The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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]
Citations
Cites
(1998) · Sage eBooks · Cited by 38,631
(2008) · Springer eBooks · doi:10.1007/978-0-387-77282-0_6 · Cited by 17,411
Mail and internet surveys : the tailored design method
Dillman, D. A. (2007) · Cited by 9,587
Mail and Internet Surveys: The Tailored Design Method
Chisnall, P. M. (2007) · Journal of Advertising Research · doi:10.2501/s0021849907070237 · Cited by 3,463
Link, B. G., Struening, E. L., Rahav, M., Phelan, J. C., & Nuttbrock, L. (1997) · Journal of Health and Social Behavior · doi:10.2307/2955424 · Cited by 1,226
Innovations in Clinical Practice : A Source Book
VandeCreek, L. D., & Jackson, T. L. (1992) · Cited by 1,020
Fife, B. L., & Wright, E. R. (2000) · Journal of Health and Social Behavior · doi:10.2307/2676360 · Cited by 859
Pham, C. H. (2024) · Advances in educational technologies and instructional design book series · doi:10.4018/979-8-3693-2603-9.ch005 · Cited by 712
Rural health around the world: challenges and solutions*
Strasser, R. P. (2003) · Family Practice · doi:10.1093/fampra/cmg422 · Cited by 352
Administration and policy in mental health
Menninger, R. W. (1993) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/bf00706991 · Cited by 185
Research works printed but not linked: 5
- Harding C. M., 2000, Journal of the Washington Academy of Science, 86, 99
- Rosenblatt R. A, 2001, Textbook of rural medicine, 3
- Rosenthal T. C., 2001, Textbook of rural medicine, 41
- Walker J, 2002, Journal of Mental Health Counseling, 24, 299
- Wolff L. T., 2001, Textbook of rural medicine, 181
Cited by
Sorted by citations
Exposing some important barriers to health care access in the rural USA
Douthit, N., Kiv, S., Dwolatzky, T., & Biswas, S. (2015) · Public Health · doi:10.1016/j.puhe.2015.04.001 · Cited by 1,182
Understanding shortages of sufficient health care in rural areas
Weinhold, I., & Gurtner, S. (2014) · Health Policy · doi:10.1016/j.healthpol.2014.07.018 · Cited by 329
“- Burden of traveling for patients and providers, including time, money and inconvenience [19,65,69,72,79,84,91]”
BackgroundInfluentialMseke, E. P., Jessup, B., & Barnett, T. (2024) · Journal of Transport & Health · doi:10.1016/j.jth.2024.101819 · Cited by 250
Factors involved in access and utilization of adult hearing healthcare: A systematic review
Barnett, M., Hixon, B., Okwiri, N., Irungu, C., Ayugi, J., Thompson, R., Shinn, J. B., & Bush, M. L. (2016) · The Laryngoscope · doi:10.1002/lary.26234 · Cited by 132
“Multiple barriers to timely general healthcare exist for vulnerable populations with lower educational and socioeconomic status, which may be due to a complex interaction of cultural factors.(48) Although this review did not identify clear geographic differences, rural populations experience challenges in access to he…”
BackgroundAccess to health care for persons with disabilities in rural South Africa
Vergunst, R., Swartz, L. M., Hem, K.-G., Eide, A. H., Mannan, H., MacLachlan, M., Mji, G., Braathen, S. H., & Schneider, M. (2017) · BMC Health Services Research · doi:10.1186/s12913-017-2674-5 · Cited by 128
Byrne, S. K. (2008) · Holistic Nursing Practice · doi:10.1097/01.hnp.0000334921.31433.c6 · Cited by 107
Atif, N., Lovell, K., Husain, N., Sikander, S., Patel, V., & Rahman, A. (2016) · International Journal of Mental Health Systems · doi:10.1186/s13033-016-0055-9 · Cited by 96
“This is especially true in closely-knit rural communities [34, 51].”
