Rural Health
Resources by Topic: Access
Rural/Urban Disparities in the Availability of Diabetes Prevention Programs in US Hospitals
Examines access to Diabetes Prevention Programs (DPPs) by geographic and socioeconomic variables. Analyzes DPPs in 3,204 general medical hospitals according to sociodemographic variables such as food environment, insurance rates, income, and more, as well as hospital characteristics, such as ownership type, geographic region, and county location of metro, micro, or noncore.
Author(s): Allyson Hughes, Shyamkumar Sriram, Berkeley Franz, Cory Cronin
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Examines access to Diabetes Prevention Programs (DPPs) by geographic and socioeconomic variables. Analyzes DPPs in 3,204 general medical hospitals according to sociodemographic variables such as food environment, insurance rates, income, and more, as well as hospital characteristics, such as ownership type, geographic region, and county location of metro, micro, or noncore.
Author(s): Allyson Hughes, Shyamkumar Sriram, Berkeley Franz, Cory Cronin
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Creation of a Telehealth Addiction Consultation Service at a Rural Hospital: A Case Study
Details the implementation and evaluation of the Community Addiction Consult (CAC) service, which facilitated medications for opioid use disorder (MOUD) treatment and provided other supports for hospital-based addiction care via telehealth consultations by community, non-hospital clinicians in rural Massachusetts. Highlights the significance of the CAC model as a support for improving access to hospital-based substance use disorder treatment in rural areas.
Author(s): Rachel Katz, Tiarra Fisher, Talia Singer-Clark, et al.
Citation: Addiction Science & Clinical Practice, 20, 76
Date: 09/2025
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Details the implementation and evaluation of the Community Addiction Consult (CAC) service, which facilitated medications for opioid use disorder (MOUD) treatment and provided other supports for hospital-based addiction care via telehealth consultations by community, non-hospital clinicians in rural Massachusetts. Highlights the significance of the CAC model as a support for improving access to hospital-based substance use disorder treatment in rural areas.
Author(s): Rachel Katz, Tiarra Fisher, Talia Singer-Clark, et al.
Citation: Addiction Science & Clinical Practice, 20, 76
Date: 09/2025
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The South Carolina Certified Registered Nurse Anesthetist Workforce - 2022
Self-reported information about certified registered nurse anesthetists (CRNAs) actively employed as nurses in South Carolina, as part of the biennial license renewal process ending on April 30, 2022. Features demographics and statistics including change in the size of the South Carolina CRNA workforce from 2012-2022 with breakdowns by 3 levels of population density, and a county-level map showing locations of active CRNAs as of 2022, which shadings showing rural and urban counties.
Author(s): Cate Campbell, K. Gaul
Date: 09/2025
Sponsoring organization: South Carolina Area Health Education Consortium
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Self-reported information about certified registered nurse anesthetists (CRNAs) actively employed as nurses in South Carolina, as part of the biennial license renewal process ending on April 30, 2022. Features demographics and statistics including change in the size of the South Carolina CRNA workforce from 2012-2022 with breakdowns by 3 levels of population density, and a county-level map showing locations of active CRNAs as of 2022, which shadings showing rural and urban counties.
Author(s): Cate Campbell, K. Gaul
Date: 09/2025
Sponsoring organization: South Carolina Area Health Education Consortium
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Maternal Health in Utah: Risk Factors, Workforce Gaps, and Access to Care
Describes the state of maternal healthcare in Utah including outcomes, mortality, risk factors, health status, access to hospitals, and workforce shortages. Offers county-level data and discusses rural throughout.
Author(s): Melanie Beagley
Date: 09/2025
Sponsoring organizations: Kem C. Gardner Policy Institute, Utah Department of Health and Human Services, Utah Office of Primary Care and Rural Health
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Describes the state of maternal healthcare in Utah including outcomes, mortality, risk factors, health status, access to hospitals, and workforce shortages. Offers county-level data and discusses rural throughout.
Author(s): Melanie Beagley
Date: 09/2025
Sponsoring organizations: Kem C. Gardner Policy Institute, Utah Department of Health and Human Services, Utah Office of Primary Care and Rural Health
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Shifting Care Patterns: How Medicaid Policies Shape Family and Formal Care Use
Analyzes the impacts of Medicaid 1915(c) waivers on likelihood of receiving formal versus family care among adults aged 70 years and older with functional limitations, utilizing 2011-2019 National Health and Aging Trends Study (NHATS) data. Highlights the significance of waiver payments for family caregiving for population subgroups including Medicaid beneficiaries, rural residents, and people living with dementia.
