对影响密苏里州农村居民利用医疗保健的因素进行定性探索："我们必须流血，破碎"。

IF 3.8 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place Pub Date : 2024-10-23 DOI:10.1016/j.healthplace.2024.103367

Klaudia Kukulka , Jacquelyn J. Benson , Olivia J. Landon , Keisha White Makinde , Braquel Egginton , Karla T. Washington

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引用次数: 0

摘要

研究人员对 25 个个体访谈进行了归纳-演绎混合主题分析，以探讨影响密苏里州农村地区医疗保健利用率的因素。数据显示，自给自足的愿望、对自然干预的偏好以及对农村医疗质量的不良看法可能会阻碍医疗服务的利用。有影响的主观规范包括尊重坚韧和韧性、保守的医疗方法、将身体视为工具以及信仰和宗教的影响。经济障碍和缺乏可获得的医疗保健选择被认为是主要的结构性障碍。研究结果强调了个人、文化和结构因素在影响服务不足社区的医疗保健利用率方面的重要性。

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A qualitative exploration of factors influencing healthcare utilization among rural Missourians: “We have to be bleeding, broken”

Researchers performed a hybrid inductive-deductive thematic analysis of 25 individual interviews to explore factors influencing healthcare utilization in rural Missouri. Data indicated that a desire for self-sufficiency, preference for natural interventions, and poor perception of rural healthcare quality may deter healthcare utilization. Influential subjective norms included respect for toughness and resilience, conservative approach to healthcare, view of the body as an instrument, and influence of faith and religion. Financial barriers and lack of accessible healthcare options were noted as key structural obstacles. Findings emphasize the importance of individual, cultural, and structural factors in shaping healthcare utilization in underserved communities.

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