BackgroundMoss, J. L., Liu, B., & Feuer, E. J. (2017) · Women s Health Issues · doi:10.1016/j.whi.2017.09.008 · Cited by 98
“If Only Someone Had Told Me …”: Lessons From Rural Providers
Chipp, C. L., Dewane, S. L., Brems, C., Johnson, M. E., Warner, T. D., & Roberts, L. W. (2010) · The Journal of Rural Health · doi:10.1111/j.1748-0361.2010.00314.x · Cited by 94
Self-citationIlangakoon, T. S., Weerabahu, S. K., Samaranayake, P., & Wickramarachchi, R. (2021) · International Journal of Productivity and Performance Management · doi:10.1108/ijppm-12-2020-0654 · Cited by 91
Enduring Cancer Disparities by Persistent Poverty, Rurality, and Race: 1990-1992 to 2014-2018
Moss, J. L., Pinto, C. N., Srinivasan, S., Cronin, K. A., & Croyle, R. T. (2022) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djac038 · Cited by 89
Rooy, G. V., Amadhila, E. M., Mufune, P., Swartz, L. M., Mannan, H., & MacLachlan, M. (2012) · Disability & Society · doi:10.1080/09687599.2012.686877 · Cited by 85
Rurality and determinants of hearing healthcare in adult hearing aid recipients
Chan, S. A., Hixon, B., Adkins, M., Shinn, J. B., & Bush, M. L. (2017) · The Laryngoscope · doi:10.1002/lary.26490 · Cited by 79
“Rural adults may have different cultural perceptions, such as a fear of compromised confidentiality in the receipt of care, which can affect rural patients’ healthcare-seeking behavior.(38) Additionally, a negative social stigma within rural cultures related to hearing aid use and fear of compromised social identity m…”
BackgroundConnell, C. L., Wang, S. C., Crook, L. B., & Yadrick, K. (2019) · Journal of Community Health · doi:10.1007/s10900-019-00620-1 · Cited by 85
Konkin, J., Grave, L., Cockburn, E., Couper, I. D., Stewart, R., Campbell, D., & Walters, L. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-037705 · Cited by 73
Burgess, A. R., Bauer, E., Gallagher, S., Karstens, B., Lavoie, L., Ahrens, K. A., & O’Connor, A. B. (2021) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2021.108488 · Cited by 102
Wood, B. R., Unruh, K. T., Martinez-Paz, N., Annese, M., Ramers, C. B., Harrington, R. D., Dhanireddy, S., Kimmerly, L., Scott, J. D., & Spach, D. H. (2016) · Open Forum Infectious Diseases · doi:10.1093/ofid/ofw123 · Cited by 60
Screening for Substance Use in Rural Primary Care: a Qualitative Study of Providers and Patients
Saunders, E. C., Moore, S. K., Gardner, T., Farkas, S., Marsch, L. A., McLeman, B. M., Meier, A., Nesin, N., Rotrosen, J., Walsh, O., et al. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-019-05232-y · Cited by 58
Rural Adult Perspectives on Impact of Hearing Loss and Barriers to Care
Powell, W., Jacobs, J. A., Noble, W., Bush, M. L., & Snell‐Rood, C. (2019) · Journal of Community Health · doi:10.1007/s10900-019-00656-3 · Cited by 55
Rural areas are disproportionately impacted by smoking and lung cancer
Jenkins, W. D., Matthews, A. K., Bailey, A., Zahnd, W. E., Watson, K. S., Mueller-Luckey, G. S., Molina, Y., Crumly, D., & Patera, J. (2018) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2018.03.011 · Cited by 53
“These influential patient-level factors mold physicians' healthcare practices, including the provision of preventive care services (Brems et al., 2006).”
