Rural Healthcare Ethics  

Oleh:

Nelson, William A. ; Schmidek, Jared M.

Jenis: Article from Books - E-Book
Dalam koleksi: The Cambridge Textbook of Bioethics, page 289-298.
Topik: Rural Healthcare; Ethics; Policy; Empirical Studies
Fulltext: Rural Healthcare Ethics.pdf (301.87KB)

Isi artikel

A primary care physician that works in a small, remote hospital diagnoses a patient with lung cancer and refers the patient to a distant large medical center for treatment. After several overnight trips to the medical center, the patient returns to the primary care provider to indicate that she is no longer willing to travel and wants to receive care at the small hospital. A rural psychologist, also a member of the town’s school board, discovers during a family counseling session that one of the patients, a schoolteacher, has missed many teaching days because of a signi?cant alcohol problem. A family physician treats a long-term patient for a minor work-related injury. The patient is very depressed and tearful but refuses to discuss it. The physician encourages the patient to see a mental health professional to be further assessed and, if needed, receive treatment. The patient acknowledges feeling depressed but does not want help. If people see his truck at the mental health provider’s of?ce, everyone will know that he has ‘‘that’’ type of problem. The patient also requests that the physician not make any reference to depression in his medical record, because his sister-in-law works at the doctor’s of?ce.

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