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Rural Health Information Hub

Rural Health
Resources by Topic: Access

WIC Participant and Local Agency Staff Perspectives on Increased Cash-Value Benefits for Fruits and Vegetables Within an American Indian Tribal Organization
Explores the perceived impacts of increased cash-value benefits for fruits and vegetables through the Special Supplemental Nutrition Program of Women, Infants, and Children (WIC) in tribal communities associated with the Inter Tribal Council of Arizona. Bases findings on a survey of participants and staff on their perceptions about the increase and its effect on their ability to access a more nutritious diet.
Author(s): Emily M Melnick, Francesco Acciai, Nicole Vaudrin O'Reilly, et al.
Citation: Maternal & Child Nutrition, 22(1), e70148
Date: 03/2026
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Availability of Hospital-Based Obstetric Services in the United States by County, 2010–2023: A State-by-State Report
Provides national, state, and county-specific information on changes in obstetric care access from 2010-2023. Displays county-level maps of changes in hospital-based services availability between 2010-2023, highlighting changes from 2022 to 2023. Features statistics with breakdowns by urban and rural counties.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Katy B. Kozhimannil
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Health Concerns of Women in Agriculture in the Midwestern United States
Presents a study exploring the health and safety needs of women working as agricultural producers. Bases findings on a survey of 120 agricultural women in Nebraska. Explores concerns about zoonotic diseases, reproductive health concerns, musculoskeletal disorders, and mental health challenges, among other issues common to agricultural work.
Author(s): Cheryl L. Beseler, Megan Lutt, Alex Egbuchiem, Ellen G. Duysen
Citation: Journal of Agromedicine, 31, 11-19
Date: 01/2026
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Policy Trends Shaping Access to Care in 2026
Discusses policy efforts designed to support access to care, focusing on issues such as a community-based health workforce, mid-life women's healthcare, telehealth, and more. Examines policy enacted to stabilize and improve rural healthcare access.
Date: 12/2025
Sponsoring organization: Association of State and Territorial Health Officials
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Public Health Ethics and Stakeholder Engagement: Considerations and Practices for Local Health Departments
Toolkit providing strategies and resources on the use of stakeholder engagement to support public health ethics in local health departments. Includes action steps and case studies, and highlights ethical considerations related to community engagement and collaboration. See PDF pages 12-14 for a case study on access to care in rural areas.
Date: 12/2025
Sponsoring organization: National Association of County and City Health Officials
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Access To Sexual Assault Nurse Examiners In Kentucky
Report assessing access to sexual assault nurse examiners (SANEs) and SANE-ready hospitals in 2025 in Kentucky. Offers 10 recommendations to increase access through hospital certifications, training, resource and workforce sharing, compliance, and more. Discusses rural-specific concerns throughout.
Date: 12/2025
Sponsoring organization: Legislative Research Commission
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Engagement and Retention in HIV Care in Rural Southern U.S. Using an All-Payer Claims Database
Analyzes HIV care engagement and retention among people living with HIV (PLWH) in Arkansas, utilizing 2013-2017 Arkansas All-Payer Claims Database data. Includes data and discussion of HIV access disparities in Arkansas by rurality, sex, and other demographic variables.
Author(s): Jun Tao, Mofan Gu, S. Alexandra Marshall, et al.
Citation: PLOS ONE, 20(12), e0339520
Date: 12/2025
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Use of Telehealth in Nonmetropolitan and Metropolitan Areas, United States 2021-2023
Statistical brief on differences in telehealth use in nonmetropolitan and metropolitan areas, utilizing 2021-2023 AHRQ Medical Expenditure Panel Survey Household Component (MEPS-HC) data. Breaks down rural and urban frequency of telehealth use by specialty, primary source of payment, and more.
Author(s): Sandra Decker
Date: 12/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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State of the U.S. Maternal Health Workforce, 2025
Offers demographic and occupational data on the maternal health workforce. Data sources include various years between 2021 and 2023. Includes current and projected comparisons of the workforce with the female population of childbearing age. Table 4 includes distribution of maternal health physicians compared with the population of women of childbearing age for large metropolitan, medium metropolitan, small metropolitan, micropolitan, and noncore areas in 2023.
Date: 12/2025
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
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"Sacred Ground for Kids": Institutional Perspectives on Rural School-Based Health Centers as Patient-Centered Medical Homes
Presents a study on the role school-based health centers (SBHCs) play in providing care to children in rural counties and explores the potential for SBHCs to function as patient-centered medical homes (PCMHs) for rural students. Highlights findings from interviews in four rural counties in New York and identifies challenges for SBHCs functioning as a PCMH.
Author(s): Xue Zhang, Mildred E. Warner
Citation: Journal of Rural Health, 41(4), e70098
Date: 12/2025
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