BackgroundOldfield, L., Penm, J. H.-D., Mirzaei, A., & Moles, R. J. (2024) · The Lancet Global Health · doi:10.1016/s2214-109x(24)00442-x · Cited by 52
Implementation of the principles of primary health care in a rural area of South Africa
Visagie, S. J., & Schneider, M. (2014) · African Journal of Primary Health Care & Family Medicine · doi:10.4102/phcfm.v6i1.562 · Cited by 50
Chan, Y.-F., Lu, S.-E., Howe, B., Tieben, H., Hoeft, T. J., & Unützer, J. (2016) · Journal of general internal medicine · doi:10.1007/s11606-015-3488-y · Cited by 40
Parker, V., McNeil, K., Higgins, I. J., Mitchell, R. J., Paliadelis, P. S., Giles, M., & Parmenter, G. (2013) · BMC Health Services Research · doi:10.1186/1472-6963-13-500 · Cited by 36
“There is also evidence that IPP teams enhance professional development across health specialties and alleviate professional isolation [22].”
BackgroundJohannessen, A., & Steihaug, S. (2013) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.12066 · Cited by 35
Palomin, A., Takishima-Lacasa, J. Y., Selby-Nelson, E. M., & Mercado, A. (2023) · Community Mental Health Journal · doi:10.1007/s10597-023-01151-9 · Cited by 45
“It should be noted that stigma varies from community to community, and smaller rural areas have been suggested to have higher levels of stigma associated with seeking mental health treatment (Brems, et al., 2006).”
BackgroundKhairat, S., Liu, S., Zaman, T., Edson, B. S., & Gianforcaro, R. (2019) · JMIR mhealth and uhealth · doi:10.2196/13772 · Cited by 33
“Aside from a shortage of health care staff, barriers to care due to the isolated location of residents and the lack of technology result in a poor quality of health care among rural populations [5,6].”
BackgroundRural professionals’ perceptions of interprofessional continuing education in mental health
Church, E., Heath, O. J., Curran, V. R., Bethune, C., Callanan, T. S., & Cornish, P. A. (2010) · Health & Social Care in the Community · doi:10.1111/j.1365-2524.2010.00938.x · Cited by 37
Treatment outcomes for prescription drug misusers: the negative effect of geographic discordance
Oser, C. B., & Harp, K. L. H. (2014) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2014.08.002 · Cited by 33
“Both accessibility and affordability are noted as barriers to continuing care services for rural drug users (Brems et al., 2006; Fortney et al. 1995; Schmitt et al., 2003; Staton-Tindall et al., 2011).”
BackgroundInfluentialAvailability of pharmacist prescription of contraception in rural areas of Oregon and New Mexico
Rodriguez, M. I., Garg, B., Williams, S. M., Souphanavong, J., Schrote, K., & Darney, B. G. (2019) · Contraception · doi:10.1016/j.contraception.2019.11.005 · Cited by 30
Magnus, A. M., & Advincula, P. (2021) · Journal of Rural Studies · doi:10.1016/j.jrurstud.2021.02.019 · Cited by 30
Gligorić, K., Kamath, C., Weiss, D. J., Bavadekar, S., Liu, Y., Shekel, T., Schulman, K. A., & Gabrilovich, E. (2023) · Communications Medicine · doi:10.1038/s43856-023-00384-9 · Cited by 29
“ealthcare accessibility is a multifaceted concept and a focal point in the United Nations ’ Sustainable Development Goals 1 – 3 .”
METelemedicine: A Pilot Study With Rural Alcohol Users on Community Supervision
Staton, M., Havens, J. R., Webster, J. M., & Leukefeld, C. G. (2014) · The Journal of Rural Health · doi:10.1111/jrh.12076 · Cited by 28
Irajpour, A., Alavi, M., Abdoli, S., & Zafarghandi, M. B. S. (2012) · Europe PMC (PubMed Central) · Cited by 28
Spirituality, Coping, and Resilience Among Rural Residents Living with Chronic Kidney Disease
Pham, T. V., Beasley, C. M., Gagliardi, J. P., Koenig, H. G., & Stanifer, J. W. (2019) · Journal of Religion and Health · doi:10.1007/s10943-019-00892-w · Cited by 32
Effective interprofessional collaboration in rural contexts: a research protocol
Mitchell, R. J., Paliadelis, P. S., McNeil, K., Parker, V., Giles, M., Higgins, I. J., Parmenter, G., & Ahrens, Y. (2013) · Journal of Advanced Nursing · doi:10.1111/jan.12083 · Cited by 26
“…increase the opacity of mechanisms underpinning effective interprofessional practice due to a range of factors including dispersed collaboration and the emergence of informal and dynamic work models to accommodate clinician shortages and maldistribution (Brems et al. 2006, Buckingham et al. 2006).”
