N13 Living in rural communities with Inflammatory Bowel Disease: Perspectives on healthcare use and access to care from patients and providers in one Canadian province
Notice bibliographique
Résumé
Abstract Background Living with Inflammatory Bowel Disease (IBD) requires lifelong, repeated interactions with the healthcare system. Individuals with IBD living in rural areas are often disadvantaged with limited access to IBD-related healthcare services in their local communities which can result in poor health outcomes. Furthermore, these individuals encounter additional out of pocket expenses to travel to urban centres for care. There is limited information about the experiences of access to IBD-related care from the perspectives of patients and providers living in rural communities. The purpose of this study was to examine healthcare utilization and access to care in individuals with IBD who reside in rural areas within one Canadian province. Methods The qualitative results from a larger patient-oriented, mixed methods study will be reported. Seventeen individuals residing in rural communities from one Canadian province were recruited to participate. Fourteen individuals living with IBD and three healthcare providers were interviewed and shared their experiences on IBD-related access to care and healthcare use. Data was collected prior to the pandemic. Interview data was analyzed using thematic analysis to identify common themes. Results Many participants identified access to care challenges associated with living in rural communities. Communication, stressors and support systems, and coordination of care were identified as themes. Participants described disconnects in communication with and between healthcare providers. They suggested virtual technology was underutilized and was a cost-effective means to enhance communication. Participants experienced feelings of isolation and identified stressors while living in rural areas. They recommended the integration of formal and informal supports to ease stressors and promote mental well-being. Participants reported gaps in care and described a lack of accessible, multidisciplinary rural healthcare providers to optimize their IBD-related care and health outcomes. This lack of access to rural care resulted in frequent travel to access a variety of services. Recruitment and retention of rural care providers was identified as a strategy to enhance access to care. Conclusion Participants offered many suggestions to improve rural IBD-related care access within the healthcare system. These initiatives have great potential to increase quality of care, enhance quality of life, and reduce health system costs.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,003 |
| Études des sciences et des technologies | 0,021 | 0,003 |
| Communication savante | 0,003 | 0,001 |
| Science ouverte | 0,001 | 0,003 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,005 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».