ArticleJournal of primary care & community health
Exploring Primary Care Non-Attendance: A Study of Low-Income Patients.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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Who cites it
37 citing papers in PubMed.
- Geospatial disparities in emergency medical utilization and neighborhood-level socioeconomic status in Yamato City, Japan.Preventive medicine reports · 2026Article
- Non-medical drivers of health and pediatric no-show prediction: identifying modifiable risk factors.Pediatric research · 2026Article
- Cultural and Social Factors Influencing Orthopedic Health Care Experiences Among Haitian Patients in the Dominican Republic - An Exploratory Qualitive Study.Journal of immigrant and minority health · 2026Article
- Poverty screening among paediatricians in the Netherlands: an exploratory study of current practices.European journal of pediatrics · 2026Article
- Relationship Between Unmet Transportation Needs and Missed Primary Care Appointments: An Observational Study.Journal of general internal medicine · 2026Article
- The Access, Initiation, Engagement, Retention, and Recovery (AIERR) Model: A Stage-Based Framework for Understanding Mental Health Service Utilization.Healthcare (Basel, Switzerland) · 2026Review
- Operationalizing Home Blood Pressure Monitoring for Dialysis Patients: An Effectiveness-Implementation Hybrid Study.Kidney medicine · 2026Article
- Provider perceptions and experiences integrating depression treatment into chronic healthcare services in Neno District, Malawi: a qualitative study.BMC health services research · 2025Article
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- What Is Fair? Defining Fairness in Machine Learning for Health.Statistics in medicine · 2025Review
- Predicting Missed Appointments in Primary Care: A Personalized Machine Learning Approach.Annals of family medicine · 2025Article
- Factors Associated with Referral to Expert Providers among Patients with Pulmonary Hypertension.Annals of the American Thoracic Society · 2025Article
- Adverse Childhood Experiences (ACEs) Screening in Primary Care Settings for Adults: A Systematic Review.Journal of child & adolescent trauma · 2025Article
- Identifying lung cancer in Emergency Department patients outside national lung cancer screening guidelines.Journal of thoracic disease · 2025Article
- Age-Based Genomic Screening: Pediatric Providers' Perspectives on Implementation.Public health genomics · 2025Article
- No-Show Rates at a Plastic Surgery Clinic: Insights From Appalachian Healthcare Systems.Cureus · 2025Article
- Patient experience during medical visits in predominately African American rural communities in Alabama.Frontiers in health services · 2025Article
- Neighborhood Poverty and Clinic Attendance in the Michigan Screening and Intervention for Glaucoma and Eye Health Through Telemedicine Program.Journal of glaucoma · 2025Article
- Evaluating compliance with quality indicators of HIV and AIDS clinical care and analyzing those associated with mortality in the Democratic Republic of Congo.BMC infectious diseases · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWhile evidence has been established on the impact of medical appointment non-attendance on the healthcare system and patient health, previous research has not focused on how poverty and rurality may influence patient experiences with non-attendance. This paper explores patient perceptions of non-attendance among those experiencing poverty in a rural U.S county to better inform providers to the context in which their patients make attendance-related decisions.
methodsUsing a grounded theory approach, we conducted semi-structured interviews with 32 U.S. low-income adults in the rural Western U.S. who recurrently missed primary care appointments. We also used a questionnaire to assess individual characteristics related to health, resiliency, personal mastery, medical mistrust, life chaos, and adverse childhood experiences.
resultsParticipants identified 3 barriers to attending appointments: appointment disinterest, competing demands, and insufficient systems. Appointment disinterest stemmed from physical and mental health issues, misalignment between needs and treatment, and comfort with the provider. Competing demands included family responsibilities, employment, and relationships. Finally, participants reported that current scheduling and transportation systems were helpful but insufficient. To provide further context, participants also reported low overall health, moderate levels of medical mistrust, life chaos, and mastery, moderate to low resilience, and very a high number of adverse childhood experiences.
conclusionsResults point to the need for modified structures that allow low-income patients more control over their personal health and highlight opportunities for clinics to address patients' lack of interest and fear in the medical encounter.
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