000			02736nam a22003617a 4500
003			OSt
005			20260505094745.0
007			a
008			260505b |||||||| |||| 00| 0 eng d
040			_cFoundation University
050			_aRA 421 _b.F35
100			_aKoob, Caitlin, PhD, MS _eauthor. _915972
245	0	0	_aContextualizing rural/non-rural differences in pediatric primary care patterns in South Carolina _cCaitlin Koob, PhD, MS; Kinsey Meggett, , MS; Michelle Parisi, PhD; Sarah F. Griffin, PHD, MPH
264			_42025
300			_3Index _apages 267-277; _billustration _fpages
336			_atext _btxt
337			_3rdamedia _aunmediated _bn
338			_3paper _avolume _bnc
490			_aNursing index
520			_aThis mixed-methods study by Caitlin Koob, Kinsey Meggett, Michelle Parisi, and Sarah F. Griffin examines rural and non-rural differences in pediatric primary care patterns among Medicaid-insured children in South Carolina. Using claims data from 22,084 children (2018–2022) with weight-related diagnoses, the study applies logistic regression to assess factors associated with traveling for care, supplemented by qualitative interviews with 12 families to explore healthcare access experiences. Findings reveal that 40.54% of children were overweight or obese. Children residing in rural areas, younger patients, non-Hispanic white children, and those with healthier weight status were more likely to travel for primary care services. Rurality significantly influenced relationships between travel behavior, race/ethnicity, and weight status. Qualitative results indicate that families in rural communities often perceive lower healthcare quality and express limited trust in local providers, prompting them to seek care outside their communities. The study concludes that disparities in pediatric primary care access and utilization are shaped by both structural and perceptual factors in rural settings, highlighting the need for targeted public health strategies to improve healthcare quality, accessibility, and trust among rural populations.
650			_aFamily Health _96229
650			_2 _a healthcare access _915973
650			_amedicaid-insured children _915974
650			_apatient satisfaction _915975
650			_aprimary care _915976
650			_arural health _915977
700			_aMeggett, Kinsey, MS _eco-author. _915978
700			_aParisi, Michelle, PhD _eco-author. _915979
700			_aGriffin, Sarah F., PHD, MPH _eco-author. _915980
700			_aBura-ay, Ivy Mae _eIndexer _915962
856			_uhttps://docs.google.com/document/d/1yxNnTK5C-dbamSLm8RHvDOSI8nZPbblG4rX6of-u-sA/edit?tab=t.0 _yaccess online
942			_2lcc _cINDEX _hRA 421 _i.F35 _k(CON-P) _n0
999			_c5900 _d5900