Rural Health
Resources by Topic: Access
An Analysis of Telehealth in a Post-Pandemic Rural, Midwestern Community: Increased Comfort and a Preference for Primary Care
Discusses the implementation of telehealth in rural, underserved communities during the COVID-19 pandemic and if telehealth remains a sustainable option to provide healthcare. Utilizes 2023 data from 253 survey participants regarding internet access, telehealth usage, and telehealth perceptions.
Author(s): Chase Salmon, Kameron Bell, Eric Reyes, Ellen Ireland, Robin Danek
Citation: BMC Health Services Research, 25, 270
Date: 02/2025
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Discusses the implementation of telehealth in rural, underserved communities during the COVID-19 pandemic and if telehealth remains a sustainable option to provide healthcare. Utilizes 2023 data from 253 survey participants regarding internet access, telehealth usage, and telehealth perceptions.
Author(s): Chase Salmon, Kameron Bell, Eric Reyes, Ellen Ireland, Robin Danek
Citation: BMC Health Services Research, 25, 270
Date: 02/2025
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Medicaid-Covered Health Care Visits During the Postpartum Year: Variation by Enrollee Characteristics and State
Examines 2018 Medicaid claims data in 46 states to evaluate the impact of extending postpartum coverage from 60 days to 1 year. Offers comparisons by state Affordable Care Act Medicaid expansion status and rural or urban residence, among other variables. Discusses access to healthcare disparities.
Author(s): Laura Barrie Smith, Claire O'Brien, Keqin Wei, Timothy A. Waidmann, Genevieve M. Kenney
Citation: Health Affairs Scholar, 3(2)
Date: 02/2025
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Examines 2018 Medicaid claims data in 46 states to evaluate the impact of extending postpartum coverage from 60 days to 1 year. Offers comparisons by state Affordable Care Act Medicaid expansion status and rural or urban residence, among other variables. Discusses access to healthcare disparities.
Author(s): Laura Barrie Smith, Claire O'Brien, Keqin Wei, Timothy A. Waidmann, Genevieve M. Kenney
Citation: Health Affairs Scholar, 3(2)
Date: 02/2025
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Trends in Travel Time to Obtain Surgical Care for Rural Patients
Research letter analyzing travel time to surgical care in rural areas between 2010 and 2020, utilizing Medicare Provider Analysis and Review data. Includes data comparing annual change by surgical procedure type among rural and nonrural beneficiaries.
Author(s): Cody Lendon Mullens, Reagan A. Collins, Nicholas Kunnath, Janice C. Probst, Andrew M. Ibrahim
Citation: JAMA
Date: 02/2025
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Research letter analyzing travel time to surgical care in rural areas between 2010 and 2020, utilizing Medicare Provider Analysis and Review data. Includes data comparing annual change by surgical procedure type among rural and nonrural beneficiaries.
Author(s): Cody Lendon Mullens, Reagan A. Collins, Nicholas Kunnath, Janice C. Probst, Andrew M. Ibrahim
Citation: JAMA
Date: 02/2025
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Chartis Center for Rural Health Research & Resources for the 2025 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care, and Deteriorating Population Health Status, and presentation slides on this report from the 2025 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Offers research and analysis of the stability of the rural healthcare safety net. Includes Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care, and Deteriorating Population Health Status, and presentation slides on this report from the 2025 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Disparities in Substance Use Disorder Telehealth Services
Results of a study examining telehealth's association with changes in disparities in substance use disorder telehealth utilization across payers and rurality, from 2019-2023. Features statistics including breakdowns by urban and rural areas.
Author(s): Lauryn Saxe Walker, Manying Cui, Jonathan Cantor, et al.
Citation: JAMA Network Open, 8(2), e2459606
Date: 02/2025
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Results of a study examining telehealth's association with changes in disparities in substance use disorder telehealth utilization across payers and rurality, from 2019-2023. Features statistics including breakdowns by urban and rural areas.
Author(s): Lauryn Saxe Walker, Manying Cui, Jonathan Cantor, et al.
