Distance and Transportation Barriers to Colorectal Cancer Screening in a Rural Community.
Distance and Transportation Barriers to Colorectal Cancer Screening in a Rural Community.
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DOI：
10.1177/21501319221147126
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发表时间：
2023-01
影响因子：
3.6
通讯作者：
James, Aimee S.
中科院分区：
文献类型：
--
作者：
Lee, Katharine M. N.;Hunleth, Jean;Rolf, Liz;Maki, Julia;Lewis-Thames, Marquita;Oestmann, Kevin;James, Aimee S.
服务水平低下地区的农村居民在获得卫生服务方面面临许多障碍，包括结肠镜检查结直肠癌（CRC）筛查，但由于熟悉当地情况，农村医疗保健提供者可能会帮助患者应对这些挑战。在2017年至2018年，我们采访了临床医生和工作人员（n = 40）在13个初级保健和胃肠病学地点在农村伊利诺伊州南部。我们使用了半结构化的访谈指南，涵盖系统、提供者和患者层面，包括与障碍、促进者和干预需求相关的领域。这篇文章重点介绍了归纳编码中出现的与距离和交通有关的3个主要元素。首先，提供者将长途旅行视为正常，但不一定是首选。第二，他们确定并描述了CRC筛查特有的与距离相关的挑战，第三，供应商讨论了他们用来应对这些挑战的策略，主要与交通有关。最后，他们提出了各种更广泛的解决方案，以减少距离和运输障碍的筛选。总体而言，距离保健仍然是增加CRC筛查的一个挑战，并导致农村社区的差异。为了增加早期发现和减少农村癌症差异，增加筛查和随访的努力必须解决如何帮助患者和提供者在当地社区和环境中导航这一距离的问题。
Rural residents in underserved areas face many barriers to health services, including colonoscopies for colorectal cancer (CRC) screening, but rural healthcare providers may assist patients navigating these challenges due to familiarity with local contexts. In 2017 to 2018, we interviewed clinical practitioners and staff (n = 40) at 13 primary care and gastroenterology locations across rural Southern Illinois. We used a semi-structured interview guide that addressed system, provider, and patient levels including domains related to barriers, facilitators, and needs for intervention. This article focuses on 3 main elements related to distance and transportation that emerged from inductive coding. First, providers described long distance travel for care as normalized but not necessarily preferable. Second, they identified and described distance-related challenges specific to CRC screening, and third, providers discussed strategies, mostly related to transportation, they use to navigate those challenges. Finally, they suggested a variety of broader solutions to reduce distance and transportation barriers to screening. Overall, distance to care remains a challenge to increasing CRC screening and contributes to disparities in rural communities. To increase early detection and reduce rural cancer disparities, efforts to increase screening and follow-up must address ways to help patients and providers navigate this distance within their local communities and contexts.
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影响因子：
2.9
作者：
Frew, E;Wolstenholme, JL;Whynes, DK
通讯作者：
Whynes, DK
影响因子：
3.4
作者：
Arcury, TA;Gesler, WM;Perin, J
通讯作者：
Perin, J
影响因子：
2.7
作者：
Josey, Michele J.;Odahowski, Cassie L.;Eberth, Jan M.
通讯作者：
Eberth, Jan M.
DOI：
10.1111/jrh.12606
发表时间：
2022-03
期刊：
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子：
--
作者：
Kruse-Diehr AJ;Lewis-Thames MW;Wiedenman E;James A;Chambers L
通讯作者：
Chambers L
影响因子：
3.1
作者：
Bhise, Viraj;Modi, Varsha;Singh, Hardeep
通讯作者：
Singh, Hardeep