Mixed methods study of management of health conditions in rural low-income families

Implications for health care policy in the USA

L. A. Simmons, Catherine A Huddleston-Casas, K. A. Morgan, D. Feldman

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Introduction: The purpose of this mixed methods study was to examine the health issues and health management strategies utilized by rural low-income women and their families to inform the design, implementation, and evaluation of health reform in rural areas of the USA. Methods: Quantitative data was analyzed from 271 rural, low-income women and their families and qualitative data from a subsample of 44. Specifically explored were the: (1) types and perceived severity of health conditions rural, low-income individuals report; (2) perceived value and utilization of a usual source of care; and (3) strategies these individuals employ to manage their health. Results: Rural American families manage multiple healthcare needs with limited resources; 42.1% reported 1-4 chronic conditions in the family, 31.4% reported 5-8 conditions, and 17.7% reported 9 or more conditions. The majority of participants (79.0%) reported having a doctor or other healthcare professional that they usually see; 61.3% reported their partners had a usual provider, and 91.7% reported their children had a usual provider. Analysis of the qualitative data revealed two main themes regarding management of health conditions: (1) lack of engagement in managing overall health; and (2) ineffective utilization of health care. Conclusions: Rural low-income individuals in the US may benefit from new policies that promote patient-centered, personalized care. However, any policy change must be carefully designed to consider the ways in which rural American families manage their health in order to improve individual health status and reduce rural health disparities.

Original languageEnglish (US)
Article number1879
JournalRural and remote health
Volume12
Issue number2
StatePublished - Jan 1 2012

Fingerprint

Family Health
Health Policy
low income
health care
Delivery of Health Care
Health
health
management
Rural Health
utilization
Patient Acceptance of Health Care
Patient-Centered Care
health reform
quantitative method
health promotion
Health Status
health status
rural area
lack
evaluation

Keywords

  • Health policy
  • Health services
  • Rural health care
  • USA
  • Women

ASJC Scopus subject areas

  • Emergency Medical Services
  • Health(social science)
  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health

Cite this

Mixed methods study of management of health conditions in rural low-income families : Implications for health care policy in the USA. / Simmons, L. A.; Huddleston-Casas, Catherine A; Morgan, K. A.; Feldman, D.

In: Rural and remote health, Vol. 12, No. 2, 1879, 01.01.2012.

Research output: Contribution to journalArticle

Simmons, L. A. ; Huddleston-Casas, Catherine A ; Morgan, K. A. ; Feldman, D. / Mixed methods study of management of health conditions in rural low-income families : Implications for health care policy in the USA. In: Rural and remote health. 2012 ; Vol. 12, No. 2.
@article{37691267f7564da8a534ea6f1d4f8a36,
title = "Mixed methods study of management of health conditions in rural low-income families: Implications for health care policy in the USA",
abstract = "Introduction: The purpose of this mixed methods study was to examine the health issues and health management strategies utilized by rural low-income women and their families to inform the design, implementation, and evaluation of health reform in rural areas of the USA. Methods: Quantitative data was analyzed from 271 rural, low-income women and their families and qualitative data from a subsample of 44. Specifically explored were the: (1) types and perceived severity of health conditions rural, low-income individuals report; (2) perceived value and utilization of a usual source of care; and (3) strategies these individuals employ to manage their health. Results: Rural American families manage multiple healthcare needs with limited resources; 42.1{\%} reported 1-4 chronic conditions in the family, 31.4{\%} reported 5-8 conditions, and 17.7{\%} reported 9 or more conditions. The majority of participants (79.0{\%}) reported having a doctor or other healthcare professional that they usually see; 61.3{\%} reported their partners had a usual provider, and 91.7{\%} reported their children had a usual provider. Analysis of the qualitative data revealed two main themes regarding management of health conditions: (1) lack of engagement in managing overall health; and (2) ineffective utilization of health care. Conclusions: Rural low-income individuals in the US may benefit from new policies that promote patient-centered, personalized care. However, any policy change must be carefully designed to consider the ways in which rural American families manage their health in order to improve individual health status and reduce rural health disparities.",
keywords = "Health policy, Health services, Rural health care, USA, Women",
author = "Simmons, {L. A.} and Huddleston-Casas, {Catherine A} and Morgan, {K. A.} and D. Feldman",
year = "2012",
month = "1",
day = "1",
language = "English (US)",
volume = "12",
journal = "Rural and Remote Health",
issn = "1445-6354",
publisher = "Deakin University",
number = "2",

}

TY - JOUR

T1 - Mixed methods study of management of health conditions in rural low-income families

T2 - Implications for health care policy in the USA

AU - Simmons, L. A.

AU - Huddleston-Casas, Catherine A

AU - Morgan, K. A.

AU - Feldman, D.

PY - 2012/1/1

Y1 - 2012/1/1

N2 - Introduction: The purpose of this mixed methods study was to examine the health issues and health management strategies utilized by rural low-income women and their families to inform the design, implementation, and evaluation of health reform in rural areas of the USA. Methods: Quantitative data was analyzed from 271 rural, low-income women and their families and qualitative data from a subsample of 44. Specifically explored were the: (1) types and perceived severity of health conditions rural, low-income individuals report; (2) perceived value and utilization of a usual source of care; and (3) strategies these individuals employ to manage their health. Results: Rural American families manage multiple healthcare needs with limited resources; 42.1% reported 1-4 chronic conditions in the family, 31.4% reported 5-8 conditions, and 17.7% reported 9 or more conditions. The majority of participants (79.0%) reported having a doctor or other healthcare professional that they usually see; 61.3% reported their partners had a usual provider, and 91.7% reported their children had a usual provider. Analysis of the qualitative data revealed two main themes regarding management of health conditions: (1) lack of engagement in managing overall health; and (2) ineffective utilization of health care. Conclusions: Rural low-income individuals in the US may benefit from new policies that promote patient-centered, personalized care. However, any policy change must be carefully designed to consider the ways in which rural American families manage their health in order to improve individual health status and reduce rural health disparities.

AB - Introduction: The purpose of this mixed methods study was to examine the health issues and health management strategies utilized by rural low-income women and their families to inform the design, implementation, and evaluation of health reform in rural areas of the USA. Methods: Quantitative data was analyzed from 271 rural, low-income women and their families and qualitative data from a subsample of 44. Specifically explored were the: (1) types and perceived severity of health conditions rural, low-income individuals report; (2) perceived value and utilization of a usual source of care; and (3) strategies these individuals employ to manage their health. Results: Rural American families manage multiple healthcare needs with limited resources; 42.1% reported 1-4 chronic conditions in the family, 31.4% reported 5-8 conditions, and 17.7% reported 9 or more conditions. The majority of participants (79.0%) reported having a doctor or other healthcare professional that they usually see; 61.3% reported their partners had a usual provider, and 91.7% reported their children had a usual provider. Analysis of the qualitative data revealed two main themes regarding management of health conditions: (1) lack of engagement in managing overall health; and (2) ineffective utilization of health care. Conclusions: Rural low-income individuals in the US may benefit from new policies that promote patient-centered, personalized care. However, any policy change must be carefully designed to consider the ways in which rural American families manage their health in order to improve individual health status and reduce rural health disparities.

KW - Health policy

KW - Health services

KW - Rural health care

KW - USA

KW - Women

UR - http://www.scopus.com/inward/record.url?scp=84863544345&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863544345&partnerID=8YFLogxK

M3 - Article

VL - 12

JO - Rural and Remote Health

JF - Rural and Remote Health

SN - 1445-6354

IS - 2

M1 - 1879

ER -