Author(s): Johanna Thunell, Elise M. Parrish, Katherine E.M. Miller
Citation: Alzheimer's & Dementia, 21(9), e70715
Date: 09/2025
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Analyzes the impacts of Medicaid 1915(c) waivers on likelihood of receiving formal versus family care among adults aged 70 years and older with functional limitations, utilizing 2011-2019 National Health and Aging Trends Study (NHATS) data. Highlights the significance of waiver payments for family caregiving for population subgroups including Medicaid beneficiaries, rural residents, and people living with dementia.
Author(s): Johanna Thunell, Elise M. Parrish, Katherine E.M. Miller
Citation: Alzheimer's & Dementia, 21(9), e70715
Date: 09/2025
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Supporting Rural Health Facilities
Discusses strategies pursued by states to strengthen the financial stability of rural hospitals and expand access to primary care, behavioral healthcare, and emergency care. Describes state policies related to technical assistance, financial stabilization grants, payment models, Rural Health Clinics (RHCs), health centers, Certified Community Behavioral Health Clinics (CCBHCs), and free-standing emergency departments.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Discusses strategies pursued by states to strengthen the financial stability of rural hospitals and expand access to primary care, behavioral healthcare, and emergency care. Describes state policies related to technical assistance, financial stabilization grants, payment models, Rural Health Clinics (RHCs), health centers, Certified Community Behavioral Health Clinics (CCBHCs), and free-standing emergency departments.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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State Strategies for Strengthening Rural Health: Insights from NASHP's 2025 Annual Conference
Summarizes a session from the National Academy for State Health Policy (NASHP) 2025 Annual Conference regarding state strategies to improve access to care in rural communities. Highlights policies from North Dakota, Washington, and West Virginia related to workforce and capacity challenges, broadband and telehealth, behavioral health access points, and linking health and social care.
Date: 09/2025
Sponsoring organization: National Academy for State Health Policy
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Summarizes a session from the National Academy for State Health Policy (NASHP) 2025 Annual Conference regarding state strategies to improve access to care in rural communities. Highlights policies from North Dakota, Washington, and West Virginia related to workforce and capacity challenges, broadband and telehealth, behavioral health access points, and linking health and social care.
Date: 09/2025
Sponsoring organization: National Academy for State Health Policy
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Disparities in Multi-Modal Spatial Access to Primary and Specialty Care in U.S. Neighborhoods: A Cross-Sectional and Temporal Analysis of Health Services
Provides a multi-modal spatial access measure to examine disparities in access to primary and specialty care across variable geographies. Includes data on spatial access to providers according to metro, micro, small town, or rural location as well as an example of a car-transit-walking composite spatial access map in micropolitan areas of Maine.
Author(s): R. Blake Buchalter, Paul R. Gunsalus, Madeleine M. Blazel, Michael W. Kenyhercz, Jarrod E. Dalton
Citation: PL0S One, 20(9), e0330427
Date: 09/2025
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Provides a multi-modal spatial access measure to examine disparities in access to primary and specialty care across variable geographies. Includes data on spatial access to providers according to metro, micro, small town, or rural location as well as an example of a car-transit-walking composite spatial access map in micropolitan areas of Maine.
Author(s): R. Blake Buchalter, Paul R. Gunsalus, Madeleine M. Blazel, Michael W. Kenyhercz, Jarrod E. Dalton
Citation: PL0S One, 20(9), e0330427
Date: 09/2025
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Oregon Areas of Unmet Health Care Need Report, 2025
Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2025
Sponsoring organization: Oregon Office of Rural Health
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Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2025
Sponsoring organization: Oregon Office of Rural Health
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Boosting Maternity Care in Rural America
Provides a brief overview of the state of maternal healthcare in rural areas. Highlights state and federal actions taken to improve access to quality maternal care and improve birth outcomes.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Provides a brief overview of the state of maternal healthcare in rural areas. Highlights state and federal actions taken to improve access to quality maternal care and improve birth outcomes.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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