BackgroundAdaptations to Health Care Barriers as Reported by Rural and Urban Providers
Chipp, C. L., Johnson, M. E., Brems, C., Warner, T. D., & Roberts, L. W. (2008) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.0.0002 · Cited by 26
Self-citationTelemedicine-based alcohol services for rural offenders.
Staton, M., Wahler, E. A., Webster, J. M., Godlaski, T. M., Freeman, R., & Leukefeld, C. G. (2012) · Psychological Services · doi:10.1037/a0026772 · Cited by 25
“In addition to the service access barriers, rural alcohol users are also likely to perceive negative community stigma associated with entering treatment (Brems et al., 2006; Fortney et al., 2004).”
BackgroundJohnson, K. F., & Mahan, L. B. (2020) · The Family Journal · doi:10.1177/1066480720934378 · Cited by 28
“Rural settings oftentimes lack the necessary providers that a family may need to achieve optimal success for each member (Brems et al., 2006; Connel et al., 2019).”
BackgroundJohannes, B. L., Graaf, D., Blatt, B., George, D. R., & Gonzalo, J. D. (2018) · Primary Health Care Research & Development · doi:10.1017/s1463423618000385 · Cited by 25
“For instance, patients with newly diagnosed diabetes mellitus encounter issues with healthcare coverage; Medicaid enrollees face barriers related to timely access to primary care compared to the privately insured; female veterans have been found to delay or forego care due to lack of affordable care, work obligations,…”
Catchment Profile of Large Cochlear Implant Centers in the United States
Nassiri, A. M., Holcomb, M. A., Perkins, E. L., Bucker, A. L., Prentiss, S. M., Welch, C. M., Andresen, N. S., Valenzuela, C. V., Wick, C. C., Angeli, S. I., et al. (2022) · Otolaryngology · doi:10.1177/01945998211070993 · Cited by 23
Yan, F., Pearce, J. L., Ford, M. E., Nietert, P. J., & Pecha, P. P. (2022) · Otolaryngology · doi:10.1177/01945998221084203 · Cited by 23
“Moreover, pediatricians in rural settings are more likely to report difficulty coordinating timely referral to surgical subspecialty consultations as compared with their urban counterparts.(42,43)”
BackgroundNassiri, A. M., Saoji, A. A., DeJong, M. D., Tombers, N. M., Driscoll, C. L. W., Neff, B. A., Haynes, D. S., & Carlson, M. L. (2022) · Otology & Neurotology · doi:10.1097/mao.0000000000003644 · Cited by 23
Eating disorder risk in rural US adolescents: What do we know and where do we go?
Hahn, S. L., Burnette, C. B., Borton, K. A., Carpenter, L. M., Sonneville, K. R., & Bailey, B. A. (2022) · International Journal of Eating Disorders · doi:10.1002/eat.23843 · Cited by 23
“For example, rural patients often perceive their providers as neighbors and friends and are reluctant to share vulnerable information with providers with whom they are likely to see regularly in their communities (Brems et al., 2006).”
