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The Value of Place

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Rethinking Rural Health Ethics

Part of the book series: International Library of Ethics, Law, and the New Medicine ((LIME,volume 72))

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Abstract

We argue in this chapter for an explicit value of place in health ethics. Psychologists have identified that some people feel what they term place attachment. We argue that ethicists should acknowledge that some people may feel connected to and identify with a particular place which has epistemological implications and implications for a person’s standpoint – as what we know is fundamentally influenced by where we come from. Place may also sometimes be used as a means to stereotype particular patients and their likely responses and values. In this chapter we argue for a value of place to give it the necessary weight and attention in ethical deliberations around the provision of health care at the micro, meso and macro levels of service delivery. We argue that the value of place is particularly relevant for rural residents as it may influence their health care choices, their experience of receiving care and their access to health services.

The relationship between health and place is complex and requires unravelling (Wakerman 2008, 52).

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References

  • Beauchamp, T.L. 2007. The ‘four principles’ approach to health care ethics. In Principles of health care ethics, ed. R. Ashcroft, A. Dawson, H. Draper, and J. McMillan, 2nd ed., 3–10. Chichester: Wiley.

    Google Scholar 

  • Beauchamp, T.L., and J. Childress. 2009. Principles of biomedical ethics. 6th ed. New York: Oxford University Press.

    Google Scholar 

  • Bernoth, M., E. Dietsch, and C. Davies. 2012. Forced into exile: The traumatising impact of rural aged care service inaccessibility. Rural and Remote Health 12: 1924.

    Google Scholar 

  • Blackstock, K., A. Innes, S. Cox, et al. 2006. Living with dementia in rural and remote Scotland: Diverse experiences of people with dementia and their carers. Journal of Rural Studies 22 (2): 161–176.

    Article  Google Scholar 

  • Canadian Institute for Health Information. 2006. How healthy are rural Canadians? An assessment of their health status and health determinants. Ottawa: Canadian Institute for Health Information.

    Google Scholar 

  • Casey, E. 2001. Between geography and philosophy: What does it mean to be in the place-world? Annals of the Association of American Geographers 91 (4): 683–693.

    Article  Google Scholar 

  • Castleden, H., V. Crooks, N. Schuurman, et al. 2010. “It’s not necessarily the distance on the map …”: Using place as an analytic tool to elucidate geographic issues central to rural palliative care. Health and Place 16 (2): 284–290.

    Article  Google Scholar 

  • Cramb, S., K. Mengersen, and P. Baade. 2011. Atlas of cancer in Queensland: Geographical variation in incidence and survival, 1998–2007. Brisbane: Viertel Centre for Research in Cancer Control, Cancer Council Queensland.

    Google Scholar 

  • Creswell, T. 2009. Place. In International encyclopedia of human geography, ed. N. Thrift and R. Kitchen, vol. 8, 169–177. Oxford: Elsevier.

    Chapter  Google Scholar 

  • Crowden, A. 2016. Indigenous health care, bioethics and the influence of place. American Journal of Bioethics 16 (5): 56–58.

    Article  Google Scholar 

  • Cunsolo Willox, A., S.L. Harper, J.D. Ford, et al. 2012. “From this place and of this place”: Climate change, sense of place, and health in Nunatsiavut, Canada. Social Science and Medicine 75 (3): 538–547.

    Article  Google Scholar 

  • Downie, J., and J. Llewellyn, eds. 2011. Being relational: Reflections on relational theory and health law and policy. Vancouver: UBC Press.

    Google Scholar 

  • Ells, C., M. Hunt, and J. Chambers-Evans. 2011. Relational autonomy as an essential component of patient centred care. International Journal of Feminist Approaches to Bioethics 4 (2): 79–101.

    Article  Google Scholar 

  • Forte, T., G. Porter, R. Rahal, et al. 2014. Geographic disparities in surgery for breast and rectal cancer in Canada. Current Oncology 21 (2): 97–99.

    Article  Google Scholar 

  • Fried, M. 1963. Grieving for a lost home. In The urban condition: People and policy in the metropolis, ed. L.J. Duhl, 124–152. New York: Simon & Schuster.

    Google Scholar 

  • Fullilove, M.T. 1996. Psychiatric implications of displacement: Contributions from the psychology of place. American Journal of Psychiatry 153 (12): 1516–1523.

    Article  Google Scholar 

  • Ganesharajah, C. 2009. Indigenous health and well-being: The importance of Country. Native Title Research Report 1/2009. Canberra: Australian Institute of Aboriginal and Torres Strait Islander Studies.

    Google Scholar 

  • Hanlon, N., and G. Halseth. 2005. The greying of resource communities in northern BC: Implications for health delivery in already under-serviced communities. The Canadian Geographer 49 (1): 1–24.

