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.
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“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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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
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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
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
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