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Rural Patients' Perceived Importance of Racial and Ethnic Concordance With Providers and Receipt of Annual Routine
Bobbie L Johannes1, Arch G Mainous2, Tyler Prochnow3,4
1Department of Population Health Sciences, Geisinger, Danville, Pennsylvania, USA.
Journal of Patient Experience
|May 22, 2025
Summary
High distrust in healthcare providers increases the perceived importance of racial and ethnic concordance for rural patients. This distrust also correlates with fewer routine provider visits, impacting healthcare access.
Area of Science:
- Health Services Research
- Rural Health Disparities
- Patient-Provider Relationship
Background:
- Racial and ethnic concordance between patients and providers may influence health behaviors and care access.
- Trust in healthcare providers is a critical factor in patient engagement and utilization of services.
- Rural populations face unique challenges in accessing consistent and equitable healthcare.
Purpose of the Study:
- To identify patient characteristics associated with the perceived importance of racial and ethnic concordance.
- To determine factors linked to not having a routine provider visit in the past year among rural patients.
- To explore the relationship between patient-provider distrust and healthcare utilization in rural settings.
Main Methods:
- An online survey (Qualtrics) collected data from 166 rural patients across the United States.
- Validated questionnaire items assessed health beliefs, healthcare practices, access to care, and patient-provider distrust.
- Bivariate analyses and binary logistic regression models were used to identify associated variables.
Main Results:
- High distrust in providers was significantly associated with the perceived importance of racial and ethnic concordance (OR = 9.18).
- Provider distrust was also linked to not having a routine provider visit in the past year (OR = 3.35).
- Demographics, health literacy, and healthcare access were controlled for in the regression models.
Conclusions:
- Distrust in healthcare providers plays a complex role in the perceived importance of racial and ethnic concordance among rural patients.
- Patient-provider distrust is a significant barrier to routine healthcare utilization in rural populations.
- Multifaceted strategies are needed to improve healthcare access, outcomes, and trust in rural communities.
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