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Current Attitudes and Barriers Among Appalachian Patients Towards Orthopaedic Surgery
Dylan Smith1, Justin B West2, Wade Smith3
1Penn State University Department of Orthopaedic Surgery.
Journal of Appalachian Health
|February 5, 2025
Summary
Residents in rural West Virginia face significant barriers to accessing orthopaedic care, primarily due to long travel distances and a shortage of specialists. Improving access requires exploring services in more isolated regions.
Area of Science:
- Orthopaedic Surgery
- Rural Health
- Healthcare Access
Background:
- Geographic and socioeconomic factors present substantial challenges for rural West Virginia residents seeking orthopaedic care.
- Limited availability of orthopaedic specialists in remote areas exacerbates health issues and complicates treatment management.
Purpose of the Study:
- To survey rural West Virginia residents regarding their attitudes and experiences with accessing orthopaedic care in the southern region.
- To investigate factors influencing orthopaedic care access among this population.
Main Methods:
- 132 electronic surveys were administered to rural West Virginia residents during primary care appointments at affiliated outreach clinics.
- The survey aimed to identify various factors impacting access to specialized orthopaedic services.
Main Results:
- Delays in seeking orthopaedic care are prevalent in rural West Virginia.
- Long travel distances to treatment centers and a scarcity of orthopaedic specialists are identified as primary barriers.
- Despite challenges, participants reported high satisfaction with their orthopaedic treatment, underscoring location as the main obstacle.
Conclusions:
- The study underscores the critical need for expanding orthopaedic services into isolated areas of West Virginia.
- Implementing such strategies could enhance healthcare accessibility and improve orthopaedic outcomes for underserved rural populations.
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