Bioethics and rural health: theorizing place, space, and subjects

Rural Health Care Ethics: Is There a Literature?

“…The remaining articles were split between those that addressed organizational ethics (Bushy and Rauh 1991;Cook, Hoas, and Guttmannova 2000;Cook et al 2004;De Ville and Kaplan 1998;Felt et al 2000;Gessert et al 2003;Kelly 2003;Lyckholm et al 2001;Moldow 2002;Moss 1999;Niemira 1988;Roberts et al 1999;Salladay 2003) and those addressing policy conflicts as they relate to rural settings (Brown 1994;Gamble et al 1991;Jecker and Berg 1992;Levin and Schiller 1998;Lewis and Elnitsky 1993;Rauh and Bushy 1990;Reid and Giddy 1998;Torabi 1997;Virnig et al 2004;Wax 1991; see Figure 2). …”

“…When categorized by the type of article, 36, or 65% were general commentaries or case studies Bailly and DePoy 1995;Birkholz et al 2000;Brownlee 1996;Bushy and Rauh 1991;Capozzi and Rhodes 2003;Coyle 1999;De Ville and Kaplan 1998;Dula 1994;Erickson 2001;Flannery 1982;Glover 2001;Helbok 2003;James and Nichols 1996;Jecker and Berg 1992;Kelly 2003;Lantos 1995;Levin and Schiller 1998;Lewis and Elnitsky 1993;Lyckholm et al 2001;Miller 1994;Moldow 2002;MooreKirkland and Irey 1981;Morgan 1997;Nelson and 1992;Nickel 2004;Rauh and Bushy 1990;Reid and Giddy 1998;Reilly 2003;Roberts, Battaglia, and Epstein 1999;Roberts, Battaglia, Smithpeter, and Epstein 1999;Salladay 2003;Simon and Williams 1999;Torabi 1997;Wax 1991). Twelve articles provided a descriptive summary of research findings, but included no description of study methodologies used Brown 1994;Cook, Hoas, and Guttmannova 2002;Dimmitt and Artnak 1994;Felt et al 2000;…”

Recruitment and Retention of Home Support Workers in Rural Communities

“…As Kelly (2003) reminds us, ethical approaches to rural health account for the political, economic, social, geographic, and temporal characteristics of rural places and the lived experiences of the people who make up these communities. Ideally, health human resource policies and programs ought to be tailored to each community's specific characteristics, capacities, and challenges.…”

Preventive Ethics and Rural Healthcare: Addressing Issues on a Systems Level

“…The more specific aim is to produce measurable improvements in the organization's ethical healthcare practices by implementing systemslevel changes that reduce gaps in ethics quality-to reduce disparities between the organization's current practices and best practices with respect to ethical issues (National Center for Ethics in Health Care 2005). For example, to address problems of confidentiality in a small rural community in which patients, physicians, and staff experience overlapping social and professional relationships, physicians may be encouraged to strengthen staff awareness of medical confidentiality and protection measures (Kelly 2003), possibly through training exercises. Such training may not only produce measurable outcomes at a systems level and generate a data base for further research but also prevent the ethical dilemma of breaching confidentiality in a small rural setting.…”