    Article  Google Scholar 

  • Haraway, D. 1988. Situated knowledges: The science question in feminism and the privilege of partial perspective. Feminist Studies 14 (3): 575–599.

    Article  Google Scholar 

  • Heath, G., S. Greenfield, and S. Redwood. 2015. The meaning of ‘place’ in families’ lived experiences of paediatric outpatient care in different settings: A descriptive phenomenological study. Health & Place 31: 46–53.

    Article  Google Scholar 

  • Hidalgo, M., and B. Hernández. 2001. Place attachment: Conceptual and empirical questions. Journal of Environmental Psychology 21 (3): 273–281.

    Article  Google Scholar 

  • Hummon, D.M. 1992. Community attachment: Local sentiment and sense of place. In Place attachment, ed. I. Altman and S.M. Low, 253–278. New York: Plenum Press.

    Chapter  Google Scholar 

  • Kaufman, S. 2005. And a time to die: How American hospitals shape the end of life. Chicago: University of Chicago Press.

    Google Scholar 

  • Kelly, S. 2003. Bioethics and rural health: Theorizing place, space and subjects. Social Science and Medicine 56 (11): 2277–2288.

    Article  Google Scholar 

  • Kulig, J., and A. Williams. 2012. Health in Rural Canada. Vancouver: University of British Columbia Press.

    Google Scholar 

  • Lewicka, M. 2011. Place attachment: How far have we come in the last 40 years? Journal of Environmental Psychology 31 (3): 207–230.

    Article  Google Scholar 

  • Low, S.M. 1992. Symbolic ties that bind. In Place attachment, ed. I. Altman and S.M. Low, 165–185. New York: Plenum Press.

    Chapter  Google Scholar 

  • Mahowald, M. 1996. On treatment of myopia: Feminist standpoint theory and bioethics. In Feminism & bioethics beyond reproduction, ed. S. Wolf, 95–115. Oxford: Oxford University Press.

    Google Scholar 

  • Mark, G., and A. Lyons. 2010. Maori healers’ views on well-being: The importance of mind, spirit, family and land. Social Science and Medicine 70 (11): 1756–1764.

    Article  Google Scholar 

  • McColl, L. 2007. The influence of bush identity on attitudes to mental health in a Queensland community. Rural Society 17 (2): 107–124.

    Article  Google Scholar 

  • McMillan, D.W., and D.M. Chavis. 1986. Sense of community: A definition and theory. Journal of Community Psychology 14 (1): 6–23.

    Article  Google Scholar 

  • Meit, M., A. Knudson, T. Gilbert, A. Tzy-Chyi Yu, E. Tanenbaum, E. Ormson, S. TenBroeck, A. Bayne, S. Popat, and NORC Walsh Center for Rural Health Analysis, Rural Health Reform Policy Research Center. 2014. The 2014 update of the rural-urban chartbook. Chicago: Rural Health Reform Policy Research Center.

    Google Scholar 

  • Myers, R. 2011. The familiar strange and the strange familiar in anthropology and beyond. General Anthropology 18 (2): 1–9.

    Article  Google Scholar 

  • Nedelsky, J. 1989. Reconceiving autonomy: Sources, thoughts and possibilities. Yale Journal of Law and Feminism 1 (1): 7–36.

    Google Scholar 

  • Nelson, W., and A. Pommerantz. 1992. Ethics issues in rural health care. In Choices and conflict: Explorations in health care ethics, ed. E. Freedman, 156–163. Chicago: American Hospital Publishers.

    Google Scholar 

  • Parr, H., C. Philo, and N. Burns. 2004. Social geographies of rural mental health: Experiencing inclusions and exclusions. Transactions of the Institute of British Geographers 29 (4): 401–419.

    Article  Google Scholar 

  • Perkins, D.D., and D. Long. 2002. Neighborhood sense of community and social capital: A multi-level analysis. In Psychological sense of community: Research, applications, and implications, ed. A. Fisher, C. Sonn, and B. Bishop, 291–318. New York: Plenum.

    Chapter  Google Scholar 

  • Pesut, B., J.L. Bottorff, and C.A. Robinson. 2011. Be known, be available, be mutual: A qualitative ethical analysis of social values in rural palliative care. BMC Medical Ethics 12 (19): 1–11.

    Google Scholar 

  • Preston, C. 2009. Moral knowledge: Real and grounded in place. Ethics, Place and Environment 12 (2): 175–186.

