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Titolo:
Ethics of rural health care
Autore:
Lyckholm, LJ; Hackney, MH; Smith, TJ;
Indirizzi:
Virginia Commonwealth Univ, Sch Med, Massey Canc Ctr, Dept Med, Richmond, VA 23298 USA Virginia Commonwealth Univ Richmond VA USA 23298 , Richmond, VA 23298 USA Virginia Commonwealth Univ, Sch Med, Massey Canc Ctr, Div Hematol Oncol, Richmond, VA 23298 USA Virginia Commonwealth Univ Richmond VA USA 23298 , Richmond, VA 23298 USA
Titolo Testata:
CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY
fascicolo: 2, volume: 40, anno: 2001,
pagine: 131 - 138
SICI:
1040-8428(200111)40:2<131:EORHC>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
CANCER OUTREACH PROGRAM; PRACTICE GUIDELINES; BREAST;
Keywords:
care of the poor; cost analysis; medically under-served; rural; strategic alliances;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Lyckholm, LJ Virginia Commonwealth Univ, Sch Med, Massey Canc Ctr, Dept Med, 401 Coll St, Richmond, VA 23298 USA Virginia Commonwealth Univ 401 Coll St Richmond VA USA 23298
Citazione:
L.J. Lyckholm et al., "Ethics of rural health care", CR R ONC H, 40(2), 2001, pp. 131-138

Abstract

One quarter of the US population live in areas designated as rural. Delivery of rural health care can be difficult with unique challenges including limited access to specialists such as oncologists. The Rural Cancer OutreachProgram is an alliance between an academic medical center and five rural hospitals. Due to the presence of this program, the appropriate use of narcotics for chronic pain has increased, the number of breast conserving surgeries has more than doubled and accrual to clinical trials has gone from zeroto nine over the survey period. An increase in adjuvant chemotherapy has been noted. The rural hospitals and the academic center have seen a positivefinancial impact. The most prominent ethical issues focus on justice, especially access to health care, privacy, confidentiality, medical competency,and the blurring of personal and profession boundaries in small communities. As medical care has become more complex with an increasing number of ethical issues intertwined, the rural hospitals have begun to develop mechanisms to provide help in difficult situations. The academic center has provided expertise and continued education for staff, both individually and withingroups, regarding ethical dilemmas, (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 10:20:53