Barriers to healthcare as reported by rural and urban interprofessional providers.
Barriers to healthcare as reported by rural and urban interprofessional providers.
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DOI：
10.1080/13561820600622208
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发表时间：
2006-03-01
影响因子：
2.7
通讯作者：
Roberts, Laura Weiss
中科院分区：
文献类型：
--
作者：
Brems, Christiane;Johnson, Mark E;Roberts, Laura Weiss
研究文献中充满了农村患者寻求医疗保健的障碍。较少报告的是农村医疗保健提供者自己认为的障碍。目前的研究是对从美国两个农村人口众多的州阿拉斯加和新墨西哥州随机选择的1,500多名医疗保健提供者进行的广泛调查。所有医疗保健专业人员在农村和城市地区一致确定的障碍是患者复杂性、资源限制、服务获取、培训限制和患者逃避护理。调查结果证实，农村地区，然而，斗争更多的医疗保健障碍比城市和小城市地区，特别是与资源限制，保密限制，重叠的角色，提供者的旅行，服务访问和培训的限制。几乎一致的是，提供者的实践社区越小，报告的障碍就越大，报告的障碍在小的农村社区最严重。
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.