Rural Health
Resources by Topic: Access
Associations of Rurality, Child Opportunity, and Distance with Use of Pediatric Asthma Specialists
Examines the relationship among rurality, child opportunity index (COI), and drive time to a pediatric asthma specialist. Utilizes 2015-2021 Maine Health Data Organization All-Payer Claims Data to analyze 12,014 children with a pediatric asthma referral according to patient demographics and health status, drive time to a specialist, COI, and metro, micro, small town, or isolated small rural location. Discusses disparities in access to asthma specialty care for rural children.
Author(s): James Bohnhoff, Anya Cutler, Elizabeth A. Jacobs, Wanda Phipatanakul, Yvonne Jonk
Citation: The Journal of Allergy and Clinical Immunology, 158(3), 751-757
Date: 09/2026
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Examines the relationship among rurality, child opportunity index (COI), and drive time to a pediatric asthma specialist. Utilizes 2015-2021 Maine Health Data Organization All-Payer Claims Data to analyze 12,014 children with a pediatric asthma referral according to patient demographics and health status, drive time to a specialist, COI, and metro, micro, small town, or isolated small rural location. Discusses disparities in access to asthma specialty care for rural children.
Author(s): James Bohnhoff, Anya Cutler, Elizabeth A. Jacobs, Wanda Phipatanakul, Yvonne Jonk
Citation: The Journal of Allergy and Clinical Immunology, 158(3), 751-757
Date: 09/2026
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Broadband Connectivity Among Rural First Responders in Pennsylvania
Explores challenges and opportunities in digital communication technologies experienced by Pennsylvania rural first responders. Features recommendations for Pennsylvania policymakers and stakeholders to improve communication access.
Author(s): Christopher Ali, Abigail Simmerman, DongWook Jeong
Date: 09/2026
Sponsoring organization: Center for Rural Pennsylvania
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Explores challenges and opportunities in digital communication technologies experienced by Pennsylvania rural first responders. Features recommendations for Pennsylvania policymakers and stakeholders to improve communication access.
Author(s): Christopher Ali, Abigail Simmerman, DongWook Jeong
Date: 09/2026
Sponsoring organization: Center for Rural Pennsylvania
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Annual Overview of Hospital-Level Changes in Obstetric Services Availability, 2010-2024
First annual report describing changes to the availability of obstetric services at short-term acute care hospitals. Examines the number of hospitals that lost obstetric services and the percentage of all hospitals without obstetric services between 2010 and 2024. Presents data on urban and rural hospitals by state and nationally.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Date: 09/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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First annual report describing changes to the availability of obstetric services at short-term acute care hospitals. Examines the number of hospitals that lost obstetric services and the percentage of all hospitals without obstetric services between 2010 and 2024. Presents data on urban and rural hospitals by state and nationally.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Date: 09/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Tele-Hospitalist Services to Support the Opening of a New Rural Hospital
Describes a tele-hospitalist model designed to support the Medical University of South Carolina Health System (MUSC Health) Black River, a 25-bed rural hospital in South Carolina that opened in 2023. Examines the operational and clinical performance of MUSC Health Black River during its first six quarters of operation, including patient volume, payer mix, average daily census (ADC), 30-day readmissions, and more.
Author(s): Yotam Papo, Jillian Harvey, Dunc Williams Jr., et al.
Citation: Journal of Hospital Medicine, 21(9), 1075-1080
Date: 09/2026
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Describes a tele-hospitalist model designed to support the Medical University of South Carolina Health System (MUSC Health) Black River, a 25-bed rural hospital in South Carolina that opened in 2023. Examines the operational and clinical performance of MUSC Health Black River during its first six quarters of operation, including patient volume, payer mix, average daily census (ADC), 30-day readmissions, and more.
Author(s): Yotam Papo, Jillian Harvey, Dunc Williams Jr., et al.
Citation: Journal of Hospital Medicine, 21(9), 1075-1080
Date: 09/2026
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Correlates of Glycemic Status among American Indian Adults With Type 2 Diabetes in Rural Southeastern Oklahoma
Explores correlating factors associated with elevated glycosylated hemoglobin (HbA1c), which is associated with an increased risk of type 2 diabetes complications, in a tribal community in rural southeastern Oklahoma. Discusses the relationship between elevated HbA1c levels and type 2 diabetes. Bases findings on data pulled from electronic health records and breaks down patient data by age, sex, distance to nearest clinic, and number of primary care visits per year, among other factors.
Author(s): Tarah Nelson, Diana J. Wilkie, Yingwei Yao, et al.
