Rural Health
Resources by Topic: Access
America's Health Rankings Annual Report 2025
Provides a national and state-by-state overview of population health by analyzing 99 measures drawn from 31 data sources to describe and rank health outcomes in the U.S. Analyzes and presents data on disparities by geography and demographic characteristics throughout. See the section titled, "Spotlight: Rural Communities," for information on trends in colorectal and breast cancer screening rates and physical inactivity of adults in rural areas between 2022 and 2024.
Additional links: Executive Brief
Date: 01/2026
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of population health by analyzing 99 measures drawn from 31 data sources to describe and rank health outcomes in the U.S. Analyzes and presents data on disparities by geography and demographic characteristics throughout. See the section titled, "Spotlight: Rural Communities," for information on trends in colorectal and breast cancer screening rates and physical inactivity of adults in rural areas between 2022 and 2024.
Additional links: Executive Brief
Date: 01/2026
Sponsoring organization: United Health Foundation
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Telemedicine Utilization and Preventive Services Among a Rural Population
Compares 2,012,290 rural adults who used telemedicine between January 2019 and December 2023 to identify associations with subsequent preventive service use. Notes the potential impact of study findings on increasing preventive care utilization for rural residents. Discusses the impacts of COVID-19 and other demographic and health status factors on the data.
Author(s): Daniel Cullen, April M. Falconi, Carrie Levin, Geoffrey Crawford, Sarah Adkins Svoboda
Citation: The American Journal of Managed Care, 32(1)
Date: 01/2026
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Compares 2,012,290 rural adults who used telemedicine between January 2019 and December 2023 to identify associations with subsequent preventive service use. Notes the potential impact of study findings on increasing preventive care utilization for rural residents. Discusses the impacts of COVID-19 and other demographic and health status factors on the data.
Author(s): Daniel Cullen, April M. Falconi, Carrie Levin, Geoffrey Crawford, Sarah Adkins Svoboda
Citation: The American Journal of Managed Care, 32(1)
Date: 01/2026
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Outcomes Among Patients With Colon Cancer Living in Neighborhoods With Persistent Poverty
Results of a study comparing clinical outcomes for colon cancer patients based on the number of census tracts per ZIP code that were in persistent poverty at the time of diagnosis. Features statistics with breakdowns by urban and rural areas.
Author(s): Leon Naar, Alexa L. Pohl, Arden M. Morris, Aaron J. Dawes,
Citation: JAMA Network Open, 9(1), e2551212.
Date: 01/2026
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Results of a study comparing clinical outcomes for colon cancer patients based on the number of census tracts per ZIP code that were in persistent poverty at the time of diagnosis. Features statistics with breakdowns by urban and rural areas.
Author(s): Leon Naar, Alexa L. Pohl, Arden M. Morris, Aaron J. Dawes,
Citation: JAMA Network Open, 9(1), e2551212.
Date: 01/2026
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Patient, Facility, and Community Determinants of Timely Follow up after Abnormal Screening Mammograms in Appalachia: A Multilevel Analysis
Examines the impact of community, patient, and facility characteristics on mammogram screening access, mammogram recall, and biopsy rates in 5 Appalachian states. Utilizes 2016-2018 Medicare claims data from breast imaging organizations to analyze characteristics of mammogram care, providing sociodemographic breakdowns and metro versus rural comparisons.
Author(s): Roger T. Anderson, Marianne M. Hillemeier, Jennifer A. Harvey, et al.
Citation: Journal of Rural Health, 42(1), e70104
Date: 01/2026
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Examines the impact of community, patient, and facility characteristics on mammogram screening access, mammogram recall, and biopsy rates in 5 Appalachian states. Utilizes 2016-2018 Medicare claims data from breast imaging organizations to analyze characteristics of mammogram care, providing sociodemographic breakdowns and metro versus rural comparisons.
Author(s): Roger T. Anderson, Marianne M. Hillemeier, Jennifer A. Harvey, et al.
Citation: Journal of Rural Health, 42(1), e70104
Date: 01/2026
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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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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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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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The Universal Service Fund and Related FCC Broadband Programs: Overview and Considerations for Congress
Provides an overview of the Federal Communications Commission's (FCC) Universal Service Fund (USF) and its four programs: the High Cost Program, Lifeline Program, Schools and Libraries Program, and Rural Health Care Program. Outlines considerations for Congress for each program. Describes legislation introduced in the 119th Congress that would impact the USF programs.
Date: 01/2026
Sponsoring organization: Congressional Research Service
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Provides an overview of the Federal Communications Commission's (FCC) Universal Service Fund (USF) and its four programs: the High Cost Program, Lifeline Program, Schools and Libraries Program, and Rural Health Care Program. Outlines considerations for Congress for each program. Describes legislation introduced in the 119th Congress that would impact the USF programs.
Date: 01/2026
Sponsoring organization: Congressional Research Service
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The University of Arizona Center for Rural Health: Annual Report FY 2026
Highlights the Center for Rural Health's accomplishments in fiscal year 2026 and describes upcoming challenges and opportunities for improving the health of rural Arizonans. Discusses the State Office of Rural Health, Arizona Health Improvement Plan (AzHIP), Arizona Rural Hospital Flexibility program (AzFLEX), Arizona Small Rural Hospital Improvement Program (AzSHIP), and other programs. Includes a map of rural and safety net health facilities.
Author(s): Daniel Derksen, Mona Arora, Leila Barraza, et al.
Date: 2026
Sponsoring organization: Arizona Center for Rural Health
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Highlights the Center for Rural Health's accomplishments in fiscal year 2026 and describes upcoming challenges and opportunities for improving the health of rural Arizonans. Discusses the State Office of Rural Health, Arizona Health Improvement Plan (AzHIP), Arizona Rural Hospital Flexibility program (AzFLEX), Arizona Small Rural Hospital Improvement Program (AzSHIP), and other programs. Includes a map of rural and safety net health facilities.
Author(s): Daniel Derksen, Mona Arora, Leila Barraza, et al.
Date: 2026
Sponsoring organization: Arizona Center for Rural Health
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Palliative Care In U.S. Hospitals: 2026 Snapshot
Offers data showing the availability of hospital palliative care in 2024 by number of beds, ownership type, region, and community type including rural, suburban, and urban.
Date: 2026
Sponsoring organization: Center to Advance Palliative Care
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Offers data showing the availability of hospital palliative care in 2024 by number of beds, ownership type, region, and community type including rural, suburban, and urban.
Date: 2026
Sponsoring organization: Center to Advance Palliative Care
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Maternal Health Access and Workforce Capacity in Rural Hawaii: Focus Group Findings Report
Discusses how maternal and infant health access and workforce availability vary across Hawaii's islands via focus group discussion of healthcare providers and other interested parties. Highlights barriers related to affordability, travel, workforce pathways, and more.
Date: 2026
Sponsoring organizations: Hawaii State Office of Primary Care and Rural Health, Hawaii State Rural Health Association
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Discusses how maternal and infant health access and workforce availability vary across Hawaii's islands via focus group discussion of healthcare providers and other interested parties. Highlights barriers related to affordability, travel, workforce pathways, and more.
Date: 2026
Sponsoring organizations: Hawaii State Office of Primary Care and Rural Health, Hawaii State Rural Health Association
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