Barriers to healthcare as reported by rural and urban interprofessional providers
Abstract
The research literature is replete with reports of barriers to care perceived by rural patients seeking healthcare. Less often reported are barriers perceived by the rural healthcare providers themselves. The current study is an extensive survey of over 1,500 healthcare providers randomly selected from two US states with large rural populations, Alaska and New Mexico. Barriers consistently identified across rural and urban regions by all healthcare professionals were Patient Complexity, Resource Limitations, Service Access, Training Constraints, and Patient Avoidance of Care. Findings confirmed that rural areas, however, struggle more with healthcare barriers than urban and small urban areas, especially as related to Resource Limitations, Confidentiality Limitations, Overlapping Roles, Provider Travel, Service Access, and Training Constraints. Almost consistently, the smaller a provider's practice community, the greater the reports of barriers, with the most severe barriers reported in small rural communities.
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Mental health patients' greater concern about confidentiality is especially true in closely-knit rural communities.
“This is especially true in closely-knit rural communities [34, 51].”
From Barefoot therapists: barriers and facilitators to delivering maternal mental health care through peer volunteers in Pakistan: a qualitative study (2016) · cites this paper as [51]
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- Authors
- Brems, C., Johnson, M. E., Warner, T. D., & Roberts, L. W.
- Affiliations
- University of Alaska Anchorage (US)
- University of New Mexico (US)
- Medical College of Wisconsin (US)
- Corresponding author
- Brems, Christiane
- Venue
- Journal of Interprofessional Care
- Publisher
- Informa UK Limited
- Published
- 2006-01
- Volume
- 20
- Issue
- 2
- Pages
- 105-118
- ISSN
- 1356-1820 (ISSN-L)
- 1469-9567
- OpenAlex
- W2046872174
- Cited by
- 184
- References
- 25
- Citations by year
- 2026: 7 · 2025: 13 · 2024: 14 · 2023: 13 · 2022: 20 · 2021: 20 · 2020: 13 · 2019: 11 · 2018: 9 · 2017: 10 · 2016: 8 · 2015: 5 · 2014: 11 · 2013: 7 · 2012: 9
- FWCI
- 2.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Interprofessional Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Minority Health and Health Disparities
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Keywords
- barriers to care, rural health care providers, urban-rural differences, resource constraints, access to services, patient complexity, training constraints, small rural communities, Alaska, New Mexico
- MeSH terms
- Alaska, Female, Health Personnel, Health Services Accessibility, Humans, Male, Middle Aged, New Mexico, Rural Health Services, Urban Health Services, Health Care Surveys
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