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Medical Mistrust in Appalachia: Helping Patients and Providers Communicate with Cultural Humility

by Wendy Welch

Medical mistrust as a regional and institutional history

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AlbakiReads Editorial

Medical mistrust as a regional and institutional history

Edited by Wendy Welch, this collection brings together thirteen academic and clinical essays on the relationship between healthcare and rural Appalachia. The contributors examine the history of skepticism toward medical institutions, the region’s medical infrastructure, and the experiences of marginalized communities. The volume also challenges stereotypes about Appalachia and frames mistrust as connected to institutional failures to center community safety and health. Its closing discussion turns to how healthcare infrastructure and Appalachian communities might move forward together, making communication and cultural humility central concerns across the collection.

Good fit for readers who enjoy

  • Rural healthcare professionals and medical students interested in communication and cultural humility.
  • Readers studying Appalachian culture, healthcare institutions, or medical mistrust.
  • Those seeking a collection of academic and clinical perspectives on rural health.

Themes

Medical mistrust and healthcare institutionsRural Appalachia and medical infrastructureMarginalized communities and healthcare inequalityCultural humility and communication

Based on publisher information and book metadata.

Book overview

Clinicians and academics on improving medical communications in Appalachia.

According to the National Institutes of Health, about 25 percent of the American population does not trust doctors and medical professionals. Focusing on rural Appalachia specifically, Wendy Welch, PhD, MPH, and Beth O'Connor, Med, discuss the region's complex relationships with modern medicine and its institutions in this important collection. Offering multiple academic and clinical perspectives in thirteen unique essays, Medical Mistrust in Appalachia explores the history of this skepticism toward healthcare, analyzing the region's relationship to medical infrastructure and the relationship between medicine and marginalized communities.

This volume fills a gap in scholarship by elevating the voices of practitioners and wrestling with the realities of medical mistrust as a cultural phenomenon--one born from a system that has historically struggled to center the safety and health of Appalachian communities. Presenting medical mistrust as a justifiable reaction in the interest of self-preservation, Welch and O'Connor address Appalachian stereotypes while confronting the ways medical institutions have fostered environments of mistrust and inequality. Importantly, Welch and O'Connor conclude with a discussion of how medical infrastructure and Appalachia can move forward together. Medical Mistrust in Appalachia is a must-read for rural healthcare professionals, medical students, and readers interested in Appalachian culture.

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