{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:11:48Z","timestamp":1777673508496,"version":"3.51.4"},"reference-count":53,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["425009"],"award-info":[{"award-number":["425009"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health\ufffdServ\ufffdInsights"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Chronic back pain is a common musculoskeletal disorder, disproportionately affecting rural and Indigenous people. Saskatchewan has a relatively high proportion of rural and Indigenous residents; therefore, understanding barriers and facilitators to accessing healthcare are needed to improve healthcare service delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A provincial-wide telephone survey explored experiences and perceived healthcare access barriers and facilitators among 384 Saskatchewan residents who experienced chronic low back pain. Chi-squared tests were performed to determine if people who lived in urban versus rural areas differed in the proportion who had accessed services from various healthcare practitioners. T-test and Mann-Whitney U analyses were conducted to determine differences between urban and rural, and Indigenous and non-Indigenous respondents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 384 residents surveyed, 234 (60.9%) reported living in a rural location; 21 (5.5%) identified as Indigenous. Wait times (47%), cost (40%), travel (39%), and not knowing how to seek help (37%) were the most common barriers for Saskatchewan residents seeking care, with travel being the only barrier that was significantly different between rural and urban respondents ( P\u2009\u2a7d\u2009.001). Not knowing where to go to access care or what would help their low back pain ( P\u2009=\u2009.03), lack of cultural sensitivity ( P\u2009=\u2009.007), and comfort discussing problems with health care professionals ( P\u2009=\u2009.26) were greater barriers for Indigenous than non-Indigenous participants. Top facilitators (&gt;50% of respondents) included publicly funded healthcare, locally accessible healthcare services, and having supportive healthcare providers who facilitate referral to appropriate care, with urban respondents considering the latter 2 as greater facilitators than rural respondents. Telehealth or virtual care ( P\u2009=\u2009.013) and having healthcare options nearby in their community ( P\u2009=\u2009.045) were greater facilitators among Indigenous participants compared to non-Indigenous respondents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Rural, urban, Indigenous, and non-Indigenous people report overlapping and unique barriers and facilitators to accessing care for chronic low back pain. Understanding perceived access experiences will assist in developing more effective care models for specific communities or regions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11786329231193794","type":"journal-article","created":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T03:09:08Z","timestamp":1692932948000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Healthcare Access Challenges and Facilitators for Back Pain Across the Rural-Urban Continuum in Saskatchewan, Canada: Cross-Sectional Results From a Provincial-Wide Telephone Survey"],"prefix":"10.1177","volume":"16","author":[{"given":"Katie","family":"Crockett","sequence":"first","affiliation":[{"name":"School of Rehabilitation Science, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacey","family":"Lovo","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Science, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Irvine","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Science, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Trask","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering and Health Systems, School of Engineering Sciences in Chemistry, Biotechnology, & Health, Royal Institute of Technology, Stockholm, Sweden"},{"name":"Canadian Centre for Rural and Agricultural Health, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Oosman","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Science, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica","family":"McKinney","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terrence","family":"McDonald","sequence":"additional","affiliation":[{"name":"Departments of Family Medicine and Community Health Sciences, University of Calgary, Calgary, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nazmi","family":"Sari","sequence":"additional","affiliation":[{"name":"Department of Economics, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0570-2867","authenticated-orcid":false,"given":"Bertha","family":"Carnegie","sequence":"additional","affiliation":[{"name":"Patient Partner, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Custer","sequence":"additional","affiliation":[{"name":"Patient Partner, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacey","family":"McIntosh","sequence":"additional","affiliation":[{"name":"Patient Partner, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenna","family":"Bath","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Science, University of Saskatchewan, Saskatoon, SK, Canada"},{"name":"Canadian Centre for Rural and Agricultural Health, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,8,25]]},"reference":[{"key":"bibr1-11786329231193794","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304747"},{"key":"bibr2-11786329231193794","volume-title":"Access to and Availability of Non-Pharmacological Treatments for Chronic Non-Cancer Pain in Canada: An Environmental Scan","author":"Canadian Agency for Drugs and Technologies in Health","year":"2018"},{"key":"bibr3-11786329231193794","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-018-5742-6"},{"key":"bibr4-11786329231193794","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcl.2012.04.005"},{"key":"bibr5-11786329231193794","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g6380"},{"key":"bibr6-11786329231193794","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12984"},{"key":"bibr7-11786329231193794","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-3790-6"},{"key":"bibr8-11786329231193794","unstructured":"Bath B, Trask C. 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