Rural Health
Resources by Topic: Access
Gaps in Access to Pulmonary Hypertension Care and Opportunities for Improvement: A Multi-Site Qualitative Study
Discusses access barriers to pulmonary hypertension (PH) specialty care in the United States. Utilizes qualitative feedback from staff and patients at 3 PH healthcare centers and discusses issues such as lack of expertise, lack of insurance coverage, and geographic barriers to care, including in rural areas.
Author(s): Kari R. Gillmeyer, Sara Shusterman, Seppo T. Rinne, A. Rani Elwy, Renda Soylemez Wiener
Citation: BMC Pulmonary Medicine, 25, 355
Date: 07/2025
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Discusses access barriers to pulmonary hypertension (PH) specialty care in the United States. Utilizes qualitative feedback from staff and patients at 3 PH healthcare centers and discusses issues such as lack of expertise, lack of insurance coverage, and geographic barriers to care, including in rural areas.
Author(s): Kari R. Gillmeyer, Sara Shusterman, Seppo T. Rinne, A. Rani Elwy, Renda Soylemez Wiener
Citation: BMC Pulmonary Medicine, 25, 355
Date: 07/2025
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Emergency Department Visits among Rural and Urban Older Adults: Disparities in Ambulatory and Emergency Care Sensitive Conditions
Compares emergency department (ED) utilization for ambulatory care sensitive conditions (ACSCs) and emergency care sensitive conditions (ECSCs) among rural and urban Medicare beneficiaries. Presents findings from a pooled cross-sectional analysis of 2016–2020 Medicare Current Beneficiary Survey data.
Author(s): Cameron J. Gettel, Courtney Kitchen, Craig Rothenberg, et al.
Citation: BMC Health Services Research, 25, 275
Date: 07/2025
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Compares emergency department (ED) utilization for ambulatory care sensitive conditions (ACSCs) and emergency care sensitive conditions (ECSCs) among rural and urban Medicare beneficiaries. Presents findings from a pooled cross-sectional analysis of 2016–2020 Medicare Current Beneficiary Survey data.
Author(s): Cameron J. Gettel, Courtney Kitchen, Craig Rothenberg, et al.
Citation: BMC Health Services Research, 25, 275
Date: 07/2025
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Pennsylvania Rural Health Plan, 2025-2030
Highlights healthcare challenges in rural Pennsylvania, acknowledges strengths, and promotes recommendations to address disparities. Features demographics and sections on social determinants of health, agricultural safety and farmworker health, aging, disabilities, homelessness, veterans, Pennsylvania's healthcare delivery system, broadband access, and telehealth.
Date: 07/2025
Sponsoring organization: Pennsylvania Rural Health Association
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Highlights healthcare challenges in rural Pennsylvania, acknowledges strengths, and promotes recommendations to address disparities. Features demographics and sections on social determinants of health, agricultural safety and farmworker health, aging, disabilities, homelessness, veterans, Pennsylvania's healthcare delivery system, broadband access, and telehealth.
Date: 07/2025
Sponsoring organization: Pennsylvania Rural Health Association
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Implementing a Chatbot to Promote Hereditary Breast & Ovarian Cancer Genetic Screening in Women's Health: Identifying Barriers and Facilitators to Screening Adoption
Analyzes perceived facilitators and barriers to a chatbot-based hereditary breast and ovarian cancer screening among 17 women in rural northern region of Florida. Discusses the importance of increasing access to cancer screening in rural areas.
Author(s): Easton N. Wollney, Shireen Madani Sims, Luisel J. Ricks-Santi, et al.
Citation: BMC Public Health, 25, 2516
Date: 07/2025
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Analyzes perceived facilitators and barriers to a chatbot-based hereditary breast and ovarian cancer screening among 17 women in rural northern region of Florida. Discusses the importance of increasing access to cancer screening in rural areas.
Author(s): Easton N. Wollney, Shireen Madani Sims, Luisel J. Ricks-Santi, et al.
Citation: BMC Public Health, 25, 2516
Date: 07/2025
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Palliative Care Specialist Use Among Medicare Decedents Who Had Poor-Prognosis Cancers
Examines demographic variation in specialty palliative care (PC) use, utilizing data of all Medicare fee-for-service beneficiaries who died from poor-prognosis cancers between 2018 and 2023. See Figure 3 for data on associations between rural or urban populations, among other factors, and PC use.
Author(s): Isaac S. Chua, Haiden A. Huskamp, Ateev Mehrotra, Andrew D. Wilcock
Citation: JAMA Network Open, 8(7), e2522886
Date: 07/2025
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Examines demographic variation in specialty palliative care (PC) use, utilizing data of all Medicare fee-for-service beneficiaries who died from poor-prognosis cancers between 2018 and 2023. See Figure 3 for data on associations between rural or urban populations, among other factors, and PC use.
