Rural Health
Resources by Topic: Access
Using the Practical, Robust Implementation and Sustainability Model to Identify Implementation Determinants of a Statewide Diabetes Learning Collaborative in Kentucky
Examines the impact of utilizing a learning collaborative to implement a diabetes self-management education and support (DSMES) intervention. Utilizes interview feedback with collaborative participants to discuss issues such as organizational perspectives of DSMES, organizational and patient perspectives, and implementation and sustainability infrastructure. Discusses issues of implementing DSMES in rural areas of Kentucky.
Author(s): Aaron J. Kruse-Diehr, Borsika A. Rabin, Jessica Elliott, et al.
Citation: BMC Health Services Research, 25, 735
Date: 05/2025
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Examines the impact of utilizing a learning collaborative to implement a diabetes self-management education and support (DSMES) intervention. Utilizes interview feedback with collaborative participants to discuss issues such as organizational perspectives of DSMES, organizational and patient perspectives, and implementation and sustainability infrastructure. Discusses issues of implementing DSMES in rural areas of Kentucky.
Author(s): Aaron J. Kruse-Diehr, Borsika A. Rabin, Jessica Elliott, et al.
Citation: BMC Health Services Research, 25, 735
Date: 05/2025
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Bringing Virtual Behavioral Health Care Access to Rural Youth in West Virginia
Podcast episode that discusses a virtual collaborative behavioral healthcare model for children in rural West Virginia. Focuses on early behavioral health interventions, access, and improved health outcomes.
Author(s): Tom Haederle, Adrienne Coopey, Jordan Steiger
Date: 05/2025
Sponsoring organization: American Hospital Association
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Podcast episode that discusses a virtual collaborative behavioral healthcare model for children in rural West Virginia. Focuses on early behavioral health interventions, access, and improved health outcomes.
Author(s): Tom Haederle, Adrienne Coopey, Jordan Steiger
Date: 05/2025
Sponsoring organization: American Hospital Association
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Assessing Neighborhood Deprivation Reveals Rural-Urban Disparities in CGM Access Among Children With Type 1 Diabetes
Examines disparities in access to continuous glucose monitor (CGM) technology in rural versus urban and high deprivation versus low deprivation areas, utilizing 2016-2023 pediatric endocrine patient encounter data for a region including parts of Missouri and Kansas. Highlights interactions between rurality, deprivation, access, and neighborhood demographics.
Author(s): Daniel R. Tilden, Christie A. Befort, Brent Lockee, et al.
Citation: Diabetes Care, dc250077
Date: 05/2025
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Examines disparities in access to continuous glucose monitor (CGM) technology in rural versus urban and high deprivation versus low deprivation areas, utilizing 2016-2023 pediatric endocrine patient encounter data for a region including parts of Missouri and Kansas. Highlights interactions between rurality, deprivation, access, and neighborhood demographics.
Author(s): Daniel R. Tilden, Christie A. Befort, Brent Lockee, et al.
Citation: Diabetes Care, dc250077
Date: 05/2025
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Access to Maternity Care in Pennsylvania: Labor and Delivery Services
Fact sheet providing an overview of access to maternity care in rural Pennsylvania. Features county-level maps showing locations of hospitals with a labor and delivery unit as of 2025, and locations of general acute care hospitals, with shadings showing counties with no labor and delivery unit and those with at least one unit. Includes statistics on numbers of OB/GYNs and certified nurse midwives per 10,000 females of childbearing age, with breakdowns by urban and rural areas.
Date: 05/2025
Sponsoring organization: Center for Rural Pennsylvania
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Fact sheet providing an overview of access to maternity care in rural Pennsylvania. Features county-level maps showing locations of hospitals with a labor and delivery unit as of 2025, and locations of general acute care hospitals, with shadings showing counties with no labor and delivery unit and those with at least one unit. Includes statistics on numbers of OB/GYNs and certified nurse midwives per 10,000 females of childbearing age, with breakdowns by urban and rural areas.
Date: 05/2025
Sponsoring organization: Center for Rural Pennsylvania
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Access to CCTA at Safety-Net Hospitals Across the United States
Examines the availability of coronary CT angiography (CCTA) at safety-net hospitals to evaluate patients with chest pain. Analyzes 391 safety-net hospitals according to bed size, state, academic status, and rural versus urban location.
Author(s): Jonah Delshad, Trevor Weis, Caleb Bayona, et al.
Citation: Journal of Cardiovascular Computed Tomography, 19(3), 340-343
Date: 05/2025
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Examines the availability of coronary CT angiography (CCTA) at safety-net hospitals to evaluate patients with chest pain. Analyzes 391 safety-net hospitals according to bed size, state, academic status, and rural versus urban location.
Author(s): Jonah Delshad, Trevor Weis, Caleb Bayona, et al.
