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

• Published in: Health & place Vol. 90; p. 103367
• Main Authors: Kukulka, Klaudia, Benson, Jacquelyn J., Landon, Olivia J., Makinde, Keisha White, Egginton, Braquel, Washington, Karla T.
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01-11-2024
• Subjects: Culture; Health; Healthcare utilization; Qualitative; Rural; Rural; Healthcare utilization; Qualitative; Health; Culture
• ISSN: 1353-8292; 1873-2054; 1873-2054
• DOI: 10.1016/j.healthplace.2024.103367

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.
•Emphasis on self-sufficiency and prudence may deter healthcare utilization in rural Missouri.•Rural Missourians express a strong preference for interventions perceived as natural.•In rural Missouri, financial barriers and lack of providers limit healthcare utilization.