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  1. Preventive Ethics and Rural Healthcare: Addressing Issues on a Systems Level.Anthony Vernillo - 2008 - American Journal of Bioethics 8 (4):61-62.
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  • An Alternative Strategy for Resolving Ethical Dilemmas in Rural Healthcare.Jane N. Bolin, Kathy Mechler, John Holcomb & Josie Williams - 2008 - American Journal of Bioethics 8 (4):63-65.
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  • Distinct Rural Ethics.Andrew Crowden - 2008 - American Journal of Bioethics 8 (4):65-67.
    In the target article by Cook and Hoas (2008), the authors provide evidence from rural research and raise important generic points about ethics and rural healthcare. Their suggestion that clinical...
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  • Multi-Institutional Ethics Committees: For Rural Hospitals, and Urban Ones Too.Thaddeus Mason Pope - 2008 - American Journal of Bioethics 8 (4):69-71.
    Cook and Hoas (2008) have identified and illustrated serious shortcomings in rural bioethics and healthcare decision-making. Some of the problems that the authors discuss are unique to the rural co...
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  • Rural Healthcare Ethics: No Longer the Forgotten Quarter.William Nelson, Mary Ann Greene & Alan West - 2010 - Cambridge Quarterly of Healthcare Ethics 19 (4):510-517.
    The rural health context in the United States presents unique ethical challenges to its approximately 60 million residents, who represent about one quarter of the overall population and are distributed over three-quarters of the country’s land mass. The rural context is not only identified by the small population density and distance to an urban setting but also by a combination of social, religious, geographical, and cultural factors. Living in a rural setting fosters a sense of shared values and beliefs, a (...)
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  • CQ Sources/Bibliography.Bette Anton - 1999 - Cambridge Quarterly of Healthcare Ethics 8 (4):348-350.
    These CQ Sources were compiled by Bette Anton.
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  • Re-framing the question: What do we really want to know about rural healthcare ethics?Ann Freeman Cook & Helena Hoas - 2006 - American Journal of Bioethics 6 (2):51 – 53.
    A few weeks ago, a rural hospital administrator phoned with a question posed by his management team. “If you were going to give us some ethics resources,” he queried, “just exactly what would they...
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  • Lead Essay—Rural Bioethics.Danielle L. Couch & Christopher Mayes - 2023 - Journal of Bioethical Inquiry 20 (2):177-180.
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  • Potato Ethics: What Rural Communities Can Teach Us about Healthcare.Malin Fors - 2023 - Journal of Bioethical Inquiry 20 (2):265-277.
    In this paper I offer the term “potato ethics” to describe a particular professional rural health sensibility. I contrast this attitude with the sensibility behind urban professional ethics, which often focus on the narrow doctor–patient treatment relationship. The phrase appropriates a Swedish metaphor, the image of the potato as a humble side dish: plain, useful, versatile, and compatible with any main course. Potato ethics involves making oneself useful, being pragmatic, choosing to be like an invisible elf who prevents discontinuity rather (...)
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  • The Ethics of Overlapping Relationships in Rural and Remote Healthcare. A Narrative Review.Rafael Thomas Osik Szumer & Mark Arnold - 2023 - Journal of Bioethical Inquiry 20 (2):181-190.
    It is presently unclear whether a distinct “rural ethics” of navigating professional boundaries exists, and if so, what theoretical approaches may assist practitioners to manage overlapping relationships. To be effective clinicians while concurrently partaking in community life, practitioners must develop and maintain safe, ethical, and sustainable therapeutic relationships in rural and remote healthcare. A narrative review was conducted identifying a significant body of qualitative and theoretical literature which explores the pervasiveness of dual relationships for practitioners working in rural and remote (...)
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  • Demand and Supply: Association between Pediatric Ethics Consultation Volume and Protected Time for Ethics Work.Meaghann S. Weaver, Christopher Wichman, Shiven Sharma & Jennifer K. Walter - 2023 - AJOB Empirical Bioethics 14 (3):135-142.
    Background Despite national increase in pediatric ethics consultation volume over the past decade, protected time and resources for healthcare ethics consultancy work has lagged.Methods Correlation study investigating potential associations between ethics consult volume reported by recent national survey of consultants at children’s hospitals and five programmatic domains.Results 104 children’s hospitals in 45 states plus Washington DC were included. There was not a statistically significant association between pediatric ethics consult volume and hospital size, rurality of patient population, or number of consultants. (...)
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  • Assistant Coach, Advice Columnist, or Seasoned Diplomat: Distinguishing Between Formal, Informal, and “FYI” Ethics Consultations.Andrew Childress - 2022 - American Journal of Bioethics 22 (4):45-47.
    As a practicing clinical ethicist at a major teaching hospital, I found it reassuring to learn that ethics consultation activity has increased overall. However, it was disheartening to see tha...
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  • Addressing Clinical Misconduct: Resigning and Whistleblowing in Clinical Ethics Consultation.Etan Kuperberg & Michael S. Dauber - 2021 - HEC Forum 35 (2):1-23.
