Rural Health
Resources by Topic: COVID-19
Mapping Spatial and Social Inequities of Long COVID Across the United States: A Retrospective Cohort Study
Examines spatiotemporal variables and social determinants as correlated with the Omicron variant and long COVID health risk. Analyzes 5,652,474 COVID-19 cases and 41,694 long COVID cases according to year, location, U.S. region, risk level of county, and social determinants, including rural versus urban location.
Author(s): Zhetao Chen, Bingnan Lib, Yewen Chen, et al.
Citation: The Lancet Regional Health – Americas, 56, 101401
Date: 04/2026
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Examines spatiotemporal variables and social determinants as correlated with the Omicron variant and long COVID health risk. Analyzes 5,652,474 COVID-19 cases and 41,694 long COVID cases according to year, location, U.S. region, risk level of county, and social determinants, including rural versus urban location.
Author(s): Zhetao Chen, Bingnan Lib, Yewen Chen, et al.
Citation: The Lancet Regional Health – Americas, 56, 101401
Date: 04/2026
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Assessing Disruption Impact on Quality Improvement Activities Designed to Improve HPV Vaccination in Rural Primary Care
Assesses the types and impacts of disruptions to clinical practice on Human Papillomavirus (HPV) vaccination quality improvement projects in rural primary care clinics in Oregon. Includes quantitative findings for 41 clinics as well as qualitative findings for 8 of those clinics. Discusses staffing and organization structures, COVID-19, and electronic health record systems, noting factors driving resilience during disruption.
Author(s): Chrystal Barnes, NithyaPriya Ramalingam, Steele Valenzuela, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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Assesses the types and impacts of disruptions to clinical practice on Human Papillomavirus (HPV) vaccination quality improvement projects in rural primary care clinics in Oregon. Includes quantitative findings for 41 clinics as well as qualitative findings for 8 of those clinics. Discusses staffing and organization structures, COVID-19, and electronic health record systems, noting factors driving resilience during disruption.
Author(s): Chrystal Barnes, NithyaPriya Ramalingam, Steele Valenzuela, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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What to Know About Medicare Coverage of Telehealth
Discusses telehealth use by Medicare patients before, during, and after declaration of the COVID-19 public health emergency. Notes temporary telehealth provisions set to expire December 31, 2027, telehealth provisions made permanent, and trends in use since 2020. Includes rural and urban comparisons of telehealth use since 2020. Discusses payment models for Medicare and Medicare Advantage, current policies related to telehealth, program integrity, and the cost of coverage through Medicare.
Author(s): Alex Cottrill, Juliette Cubanski, Tricia Neuman
Date: 03/2026
Sponsoring organization: KFF
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Discusses telehealth use by Medicare patients before, during, and after declaration of the COVID-19 public health emergency. Notes temporary telehealth provisions set to expire December 31, 2027, telehealth provisions made permanent, and trends in use since 2020. Includes rural and urban comparisons of telehealth use since 2020. Discusses payment models for Medicare and Medicare Advantage, current policies related to telehealth, program integrity, and the cost of coverage through Medicare.
Author(s): Alex Cottrill, Juliette Cubanski, Tricia Neuman
Date: 03/2026
Sponsoring organization: KFF
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Telehealth Uptake and Rural-Urban and Racial/Ethnic Disparities in Postpartum Care Access Among Medicaid Beneficiaries in South Carolina, 2018–2022
Compares how postpartum care attendance and timeliness varied by race and ethnicity, rural or urban dwelling, and exposure to the COVID-19 pandemic, and how these associations varied by level of telehealth uptake, using 2019-2022 South Carolina Medicaid claims and enrollment data.
Author(s): Anirban Chatterjee, Xuzhuo Zhao, Jihong Liu, et al.
Citation: Medical Care, 64(5), 298-309
Date: 03/2026
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Compares how postpartum care attendance and timeliness varied by race and ethnicity, rural or urban dwelling, and exposure to the COVID-19 pandemic, and how these associations varied by level of telehealth uptake, using 2019-2022 South Carolina Medicaid claims and enrollment data.
Author(s): Anirban Chatterjee, Xuzhuo Zhao, Jihong Liu, et al.
Citation: Medical Care, 64(5), 298-309
Date: 03/2026
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Wastewater Surveillance for SARS-CoV-2 in Rural Kentucky, 2021–2023
Examines results from SARS-CoV-2 wastewater testing in majority rural Eastern Kentucky counties. Analyzes 818 wastewater samples to provide information on COVID-19 incidence from 2021 to 2023. Discusses how wastewater surveillance in rural communities can assist in describing disease levels.
