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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.
The Handbook for Rural Health Care Ethics is designed to be a
useful resource for clinicians and administrators in rural
settings. It draws on the available research and real-life examples
to paint a picture of challenging, yet all-too-familiar ethics
conflicts while offering strategies for a proactive, preventive
approach to ethical issues.
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