during the COVID-19 pandemic. Highlights emergency preparedness planning for rural hospitals with limited workforce and resources.
Author(s): Love Patel, Amy Elliott, Erik Storlie, et al.
Citation: Journal of Rural Health, 37(1), 175-178
Date: 01/2021
Type: Document
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Indian Health Service Facilities Made Progress Incorporating Patient Protection Policies, but Challenges Remain
Assesses Indian Health Service (IHS) facility implementation of policies to protect children from sexual abuse by providers. Identifies challenges to carrying out the policies. Also discusses barriers that might prevent staff and patients from reporting abuse. Includes recommendations to IHS to further protect patients from abuse. Recommendations address training and guidance, background checks, abuse reporting processes, and monitoring of facility compliance.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Synergistic Disparities and Public Health Mitigation of COVID-19 in the Rural United States
Describes how public health responses to the COVID-19 pandemic emphasize racial, economic, and geographic disparities, especially among rural and poor populations. Covers public health mitigation measures, including disease surveillance, physical distancing, hand and respiratory hygiene, and public health communication. Discusses the ethical demands of public health practice during and following a public health emergency.
Author(s): Kata Chillag, Lisa Lee
Citation: Journal of Bioethical Inquiry, 17(4), 649-656
Date: 11/2020
Type: Document
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The Advisory Committee on Immunization Practices' Ethical Principles for Allocating Initial Supplies of COVID-19 Vaccine — United States, 2020
Discusses four ethical principles that will inform the Advisory Committee on Immunization Practices recommendations for the initial allocation of COVID-19 vaccine: maximizing benefits and minimizing harms; promoting justice; mitigating health inequities; and promoting transparency. The section on health inequities includes discussion of concerns for rural residents.
Author(s): Nancy McClung, Mary Chamberland, Kathy Kinlaw, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(47), 1782-1786
Date: 11/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Healthcare Professionals' Mental Health Needs: Where Can They Go?
Provides an overview of the mental health needs of healthcare providers and the barriers to accessing care. Features the work of physician health programs, professional societies, state licensure boards, and other groups to help ensure providers' mental health needs are addressed. Discusses the impact of provider wellness on patient safety and healthcare quality.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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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.
Citation: 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
Citation: 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 by developing and supporting 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
Citation: 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 the development of behavioral telehealth competency by 16 behavioral health providers. Explores the 14 behavioral telehealth competencies using video vignettes and self-reported competence surveys to determine the effectiveness of the training program.
Author(s): Valerie Gifford, Britton Niles, Inna Rivkin, Catherine Koverola, Jodi Polaha
Citation: Rural and Remote Health, 12(4), 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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