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. Author manuscript; available in PMC: 2023 Sep 1.
Published in final edited form as: J Pain Symptom Manage. 2022 May 23;64(3):276–286. doi: 10.1016/j.jpainsymman.2022.05.011

Table 3.

Representative Quotations of Theme 2: Geography

Theme 2: Geography Representative Quotations
But, I mean, there’s not like palliative care in little towns across [State Name]. You have to come here for it. I think just transportation, distance is one of the hugest things. (16, Med-Onc APP)
Where they’re at, the distance to a bigger facility, [is a barrier]. It’s a long, long ways, especially in the winter, to drive 200 miles to receive care... It really is a huge burden. (8, Med-Onc RN)
Transportation is the biggest barrier, I would say, in [Reservation Name] in terms of managing some of these complex illnesses. A lot of people don’t have vehicles, a lot of people don’t have reliable access to borrowing vehicles. (29, IHS APP)
You go up to [Reservation Name] in the winter, and it is bloody cold, and merciless, you know, cold wind. And when you’re chronically ill, it’s just hard. (37, IHS Physician)