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The management of chronic diseases in rural Missouri practices
Maithe Enriquez1, Jill Moormeier, William Lafferty
1School of Nursing, University of Missouri-Kansas City, USA.
Abstract:
This qualitative study describes the challenges of managing chronic diseases in small, rural, health care practices in Missouri. Four recurrent themes were identified from each of the nine focus groups: the similarity of their patient population and community characteristics, their unfamiliarity with aspects of the chronic care model, the consistent problem of poverty as a barrier to health care access for patients, and the uncertainty about what health care reform will mean for rural practice settings.
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