Rural Health
Resources by Topic: Access
Comparative Effectiveness of Buprenorphine Adherence with Telemedicine Versus In-Person for Rural and Urban Patients
Compares adherence to buprenorphine for opioid use disorder in telemedicine versus in-person healthcare in rural and urban populations. Utilizes 2017–2022 data from 511 adults and compares 3,302 in-person and 519 telemedicine visits, with breakdowns according to patient characteristics, adherence, gaps in treatment, and rural versus urban location. Discusses changing legislative requirements related to buprenorphine treatment and the potential impact on rural populations.
Author(s): Thomas J. Reese, Nana Addo Padi-Adjirackor, Kevin N. Griffith, et al.
Citation: Journal of the American Pharmacists Association, 65(2), 102318
Date: 03/2025
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Compares adherence to buprenorphine for opioid use disorder in telemedicine versus in-person healthcare in rural and urban populations. Utilizes 2017–2022 data from 511 adults and compares 3,302 in-person and 519 telemedicine visits, with breakdowns according to patient characteristics, adherence, gaps in treatment, and rural versus urban location. Discusses changing legislative requirements related to buprenorphine treatment and the potential impact on rural populations.
Author(s): Thomas J. Reese, Nana Addo Padi-Adjirackor, Kevin N. Griffith, et al.
Citation: Journal of the American Pharmacists Association, 65(2), 102318
Date: 03/2025
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Improving Access to Maternity Care in Iowa's Health Care Deserts
Examines maternal healthcare shortages and facility closures in Iowa. Discusses strategies to improve access, such as workforce training, graduate medical education, and collaborative opportunities.
Author(s): Diana Mirel
Date: 03/2025
Sponsoring organization: American Medical Association
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Examines maternal healthcare shortages and facility closures in Iowa. Discusses strategies to improve access, such as workforce training, graduate medical education, and collaborative opportunities.
Author(s): Diana Mirel
Date: 03/2025
Sponsoring organization: American Medical Association
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Millions in US Live in Places Where Doctors Don't Practice and Telehealth Doesn't Reach
Discusses U.S. regions that experience healthcare workforce shortages and lack access to telehealth. Includes interactive county-level map showing behavioral healthcare deserts, primary care deserts, broadband deserts, dead zones, life expectancy, household income, and percentage of rural residents. Provides comparisons of chronic disease for those with and without digital access and showcases county-level dead zones in Alabama.
Author(s): Sarah Jane Tribble, Holly K. Hacker Data, Lydia Zuraw
Date: 03/2025
Sponsoring organization: KFF
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Discusses U.S. regions that experience healthcare workforce shortages and lack access to telehealth. Includes interactive county-level map showing behavioral healthcare deserts, primary care deserts, broadband deserts, dead zones, life expectancy, household income, and percentage of rural residents. Provides comparisons of chronic disease for those with and without digital access and showcases county-level dead zones in Alabama.
Author(s): Sarah Jane Tribble, Holly K. Hacker Data, Lydia Zuraw
Date: 03/2025
Sponsoring organization: KFF
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Improving HPV Vaccine Coverage in Tennessee: Addressing Barriers and Expanding Access for Mid-Adults
Examines barriers to achieving optimal human papillomavirus (HPV) vaccination uptake in the rural South. Analyzes HPV vaccination rates in Tennessee according to insurance status and rural versus urban location. Discusses cancer prevention and interventions to improve education, awareness, access, and vaccination uptake among rural and uninsured populations.
Author(s): Donald J. Alcendor, Patricia Matthews-Juarez, Mohammad Tabatabai, et al.
Citation: Pathogens, 14(4), 311
Date: 03/2025
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Examines barriers to achieving optimal human papillomavirus (HPV) vaccination uptake in the rural South. Analyzes HPV vaccination rates in Tennessee according to insurance status and rural versus urban location. Discusses cancer prevention and interventions to improve education, awareness, access, and vaccination uptake among rural and uninsured populations.
Author(s): Donald J. Alcendor, Patricia Matthews-Juarez, Mohammad Tabatabai, et al.
Citation: Pathogens, 14(4), 311
Date: 03/2025
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Modular Decentralized Water System Associated With Improved Child Health and Increased In-Home Water Use in Remote Alaska Native Communities
Explores the health effects of using Miniature Portable Alternative Sanitation Systems (Mini-PASS) on children 12 years old and younger in tribal communities in Alaska. Discusses Mini-PASS as an affordable option for communities that require a decentralized water system that doesn't require piping or sewer. Highlights the health and sanitation benefits such a system can bring to these communities.
Author(s): Amanda Hansen, Gretchen Day, Marla Wehrli, Laura Eichelberger
Citation: Journal of Water and Health, 23(3), 364–372.
