Evidence map›Paper›PMID 35706424›Full record

ArticleHealth services insights2022

System- and Individual-Level Barriers to Accessing Medical Care Services Across the Rural-Urban Spectrum, Washington State.

Janessa M Graves, Demetrius A Abshire, Art G Alejandro

Open access · goldAbstract read
In one paragraph

Article in Health services insights, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 24 citations in OpenAlex.

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  12. How rural is All of Us? Comparing characteristics of rural participants in the National Institute of Health's All of Us Research Program to other national data sources.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024
    Article
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  15. COVID-19 vaccination willingness and uptake among rural Black/African American, Latino, and White adults.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Janessa M GravesCollege of Nursing, Washington State University, Spokane, WA, USA.ORCID https://orcid.org/0000-0002-7659-2634
Demetrius A AbshireCollege of Nursing, University of South Carolina, Columbia, SC, USA.
Art G AlejandroCollege of Nursing, Washington State University, Spokane, WA, USA.
Washington State University Spokane · USUniversity of South Carolina · US

Funding

Developing a Lifestyle Intervention to Reduce Body Weight for Obese African American Men Living in the Rural SouthK23MD013899 · NIMHD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI ABSHIRE, DEMETRIUS · 2019 to 2023
$739k
NIMHD NIH HHS K23 MD013899
6 · The paper itself

Abstract

Background: Residents of rural areas face barriers beyond geography and distance when accessing medical care services. The purpose of this study was to characterize medical care access barriers across several commonly used classifications of rurality. Methods: Washington State household residents completed a mixed-mode (paper/online) health care access survey between June 2018 and December 2019 administered to a stratified random sample of ZIP codes classified as urban, suburban, large rural, and small rural (4-tier scheme). For analyses, rurality was also classified into 2-tier schemes (rural/urban) based on ZIP code and county. Respondents reported availability of medical care services and system- and individual-level barriers to accessing services. Logistic regression models estimated the odds of reporting system- or individual-level barriers in accessing medical care services across rurality (4- and 2-tier schemes), adjusting for respondent characteristics, and weighted to account for survey design. Results: About 617 households completed the survey (25.7% response rate). Compared to urban residents (across all 3 schemes), more rural residents reported traveling to a distant city or town for medical care ( Conclusions: To improve healthcare access across the rural-urban spectrum, policymakers must consider system-level barriers facing rural populations.

Indexed as

accessand evaluationhealthcare disparitiesHealth care qualityhealth care surveysrural health servicesrural population

Identifiers

PMID35706424
PMCPMC9189527
OpenAlexW4285744163

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.