Byaruhanga, J., Paul, C. L., Wiggers, J. H., Byrnes, E., Mitchell, A., Lecathelinais, C., Bowman, J., Campbell, E. M., Gillham, K. E., & Tzelepis, F. (2021) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2021.108448 · Cited by 22
Imtiaz, D., Khan, A. A., & Seelye, A. M. (2018) · Journal of Healthcare Engineering · doi:10.1155/2018/1536316 · Cited by 25
Neill, K. S., & Hammatt, J. S. (2015) · Journal of Forensic Nursing · doi:10.1097/jfn.0000000000000070 · Cited by 21
Saunders, E. C., Moore, S. K., Walsh, O., Metcalf, S. A., Budney, A. J., Cavazos‐Rehg, P. A., Scherer, E. A., & Marsch, L. A. (2021) · Addiction Science & Clinical Practice · doi:10.1186/s13722-021-00213-1 · Cited by 21
Baranowski, B. J., Hayward, G. C., Fajardo, V. A., & MacPherson, R. E. K. (2018) · Journal of Alzheimer s Disease · doi:10.3233/jad-171150 · Cited by 21
Zhang, L., Chen, Y., Li, Q., Zhang, J., & Zhou, Y. (2024) · Asian Nursing Research · doi:10.1016/j.anr.2024.04.010 · Cited by 19
Davies, H., Popplewell, M. A., Bate, G. R., Ryan, R. P., Marshall, T. P., & Bradbury, A. W. (2018) · Phlebology The Journal of Venous Disease · doi:10.1177/0268355518805658 · Cited by 18
Rural Barriers to Surgical Care for Children With Sleep‐Disordered Breathing
Yan, F., Levy, D. A., Wen, C., Melvin, C. L., Ford, M. E., Nietert, P. J., & Pecha, P. P. (2021) · Otolaryngology · doi:10.1177/0194599821993383 · Cited by 19
“Studies have shown that pediatricians in rural settings have difficulty coordinating timely referral to surgical subspecialty consultations compared to their urban counterparts.(46,47) This may be in part due to the fact that approximately 66% of all counties in the United States lack a practicing otolaryngologist, an…”
BackgroundThe Intersection of Gender and Place in Online Health Activities
Goldner, M., Hale, T. M., Cotten, S. R., Stern, M. J., & Drentea, P. (2013) · Journal of Health Communication · doi:10.1080/10810730.2013.778364 · Cited by 18
“, 2006), and making health care more accessible through innovative strategies such as electronic health records, telemedicine, and mobile clinics (Brems et al., 2006; Effken & Abbott, 2009; Institute of Medicine, 2005; Sherrill et al., 2005; Winbush & Crichlow, 2005).”
BackgroundClients as mediators of interprofessional collaboration in mental health services in Iran
Alavi, M., Irajpour, A., Abdoli, S., & Zafarghandi, M. B. S. (2012) · Journal of Interprofessional Care · doi:10.3109/13561820.2011.623803 · Cited by 18
“The literature suggests that factors which promote IPC could be categorized into two overall classes related to the service users/clients (Brems et al., 2006) or service providers (Darlington, Feeney, & Rixon, 2004).”
BackgroundThe paradoxical effects of workforce shortages on rural interprofessional practice
McNeil, K., Mitchell, R. J., & Parker, V. (2014) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.12129 · Cited by 18
Outcomes in an Interdisciplinary Diabetes Clinic in Rural Primary Care
King, D. E., Petrone, A. B., Alcantara, F. M., Elavsky, M., Prestoza, M. O., Siebart, J., & Castelli, G. (2019) · Southern Medical Journal · doi:10.14423/smj.0000000000000960 · Cited by 17
The Architecture of Rural Life: The Dangers of Dense Collective Efficacy for At‐Risk Girls
Terry, A. N. (2020) · Rural Sociology · doi:10.1111/ruso.12325 · Cited by 17
Staton, M., Duvall, J. L., McNees, E., Walker, R., & Leukefeld, C. G. (2011) · Journal of Drug Issues · doi:10.1177/002204261104100203 · Cited by 17
Training Psychiatrists for Rural Practice: A 20-Year Follow-up
Bonham, C. A., Salvador, M., Altschul, D. B., & Silverblatt, H. (2014) · Academic Psychiatry · doi:10.1007/s40596-014-0080-4 · Cited by 17
“For example, in New Mexico, there is approximately one psychiatrist for every 20,000 individuals in rural regions whereas this rate is closer to 1/3,000 in urban areas [2].”
