Shrestha A, Stamatakis K, Ballard J, Burgess A, Baker E.
The purpose of this study in Missouri in the United States was to engage community members and practice partners across multiple sectors in a participatory strategy development process to identify social and organizational determinants of accessing health care, collectively prioritize identified issues, and develop strategies for change.
Why is this useful for rural and remote people to read?
Participants in the study identified several individual-, social-, community-, and organization-level barriers to accessing health care, including cost, lack of transportation, lack of information about services, lack of coordinated care, lack of trust, and racism and classism in local healthcare systems. The study is important for rural people because it maps a way of understanding how the social determinants of health influence health outcomes.
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