Citation: Nursing Research, 75(5), 338-345
Date: 09/2026
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Explores correlating factors associated with elevated glycosylated hemoglobin (HbA1c), which is associated with an increased risk of type 2 diabetes complications, in a tribal community in rural southeastern Oklahoma. Discusses the relationship between elevated HbA1c levels and type 2 diabetes. Bases findings on data pulled from electronic health records and breaks down patient data by age, sex, distance to nearest clinic, and number of primary care visits per year, among other factors.
Author(s): Tarah Nelson, Diana J. Wilkie, Yingwei Yao, et al.
Citation: Nursing Research, 75(5), 338-345
Date: 09/2026
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Association Between Transportation Access and Self-Rated Health among Older Adults with Disabilities
Analyzes the association between access to transportation and self-rated health for 257 community-dwelling older adults. Offers data on study participant characteristics by consistent and inconsistent transportation access, including a comparison of micropolitan/non-core and metropolitan residence.
Author(s): Jihyeong Jeong, Jason R. Falvey, Amanda J. Lehning
Citation: Journal of Transport & Health, 51
Date: 09/2026
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Analyzes the association between access to transportation and self-rated health for 257 community-dwelling older adults. Offers data on study participant characteristics by consistent and inconsistent transportation access, including a comparison of micropolitan/non-core and metropolitan residence.
Author(s): Jihyeong Jeong, Jason R. Falvey, Amanda J. Lehning
Citation: Journal of Transport & Health, 51
Date: 09/2026
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Navigating Rural Challenges and Promoting Posttraumatic Growth via Expressive Writing: A Qualitative Study among Rural Breast Cancer Survivors
Preprint article discussing findings from an expressive writing therapeutic intervention for rural breast cancer survivors via interviews with 14 participants. Analyzes interview themes related to the impact of expressive writing on emotional regulation, personal strength, relationships to others, and more, including discussion of rural challenges with rural cancer survivorship and access to supportive services.
Author(s): Yusi Aveva Xu, Eunju Choi, Celia C. Y. Wong-Meli, et al.
Citation: Supportive Care in Cancer, 34, 965
Date: 09/2026
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Preprint article discussing findings from an expressive writing therapeutic intervention for rural breast cancer survivors via interviews with 14 participants. Analyzes interview themes related to the impact of expressive writing on emotional regulation, personal strength, relationships to others, and more, including discussion of rural challenges with rural cancer survivorship and access to supportive services.
Author(s): Yusi Aveva Xu, Eunju Choi, Celia C. Y. Wong-Meli, et al.
Citation: Supportive Care in Cancer, 34, 965
Date: 09/2026
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Disparities in Rural–Urban Cancer Care Outcomes Among Pediatric, Adolescent, and Young Adult Populations: A Comprehensive Narrative Review
Literature review examining research on rural-urban disparities in cancer outcomes and access to care among children aged 0-18 and adolescents and young adults aged 15-39 years. Covers topics including distance to care, cancer incidence, social determinants of health, access to specialized oncology services, mortality, financial toxicity, supportive and survivorship care, and clinical trial access.
Author(s): Olivia C. Burke, Wencesley A. Paez
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2026
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Literature review examining research on rural-urban disparities in cancer outcomes and access to care among children aged 0-18 and adolescents and young adults aged 15-39 years. Covers topics including distance to care, cancer incidence, social determinants of health, access to specialized oncology services, mortality, financial toxicity, supportive and survivorship care, and clinical trial access.
Author(s): Olivia C. Burke, Wencesley A. Paez
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2026
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Kansas RHT Program Annual Report - Year 1
Reports on the first year of Rural Health Transformation Program (RHTP) in Kansas. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each program funded by RHTP.
Date: 08/2026
Sponsoring organization: Arkansas Department of Health
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Reports on the first year of Rural Health Transformation Program (RHTP) in Kansas. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each program funded by RHTP.
Date: 08/2026
Sponsoring organization: Arkansas Department of Health
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Rural/Urban Disparities in Utilization of Diabetes Self-Management Training (DSMT) to the Fee-for-Service Medicare Population, 2017-2024
Analyzes disparities in Diabetes Self-Management Training use among Medicare beneficiaries, using data from 2017-2024. Expands on a 2020 study to assess whether disparities have persisted, widened, or narrowed over time, and to examine broader trends in service availability, provider participation, and beneficiary use. Features statistics with breakdowns by urban and rural areas.
Author(s): Wanying Zhu, Aleksandr Taraskin, Jeffery Talbert
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Analyzes disparities in Diabetes Self-Management Training use among Medicare beneficiaries, using data from 2017-2024. Expands on a 2020 study to assess whether disparities have persisted, widened, or narrowed over time, and to examine broader trends in service availability, provider participation, and beneficiary use. Features statistics with breakdowns by urban and rural areas.
Author(s): Wanying Zhu, Aleksandr Taraskin, Jeffery Talbert
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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