Access to specialty healthcare in urban versus rural US populations: a systematic literature review

Background Access to healthcare is a poorly defined construct, with insufficient understanding of differences in facilitators and barriers between US urban versus rural specialty care. We summarize recent literature and expand upon a prior conceptual access framework, adapted here specifically to ur...

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Vydáno v:BMC health services research Ročník 19; číslo 1; s. 974 - 17
Hlavní autoři: Cyr, Melissa E., Etchin, Anna G., Guthrie, Barbara J., Benneyan, James C.
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 18.12.2019
BioMed Central Ltd
Springer Nature B.V
BMC
Témata:
Conceptual framework
Database industry
Emergency medical care
Health Administration
Health care
Health care access
Health care services accessibility
Health Informatics
Health services
Health services accessibility
Health Services Accessibility - statistics & numerical data
Healthcare needs and demand
Humans
Literature reviews
Medicine
Medicine & Public Health
Mortality
Murders & murder attempts
Nursing Research
Online databases
Physicians
Population
Primary care
Public Health
Research Article
Rural areas
Rural care
Rural health care
Rural Health Services
Systematic literature review
Systematic review
United States
Urban areas
Urban health care
Urban Health Services
United States
United States > US
Conceptual framework
Rural care
Health services accessibility
Systematic literature review
ISSN:1472-6963, 1472-6963
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Shrnutí:Background Access to healthcare is a poorly defined construct, with insufficient understanding of differences in facilitators and barriers between US urban versus rural specialty care. We summarize recent literature and expand upon a prior conceptual access framework, adapted here specifically to urban and rural specialty care. Methods A systematic review was conducted of literature within the CINAHL, Medline, PubMed, PsycInfo, and ProQuest Social Sciences databases published between January 2013 and August 2018. Search terms targeted peer-reviewed academic publications pertinent to access to US urban or rural specialty healthcare. Exclusion criteria produced 67 articles. Findings were organized into an existing ten-dimension care access conceptual framework where possible, with additional topics grouped thematically into supplemental dimensions. Results Despite geographic and demographic differences, many access facilitators and barriers were common to both populations; only three dimensions did not contain literature addressing both urban and rural populations. The most commonly represented dimensions were availability and accommodation , appropriateness , and ability to perceive. Four new identified dimensions were: government and insurance policy , health organization and operations influence , stigma , and primary care and specialist influence . Conclusions While findings generally align with a preexisting framework, they also suggest several additional themes important to urban versus rural specialty care access.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ObjectType-Literature Review-2
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ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-019-4815-5