Rural Health
Resources by Topic: Access
The State of Health in Tennessee 2025: Annual Report to the 114th Tennessee General Assembly
Assesses the health status of Tennesseans across the four areas of the State Health Plan Framework: A Healthy Start, A Healthy Life, a Healthy Environment, and a Healthy System of Care. Includes a section on social determinants of health and features statistics on various populations and aspects of healthcare, including rural hospital closures.
Date: 12/2025
Sponsoring organization: Tennessee Department of Health
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Assesses the health status of Tennesseans across the four areas of the State Health Plan Framework: A Healthy Start, A Healthy Life, a Healthy Environment, and a Healthy System of Care. Includes a section on social determinants of health and features statistics on various populations and aspects of healthcare, including rural hospital closures.
Date: 12/2025
Sponsoring organization: Tennessee Department of Health
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The South Carolina Certified Nurse Midwife Workforce - 2022
Describes the certified nurse midwife (CNM) workforce in South Carolina using data from the 2022 nursing licensure renewal process ending April 30, 2022. Features demographics and statistics including change in the size of the South Carolina CNM workforce from 2012-2022 with breakdowns by 3 levels of population density, and a county-level map showing locations of active CNMs as of 2022, with shadings showing rural and urban counties.
Date: 12/2025
Sponsoring organization: South Carolina Area Health Education Consortium
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Describes the certified nurse midwife (CNM) workforce in South Carolina using data from the 2022 nursing licensure renewal process ending April 30, 2022. Features demographics and statistics including change in the size of the South Carolina CNM workforce from 2012-2022 with breakdowns by 3 levels of population density, and a county-level map showing locations of active CNMs as of 2022, with shadings showing rural and urban counties.
Date: 12/2025
Sponsoring organization: South Carolina Area Health Education Consortium
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Trends in Non-Emergency Medical Transportation During Medicaid Transformation in North Carolina
Examines the impact of Medicaid transformation on non-emergency medical transportation (NEMT) services in North Carolina in the shift from fee-for-service (FFS) to Managed Care. Utilizes 2019-2023 Medicaid claims data to analyze NEMT service provision trends according to cost, travel mode, public versus private provider, and urban versus rural geography.
Author(s): Evan Iacobucci, Noreen McDonald
Citation: North Carolina Medical Journal, 86(4)
Date: 12/2025
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Examines the impact of Medicaid transformation on non-emergency medical transportation (NEMT) services in North Carolina in the shift from fee-for-service (FFS) to Managed Care. Utilizes 2019-2023 Medicaid claims data to analyze NEMT service provision trends according to cost, travel mode, public versus private provider, and urban versus rural geography.
Author(s): Evan Iacobucci, Noreen McDonald
Citation: North Carolina Medical Journal, 86(4)
Date: 12/2025
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Texas Cares Rx Annual Program Report, 2025
Reports on fiscal year 2025 costs, initiatives, feedback, and future considerations for Texas Cares Rx, a prescription drug cost savings program for uninsured Texans. Pages 9-10 summarize stakeholder feedback on rural health needs, including discussion of rural healthcare access gaps and pharmacy deserts.
Date: 12/2025
Sponsoring organization: Texas Health and Human Services
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Reports on fiscal year 2025 costs, initiatives, feedback, and future considerations for Texas Cares Rx, a prescription drug cost savings program for uninsured Texans. Pages 9-10 summarize stakeholder feedback on rural health needs, including discussion of rural healthcare access gaps and pharmacy deserts.
Date: 12/2025
Sponsoring organization: Texas Health and Human Services
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Openness to Mental Health Information and Barriers to Accessing Care Among Midwestern Farmers
Surveyed 1,024 midwestern farmers to determine their preferred sources for receiving mental health information and the stigma, instrumental, and attitudinal barriers in accessing mental healthcare.
Author(s): Courtney Cuthbertson, Samantha Iwinski, Asa Billington, Josie Rudolphi
Citation: International Journal of Environmental Research and Public Health, 23(1), 27
Date: 12/2025
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Surveyed 1,024 midwestern farmers to determine their preferred sources for receiving mental health information and the stigma, instrumental, and attitudinal barriers in accessing mental healthcare.
Author(s): Courtney Cuthbertson, Samantha Iwinski, Asa Billington, Josie Rudolphi
Citation: International Journal of Environmental Research and Public Health, 23(1), 27
Date: 12/2025
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Geospatial Analysis of Breast Cancer Incidence, Mortality, and Access to Screening in Rural and Appalachian Virginia
Assesses differences in breast cancer rates and mortality between Appalachian and non-Appalachian counties, and rural and nonrural counties in Virginia. Also explores whether availability of mammography is associated with differences. Features county-level Virginia maps, and statistics with breakdowns by Virginia counties, rural counties, and nonrural counties.
