Rural Healthcare Ethics: No Longer the Forgotten Quarter

Rural Healthcare Ethics: No Longer the Forgotten Quarter
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DOI:
10.1017/s096318011000040x
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发表时间:
2010-10-01
影响因子:
1.8
通讯作者:
West, Alan
West, Alan
中科院分区:
医学4区
文献类型:
--
作者:
Nelson, William;Greene, Mary Ann;West, Alan

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美国的农村卫生环境对其约 6000 万居民提出了独特的伦理挑战,这些居民约占总人口的四分之一,分布在该国四分之三的土地面积上。农村环境不仅取决于人口密度小和距城市的距离,而且还取决于社会、宗教、地理和文化因素的结合。生活在农村环境中可以培养共同的价值观和信仰、强烈的职业道德、自力更生以及建立紧密的、广泛的社会结构的倾向,其中重叠的关系是司空见惯的。
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 strong work ethic, self-reliance, and a tendency for close-knit extended social structures where overlapping relationships are commonplace.