Section: Module 2: Lesson 2: Power and Health Inequities | Rural Health and Aging | NextGenU.org

  • Student Learning Outcomes:
    Upon completion of this lesson, you will be able to:
    • Define health inequities.
    • Explain the concepts of power and privilege within a public health context.
    • Assess the relationship between power, privilege, and health inequities.
    • Examine the application of ethics in rural health.
    • Analyze the correlation between ethics and the health of the aging population.
    Approximate time required to complete the readings (at 144 words/minute) and assignments for this lesson: 3 hours and 36 minutes.

    • Required Learning Resources and Activities
    • Read 1.3 Health Equity. (3 minutes)

      International Journal of Maternal and Child Health and AIDS

    • Read the first Frequently Asked Question (FAQ): What is the difference between health disparities and health inequities? (1 minute)

      Rural Health Information Hub-2017

    • Read the entire article. (12 minutes)

      Public Health Reports-2014

    • Read the content under the heading "How GH5050 Understands Power, Privilege & Priorities and Applies Them in This Report" on page 13. (2 minutes)

      Editorial: Global Health

    • Read the entire article. (10 minutes)

      Boston School of Public Health

    • Read the entire document. (11 minutes)

      NHS Health Scotland-2016

    • Read: What is the Significance of Morality and Ethics to the Rural Professional? (8 minutes)

      Dartmouth College Press-2009

    • Read pages 54-56, "Basic Ethical Principles as Essential Material for Your Peer Activity." (10 minutes)

      Dartmouth College Press-2009

    • Read pages 45-49 under "Human Rights, Ethics, and Principles of Public Health." (15 minutes)

      Caribbean Public Health Agency-2019

    • In this activity, you will reflect on how ethical principles govern the health and well-being of older adults in a rural population. 

      Reference Guide Link: Ethical Challenges in Pursuing Public Health Goals  https://geiselmed.dartmouth.edu/cfm/resources/ethics/chapter-03.pdf 

      Step 1: Review

      Read and review the four topic questions below. Select one to reflect on.

      In the context of ethics:

      Topic Question 1: Why should vaccinating older adults for COVID-19 be a top priority?

      Topic Question 2: Why can the age of older adults be a reasonable criterion for ICU admission in times of scarce ICU capacity?

      Topic Question 3: Why should denying treatment for a life-threatening condition be acceptable if it is an aged patient’s personal choice?

      Topic Question 4: How can the ban on visiting nursing homes for the aged be justifiable in times of COVID-19 crisis? 

      Step 2: Respond

      After reflecting on your chosen topic question, prepare a 300 - 500 word reflective argument based on the following ethical principles:

          • Autonomy
          • Justice
          • Beneficence
          • Non-maleficence

      Please see the reference guide links above for more information about these ethical principles.

      Step 3: Share

      To share your work, click on the “Reply” button under this post and paste your work in the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).

      Step 4: Interact

      To complete the activity, you will need to reply to at least two posts made by your peers in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “post to forum.”

      OPTIONAL Step 5: Interact (10 minutes)

      If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”

    • quiz icon
      Quiz: Module 2

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 23/29.

      Not available unless: The activity Quiz: Module 1 is marked complete
    • Additional Learning Options
    • Watch the entire video. (17 minutes)

      PAHO TV-2018

    • Read the section titled "Ethical Challenges in Pursuing Public Health Goals" in the book as supplementary material for your peer activity. (12 minutes)
      The Oxford Handbook of Public Health Ethics-2019

    • Read content from "Findings" and stop before "Methodological Considerations." (28 minutes)

      International Journal of Qualitative Studies in Health and Well Being-2012