Date: 03/2025
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Explores the health effects of using Miniature Portable Alternative Sanitation Systems (Mini-PASS) on children 12 years old and younger in tribal communities in Alaska. Discusses Mini-PASS as an affordable option for communities that require a decentralized water system that doesn't require piping or sewer. Highlights the health and sanitation benefits such a system can bring to these communities.
Author(s): Amanda Hansen, Gretchen Day, Marla Wehrli, Laura Eichelberger
Citation: Journal of Water and Health, 23(3), 364–372.
Date: 03/2025
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Barriers and Facilitators to HPV Vaccination in Rural South Carolina Pharmacies: A Qualitative Investigation
Examines human papillomavirus (HPV) vaccination services in rural South Carolina pharmacies. Utilizes interview feedback from rural community-based pharmacists and discusses barriers and facilitators to administering HPV vaccines.
Author(s): Abby Davies, Sarah Beth Tucker, Macie Goodman, Heather M. Brandt, Tessa J. Hastings
Citation: Implementation Science Communications, 6, 26
Date: 03/2025
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Examines human papillomavirus (HPV) vaccination services in rural South Carolina pharmacies. Utilizes interview feedback from rural community-based pharmacists and discusses barriers and facilitators to administering HPV vaccines.
Author(s): Abby Davies, Sarah Beth Tucker, Macie Goodman, Heather M. Brandt, Tessa J. Hastings
Citation: Implementation Science Communications, 6, 26
Date: 03/2025
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Pharmacy-Related Syringe Access Barriers: An Audit of Oregon Community Pharmacies
Examines barriers to purchasing over-the-counter (OTC) syringes in Oregon pharmacies. Utilizes a telephone audit (secret shopper) methodology to examine 425 pharmacies' willingness to sell OTC syringes by pharmacy type, syringe services program (SSP) availability, overdose rates, and rural versus urban county type.
Author(s): Victor Abreu, Marissa McGinnis, Savannah Justen, et al.
Citation: Harm Reduction Journal, 22, 37
Date: 03/2025
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Examines barriers to purchasing over-the-counter (OTC) syringes in Oregon pharmacies. Utilizes a telephone audit (secret shopper) methodology to examine 425 pharmacies' willingness to sell OTC syringes by pharmacy type, syringe services program (SSP) availability, overdose rates, and rural versus urban county type.
Author(s): Victor Abreu, Marissa McGinnis, Savannah Justen, et al.
Citation: Harm Reduction Journal, 22, 37
Date: 03/2025
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Exercising Self-Governance Through an Indian Managed Care Entity: The Eastern Band of Cherokee Indians Tribal Option
Profiles the Cherokee Indian Hospital Authority (CIHA), a health system serving the Eastern Band of Cherokee Indians (EBCI). Discusses the design and impact of their Medicaid managed care entity.
Author(s): Anne Smithey, Rob Houston
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Profiles the Cherokee Indian Hospital Authority (CIHA), a health system serving the Eastern Band of Cherokee Indians (EBCI). Discusses the design and impact of their Medicaid managed care entity.
Author(s): Anne Smithey, Rob Houston
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Policy Considerations: The Future of Group VIII (expansion) Medicaid Coverage in Ohio
Provides information on the impact of Medicaid Expansion legislation in Ohio. Includes county-level data on percentage of population enrolled in Medicaid Group VIII as of January 2025 as well as enrollee county type by metropolitan, suburban, Appalachian, or rural. Discusses access issues and potential policy considerations.
Date: 03/2025
Sponsoring organization: Health Policy Institute of Ohio
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Provides information on the impact of Medicaid Expansion legislation in Ohio. Includes county-level data on percentage of population enrolled in Medicaid Group VIII as of January 2025 as well as enrollee county type by metropolitan, suburban, Appalachian, or rural. Discusses access issues and potential policy considerations.
Date: 03/2025
Sponsoring organization: Health Policy Institute of Ohio
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Non-Health Care Costs Associated with Neonatal Intensive Care Unit Visitation
Summarizes household expenses associated with neonatal intensive care unit visitation including transportation, lost wages, lodging, childcare, and more. Includes metropolitan and non-metropolitan comparisons in Appendix Table 2.
Author(s): Rebecca A. Gourevitch, Evan Ellicott, Christina Kim, et al.
Citation: Health Affairs Scholar, 3(3)
Date: 03/2025
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Summarizes household expenses associated with neonatal intensive care unit visitation including transportation, lost wages, lodging, childcare, and more. Includes metropolitan and non-metropolitan comparisons in Appendix Table 2.
Author(s): Rebecca A. Gourevitch, Evan Ellicott, Christina Kim, et al.
Citation: Health Affairs Scholar, 3(3)
Date: 03/2025
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