AI Article Synopsis
- Accessibility measurement tools need to be effective in both urban and rural areas to accurately compare experiences.
- Rural individuals depend on phone access and generally receive better organizational support, but have limited healthcare options, while urban residents face issues primarily related to distance.
- Four main consequences of accessibility challenges identified include restarting the care process, abandoning it altogether, relying on emergency services for routine care, and experiencing health decline due to delays.
Article Abstract
Comparing accessibility between urban and rural areas requires measurement instruments that are equally discriminating in each context. Through focus groups we explored and compared care-seeking trajectories to understand context-specific accessibility barriers and facilitators. Rural care-seekers rely more on telephone access and experience more organizational accommodation but have fewer care options. Urban care-seekers invoke the barrier of distance more frequently. Four consequences of accessibility problems emerged across settings which could be used for valid comparisons of access: having to restart the care-seeking process, abandoning it, using emergency services for primary care, and health deterioration due to delay.
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| http://dx.doi.org/10.1016/j.healthplace.2014.03.005 | DOI Listing |
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