Critical Challenges and Impediments Affecting Rural Physicians During a Public Health Emergency

    Authors

    G. J. Putzer; M. Koro-Ljungberg;R. P. Duncan

    Comments

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    Abbreviated Journal Title

    Dis. Med. Public Health Prep.

    Keywords

    impediments; rural physicians; bioterrorism; disaster management; qualitative research; CRITICAL-CARE; BIOTERRORISM; COMMUNITIES; PREPAREDNESS; PERCEPTIONS; TERRORISM; PROVIDERS; LITERACY; PLAGUE; NEEDS; Public, Environmental & Occupational Health

    Abstract

    Objective: Disaster preparedness has become a health policy priority for the United States in the aftermath of the anthrax attacks, 9/11, and other calamities. It is important for rural health care professionals to be prepared for a bioterrorist attack or other public health emergency. We sought to determine the barriers impeding rural physicians from being prepared for a human-induced disaster such as a bioterrorist attack. Methods: This study employed a qualitative methodology using key informant interviews followed by grounded theory methods for data analysis. Semistructured interviews were conducted with 6 physicians in the state of Florida from federally designated rural areas. Results: The interview participants articulated primary barriers and the associated factors contributing to these barriers that may affect rural physician preparedness for human-induced emergencies. Rural physicians identified 3 primary barriers: accessibility to health care, communication between physicians and patients, and rural infrastructure and resources. Each of these barriers included associated factors and influences. For instance, according to our participants, access to care was affected by a lack of health insurance, a lack of finances for health services, and transportation difficulties. Conclusions: Existing rural organizational infrastructure and resources are insufficient to meet current health needs owing to a number of factors including the paucity of health care providers, particularly medical specialists, and the associated patient-level barriers. These barriers presumably would be exacerbated in the advent of a human-induced public health emergency. Thus, strategically implemented health policies are needed to mitigate the barriers identified in this study. (Disaster Med Public Health Preparedness. 2012; 6:342-348)

    Journal Title

    Disaster Medicine and Public Health Preparedness

    Volume

    6

    Issue/Number

    4

    Publication Date

    1-1-2012

    Document Type

    Article

    Language

    English

    First Page

    342

    Last Page

    348

    WOS Identifier

    WOS:000314497800006

    ISSN

    1935-7893

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