Rural Patients’ Perceived Importance of Racial and Ethnic Concordance With Providers and Receipt of Annual Routine Visits
The role that racial and ethnic concordance between rural patients and their providers may play in improving health-related behaviors and access to care may be associated with a lack of trust. Therefore, our study identifies the patient characteristics associated with: (1) perceived importance of ha...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-05-01
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| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/23743735251341732 |
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| author | Bobbie L Johannes PhD, MPH Arch G Mainous PhD Tyler Prochnow PhD Xuewei Chen PhD, MCHES Selena E Ortiz , PhD, MPH Matthew Lee Smith PhD, MPH, CHES |
| author_facet | Bobbie L Johannes PhD, MPH Arch G Mainous PhD Tyler Prochnow PhD Xuewei Chen PhD, MCHES Selena E Ortiz , PhD, MPH Matthew Lee Smith PhD, MPH, CHES |
| author_sort | Bobbie L Johannes PhD, MPH |
| collection | DOAJ |
| description | The role that racial and ethnic concordance between rural patients and their providers may play in improving health-related behaviors and access to care may be associated with a lack of trust. Therefore, our study identifies the patient characteristics associated with: (1) perceived importance of having racial and ethnic concordance; and (2) not having a routine provider visit in the past year among rural patients living throughout the United States. Data were collected through an online survey using Qualtrics, incorporating validated questionnaire items to assess health beliefs, healthcare practices, access to care, and patient–provider distrust. Sample ( N = 166) characteristics were compared using bivariate analyses. Two binary logistic regression models with backward entry were fitted to assess variables associated with perceived importance of concordance and a routine visit in the past year, controlling for distrust in providers, healthcare access, health literacy, and demographics. High distrust in providers was associated with perceived importance of racial and ethnic concordance with one's provider (OR = 9.18) and not having a routine visit (OR = 3.35). This study highlights the complex interplay between racial and ethnic concordance, distrust in providers, and healthcare utilization among rural populations, emphasizing the need for multifaceted approaches to improve healthcare access and outcomes. Future studies should determine whether perceived importance of concordance mediates the relationship between distrust in providers and getting an annual routine visit. |
| format | Article |
| id | doaj-art-35bbf5792d344e5ca18c8c70751ee97a |
| institution | OA Journals |
| issn | 2374-3743 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj-art-35bbf5792d344e5ca18c8c70751ee97a2025-08-20T01:54:07ZengSAGE PublishingJournal of Patient Experience2374-37432025-05-011210.1177/23743735251341732Rural Patients’ Perceived Importance of Racial and Ethnic Concordance With Providers and Receipt of Annual Routine VisitsBobbie L Johannes PhD, MPH0Arch G Mainous PhD1Tyler Prochnow PhD2Xuewei Chen PhD, MCHES3 Selena E Ortiz , PhD, MPH4 Matthew Lee Smith PhD, MPH, CHES5 Department of Population Health Sciences, , Danville, Pennsylvania, USA Department of Health Services Research, Management and Policy, , Gainesville, Florida, USA Center for Health Equity and Evaluation Research, , College Station, TX, USA School of Community Health Sciences, Counseling and Counseling Psychology, , Stillwater, Oklahoma, USA Department of Health Policy and Administration, College of Health and Human Development, , University Park, Pennsylvania, USA Center for Health Equity and Evaluation Research, , College Station, TX, USAThe role that racial and ethnic concordance between rural patients and their providers may play in improving health-related behaviors and access to care may be associated with a lack of trust. Therefore, our study identifies the patient characteristics associated with: (1) perceived importance of having racial and ethnic concordance; and (2) not having a routine provider visit in the past year among rural patients living throughout the United States. Data were collected through an online survey using Qualtrics, incorporating validated questionnaire items to assess health beliefs, healthcare practices, access to care, and patient–provider distrust. Sample ( N = 166) characteristics were compared using bivariate analyses. Two binary logistic regression models with backward entry were fitted to assess variables associated with perceived importance of concordance and a routine visit in the past year, controlling for distrust in providers, healthcare access, health literacy, and demographics. High distrust in providers was associated with perceived importance of racial and ethnic concordance with one's provider (OR = 9.18) and not having a routine visit (OR = 3.35). This study highlights the complex interplay between racial and ethnic concordance, distrust in providers, and healthcare utilization among rural populations, emphasizing the need for multifaceted approaches to improve healthcare access and outcomes. Future studies should determine whether perceived importance of concordance mediates the relationship between distrust in providers and getting an annual routine visit.https://doi.org/10.1177/23743735251341732 |
| spellingShingle | Bobbie L Johannes PhD, MPH Arch G Mainous PhD Tyler Prochnow PhD Xuewei Chen PhD, MCHES Selena E Ortiz , PhD, MPH Matthew Lee Smith PhD, MPH, CHES Rural Patients’ Perceived Importance of Racial and Ethnic Concordance With Providers and Receipt of Annual Routine Visits Journal of Patient Experience |
| title | Rural Patients’ Perceived Importance of Racial and Ethnic Concordance With Providers and Receipt of Annual Routine Visits |
| title_full | Rural Patients’ Perceived Importance of Racial and Ethnic Concordance With Providers and Receipt of Annual Routine Visits |
| title_fullStr | Rural Patients’ Perceived Importance of Racial and Ethnic Concordance With Providers and Receipt of Annual Routine Visits |
| title_full_unstemmed | Rural Patients’ Perceived Importance of Racial and Ethnic Concordance With Providers and Receipt of Annual Routine Visits |
| title_short | Rural Patients’ Perceived Importance of Racial and Ethnic Concordance With Providers and Receipt of Annual Routine Visits |
| title_sort | rural patients perceived importance of racial and ethnic concordance with providers and receipt of annual routine visits |
| url | https://doi.org/10.1177/23743735251341732 |
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