Klaudia Kukulka , Jacquelyn J. Benson , Olivia J. Landon , Keisha White Makinde , Braquel Egginton , Karla T. Washington
{"title":"A qualitative exploration of factors influencing healthcare utilization among rural Missourians: “We have to be bleeding, broken”","authors":"Klaudia Kukulka , Jacquelyn J. Benson , Olivia J. Landon , Keisha White Makinde , Braquel Egginton , Karla T. Washington","doi":"10.1016/j.healthplace.2024.103367","DOIUrl":null,"url":null,"abstract":"<div><div>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 <em>desire for self-sufficiency</em>, <em>preference for natural interventions,</em> and <em>poor perception of rural healthcare quality</em> may deter healthcare utilization. Influential subjective norms included <em>respect for toughness and resilience, conservative approach to healthcare, view of the body as an instrument,</em> and <em>influence of faith and religion. Financial barriers</em> and <em>lack of accessible healthcare options</em> were noted as key structural obstacles. Findings emphasize the importance of individual, cultural, and structural factors in shaping healthcare utilization in underserved communities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103367"},"PeriodicalIF":3.8000,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health & Place","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1353829224001953","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
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Abstract
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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