Patient-Perceived Barriers to Early Help-Seeking, Diagnosis, and Surgical Treatment for Rural Patients with Venous Leg Ulcers: A Qualitative Study

This study identified diverse barriers across four stages of the treatment pathway for venous leg ulcers among rural patients, which were associated with disease-related, patient-related, and healthcare system-related factors. To address these barriers, a multifaceted healthcare system approach is essential, including enhanced public education, the implementation of age-friendly services, the establishment of evidence-based referral criteria, strengthened primary care competencies, and an expanded vascular surgery workforce to serve underserved areas.