<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-09-25T00:04:56Z</responseDate><request verb="GetRecord" identifier="oai:ubir.buffalo.edu:10477/86628" metadataPrefix="oai_dc">https://ubir.buffalo.edu/oai/request</request><GetRecord><record><header><identifier>oai:ubir.buffalo.edu:10477/86628</identifier><datestamp>2025-09-17T22:16:20Z</datestamp><setSpec>com_10477_77914</setSpec><setSpec>col_10477_86252</setSpec></header><metadata><oai_dc:dc xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:dc="http://purl.org/dc/elements/1.1/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
<dc:title>The Interplay Between Individual and Regional Factors in Access and Care Utilization Among Rural Patients</dc:title>
<dc:creator>Crabtree-Ide, Christina</dc:creator>
<dc:contributor>Noyes, Ekaterina (Katia)</dc:contributor>
<dc:contributor>Epidemiology and Environmental Health</dc:contributor>
<dc:subject>epidemiology</dc:subject>
<dc:subject>public health</dc:subject>
<dc:description>Ph.D.</dc:description>
<dc:description>The overarching aim of this 3-study research project is to understand the mechanisms through which regional social and economic factors impact the utilization of health services among individuals living in resource-poor communities. In this dissertation, we tested our hypotheses among populations of patients living in rural Michigan (studies 1 &amp; 2) and rural New York (study 3). Studies 1 &amp; 2 focused on access to routine primary medical care, while study 3 examined the interplay between primary and specialty medical care using one of the most complex and resource-intensive diagnosis as an example (cancer)...</dc:description>
<dc:description>**To request an accessible version of the file(s) associated with this item, contact library@buffalo.edu. Please include the item's persistent URL [http://hdl.handle.net/. . .] in your request.**</dc:description>
<dc:date>2025-02-21T21:35:47Z</dc:date>
<dc:date>2025-02-21T21:35:47Z</dc:date>
<dc:date>2020</dc:date>
<dc:type>Text</dc:type>
<dc:type>Dissertation</dc:type>
<dc:identifier>http://hdl.handle.net/10477/86628</dc:identifier>
<dc:language>eng</dc:language>
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<dc:rights>Copyright retained by author.</dc:rights>
<dc:format>application/pdf</dc:format>
<dc:publisher>State University of New York at Buffalo</dc:publisher>
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