Citation: Journal of Cardiovascular Computed Tomography, 19(3), 340-343
Date: 05/2025
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Impact of Telemental Health on Suicide Prevention Care in U.S. Emergency Departments
Describes results of a survey of 977 hospital emergency departments regarding the use of telemental healthcare, and presents data by hospital characteristics, including rural location and Critical Access Hospital (CAH) status. Explores whether access to telemental healthcare affects use of six recommended suicide prevention practices. Compares the use of suicide prevention practices among patients with identified suicide risk by telemental healthcare status and CAH designation.
Author(s): Stephanie K. Doupnik, Cadence F. Bowden, Diana Worsley, et al.
Citation: Academic Emergency Medicine, 32(9), 956-965
Date: 05/2025
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Describes results of a survey of 977 hospital emergency departments regarding the use of telemental healthcare, and presents data by hospital characteristics, including rural location and Critical Access Hospital (CAH) status. Explores whether access to telemental healthcare affects use of six recommended suicide prevention practices. Compares the use of suicide prevention practices among patients with identified suicide risk by telemental healthcare status and CAH designation.
Author(s): Stephanie K. Doupnik, Cadence F. Bowden, Diana Worsley, et al.
Citation: Academic Emergency Medicine, 32(9), 956-965
Date: 05/2025
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National Elder Abuse Victim Services Needs Assessment
A needs assessment investigating services available to older adults who have experienced abuse, gaps in those services, barriers in offering and accessing services, and resources needed for elder justice professionals. Offers recommendations based on assessment findings. Discusses rural throughout.
Author(s): Alana M. Henninger, Christine Doelger, Rachel Castellano, et al.
Date: 05/2025
Sponsoring organizations: ICF, U.S. Department of Justice
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A needs assessment investigating services available to older adults who have experienced abuse, gaps in those services, barriers in offering and accessing services, and resources needed for elder justice professionals. Offers recommendations based on assessment findings. Discusses rural throughout.
Author(s): Alana M. Henninger, Christine Doelger, Rachel Castellano, et al.
Date: 05/2025
Sponsoring organizations: ICF, U.S. Department of Justice
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Inpatient Care Experiences Are Better in Critical Access Hospitals than in Other Hospitals
Examines the inpatient care experiences of patients in Critical Access Hospitals (CAHs) and inpatient prospective payment system (IPPS) hospitals. Utilizes Hospital Consumer Assessment of Hospitals, Providers, and Systems (HCAHPS) survey scores of CAHs and IPPs to evaluate patient experience according to hospital characteristics, patient characteristics, and rural versus urban location. Discusses the importance of CAHs to rural community healthcare access.
Author(s): Megan K. Beckett, Christopher W. Cohea, Paul D. Cleary, Laura A. Giordano, Marc N. Elliott
Citation: Health Affairs Scholar, 3(5)
Date: 05/2025
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Examines the inpatient care experiences of patients in Critical Access Hospitals (CAHs) and inpatient prospective payment system (IPPS) hospitals. Utilizes Hospital Consumer Assessment of Hospitals, Providers, and Systems (HCAHPS) survey scores of CAHs and IPPs to evaluate patient experience according to hospital characteristics, patient characteristics, and rural versus urban location. Discusses the importance of CAHs to rural community healthcare access.
Author(s): Megan K. Beckett, Christopher W. Cohea, Paul D. Cleary, Laura A. Giordano, Marc N. Elliott
Citation: Health Affairs Scholar, 3(5)
Date: 05/2025
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Disability Pride and Community Connection in Eastern Virginia: The disAbility Resource Center of the Rappahannock Area, Inc.
Case study highlighting the outreach efforts of The disAbility Resource Center of the Rappahannock Area, Inc (dRC), a Center for Independent Living (CIL) in eastern Virginia. Discusses the implementation and outcomes of peer mentoring and community engagement initiatives focused on supporting people with disabilities in underserved areas.
Author(s): Luke Santore, Lillie Greiman, Rayna Sage
Date: 05/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Case study highlighting the outreach efforts of The disAbility Resource Center of the Rappahannock Area, Inc (dRC), a Center for Independent Living (CIL) in eastern Virginia. Discusses the implementation and outcomes of peer mentoring and community engagement initiatives focused on supporting people with disabilities in underserved areas.
Author(s): Luke Santore, Lillie Greiman, Rayna Sage
Date: 05/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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"I Now Have the Freedom to Do What I Want, When I Want, Like Anybody Else": The Impact, Creation, and Management of Transportation Voucher Programs
Explores the impacts and implementation of transportation voucher programs supporting people with disabilities in rural areas via interviews with CIL staff and disabled voucher program participants. Discusses the experiences of rural people with disabilities and highlights benefits and challenges of transportation voucher programs.
Author(s): Luke Santore, Andrew Myers
Date: 05/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Explores the impacts and implementation of transportation voucher programs supporting people with disabilities in rural areas via interviews with CIL staff and disabled voucher program participants. Discusses the experiences of rural people with disabilities and highlights benefits and challenges of transportation voucher programs.
Author(s): Luke Santore, Andrew Myers
Date: 05/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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