Rural Health
Resources by Topic: Ethics
Clinician Voices on Ethics of LLM Integration in Healthcare: A Thematic Analysis of Ethical Concerns and Implications
Explores large language model (LLM) integration into healthcare. Analyzes 3,049 online clinician posts to examine themes such as communication, quality improvement, data use, ethical considerations, user experiences, LLM challenges specific to rural healthcare, and more.
Author(s): Tala Mirzaei, Leila Amini, Pouyan Esmaeilzadeh
Citation: BMC Medical Informatics and Decision Making, 24, 250
Date: 09/2024
Type: Document
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Explores large language model (LLM) integration into healthcare. Analyzes 3,049 online clinician posts to examine themes such as communication, quality improvement, data use, ethical considerations, user experiences, LLM challenges specific to rural healthcare, and more.
Author(s): Tala Mirzaei, Leila Amini, Pouyan Esmaeilzadeh
Citation: BMC Medical Informatics and Decision Making, 24, 250
Date: 09/2024
Type: Document
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The Social Vulnerability of Farmworker Communities in North Central Florida: Challenges and Opportunities for Mapping Vulnerable Populations
Describes an emergency preparedness project to develop social vulnerability indicators and conduct geospatial mapping analysis of the places that farmworkers live and work in north central Florida. Discusses collaborations with farmworker-focused community based organizations and community advisory boards, ethics, and public health implications of the work. Includes recommendations to public health workers and policymakers interested in farmworker communities.
Author(s): Miranda Carver Martin, Amr Abd-Elrahman, Paul Monaghan
Date: 2024
Type: Document
Sponsoring organization: Natural Hazards Center
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Describes an emergency preparedness project to develop social vulnerability indicators and conduct geospatial mapping analysis of the places that farmworkers live and work in north central Florida. Discusses collaborations with farmworker-focused community based organizations and community advisory boards, ethics, and public health implications of the work. Includes recommendations to public health workers and policymakers interested in farmworker communities.
Author(s): Miranda Carver Martin, Amr Abd-Elrahman, Paul Monaghan
Date: 2024
Type: Document
Sponsoring organization: Natural Hazards Center
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CARE Data Principles, Indigenous Data, Data Related to Indigenous Peoples and Interest
Offers principles for ethical use of Indigenous data with focus on collective benefit, authority to control, responsibility, and ethics (CARE). Discusses implementation of CARE principles, language, and resources for learning more.
Author(s): Sarah Barsness, Jewel Cummins, Maria Victoria Fernandez, et al
Date: 05/2023
Type: Document
Sponsoring organization: Data Curation Network
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Offers principles for ethical use of Indigenous data with focus on collective benefit, authority to control, responsibility, and ethics (CARE). Discusses implementation of CARE principles, language, and resources for learning more.
Author(s): Sarah Barsness, Jewel Cummins, Maria Victoria Fernandez, et al
Date: 05/2023
Type: Document
Sponsoring organization: Data Curation Network
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Navigating the Ethical and Methodological Dimensions of a Farm Safety Photovoice Project
Discusses the ethical considerations of the photovoice method of participatory research with a close look at vulnerable populations, privacy considerations, power dynamics in research, and agriculture-specific concerns. Describes an agricultural health and safety photovoice project and how researchers handled these ethical concerns as the project unfolded.
Author(s): Florence A. Becot, Shoshanah M. Inwood, Elizabeth A. Buchanan
Citation: Journal of Bioethical Inquiry, 20, 249-263
Date: 05/2023
Type: Document
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Discusses the ethical considerations of the photovoice method of participatory research with a close look at vulnerable populations, privacy considerations, power dynamics in research, and agriculture-specific concerns. Describes an agricultural health and safety photovoice project and how researchers handled these ethical concerns as the project unfolded.
Author(s): Florence A. Becot, Shoshanah M. Inwood, Elizabeth A. Buchanan
Citation: Journal of Bioethical Inquiry, 20, 249-263
Date: 05/2023
Type: Document
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Ethical and Legal Challenges During the COVID‐19 Pandemic – Are We Thinking About Rural Hospitals?
Discusses the legal framework and ethical decisions hospitals are faced with during the COVID-19 pandemic. Highlights emergency preparedness planning for rural hospitals with limited workforce and resources.
Author(s): Love Patel, Amy Elliott, Erik Storlie, et al.
Citation: Journal of Rural Health, 37(1), 175-178
Date: 01/2021
Type: Document
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Discusses the legal framework and ethical decisions hospitals are faced with during the COVID-19 pandemic. Highlights emergency preparedness planning for rural hospitals with limited workforce and resources.
