Evidence map›Paper›PMID 18237331›Full record

ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2007

Ethical disparities: challenges encountered by multidisciplinary providers in fulfilling ethical standards in the care of rural and minority people.

Laura Weiss Roberts, Mark E Johnson, Christiane Brems, Teddy D Warner

Open access · greenAbstract read
In one paragraph

Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
5.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Mobile Based mhGAP-IG Depression Screening in Kenya.Community mental health journal · 2018
    Article
  3. Article
  4. "If only someone had told me…": lessons from rural providers.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2011
    Article
  5. Mental disorders, health inequalities and ethics: A global perspective.International review of psychiatry (Abingdon, England) · 2010
    Review
  6. Adaptations to health care barriers as reported by rural and urban providers.Journal of health care for the poor and underserved · 2008
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Laura Weiss RobertsDepartment of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee 53226, USA. RobertsL@mcw.edu
Mark E Johnson
Christiane Brems
Teddy D Warner
Medical College of Wisconsin · USUniversity of New Mexico · US

Funding

STIGMA &RURALITY: DRUG ABUSE, HIV/STD &MENTAL ILLNESSR01DA013139 · NIDA · UNIVERSITY OF NEW MEXICO · PI ROBERTS, LAURA W · 2000 to 2004
$2.5M
PSYCHIATRIC RESEARCH ETHICS: SCIENCE AND SAFEGUARDSK02MH001918 · NIMH · UNIVERSITY OF NEW MEXICO · PI ROBERTS, LAURA W · 1999 to 2002
$425k
NIDA NIH HHS 1R01 DA13139NIDA NIH HHS R01 DA013139NIMH NIH HHS 1K02MH01918NIMH NIH HHS K02 MH001918
6 · The paper itself

Abstract

contextHealth care disparities are well documented for people living in rural areas and for people who are members of ethnic minorities. PURPOSE: Our goal was to determine whether providers report greater difficulty in providing care for rural than urban residents and for ethnic minorities than patients/clients in general in 4 practice areas of ethical relevance: attaining treatment adherence, assuring confidentiality, establishing therapeutic alliance, and engaging in informed consent processes.

methodsWe received survey responses from 1,558 multidisciplinary medical and behavioral providers across rural and non-rural areas of New Mexico and Alaska in 2004 to assess a wide range of issues in providing health care.

findingsProviders reported some difficulties in fulfilling various ethical practices for all types of patients, but not more difficulty when caring for minority compared to nonminority patients/clients. However, they do report more frequent additional problems related to the practice issues of treatment adherence, therapeutic alliance, informed consent, and confidentiality with minority patients than others. Difficulties and more frequent additional problems are greater for providers in rural than in non-rural areas. Results generalize across both Alaska and New Mexico with few differences.

conclusionsWe obtained evidence for disparity in care for patients/ clients who were minority group members, and clear evidence of disparity for people residing in rural compared to non-rural areas of 2 states with large rural areas.

Indexed as

Interdisciplinary CommunicationMinority GroupsRural PopulationAdultAlaskaFemaleHealthcare DisparitiesHealth Care SurveysHumansMaleMiddle AgedNew MexicoSubstance-Related Disorders

Identifiers

PMID18237331
PMCPMC2386414
OpenAlexW2158518619

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.