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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Rural Emergency Medical Services Perspectives on Improving Acute Stroke Care: A Qualitative Study
Examines barriers and facilitators to timely and high-quality acute stroke care in rural communities via interviews with 12 rural EMS professionals in North Carolina. Discusses topics including comprehensive stroke assessment, destination decision protocols, communication between EMS and hospital staff, transport distances, limited staffing, and more.
Author(s): Emma N. Johnson, Mahesh V. Pinapaka, Mary E. Grewe, et al.
Citation: Prehospital Emergency Care, 29(8), 1123–1131
Date: 04/2025
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Perceived Risk and HPV Vaccination Awareness Among Women in Rural and Underserved Communities in the State of Louisiana
Explores human papillomavirus (HPV) awareness and vaccination knowledge among women in rural and underserved areas of Louisiana, via a study of 141 women who participated in a mobile health unit-based study conducted between November 2022 and December 2023. Includes data on awareness of the existence of the HPV vaccine, history of being offered or receiving the HPV vaccine, willingness to be vaccinated, and the relationship between HPV knowledge and perceived HPV risk.
Author(s): Deborah Gurgel Smith, Emily M Dantes, Robbie Beyl, et al.
Citation: Journal of Community Health, 50(5), 826-832
Date: 04/2025
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Profile in Innovation: Rural Hospital Participation in Missouri HealthNet's Transformation of Rural Community Health (ToRCH) Program
Provides an overview of ToRCH, a Missouri Medicaid program designed to improve health outcomes and overall well-being in rural Missouri communities by addressing both medical and health-related social needs through a comprehensive, integrated care model. Discusses how hospitals, primary care teams, and community-based organizations implemented the model and funding strategy for the program.
Date: 04/2025
Sponsoring organization: Rural Health Value
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Texas Health Stephenville Enhances Respiratory Care in Erath County
Profiles Texas Health Harris Methodist Hospital Stephenville in rural Texas and their pulmonary rehabilitation services. Discusses the need for pulmonary healthcare access in rural areas.
Author(s): Chandra Caradine
Date: 04/2025
Sponsoring organization: Texas Health Resources
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Exploring Oral Health and Care Access among Adults with Disabilities
Report discusses the challenges adults with disabilities have accessing oral healthcare. Explores the role of transportation, Medicare and Medicaid coverage, and metro versus non-metro location, among other factors, as barriers to oral healthcare access for people with disabilities.
Author(s): Morgan Santoro, Lisa J. Heaton, Rebecca Preston, et al.
Date: 04/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Taking to the Skies: How a Doctor Cares for Patients in Rural Colorado
Discusses using air travel to help physicians reach remote areas in Colorado and patients who need critical medical care.
Date: 04/2025
Sponsoring organization: American Hospital Association
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Evolving Remote Monitoring: An Evidence-Based Approach to Coverage and Payment
Reports on trends in utilization of remote patient monitoring (RPM) and discusses policy and payment approaches for effectively and efficiently utilizing RPM, particularly via Medicare and Medicaid. Includes data and discussion of rural barriers to RPM access.
Date: 04/2025
Sponsoring organization: Peterson Center on Healthcare
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Arizona Rural Maternity Care, 2025
Offers data on rural maternity healthcare access and mortality in Arizona. Highlights rural and urban comparisons of healthcare access and health insurance coverage. Includes recommendations for improving access and mortality rates.
Author(s): Bryna Koch, Daniel Derksen
Date: 04/2025
Sponsoring organization: Arizona Center for Rural Health
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Transportation: The Missing Link in Family Caregiver Support
Provides information on transportation services the professional or family caregivers of people with disabilities or aging-related challenges. See pages 8-9 for discussion of rural-specific challenges and strategies.
Date: 04/2025
Sponsoring organizations: ARCH National Respite Network and Resource Center, National Aging and Disability Transportation Center
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Federal and State Reimbursement for Youth Behavioral Health Services
Report details Medicaid and Children's Health Insurance Program (CHIP) coverage of behavioral health services for rural people under 21 years of age. Breaks down reimbursement eligibility for behavioral health providers in all 50 states and discusses barriers to access in rural areas.
Date: 04/2025
Sponsoring organization: WWAMI Rural Health Research Center
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