BackgroundThe Status of Integration of Health Information Systems in Namibia
Dlodlo, N., & Hamunyela, S. L. (2017) · Electronic Journal of Information Systems Evaluation · Cited by 17
Health Care Provider Mobility Counseling Provision to Older Adults: A Rural/Urban Comparison
Huseth‐Zosel, A. L., Sanders, G. F., O’Connor, M. L., Fuller-Iglesias, H. R., & Langley, L. K. (2015) · Journal of Community Health · doi:10.1007/s10900-015-0055-8 · Cited by 17
Burch, A. E. (2022) · Journal of Community Health · doi:10.1007/s10900-022-01106-3 · Cited by 16
Providing Mental Health Care to Veterans in Rural Areas: Using Telehealth in Mobile Clinics
Wynn, S. D., & Sherrod, R. A. (2012) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/02793695-20120508-01 · Cited by 16
Slaunwhite, A. K., & Macdonald, S. (2015) · The Journal of Rural Health · doi:10.1111/jrh.12117 · Cited by 15
“These findings are consistent with previous studies that have found that rural physicians experience more barriers to providing and referring patients to specialists or tertiary-level services, and the more isolated the community, the greater the challenges.(47) These findings are also consistent with previous Canadia…”
ResultAnnan, S. L. (2011) · Journal of the American Psychiatric Nurses Association · doi:10.1177/1078390311401024 · Cited by 14
“Travel assistance is needed in rural areas to transport people to mental health care services and to other providers for other postviolence interventions (Brems et al., 2006; Logan, Walker, Cole, Ratliff, & Leukefeld, 2003).”
BackgroundInterprofessional mental health training in rural primary care: findings from a mixed methods study
Heath, O. J., Church, E., Curran, V. R., Hollett, A., Cornish, P. A., Callanan, T. S., Bethune, C., & Younghusband, L. (2014) · Journal of Interprofessional Care · doi:10.3109/13561820.2014.966808 · Cited by 15
“Given the challenges of access to professional training opportunities and professional isolation, rural health care professionals welcome opportunities for professional development (Brems et al., 2006).”
BackgroundWang, Y., Wang, X. H., Zhang, W., Liang, X., Tian, D., & Qu, Z. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1215-4 · Cited by 15
“Other factors about the community, such as community’s locality and population size, should have been included, because those factors can shape characteristics of the residents’ interaction [45, 46].”
BackgroundMeeting the Continuing Education Needs of Rural Mental Health Providers
Adler, G., Pritchett, L. R., & Kauth, M. R. (2013) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2013.0010 · Cited by 14
Dial in: Fostering the use of telebehavioral health services in frontier Alaska.
Avey, J. P., & Hobbs, R. L. (2012) · Psychological Services · doi:10.1037/a0028231 · Cited by 14
Hack, S., Attal, R., Yogev, D., Alsleibi, S., Gvili, B., Shahal, D., & Glikson, E. (2025) · Family Practice · doi:10.1093/fampra/cmaf087 · Cited by 16
Rossi, J. G., Schwartzkopff, J., Müller, A., Hertrampf, K., Abraham, J., Gaßmann, G., Schlattmann, P., Göstemeyer, G., & Schwendicke, F. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-049306 · Cited by 13
Pugazenthi, S., Hernandez‐Rovira, M. A., Fabiano, A. S., Rogers, J. L., Gajjar, A. A., Lavadi, R. S., Elsayed, G. A., Greenberg, J. K., Hafez, D. M., Janjua, M. B., et al. (2023) · Journal of neurosurgery · doi:10.3171/2023.1.jns222269 · Cited by 13
Staton‐Tindall, M., McNees, E., Leukefeld, C., Walker, R., Oser, C., Duvall, J. L., Thompson, L., & Pangburn, K. (2011) · Journal of Social Service Research · doi:10.1080/01488376.2011.582019 · Cited by 14
“In addition to the existing barriers to service access, rural substance users are also likely to perceive negative community stigma associated with entering treatment (Brems et al., 2006; Fortney et al., 2004).”
BackgroundLindert, L., Kühn, L., & Choi, K. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-08052-9 · Cited by 18
“It might also be, that SME-Er do not use those offers due to stigmatization of mental disorders in rural regions [10].”
