Published January 15, 2021
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Operational framework for rural hospitals during a pandemic

  • 1. Department of Critical care and Respiratory Care, University of Texas MD Anderson Cancer Center, Houston, Texas, USA
  • 2. University of Texas MD Anderson Cancer Center
  • 3. Department of Dietetics, University of the Western Cape, Bellville, South Africa
  • 4. Lakehead University Centre for Health Care Ethics, Thunder Bay, Ontario, Canada
  • 5. International Network of the UNESCO Chair in Bioethics, Haifa, Israel

Description

It is now evident that a second wave of the COVID-19 pandemic has developed. The unfortunate reality is that those in rural areas may be impacted the hardest. Ethical decision making may look the same for rural areas as urban areas, but this is far from accurate. This practice article is focused on why the challenges are different and how rural hospitals might manage their unique circumstances and constraints. A step-wise decision-making framework is also proposed.
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