Ethical matters in rural integrated primary care settings
Center for Integrated Primary Care; Department of Family Medicine and Community Health
Primary Health Care; Ethics, Medical
Bioethics and Medical Ethics | Primary Care
Integrated primary care is particularly valuable to rural communities. Behavioral health care is often in short supply, and small or close-knit communities can intensify the stigma of seeking specialty mental health in rural settings. These and other barriers result in reduced access to needed behavioral health care. Nonetheless, rural practice of integrated primary care presents unique challenges to practitioners of multiple disciplines, including issues of competence, confidentiality, and dual relationships. This article provides an illustrative vignette to describe ethical issues in the rural practice of integrated primary care. It will review discipline-specific guidance in approaching these challenges and will offer recommendations for addressing disparities in the approaches of various disciplines engaged in the practice of integrated primary care.
DOI of Published Version
Fam Syst Health. 2013 Mar;31(1):69-74. doi: 10.1037/a0031860. Link to article on publisher's site
Families, systems and health : the journal of collaborative family healthcare
Mullin, Daniel and Stenger, Joseph, "Ethical matters in rural integrated primary care settings" (2013). University of Massachusetts Medical School Faculty Publications. 160.