BackgroundInfluentialRural Prejudice-Urban Bias: The Stories and Structures That Oppress Rural Communities
Mohatt, N. V., & Mohatt, D. F. (2020) · Springer eBooks · doi:10.1007/978-3-030-35517-3_23 · Cited by 12
Xiong, T., Kaltenbach, E., Yakovenko, I., Lebsack, J., & McGrath, P. J. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-08762-0 · Cited by 12
“Other documented personal barriers are emotional readiness [28], confidentiality concerns [29], and concerns regarding the usefulness of treatments [30].”
BackgroundBuilding Policy Support for School Mental Health in Rural Areas
Siceloff, E. R., Barnes-Young, C., Massey, C. S., Yell, M. L., & Weist, M. D. (2017) · Springer eBooks · doi:10.1007/978-3-319-64735-7_2 · Cited by 11
Stiles, R., Reyes, J., Helmer, S. D., & Vincent, K. B. (2019) · The American Surgeon · doi:10.1177/000313481908500621 · Cited by 11
“8 (6) Procedures written in by responders Prostatectomy Ileal conduits (2) Stone retrieval Nephrectomy (2) Ureterolysis Fournier’s Gangrene debridement Vesicourethropexy slings No.”
BackgroundInfluentialAshrafi, S., Taylor, D., & Tang, T. S. (2021) · Diabetic Medicine · doi:10.1111/dme.14534 · Cited by 11
Ashcraft, A. M., Ponte, C. D., Farjo, S., Dotson, S., & Murray, P. J. (2021) · Journal of the American Pharmacists Association · doi:10.1016/j.japh.2021.09.002 · Cited by 11
The Influence of Geographic Isolation on Late Preterm Infant and Mother Outcomes
Samra, H. A., McGrath, J. M., Wey, H. E., Schumacher, B., Fischer, S., & Beverly, J. (2013) · Advances in Neonatal Care · doi:10.1097/anc.0b013e318285fd58 · Cited by 11
Cross‐Barnet, C., Ruiz, S., Skillman, M., Dhopeshwarkar, R. V., Singer, R., Carpenter, R., Campanella, S., Freij, M., Snyder, L. P., & Colligan, E. M. (2018) · Digital Scholarship - UNLV (University of Nevada Reno) · doi:10.13016/m2f9ik-fmv3 · Cited by 10
Blaney, C., Sommer, J. L., El-Gabalawy, R. M., Bernstein, C. N., Walld, R., Hitchon, C. A., Bolton, J. M., Sareen, J., Patten, S. B., Singer, A. G., et al. (2020) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796019000854 · Cited by 11
Müller, M., Knop, M., Reßing, C., Freude, H., Oschinsky, F. M., Klein, H. C., & Niehaves, B. (2020) · Hawaii International Conference on System Sciences (HICSS) · doi:10.24251/hicss.2020.447 · Cited by 10
“Patients as well as physicians are obliged to travel long distances either to consult a professional or to visit patients in need of care at home [3, 7].”
BackgroundJohnson, I. D., & Hiller, M. L. (2016) · Journal of Interpersonal Violence · doi:10.1177/0886260516663900 · Cited by 10
“As indicated earlier in the Methods section, the eight communities in which survivors presented were used to measure community context instead of the demographic categories of rurality used by Brems et al. (2006).”
BackgroundMethodInfluentialByaruhanga, J., Paul, C. L., Wiggers, J. H., Byrnes, E., Mitchell, A., Lecathelinais, C., & Tzelepis, F. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17082891 · Cited by 10
“For people in rural areas who cannot easily access existing face to face services due to associated travel costs [34,35], both real-time video communication and telephone interventions are feasible modes for the delivery of smoking cessation support.”