    Article  Google Scholar 

  • Pretty, G., H. Chipuer, and P. Bramston. 2003. Sense of place amongst adolescents and adults in two rural Australian towns: The discriminating features of place attachment, sense of community and place dependence in relation to place identity. Journal of Environmental Psychology 23 (3): 273–287.

    Article  Google Scholar 

  • Proshansky, H. 1978. The city and self-identity. Environment and Behavior 10 (2): 147–169.

    Article  Google Scholar 

  • Proshansky, H., and A. Fabian. 1987. The development of place identity in the child. In Spaces for children, ed. C. Weinstein and T. David, 21–40. New York: Plenum.

    Chapter  Google Scholar 

  • Proshansky, H., A. Fabian, and R. Kaminoff. 1983. Place-identity. Journal of Environmental Psychology 3 (1): 57–83.

    Article  Google Scholar 

  • Public Health Information Development Unit. 2012. An Atlas of Cancer in South Australia: A review of the literature and South Australian evidence of differences in cancer outcomes between metropolitan and country residents, and factors that might underlie such differences. Adelaide: Public Health Information Development Unit, University of Adelaide.

    Google Scholar 

  • Pugh, R., and B. Cheers. 2010. Rural social work: An international perspective. Bristol: Policy Press.

    Google Scholar 

  • Purtilo, R. 1987. Rural health care: The forgotten quarter of medical ethics. Second Opinion 6: 11–33.

    Google Scholar 

  • Radley, D., and C. Schoen. 2012. Geographic variation in access to care – The relationship with quality. New England Journal of Medicine 367 (1): 3–6.

    Article  Google Scholar 

  • Renouf, T., S. Alani, D. Whalen, C. Harty, M. Pollard, M. Morrison, H. Coombs-Thorne, and A. Dubrowski. 2016. City mouse, country mouse: A mixed-methods evaluation of perceived communication barriers between rural family physicians and urban consultants in Newfoundland and Labrador, Canada. BMJ Open 6: e010153.

    Article  Google Scholar 

  • Rosel, N. 2003. Aging in place: Knowing where you are. International Journal of Aging and Human Development 57 (1): 77–90.

    Article  Google Scholar 

  • Salter, E. 2015. The re-contextualisation of the patient: What home health care can teach us about medical decision-making. HEC Forum 27 (2): 143–156.

    Article  Google Scholar 

  • Salter, E., and J. Norris. 2015. Introduction: Clinical ethics beyond the urban hospital. HEC Forum 27 (2): 87–91.

    Article  Google Scholar 

  • Scannell, L., and R. Gifford. 2010. Defining place attachment: A tripartite organizing framework. Journal of Environmental Psychology 30: 1–10.

    Article  Google Scholar 

  • Sherwin, S. 1992. No longer patient: Feminist ethics and health care. Philadelphia: Temple University Press.

    Google Scholar 

  • Stanford Encyclopedia of Philosophy. 2015. Feminist epistemology and philosophy of science. https://plato.stanford.edu/entries/feminism-epistemology/. Accessed 12 Apr 2017.

  • Stewart, G., G. Long, and B. Tulloh. 2006. Surgical service centralisation in Australia versus choice and quality of life for rural patients. Medical Journal of Australia 185 (3): 162–163.

    Google Scholar 

  • Taussig, K. 1997. Calvinism and chromosomes: Religion, the geographical imaginary and medical genetics in the Netherlands. Science as Culture 6 (4): 495–524.

    Article  Google Scholar 

  • Thien, D., and N. Hanlon. 2009. Unfolding dialogues about gender, care and ‘the North’: An introduction. Gender, Place & Culture: A Journal of Feminist Geography 16 (2): 155–162.

    Article  Google Scholar 

  • Thorson, J., and F. Powell. 1992. Rural and urban elderly construe health differently. Journal of Psychology 126 (3): 251–260.

    Article  Google Scholar 

  • Tuan, Y. 1974. Topophilia: A study of environmental perception, attitudes, and values. Englewood Cliffs: Prentice Hall.

    Google Scholar 

  • Wakerman, J. 2008. Rural and remote public health in Australia: Building on our strengths. Australian Journal of Rural Health 16 (2): 52–55.

    Article  Google Scholar 

  • Wenger, G. 2001. Myths and realities of aging in rural Britain. Aging and Society 21 (1): 117–130.

    Article  Google Scholar 

  • Wilson, K. 2003. Therapeutic landscape and First Nations peoples: An exploration of culture, health and place. Health & Place 9 (2): 83–93.

    Article  Google Scholar 

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Simpson, C., McDonald, F. (2017). The Value of Place. In: Rethinking Rural Health Ethics. International Library of Ethics, Law, and the New Medicine, vol 72. Springer, Cham. https://doi.org/10.1007/978-3-319-60811-2_5

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