Author(s): Love Patel, Amy Elliott, Erik Storlie, et al.
Citation: Journal of Rural Health, 37(1), 175-178
Date: 01/2021
Type: Document
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Indian Health Service Facilities Made Progress Incorporating Patient Protection Policies, but Challenges Remain
Assesses Indian Health Service (IHS) facility implementation of policies to protect children from sexual abuse by providers. Identifies challenges to carrying out the policies. Also discusses barriers that might prevent staff and patients from reporting abuse. Includes recommendations to IHS to further protect patients from abuse. Recommendations address training and guidance, background checks, abuse reporting processes, and monitoring of facility compliance.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Assesses Indian Health Service (IHS) facility implementation of policies to protect children from sexual abuse by providers. Identifies challenges to carrying out the policies. Also discusses barriers that might prevent staff and patients from reporting abuse. Includes recommendations to IHS to further protect patients from abuse. Recommendations address training and guidance, background checks, abuse reporting processes, and monitoring of facility compliance.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Synergistic Disparities and Public Health Mitigation of COVID-19 in the Rural United States
Describes how public health responses to the COVID-19 pandemic emphasize racial, economic, and geographic disparities, especially among rural and poor populations. Covers public health mitigation measures, including disease surveillance, physical distancing, hand and respiratory hygiene, and public health communication. Discusses the ethical demands of public health practice during and following a public health emergency.
Author(s): Kata Chillag, Lisa Lee
Citation: Journal of Bioethical Inquiry, 17(4), 649-656
Date: 11/2020
Type: Document
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Describes how public health responses to the COVID-19 pandemic emphasize racial, economic, and geographic disparities, especially among rural and poor populations. Covers public health mitigation measures, including disease surveillance, physical distancing, hand and respiratory hygiene, and public health communication. Discusses the ethical demands of public health practice during and following a public health emergency.
Author(s): Kata Chillag, Lisa Lee
Citation: Journal of Bioethical Inquiry, 17(4), 649-656
Date: 11/2020
Type: Document
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The Advisory Committee on Immunization Practices' Ethical Principles for Allocating Initial Supplies of COVID-19 Vaccine — United States, 2020
Discusses four ethical principles that will inform the Advisory Committee on Immunization Practices recommendations for the initial allocation of COVID-19 vaccine: maximizing benefits and minimizing harms; promoting justice; mitigating health inequities; and promoting transparency. The section on health inequities includes discussion of concerns for rural residents.
Author(s): Nancy McClung, Mary Chamberland, Kathy Kinlaw, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(47), 1782-1786
Date: 11/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Discusses four ethical principles that will inform the Advisory Committee on Immunization Practices recommendations for the initial allocation of COVID-19 vaccine: maximizing benefits and minimizing harms; promoting justice; mitigating health inequities; and promoting transparency. The section on health inequities includes discussion of concerns for rural residents.
Author(s): Nancy McClung, Mary Chamberland, Kathy Kinlaw, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(47), 1782-1786
Date: 11/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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2020 Public Health Ethics Forum: Ethical Dilemmas in Rural Health
Recorded webinars from the 2020 Public Health Ethics Forum focused on the theme: Ethical Dilemmas in Rural Health. Focuses on the impacts of the COVID-19 pandemic, ethics related to barriers and access to rural healthcare services, physical determinants of health and environmental justice, and achieving health equity in rural areas. Transcript available below description.
Additional links: Forum Part 2, Forum Part 3
Date: 09/2020
Type: Video/Multimedia
Sponsoring organization: Centers for Disease Control and Prevention
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Recorded webinars from the 2020 Public Health Ethics Forum focused on the theme: Ethical Dilemmas in Rural Health. Focuses on the impacts of the COVID-19 pandemic, ethics related to barriers and access to rural healthcare services, physical determinants of health and environmental justice, and achieving health equity in rural areas. Transcript available below description.
Additional links: Forum Part 2, Forum Part 3
Date: 09/2020
Type: Video/Multimedia
Sponsoring organization: Centers for Disease Control and Prevention
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Healthcare Professionals' Mental Health Needs: Where Can They Go?
Provides an overview of the mental health needs of healthcare providers and the barriers to accessing care. Features the work of physician health programs, professional societies, state licensure boards, and other groups to help ensure providers' mental health needs are addressed. Discusses the impact of provider wellness on patient safety and healthcare quality.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Provides an overview of the mental health needs of healthcare providers and the barriers to accessing care. Features the work of physician health programs, professional societies, state licensure boards, and other groups to help ensure providers' mental health needs are addressed. Discusses the impact of provider wellness on patient safety and healthcare quality.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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