Georgia’s rural hospital closures: The common-good approach to ethical decision-making

Hdl Handle:
http://hdl.handle.net/10675.2/621412
Title:
Georgia’s rural hospital closures: The common-good approach to ethical decision-making
Authors:
Bastian G., Randi; Garner, Marcus; Barron S., John; Akowuah A., Emmanuel; Mase A. William
Abstract:
ABSTRACT Background: Critical access hospitals provide several essential services to local communities. Along with the functions associated with providing necessary medical care, they also offer employment opportunities and other economic benefits to the communities they serve. Since 2010, the number of rural hospitals closures has steadily increased. The common-good approach to ethical decision-making provides a framework that aids in evaluation of the effects that hospital closures have on rural residents and communities. Methods: This analysis includes results of a systematic overview of peer-reviewed literature to address the following research questions: 1) How have state policies and the adoption of Medicaid expansion influenced the viability or rural hospitals? 2) What are the ethical implications of Medicaid expansion and state policy reform/adoption pertaining to viability of rural hospitals? and 3) What are the ethical implications of critical access hospitals closures on rural communities in Georgia? Information related to these questions is presented, along with tactics to addressing these in an ethical manner. Results: This descriptive analysis shows that the largest number of state-specific closures have occurred in states with a federal exchange and which chose not to expand Medicaid. Characteristics of the state of Georgia and the counties with recent closures show that these counties typically have smaller populations with a high minority presence, lower education and income levels, and higher numbers of medically uninsured. Conclusions: The common-good approach to ethical decision-making is suitable for evaluating the ethical implications of policy-level decisions impacting the closure of critical access hospitals serving the rural communities of Georgia.
Affiliation:
Jiann-Ping Hsu College of Public Health, Department of Health Policy and Management, Georgia Southern University
Journal:
Journal of the Georgia Public Health Association
Issue Date:
2016
URI:
http://hdl.handle.net/10675.2/621412
Type:
Article
Language:
en_US
Appears in Collections:
jGPHA Volume 5, Number 4 (2016)

Full metadata record

DC FieldValue Language
dc.contributor.authorBastian G., Randien
dc.contributor.authorGarner, Marcusen
dc.contributor.authorBarron S., Johnen
dc.contributor.authorAkowuah A., Emmanuelen
dc.contributor.authorMase A. Williamen
dc.date.accessioned2017-05-02T20:06:16Z-
dc.date.available2017-05-02T20:06:16Z-
dc.date.issued2016-
dc.identifier.urihttp://hdl.handle.net/10675.2/621412-
dc.description.abstractABSTRACT Background: Critical access hospitals provide several essential services to local communities. Along with the functions associated with providing necessary medical care, they also offer employment opportunities and other economic benefits to the communities they serve. Since 2010, the number of rural hospitals closures has steadily increased. The common-good approach to ethical decision-making provides a framework that aids in evaluation of the effects that hospital closures have on rural residents and communities. Methods: This analysis includes results of a systematic overview of peer-reviewed literature to address the following research questions: 1) How have state policies and the adoption of Medicaid expansion influenced the viability or rural hospitals? 2) What are the ethical implications of Medicaid expansion and state policy reform/adoption pertaining to viability of rural hospitals? and 3) What are the ethical implications of critical access hospitals closures on rural communities in Georgia? Information related to these questions is presented, along with tactics to addressing these in an ethical manner. Results: This descriptive analysis shows that the largest number of state-specific closures have occurred in states with a federal exchange and which chose not to expand Medicaid. Characteristics of the state of Georgia and the counties with recent closures show that these counties typically have smaller populations with a high minority presence, lower education and income levels, and higher numbers of medically uninsured. Conclusions: The common-good approach to ethical decision-making is suitable for evaluating the ethical implications of policy-level decisions impacting the closure of critical access hospitals serving the rural communities of Georgia.en
dc.language.isoen_USen
dc.subjectHealth Facility Closureen
dc.subjectMoralsen
dc.subjectEthicsen
dc.subjectRural populationen
dc.titleGeorgia’s rural hospital closures: The common-good approach to ethical decision-makingen_US
dc.typeArticleen
dc.contributor.departmentJiann-Ping Hsu College of Public Health, Department of Health Policy and Management, Georgia Southern Universityen
dc.identifier.journalJournal of the Georgia Public Health Associationen
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