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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Reasons for Experiencing Delayed or Forgone Health Care among Rural American Indian/Alaska Native and Rural Non-Hispanic White Individuals, 2022
Policy brief offering reported reasons for experiencing delayed or forgone health care and how this differs between rural American Indian/Alaska Native (AI/AN) and rural non-Hispanic white people, as well as by Indian Health Service care access among rural AI/AN people. Uses data from the 2022 National Health Interview Survey.
Author(s): Ingrid Jacobson, Julia Interrante, Hailey A. Baker, Mariana Tuttle, Katy B. Kozhimannil
Date: 09/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Implementing High-Quality Primary Care: A Policy Menu for States
Presents policy strategies utilized by states to strengthen primary care across five priority areas. Strategies cover primary care reimbursement; addressing individual, community, and market-level barriers to care; expanding and supporting the primary care workforce; and supporting practice transformation. Includes rural references throughout.
Date: 09/2025
Sponsoring organizations: Milbank Memorial Fund, National Academy for State Health Policy
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Progress and Vulnerability Two Years After the Wildfires: A Data-Driven Update from the Maui Recovery Survey
Reports on the impact of the August 2023 Hawaii wildfires on housing, employment, income, and government and community organization assistance among those who lived, worked, or owned a business in in West Maui or Kula at the time of the fires. The associated Maui Recovery Dashboard includes additional data on survey participant demographics, employment, income, needs, and assistance.
Additional links: Maui Recovery Dashboard
Date: 08/2025
Sponsoring organization: The Economic Research Organization at the University of Hawai'i
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Route and Efficiency Analysis of Cancer Health Care (REACH): Investigating Sociodemographic and Rurality of Metastatic Breast Cancer Patients at an NCI-Designated Facility
Explores the association between rurality and access to care for women with metastatic breast cancer (MBC). Examines travel distance and time to treatment, as well as sociodemographic factors among patients with MBC. Draws data from rural and urban counties in Illinois and Missouri.
Author(s): Amanda Golden, Sarah Humble, Rachelle Roy, et al.
Citation: Journal of Rural Health, 41(3), e70063
Date: 08/2025
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Rural Life, Rural Healthcare, and Telehealth: An Interpretive Phenomenology Study
Explores themes related to healthcare access, telehealth use, and rural life contexts among 16 adults in rural and remote areas of California. Details interviewee perceptions of healthcare availability, geographic and environmental influences on healthcare access, benefits and drawbacks of telehealth use, and more.
Author(s): Meghan Rowe Ferrara, Susan A. Chapman
Citation: Rural Sociology, 90(3), e70016
Date: 08/2025
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Single-Center Retrospective Analysis of the Impact of Rurality on Glioblastoma Care in Vermont
Examines rural-urban differences in clinical presentation, treatment, and outcomes among 119 newly diagnosed glioblastoma patients who presented at the University of Vermont Medical Center from 2017 to 2021. Discusses rural cancer disparities in treatment outcomes and access to care.
Author(s): Gabriela Sarriera Valentin, Erin D'Agostino, Peter Callas, Alissa A. Thomas
Citation: BMC Health Services Research, 25, 1052
Date: 08/2025
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Washington's Rural Oral Health Workforce
Highlights challenges in access to oral healthcare in rural Washington, workforce shortages, and geographic disparities. Emphasizes the need for strategies to support recruitment, retention, and training of oral health professionals in underserved areas. Features demographics and statistics on oral health professionals, with breakdowns by rural and nonrural areas, and Washington maps showing distribution of various oral health professionals, with shadings indicating rural and nonrural counties.
Date: 08/2025
Sponsoring organization: UW Center for Health Workforce Studies
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Outcomes in Pregnant Patients with Congenital Heart Disease by Rurality
Examines associations between rurality, major adverse cardiac events, adverse pregnancy outcomes, and neonatal outcomes in pregnant women with congenital heart disease, utilizing 2016-2021 Healthcare Cost and Utilization Project-National Inpatient Sample data. Discusses factors influencing access to care, quality of care, and patient outcomes in rural communities.
Author(s): Mehr Jain, Franklin Iheanacho, Kristen Sparagna, et al.
Citation: Journal of Perinatal Medicine, 53(7), 900-907
Date: 08/2025
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Telehealth, Telebehavioral Health, and Patient Portal Willingness, Use, and Access Challenges among Migrant Farmworkers on H-2A Visas, North Carolina, USA, 2024
Results of a study examining use of digital healthcare platforms among 327 farmworkers arriving in North Carolina on temporary H-2A work visas. Features demographics and statistics on associations between use of digital healthcare and other variables.
Author(s): Elisabeth C. Reed, Nowrin Nusrat, Lilibeth Andres, et al.
Citation: Journal of Immigrant and Minority Health
Date: 08/2025
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Bridging Rural Communities: Telehealth Innovations for Appalachia and Beyond
Video series on innovative approaches to telehealth in rural Appalachia, hosted by the Mid-Atlantic Telehealth Center (MATRC) on August 1, 2025. Features speakers on telehealth use in veterans' healthcare, substance use recovery, palliative care, mental health, healthy aging, emergency preparedness and response, cancer screening, and other topics related to healthcare access, quality of care, and healthcare economics. Transcripts are available via video descriptions.
Date: 08/2025
Sponsoring organization: Mid-Atlantic Telehealth Resource Center
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