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The rural community presents not only distinct health care delivery
challenges but also ethical problems for clinicians and
administrators of small, rural health care facilities. Health care
delivered in a rural context--in closely knit, tightly
interdependent small community settings--poses unique ethical
considerations for clinical practitioners. For example, a provider
in a resource-poor rural setting may be faced with treating a
family member, friend, business associate, or neighbor, since the
role separation between clinician and patient that predominates in
the urban setting is less likely to occur in a small town. Because
of the unique rural context, the solutions that health care
providers develop to resolve complex ethics dilemmas may differ
from solutions reached in urban areas.
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