{
  "abstract": "Background\n\nPerceived Barriers to Medical Care (PBMC) reflect individuals' subjective psychological and behavioral obstacles during healthcare seeking, yet their structural dimensions and internal mechanisms remain insufficiently understood. This study aimed to explore the prevalence, dimensional structure, and interaction mechanisms of PBMC among community residents in Yunnan Province, Southwest China.Methods\n\nA mixed-methods design was adopted. Semi-structured interviews were first conducted to identify manifestations of PBMC and construct the item pool. Subsequently, a cross-sectional survey involving 1,509 community residents in Yunnan Province, China, was performed between September and December 2024. Hierarchical cluster analysis (HCA), exploratory factor analysis (EFA), exploratory graph analysis (EGA), network analysis, and structural equation modeling (SEM) were applied.Results\n\nAmong respondents, 88.9% reported experiencing at least one form of PBMC. HCA, EFA, and EGA consistently identified a four-dimensional structure comprising concern, resistance, privacy, and delay. Concern mainly reflected anxiety regarding medical processes, costs, and service quality, whereas resistance represented reluctance or distrust toward medical procedures. Privacy involved concerns about personal information exposure, and delay reflected the postponement of medical consultation. Network analysis demonstrated high internal connectivity among PBMC dimensions, with resistance showing the highest centrality within the network. SEM further showed that resistance directly influenced delay and indirectly affected delay through privacy and concern (all P ＜ 0.05).Conclusions\n\nAmong community residents in Yunnan Province, Southwest China, PBMC appears to be a multidimensional and interconnected psychological-behavioral system centered on resistance. Interventions targeting resistance reduction, privacy protection, and optimization of healthcare processes may help alleviate PBMC and improve healthcare accessibility and patient experience.",
  "abstract_shown": true,
  "affiliations": [
    "The Sixth Affiliated Hospital, Kunming Medical University, Yuxi, Yunnan, China. since52@163.com.",
    "Department of Hematology, The 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China. since52@163.com.",
    "School of General Practitioners, Kunming Medical University, Yuxi, Yunnan, China. since52@163.com.",
    "The First School of Clinical Medicine, Kunming Medical University, Kunming, Yunnan, China.",
    "School of General Practitioners, Kunming Medical University, Yuxi, Yunnan, China.",
    "School of Basic Medicine, Kunming Medical University, Kunming, Yunnan, China.",
    "School of Music and Dance, Qujing Normal University, Qujing, Yunnan, China.",
    "The Sixth Affiliated Hospital, Kunming Medical University, Yuxi, Yunnan, China.",
    "Yiliang County Center for Disease Control and Prevention, Zhaotong, Yunnan, China.",
    "Department of Hematology, The 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China. sanbin1011@163.com."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 11,
  "authors": [
    {
      "affs": [
        0,
        1,
        2
      ],
      "name": "Lin-Sen Feng",
      "orcid": "0000-0003-0329-9936"
    },
    {
      "affs": [
        3
      ],
      "name": "Yuan-Yuan Zhang",
      "orcid": "0009-0004-1608-4840"
    },
    {
      "affs": [
        4
      ],
      "name": "Ai Tang",
      "orcid": "0009-0004-0215-449X"
    },
    {
      "affs": [
        3
      ],
      "name": "Si-Rong She",
      "orcid": "0009-0000-3386-4807"
    },
    {
      "affs": [
        5
      ],
      "name": "Jia-Qi Xie",
      "orcid": "0009-0002-0102-2271"
    },
    {
      "affs": [
        6
      ],
      "name": "Rui-Jie Tang"
    },
    {
      "affs": [
        5
      ],
      "name": "Hao-Yu Wang",
      "orcid": "0009-0001-5683-9943"
    },
    {
      "affs": [
        7,
        4
      ],
      "name": "Xiao-Qian Wu"
    },
    {
      "affs": [
        8
      ],
      "name": "Qing Yang"
    },
    {
      "affs": [
        5
      ],
      "name": "Si-Tong Guo"
    },
    {
      "affs": [
        9
      ],
      "name": "San-Bin Wang",
      "orcid": "0000-0002-4802-0292"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/bkg0ef8y8n04e.bib",
  "cited_by": 0,
  "doi": "10.1186/s13690-026-02040-9",
  "fulltext_url": "https://europepmc.org/articles/PMC13750042",
  "id": "bkg0ef8y8n04e",
  "issns": [
    "0778-7367",
    "2049-3258"
  ],
  "landing_url": "https://europepmc.org/article/MED/43010106",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2738|Mental Health Treatment and Access"
    ]
  ],
  "openalex": "W7202274730",
  "pdf_url": "https://europepmc.org/articles/PMC13750042?pdf=render",
  "pmcid": "PMC13750042",
  "pmid": "43010106",
  "published": "2026-08-12",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/bkg0ef8y8n04e.ris",
  "sources": [
    {
      "first_seen": "2026-11-12T15:22:43Z",
      "native_id": "MED:43010106",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/43010106"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2738|Mental Health Treatment and Access",
      "subfield": "psychiatry"
    }
  ],
  "title": "Exploring the dimensions and internal mechanisms of perceived barriers to medical care (PBMC) among community residents.",
  "title_text": "Exploring the dimensions and internal mechanisms of perceived barriers to medical care (PBMC) among community residents.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-13T03:20:45Z",
  "url": "https://research.draconitic.com/paper/bkg0ef8y8n04e",
  "venue": "Archives of public health = Archives belges de sante publique",
  "versions": []
}