Rural Health
Resources by Topic: Access
Maternal Mortality in Indiana: Contributing Factors and Policy Recommendations
Discusses causes of maternal mortality and related data in Indiana and the U.S. at large. Includes information on disparities with a focus on rural areas, demographics, and access to maternal health services. Provides county-level map of Indiana showing full, moderate, low, or no access to maternity care. Explores potential solutions to maternal mortality, such as co-location of maternal and behavioral healthcare, substance use disorder (SUD) support, mental health support, and more.
Author(s): Tierra Brooks, Lee Ruess, Kristi Schultz, Elizabeth Thuranira
Date: 04/2025
Sponsoring organization: Indiana University Public Policy Institute
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Discusses causes of maternal mortality and related data in Indiana and the U.S. at large. Includes information on disparities with a focus on rural areas, demographics, and access to maternal health services. Provides county-level map of Indiana showing full, moderate, low, or no access to maternity care. Explores potential solutions to maternal mortality, such as co-location of maternal and behavioral healthcare, substance use disorder (SUD) support, mental health support, and more.
Author(s): Tierra Brooks, Lee Ruess, Kristi Schultz, Elizabeth Thuranira
Date: 04/2025
Sponsoring organization: Indiana University Public Policy Institute
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Fact Sheet: Telehealth
Discusses the growth of telehealth use in hospitals from 2018 through 2022, and ongoing challenges to expanding and providing telehealth services. Covers rural considerations throughout the document.
Date: 04/2025
Sponsoring organization: American Hospital Association
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Discusses the growth of telehealth use in hospitals from 2018 through 2022, and ongoing challenges to expanding and providing telehealth services. Covers rural considerations throughout the document.
Date: 04/2025
Sponsoring organization: American Hospital Association
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The Effect of Rurality on Time to Surgery and Overall Survival among Women with Breast Cancer
Explores interactions between rurality, geographic proximity to care, time to surgery, and overall survival among women with Stage 0-III breast cancer, using 2004-2019 National Cancer Database data.
Author(s): Kriyana P. Reddy, Cara L. Berkowitz, Kathleen Jarrell, et al.
Citation: Annals of Surgery, 284(2), 288-295
Date: 03/2025
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Explores interactions between rurality, geographic proximity to care, time to surgery, and overall survival among women with Stage 0-III breast cancer, using 2004-2019 National Cancer Database data.
Author(s): Kriyana P. Reddy, Cara L. Berkowitz, Kathleen Jarrell, et al.
Citation: Annals of Surgery, 284(2), 288-295
Date: 03/2025
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Consulting for Vermont's Social Determinants of Health (SDoH) Roadmap
Discusses benefits and challenges associated with incorporating information on social determinants of health (SDoH) and health-related social needs (HRSN) into Vermont's state health information exchange. Includes discussion of rurality-associated challenges with healthcare access, quality of life, and statistical surveying.
Author(s): Karen Swietek, Elise Comperchio, Jennifer Norris
Date: 03/2025
Sponsoring organization: NORC at the University of Chicago
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Discusses benefits and challenges associated with incorporating information on social determinants of health (SDoH) and health-related social needs (HRSN) into Vermont's state health information exchange. Includes discussion of rurality-associated challenges with healthcare access, quality of life, and statistical surveying.
Author(s): Karen Swietek, Elise Comperchio, Jennifer Norris
Date: 03/2025
Sponsoring organization: NORC at the University of Chicago
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Georgia State of the State: Maternal Health Report
Summarizes data and evidence regarding maternal health indicators in Georgia. Offers recommendations for further improving the health of mothers and babies. Includes statistics related to fetal, infant, and maternal health in Georgia with breakdowns by demographics and rural or nonrural locations.
Author(s): Fowzio Jama, Whitney Williams, Yuzhe Liu, et al.
Date: 03/2025
Sponsoring organization: Healthy Mothers, Healthy Babies Coalition of Georgia
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Summarizes data and evidence regarding maternal health indicators in Georgia. Offers recommendations for further improving the health of mothers and babies. Includes statistics related to fetal, infant, and maternal health in Georgia with breakdowns by demographics and rural or nonrural locations.
Author(s): Fowzio Jama, Whitney Williams, Yuzhe Liu, et al.
Date: 03/2025
Sponsoring organization: Healthy Mothers, Healthy Babies Coalition of Georgia
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Telehealth for the Study of Palliative Care Communication: Opportunities, Methodological Challenges, and Recommendations
Examines telehealth in connection to palliative care communication. Utilizes 3 ongoing studies involving patients with serious illnesses who have received palliative care through telehealth to reflect on opportunities and challenges in utilizing telehealth for palliative care. Provides examples from rural Vermont.
Author(s): Elise C. Tarbi, Susanna L. Schuler, Natalie Ambrose, et al.
Citation: BMC Palliative Care, 24, 55
Date: 03/2025
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Examines telehealth in connection to palliative care communication. Utilizes 3 ongoing studies involving patients with serious illnesses who have received palliative care through telehealth to reflect on opportunities and challenges in utilizing telehealth for palliative care. Provides examples from rural Vermont.
Author(s): Elise C. Tarbi, Susanna L. Schuler, Natalie Ambrose, et al.
Citation: BMC Palliative Care, 24, 55
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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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 nonmetropolitan 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 nonmetropolitan 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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Vulnerability Index Approach to Identify Pharmacy Deserts and Keystone Pharmacies
Discusses the importance of improving pharmacy access in rural and low-income areas. Utilizes data from the National Council for Prescription Drug Programs (NCPDP) dataQ to examine travel time to nearest pharmacy according to urbanicity. Defines a pharmacy vulnerability index according to this measure and reports on residents in the the contiguous U.S. living in or at risk of living in a pharmacy desert, with comparisons for small rural, large rural, suburban, and urban.
Author(s): Walter S. Mathis, Lucas A. Berenbrok, Peter A. Kahn, et al.
Citation: JAMA Network Open, 8(3)
Date: 03/2025
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Discusses the importance of improving pharmacy access in rural and low-income areas. Utilizes data from the National Council for Prescription Drug Programs (NCPDP) dataQ to examine travel time to nearest pharmacy according to urbanicity. Defines a pharmacy vulnerability index according to this measure and reports on residents in the the contiguous U.S. living in or at risk of living in a pharmacy desert, with comparisons for small rural, large rural, suburban, and urban.
Author(s): Walter S. Mathis, Lucas A. Berenbrok, Peter A. Kahn, et al.
Citation: JAMA Network Open, 8(3)
Date: 03/2025
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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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