Document Detail


The presence of ethics programs in critical access hospitals.
MedLine Citation:
PMID:  20714785     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
The purpose of this study was to assess the presence of ethics committees in rural critical access hospitals across the United States. Several studies have investigated the presence of ethics committees in rural health care facilities. The limitation of these studies is in the definition of 'rural hospital' and a regional or state focus. These limitations have created large variations in the study findings. In this nation-wide study we used the criteria of a critical access hospital (CAH), as defined by the Medicare Rural Hospital Flexibility Program (Flex Program, 2007), to bring consistency and clarity to the assessment of the presence of ethics committees in rural hospitals. The Flex Monitoring Team conducted a national telephone survey of 381 CAH administrators throughout the United States. The survey covered a wide variety of questions concerning hospitals' community benefit, impact activities, and whether the hospital had a formally established an ethics committee. About 230 (60%) of the respondents indicated they had a formally established ethics committee or ethics consultation program at their CAH. The prevalence of ethics committees declined as the CAH location became increasingly rural along a rural-urban continuum. Unlike CAHs, all rural Department of Veterans Affairs Medical Centers have ethics committees. The results of this study provide an understanding of the limited presence of ethics committee in rural America and the need to consider new approaches for providing ethics assistance. A virtual ethics committee network may be the most efficient and effective way of providing rural hospitals access to a knowledgeable ethics committee or consultant.
Authors:
William A Nelson; Marie-Claire Rosenberg; Todd Mackenzie; William B Weeks
Related Documents :
19052825 - The classic: report of the committee on suits for malpractice. 1879.
19888445 - Congressional careers, committee assignments, and seniority randomization in the u.s. h...
18055755 - Acog committee opinion no. 393, december 2007. newborn screening.
689655 - Sponsorship: the uneasy question.
17566425 - Nonverbal behavior of vendors in customer-vendor interaction.
21135025 - Contradictions from the enlightenment roots of transhumanism.
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues     Volume:  22     ISSN:  1572-8498     ISO Abbreviation:  HEC Forum     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2011-01-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917455     Medline TA:  HEC Forum     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  267-74     Citation Subset:  H    
Affiliation:
Community and Family Medicine and The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School, 46 Centerra Parkway, Lebanon, Hanover, NH 03755, USA. william.a.nelson@dartmouth.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Complete reductive dechlorination of tetrachloroethene to ethene by anaerobic microbial enrichment c...
Next Document:  The role of nutraceutical proteins and peptides in apoptosis, angiogenesis, and metastasis of cancer...