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Notes
In fact, as understood by Edmund Pellegrino, the origins of bioethics (or “proto-bioethics”) were characterized not only as an effort to make sense of these technological advances, but an effort to buffer the increasingly technical and specialized nature of medical education by introducing a non-technical, or humanistic component (Pellegrino 1999).
For instance, data from the National Health Expenditure Accounts of the Centers for Medicare and Medicaid demonstrate that while hospital spending between 1990 and 2013 increased by about three and a half fold, home health care spending increased by more than sixfold. http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical.html.
It should be noted that there is work being done on the ethics of particular health care contexts. However, this has been done primarily through the publication of a few isolated articles by a small group of scholars. One notable exception is rural health care ethics, which has found a more significant body of scholars, including the National Rural Bioethics Project out of the University of Montana, directed by two of this issues authors, Ann Freeman Cook, PhD and Helena Hoas, PhD (see http://www.umt.edu/bioethics/). Further HEC Forum dedicated an entire issue in 2004 to the exploration of ethical issues in the rural setting. However, these discussions have yet to expand into a large discussion of the role of physical space in clinical bioethics, generally.
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Salter, E.K., Norris, J.T. Introduction: Clinical Ethics Beyond the Urban Hospital. HEC Forum 27, 87–91 (2015). https://doi.org/10.1007/s10730-015-9284-6
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DOI: https://doi.org/10.1007/s10730-015-9284-6