Department of Medicine, Washington University in St. Louis, St. Louis, MO, USA; School of Medicine, University of Missouri, Columbia, MO, USA.
Department of Medicine, Washington University in St. Louis, St. Louis, MO, USA.
Health Place. 2024 Nov;90:103367. doi: 10.1016/j.healthplace.2024.103367. Epub 2024 Oct 23.
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.
研究人员对 25 个个体访谈进行了混合归纳演绎主题分析，以探讨影响密苏里州农村地区医疗保健利用的因素。数据表明，自给自足的愿望、对自然干预的偏好以及对农村医疗保健质量的不良看法可能会阻碍医疗保健的利用。有影响力的主观规范包括对坚韧和适应力的尊重、对医疗保健的保守态度、将身体视为工具的观点，以及信仰和宗教的影响。经济障碍和缺乏可及的医疗保健选择被认为是关键的结构性障碍。研究结果强调了个体、文化和结构因素在塑造服务不足社区医疗保健利用方面的重要性。
