Evidence map›Paper›PMID 39447435›Full record

ArticleHealth & place2024

A qualitative exploration of factors influencing healthcare utilization among rural Missourians: "We have to be bleeding, broken".

Klaudia Kukulka, Jacquelyn J Benson, Olivia J Landon, Keisha White Makinde, Braquel Egginton, Karla T Washington

Abstract read
In one paragraph

Article in Health & place, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

6 authors.

Klaudia KukulkaDepartment of Medicine, Washington University in St. Louis, St. Louis, MO, USA; School of Medicine, University of Missouri, Columbia, MO, USA.
Jacquelyn J BensonDepartment of Medicine, Washington University in St. Louis, St. Louis, MO, USA.
Olivia J LandonCenter for Public Partnerships and Research, University of Kansas, Lawrence, KS, USA.
Keisha White MakindeDepartment of Pediatrics, Washington University in St. Louis, St. Louis, MO, USA.
Braquel EggintonHealthy Relationships California, Encinitas, CA, USA.
Karla T WashingtonDepartment of Medicine, Washington University in St. Louis, St. Louis, MO, USA. Electronic address: kwashington@wustl.edu.

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
NCATS NIH HHS UL1 TR002345
6 · The paper itself

Abstract

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.

Indexed as

Patient Acceptance of Health CareQualitative ResearchRural PopulationAdultAgedFemaleHealth Services AccessibilityHumansInterviews as TopicMaleMiddle AgedMissouriQuality of Health CareRural Health ServicesCultureHealthHealthcare utilizationQualitativeRural

Identifiers

PMID39447435
PMCPMC11611319

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.