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This volume initiates a much-needed conversation about the ethical
and policy concerns facing health care providers in the rural
United States. Although 21 percent of the population lives in rural
areas, only 11 percent of physicians practice there. What
challenges do health care workers face in remote locations? What
are the differences between rural and urban health care practices?
What particular ethical issues arise in treating residents of small
communities? Craig M. Klugman and Pamela M. Dalinis gather
philosophers, lawyers, physicians, nurses, and researchers to
discuss these and other questions, offering a multidisciplinary
overview of rural health care in the United States. Rural
practitioners often practice within small, tight-knit communities,
socializing with their patients outside the examination room. The
residents are more likely to have limited finances and to lack
health insurance. Physicians may have insufficient resources to
treat their patients, who often have to travel great distances to
see a doctor. The first part of the book analyzes the differences
between rural and urban cultures and discusses the difficulties in
treating patients in rural settings. The second part features the
personal narratives of rural health care providers, who share their
experiences and insights. The last part introduces unique ethical
challenges facing rural health care providers and proposes
innovative solutions to those problems.
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