    Clinical ethics consultants occasionally encounter unethical and/or unprofessional behavior as part of their normal job functions. In this article, we explore whether resigning (i.e., threatening resignation or resigning) and whistleblowing are acceptable methods ethics consultants can use to address these situations. Per our analysis, whether one considers ethics consultants private or public employees, loyal to their employer or to patients, families, and the public, resigning and whistleblowing are all acceptable, if not obligatory, actions of ethics consultants in certain circumstances. In (...)
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  • Ethics Consultation in U.S. Hospitals: Opinions of Ethics Practitioners.Ellen Fox, Anita J. Tarzian, Marion Danis & Christopher C. Duke - 2022 - American Journal of Bioethics 22 (4):19-30.
    To design effective strategies to improve ethics consultation (EC) practices, it is important to understand the views of ethics practitioners. Previous U.S. studies of ethics practitioners have overrepresented the views of academic bioethicists. To help inform EC improvement efforts, we surveyed a random stratified sample of U.S. hospitals, examining ethics practitioners’ opinions on EC in general, on their own EC service, on strategies to improve EC, and on ASBH practice standards. Respondents across all categories of hospitals had very positive perceptions (...)
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  • Ethics Consultation in U.S. Hospitals: Determinants of Consultation Volume.Ellen Fox & Christopher C. Duke - 2022 - American Journal of Bioethics 22 (4):31-37.
    The annual volume of ethics consultations (ECs) has been a topic of interest in the bioethics literature, in part because of its presumed relationship to quality. To better understand factors associated with EC volume, we used multiple linear regression to model the number of case consultations performed in the last year based on a national survey. We found that hospital bed size, academic affiliation, and urban/rural location were all associated with EC volume, but were not the primary drivers. Instead, these (...)
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  • Ethics Consultation in U.S. Hospitals: A National Follow-Up Study.Ellen Fox, Marion Danis, Anita J. Tarzian & Christopher C. Duke - 2022 - American Journal of Bioethics 22 (4):5-18.
    A 1999–2000 national study of U.S. hospitals raised concerns about ethics consultation (EC) practices and catalyzed improvement efforts. To assess how practices have changed since 2000, we administered a 105-item survey to “best informants” in a stratified random sample of 600 U.S. general hospitals. This primary article details the methods for the entire study, then focuses on the 16 items from the prior study. Compared with 2000, the estimated number of case consultations performed annually rose by 94% to 68,000. The (...)
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  • Ethical Considerations for “Reopening” Health Care Organizations Amid COVID-19.Thomas D. Harter - 2020 - American Journal of Bioethics 20 (7):95-97.
    Volume 20, Issue 7, July 2020, Page 95-97.
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  • Ethical Challenges Arising in the COVID-19 Pandemic: An Overview from the Association of Bioethics Program Directors (ABPD) Task Force.Amy L. McGuire, Mark P. Aulisio, F. Daniel Davis, Cheryl Erwin, Thomas D. Harter, Reshma Jagsi, Robert Klitzman, Robert Macauley, Eric Racine, Susan M. Wolf, Matthew Wynia & Paul Root Wolpe - 2020 - American Journal of Bioethics 20 (7):15-27.
    The COVID-19 pandemic has raised a host of ethical challenges, but key among these has been the possibility that health care systems might need to ration scarce critical care resources. Rationing p...
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  • Rural and Remote Communities: Unique Ethical Issues in the COVID-19 Pandemic.Cheryl Erwin, Julie Aultman, Tom Harter, Judy Illes & Rabbi Claudio J. Kogan - 2020 - American Journal of Bioethics 20 (7):117-120.
    We expand on the article “Ethical Challenges Arising in the COVID-19 Pandemic: An Overview from the Association of Bioethics Program Directors (ABPD) Task Force” to consider the ways in which rural...
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  • CQ Sources/Bibliography.Bette Anton - 2009 - Cambridge Quarterly of Healthcare Ethics 18 (2):155-158.
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  • Exploring the Potential for Moral Hazard When Clinical Trial Research is Conducted in Rural Communities: Do Traditional Ethics Concepts Apply?Ann Freeman Cook & Helena Hoas - 2015 - HEC Forum 27 (2):171-187.
    Over the past 20 years, clinical research has migrated from academic medical centers to community-based settings, including rural settings. This evolving research environment may present some moral hazards or challenges that could undermine traditionally accepted standards for the protection of human subjects. The study described in this article was designed to explore the influence of motives driving the decisions to conduct clinical trial research in rural community settings. The researchers conducted semi-structured interviews with 80 participants who conducted clinical trials with (...)
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  • Moral Courage Through a Collective Voice.Julie Aultman - 2008 - American Journal of Bioethics 8 (4):67-69.
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  • Vast Tracts of Land: Rural Healthcare Culture.Craig M. Klugman - 2008 - American Journal of Bioethics 8 (4):57-58.
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  • Ethical Problems in Rural Healthcare: Local Symptoms, Systemic Disease.Christopher P. Morley & Peter G. Beatty - 2008 - American Journal of Bioethics 8 (4):59-60.
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