Citation: JAMA Network Open, 8(2), e2459606
Date: 02/2025
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Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care and Deteriorating Population Health Status
Examines factors contributing to the instability of the rural healthcare safety net, including policy-related reimbursement cuts and changes to payer mixes. Presents data on rural hospitals that have stopped offering obstetrics and chemotherapy services. Explores aspects of rural population health and social drivers of health as they relate to rural healthcare delivery challenges.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Examines factors contributing to the instability of the rural healthcare safety net, including policy-related reimbursement cuts and changes to payer mixes. Presents data on rural hospitals that have stopped offering obstetrics and chemotherapy services. Explores aspects of rural population health and social drivers of health as they relate to rural healthcare delivery challenges.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Peer-Assisted Telemedicine Hepatitis-C Treatment for People Who Use Drugs in Rural Communities: A Mixed Methods Study
Examines the Oregon HOPE TeleHCV study, which provided peer-facilitated telemedicine hepatitis C virus (HCV) treatment for people who use drugs (PWUD) in rural Oregon. Utilizes survey and interview data provided by patients and clinicians to identify effective strategies for building trust and reducing barriers to treatment at the systems, clinical, and peer levels.
Author(s): Kim Hoffman, Gillian Leichtling, Sarah Shin, et al.
Citation: Addiction Science & Clinical Practice, 20, 10
Date: 02/2025
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Examines the Oregon HOPE TeleHCV study, which provided peer-facilitated telemedicine hepatitis C virus (HCV) treatment for people who use drugs (PWUD) in rural Oregon. Utilizes survey and interview data provided by patients and clinicians to identify effective strategies for building trust and reducing barriers to treatment at the systems, clinical, and peer levels.
Author(s): Kim Hoffman, Gillian Leichtling, Sarah Shin, et al.
Citation: Addiction Science & Clinical Practice, 20, 10
Date: 02/2025
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Impact of Rural School-Based Health Centers on Asthma Management
Examines preventive asthma care for rural students who have access to school-based health centers (SBHCs). Analyzes SBHCs in upstate New York and healthcare encounters related to asthma. Discusses disparities in asthma care for rural students who have access to an SBHC versus those who do not.
Author(s): Wendy M. Brunner, Zhuang Han, Sharon Tennyson, et al.
Citation: The Journal of Pediatrics, 277, 114385
Date: 02/2025
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Examines preventive asthma care for rural students who have access to school-based health centers (SBHCs). Analyzes SBHCs in upstate New York and healthcare encounters related to asthma. Discusses disparities in asthma care for rural students who have access to an SBHC versus those who do not.
Author(s): Wendy M. Brunner, Zhuang Han, Sharon Tennyson, et al.
Citation: The Journal of Pediatrics, 277, 114385
Date: 02/2025
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Over-the-Counter Naloxone Availability at North Carolina Community Pharmacies: A Secret Shopper Study
Examines access to over-the-counter naloxone at pharmacies in North Carolina. Analyzes data from 600 community pharmacies and provides rural versus urban data on naloxone availability, pharmacy type, cost, and more.
Author(s): Delesha M. Carpenter, Grace T. Marley, Izabela E. Annis, Paul Delamater, Kathleen L. Egan
Citation: Drug and Alcohol Dependence, 267, 112545
Date: 02/2025
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Examines access to over-the-counter naloxone at pharmacies in North Carolina. Analyzes data from 600 community pharmacies and provides rural versus urban data on naloxone availability, pharmacy type, cost, and more.
Author(s): Delesha M. Carpenter, Grace T. Marley, Izabela E. Annis, Paul Delamater, Kathleen L. Egan
Citation: Drug and Alcohol Dependence, 267, 112545
Date: 02/2025
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Social Network Barriers to Extended-Release Naltrexone Within Rural Appalachia: Perspectives from Justice-Involved Clients and Clinicians
Presents a study on the role of family, friends, and clinicians can play in influencing naltrexone treatment uptake of people with opioid use disorder (POUD) who are incarcerated in Appalachia. Bases findings on interviews with clinicians and breaks down data by sociodemographic characteristics, substance use, and social network composition, among other measures.
Author(s): Amanda M. Bunting, Carrie B. Oser, Marisa Booty, et al.
Citation: Substance Use & Misuse, 60(5), 758-765
Date: 01/2025
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Presents a study on the role of family, friends, and clinicians can play in influencing naltrexone treatment uptake of people with opioid use disorder (POUD) who are incarcerated in Appalachia. Bases findings on interviews with clinicians and breaks down data by sociodemographic characteristics, substance use, and social network composition, among other measures.
Author(s): Amanda M. Bunting, Carrie B. Oser, Marisa Booty, et al.
Citation: Substance Use & Misuse, 60(5), 758-765
Date: 01/2025
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