Immigration to rural areas in new receiving communities like Maryland’s Eastern Shore is growing. Despite a rapid rise in immigration and diminishing health system resources, little attention has been focused on barriers to health care access in this region for immigrants. A total of 33 in-depth key informant interviews with providers and immigrants were conducted. Qualitative analysis employing a constant comparison approach was used to explore emergent themes related to barriers to health care access for a growing immigrant population. Participants perceived limited health care resources, lack of health insurance coverage, high health expenditures, language barriers, and non-citizenship status as barriers to immigrants’ access of health care. Findings imply that immigrants living and working on the rural Eastern Shore face serious barriers to health care access. Additional work on immigrant health in rural areas and the impacts of immigration to rural health systems are needed. © 2016, Springer Science+Business Media New York.

Health care access qualitative research Immigrant health Rural health Provider perspectives

communication barrier Communication Barriers insurance health insurance human Insurance Coverage middle aged statistics and numerical data rural population Financing, Personal language Insurance, Health financial management qualitative research Undocumented Immigrants Young Adult Humans migrant undocumented immigrant male Emigrants and Immigrants female adult Maryland Health Services Accessibility health care delivery