Ethical Considerations in Rural Health Care: A Pilot Study of Clinicians in Alaska and New Mexico

Author: Warner Teddy   Monaghan-Geernaert Pamela   Battaglia John   Brems Christiane   Johnson Mark   Roberts Laura  

Publisher: Springer Publishing Company

ISSN: 0010-3853

Source: Community Mental Health Journal, Vol.41, Iss.1, 2005-02, pp. : 21-33

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Abstract

To investigate differences in the experiences of rural versus non-rural clinicians, we surveyed caregivers in New Mexico and Alaska regarding ethical aspects of care provision. Consistent with past literature, rural compared to non-rural clinicians perceived patients as having less access to health care resources. They reported more interaction with patients and less awkwardness in relationships with their patients outside of work. Rural clinicians also reported their patients expressed more concern about knowing them in both personal and professional roles, had more concerns over confidentiality, and experienced more embarrassment concerning stigmatizing illnesses. Ethical issues and implications of these results for providing care in rural areas are discussed.