Author(s): Jennifer Osher, Caleb Brown, Phillip Nichols, Tariq Ayubi, Jeremy Powers
Citation: Journal of Appalachian Health, 7(4), 55-69
Date: 12/2025
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Assesses differences in breast cancer rates and mortality between Appalachian and non-Appalachian counties, and rural and nonrural counties in Virginia. Also explores whether availability of mammography is associated with differences. Features county-level Virginia maps, and statistics with breakdowns by Virginia counties, rural counties, and nonrural counties.
Author(s): Jennifer Osher, Caleb Brown, Phillip Nichols, Tariq Ayubi, Jeremy Powers
Citation: Journal of Appalachian Health, 7(4), 55-69
Date: 12/2025
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2025 Broadband/Internet Availability Survey Report
Presents findings of a survey capturing rural broadband and internet availability data as reported by 201 internet companies that responded to NTCA's survey. Describes technologies used to provide broadband services, broadband availability and subscription rates, anchor institutions, network deployment progress, supply chain challenges, barriers to widespread fiber deployment, broadband deployment mapping, and more.
Date: 12/2025
Sponsoring organization: NTCA: The Rural Broadband Association
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Presents findings of a survey capturing rural broadband and internet availability data as reported by 201 internet companies that responded to NTCA's survey. Describes technologies used to provide broadband services, broadband availability and subscription rates, anchor institutions, network deployment progress, supply chain challenges, barriers to widespread fiber deployment, broadband deployment mapping, and more.
Date: 12/2025
Sponsoring organization: NTCA: The Rural Broadband Association
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Identifying the Unique Determinants Influencing Rural Families' Engagement with an Existing Tele-assessment Approach for Autism Identification: A Qualitative Study
Examines perceptions of tele-assessment for autism identification among caregivers of children with autism and community service providers in the rural Southeast. Identifies discussion themes and presents interview excerpts related to the validity, trustworthiness, feasibility, and privacy of tele-assessment for rural families.
Author(s): Liliana Wagner, Tori Foster, Kemberlee Bonnet, et al.
Citation: Autism, 29(6), 1458-1468
Date: 12/2025
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Examines perceptions of tele-assessment for autism identification among caregivers of children with autism and community service providers in the rural Southeast. Identifies discussion themes and presents interview excerpts related to the validity, trustworthiness, feasibility, and privacy of tele-assessment for rural families.
Author(s): Liliana Wagner, Tori Foster, Kemberlee Bonnet, et al.
Citation: Autism, 29(6), 1458-1468
Date: 12/2025
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Development and Implementation of the Indian Health Service Expanded Function Dental Assistant-1 (EFDA-1) Occupation
Report describing the Expanded Function Dental Assistant-1 (EFDA-1) role within the Indian Health Service. Includes information about its implementation, its importance in rural and underserved areas, and its place in Washington's dental workforce and related career pathways.
Author(s): Natalia V. Oster, Grace A. Guenther, Paula M. Kett, Samantha W. Pollack, Susan M. Skillman
Date: 12/2025
Sponsoring organization: UW Center for Health Workforce Studies
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Report describing the Expanded Function Dental Assistant-1 (EFDA-1) role within the Indian Health Service. Includes information about its implementation, its importance in rural and underserved areas, and its place in Washington's dental workforce and related career pathways.
Author(s): Natalia V. Oster, Grace A. Guenther, Paula M. Kett, Samantha W. Pollack, Susan M. Skillman
Date: 12/2025
Sponsoring organization: UW Center for Health Workforce Studies
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Report on the Mental Health Program for Veterans for Fiscal Year 2025
Reports on the Texas Health and Human Service Commission (HHSC) and Texas Veterans Commission's (TVC) programs to ensure access to behavioral health services for service members, veterans, and their family members (SMVF) during fiscal year 2025 in Texas. Highlights the needs of rural SMVF throughout, and discusses services provided by the Rural Veteran Counselor (RVC) program.
Date: 12/2025
Sponsoring organization: Texas Health and Human Services
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Reports on the Texas Health and Human Service Commission (HHSC) and Texas Veterans Commission's (TVC) programs to ensure access to behavioral health services for service members, veterans, and their family members (SMVF) during fiscal year 2025 in Texas. Highlights the needs of rural SMVF throughout, and discusses services provided by the Rural Veteran Counselor (RVC) program.
Date: 12/2025
Sponsoring organization: Texas Health and Human Services
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