Backgrounddel Valle, F. D., Koff, P. B., Min, S., Zakrajsek, J. K., ZITTLEMAN, L. K., Fernald, D. H., Nederveld, A., Nease, D. E., Hunter, A. R., Moody, E. J., et al. (2021) · Chronic Obstructive Pulmonary Diseases Journal of the COPD Foundation · doi:10.15326/jcopdf.2021.0215 · Cited by 9
Rahman, Q. M., Sikder, M. T., Talha, M. T. U. S., Banik, R., & Pranta, M. U. R. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e11152 · Cited by 9
“…than urban areas, particularly with resource constraints, con fi dentiality constraints, overlapping re-sponsibilities, and training constraints (Brems et al., 2006) and having dif fi culty in attracting and retaining physicians and maintaining healthcare services on a par with their urban…”
BackgroundTeaching Note—Diversity and Difference Through a Rural Lens
Bice‐Wigington, T., & Morgan, K. M. (2018) · Journal of Social Work Education · doi:10.1080/10437797.2017.1314838 · Cited by 9
Seaton, J. A., Jones, A., Johnston, C., & Francis, K. L. (2020) · Australian Journal of Primary Health · doi:10.1071/py20148 · Cited by 9
Access to Contraceptives in School-Based Health Centers: Progress and Opportunities
Sullivan, E. E., Love, H., Fisher, R. L., Schlitt, J. J., Cook, E. L., & Soleimanpour, S. (2021) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2021.08.030 · Cited by 8
Jobalayeva, B. S., Glushkova, N., Khismetova, Z. A., Tanatarova, G., Zhagiparova, Z., & Semenova, Y. (2025) · Scientific Reports · doi:10.1038/s41598-025-11432-w · Cited by 7
“In addition, rural dwellers may face additional expenses, as they must travel long distances to access healthcare 35 .”
Stone soup: social work community engagement in rural America’s opioid crisis
Cashwell, S. T., Campbell, M. J., & Cowser, J. (2021) · Social Work in Mental Health · doi:10.1080/15332985.2021.1875965 · Cited by 7
“Sympathy” vs.“Empathy”: Comparing experiences of I2Audits and disability simulations
Hicks, E. C., Traci, M. A., & Korb, K. (2022) · Frontiers in Rehabilitation Sciences · doi:10.3389/fresc.2022.876099 · Cited by 7
“This factor combined with higher rates of poverty in rural areas (17) leads to multiple financial barriers in accessing care.”
BackgroundComparison of US Oncologist Rurality by Practice Setting and Patients Served
Cornelius, S. L., Schaefer, A., Wong, S. L., & Moen, E. L. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.50504 · Cited by 6
Moore, J. R., Renn, T., & Veeh, C. A. (2021) · Substance Abuse · doi:10.1080/08897077.2021.1903651 · Cited by 6
Difference in rural and urban Medicare prescription pattern for Parkinson’s disease in Hawai‘i
Bruno, M. K., Watanabe, G., Gao, F., Seto, T. B., Nakagawa, K., Trinacty, C. M., Brown, S. C., & Taira, D. A. (2022) · Clinical Parkinsonism & Related Disorders · doi:10.1016/j.prdoa.2022.100144 · Cited by 7
“The smaller a provider’s practice community, the greater the reports of barriers, with the most severe barriers reported in small rural communities [22].”
BackgroundWang, E., Diaz, A., Zhang, D., Dimitroyannis, R. C., Kim, D., Caballero, N., Pinto, J. M., & Roxbury, C. R. (2023) · Laryngoscope Investigative Otolaryngology · doi:10.1002/lio2.1192 · Cited by 6
Barriers to Preventive Services Use for Rural Women in the Southeastern United States
Weaver, A., & Gjesfjeld, C. D. (2014) · Social Work Research · doi:10.1093/swr/svu023 · Cited by 6
Reaching Rural Residents to Identify Colorectal Cancer Education and Intervention Targets
Sutton, A. L., Preston, M. A., Thomson, M. D., Litzenberg, C., Taylor, T. F., Cole, E. P., & Sheppard, V. B. (2019) · Journal of Cancer Education · doi:10.1007/s13187-019-01635-x · Cited by 6
Metadata
- 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 › Medicine › Public Health, Environmental and Occupational Health › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