Author(s): Isaac S. Chua, Haiden A. Huskamp, Ateev Mehrotra, Andrew D. Wilcock
Citation: JAMA Network Open, 8(7), e2522886
Date: 07/2025
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Tennessee State Health Plan 2025: An Update to the 2024-2026 State Health Plan
Outlines how the Tennessee Department of Health is utilizing the actions identified in the State Health Plan to promote health in Tennessee. Features sections on nutritional security, maternal and infant health, chronic conditions, older adults, transportation, cancer screenings, and workforce.
Date: 07/2025
Sponsoring organization: Tennessee Department of Health
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Outlines how the Tennessee Department of Health is utilizing the actions identified in the State Health Plan to promote health in Tennessee. Features sections on nutritional security, maternal and infant health, chronic conditions, older adults, transportation, cancer screenings, and workforce.
Date: 07/2025
Sponsoring organization: Tennessee Department of Health
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Aroostook Agency on Aging's Specialized Support for Dementia Caregivers and Care Recipients via Health Care Partnership
Case study highlighting a partnership between an Area Agency on Aging in Maine and a local hospital to provide dementia assessments and support services for local residents with dementia and their caregivers.
Date: 07/2025
Sponsoring organization: USAging
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Case study highlighting a partnership between an Area Agency on Aging in Maine and a local hospital to provide dementia assessments and support services for local residents with dementia and their caregivers.
Date: 07/2025
Sponsoring organization: USAging
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Most Medicare Advantage Markets are Dominated by One or Two Insurers
Examines the competitiveness of Medicare Advantage (MA) markets at the county level. Explores how often one or two Medicare Advantage insurers enrolled at least half of all enrollees within a county. Compares data on the share of counties in very concentrated MA markets across urban, rural adjacent, and rural non-adjacent counties.
Author(s): Nicole Zhu, Jeannie Fuglesten Biniek, Nolan Sroczynski, Tricia Neuman
Date: 07/2025
Sponsoring organization: KFF
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Examines the competitiveness of Medicare Advantage (MA) markets at the county level. Explores how often one or two Medicare Advantage insurers enrolled at least half of all enrollees within a county. Compares data on the share of counties in very concentrated MA markets across urban, rural adjacent, and rural non-adjacent counties.
Author(s): Nicole Zhu, Jeannie Fuglesten Biniek, Nolan Sroczynski, Tricia Neuman
Date: 07/2025
Sponsoring organization: KFF
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The Geographic Distribution of Family Physicians Providing Maternity Care and Opportunities for Expanding Access to Care in Rural Areas
Examines family physicians (FPs) who provide maternity care and their geographic distribution in the United States. Analyzes maternity care across 325 counties, observing counties where FPs are the only maternity care providers, counties where there are no maternity care providers, and counties with or without hospital obstetric services. Includes discussion on maternity healthcare access disparities in rural areas.
Author(s): Michael Topmiller, Grace Walter, Anuradha Jetty, et al.
Citation: The Annals of Family Medicine, 23(4), 302-307
Date: 07/2025
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Examines family physicians (FPs) who provide maternity care and their geographic distribution in the United States. Analyzes maternity care across 325 counties, observing counties where FPs are the only maternity care providers, counties where there are no maternity care providers, and counties with or without hospital obstetric services. Includes discussion on maternity healthcare access disparities in rural areas.
Author(s): Michael Topmiller, Grace Walter, Anuradha Jetty, et al.
Citation: The Annals of Family Medicine, 23(4), 302-307
Date: 07/2025
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Summer Food for Children: An Overview of Federal Aid
Provides an overview of the U.S. Department of Agriculture (USDA) Food and Nutrition Service (FNS) Summer Food Service Program (SFSP). Highlights changes to the SFSP made in the Consolidated Appropriations Act, 2023, including the permanent authorization of the nationwide Summer Electronic Benefits Transfer (Summer EBT) Program for Children, and allowing Seamless Summer Option (SSO) sponsors to provide meals for off-site consumption to children in rural areas without access to congregate meal sites.
Date: 07/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of the U.S. Department of Agriculture (USDA) Food and Nutrition Service (FNS) Summer Food Service Program (SFSP). Highlights changes to the SFSP made in the Consolidated Appropriations Act, 2023, including the permanent authorization of the nationwide Summer Electronic Benefits Transfer (Summer EBT) Program for Children, and allowing Seamless Summer Option (SSO) sponsors to provide meals for off-site consumption to children in rural areas without access to congregate meal sites.
Date: 07/2025
Sponsoring organization: Congressional Research Service
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