Author(s): James W. Keck, Reuben Adatorwovor, Ann Noble, et al.
Citation: Viruses, 18(3), 282
Date: 02/2026
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Examines results from SARS-CoV-2 wastewater testing in majority rural Eastern Kentucky counties. Analyzes 818 wastewater samples to provide information on COVID-19 incidence from 2021 to 2023. Discusses how wastewater surveillance in rural communities can assist in describing disease levels.
Author(s): James W. Keck, Reuben Adatorwovor, Ann Noble, et al.
Citation: Viruses, 18(3), 282
Date: 02/2026
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From Expansion to Expiration: Federal Policy Waivers and Telehealth Utilization in US Primary Care (2016–2024)
Examines the impact of COVID-19 federal policy waivers on the long-term sustainability of telehealth access. Provides a scoping review of 2016-2024 articles focused on telehealth utilization for primary care, the removal of geographic restrictions in telehealth policy, and the subsequent impact on healthcare access for rural areas.
Author(s): Abhilasha Bellapu, John Geracitano, Jamie Conklin, Saif Khairat
Citation: Advances in Health Information Science and Practice, 2(1), eRCTG8117
Date: 02/2026
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Examines the impact of COVID-19 federal policy waivers on the long-term sustainability of telehealth access. Provides a scoping review of 2016-2024 articles focused on telehealth utilization for primary care, the removal of geographic restrictions in telehealth policy, and the subsequent impact on healthcare access for rural areas.
Author(s): Abhilasha Bellapu, John Geracitano, Jamie Conklin, Saif Khairat
Citation: Advances in Health Information Science and Practice, 2(1), eRCTG8117
Date: 02/2026
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COVID-19: Federal Efforts to Support Behavioral Health Programs During the Pandemic
Describes how selected Substance Abuse and Mental Health Services Administration (SAMHSA) awardees provided behavioral health services during the COVID-19 pandemic and how SAMHSA supported awardees' response to the pandemic. Discusses how SAMHSA's advisory councils and Policy Lab supported the agency's COVID-19 response. Includes rural references throughout.
Additional links: Full Report
Date: 02/2026
Sponsoring organization: Government Accountability Office
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Describes how selected Substance Abuse and Mental Health Services Administration (SAMHSA) awardees provided behavioral health services during the COVID-19 pandemic and how SAMHSA supported awardees' response to the pandemic. Discusses how SAMHSA's advisory councils and Policy Lab supported the agency's COVID-19 response. Includes rural references throughout.
Additional links: Full Report
Date: 02/2026
Sponsoring organization: Government Accountability Office
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Fourteen of Thirty Selected Indian Health Service and Rural Providers Did Not Comply or May Not Have Complied With Terms and Conditions and Federal Requirements for Expending Provider Relief Fund Payments
Examines whether 30 selected Indian Health Service (IHS) and rural providers that received Provider Relief Fund (PRF) payments spent funds in accordance with Federal and program requirements. Describes unallowable and potentially unallowable expenditures and inaccurately calculated or unsupported lost revenues and their causes. Presents recommendations for the Health Resources and Services Administration (HRSA) and HRSA's response.
Additional links: Report Highlights
Date: 02/2026
Sponsoring organization: Office of Inspector General (HHS)
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Examines whether 30 selected Indian Health Service (IHS) and rural providers that received Provider Relief Fund (PRF) payments spent funds in accordance with Federal and program requirements. Describes unallowable and potentially unallowable expenditures and inaccurately calculated or unsupported lost revenues and their causes. Presents recommendations for the Health Resources and Services Administration (HRSA) and HRSA's response.
Additional links: Report Highlights
Date: 02/2026
Sponsoring organization: Office of Inspector General (HHS)
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Rural-Urban Differences in Dental Care Utilization After a Public Health Emergency
Explores COVID-19-specific impacts on dental care access and utilization among rural and urban populations. Features demographics and statistics with breakdowns by rural and urban status.
Author(s): Quazi Minhaz Tabassum, Redwan Bin Abdul Baten, Ahmed A. Arif
Date: 02/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Explores COVID-19-specific impacts on dental care access and utilization among rural and urban populations. Features demographics and statistics with breakdowns by rural and urban status.
Author(s): Quazi Minhaz Tabassum, Redwan Bin Abdul Baten, Ahmed A. Arif
Date: 02/2026
Sponsoring organization: Rural and Underserved Health Research Center
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COVID-19 Antiviral Prescription Receipt Among Outpatients Aged ≥65 Years — United States, June 1, 2023–September 30, 2025
Reports on factors associated with receiving an antiviral prescription among adults aged 65 years or older diagnosed with COVID-19 in an outpatient setting. Includes data for urban and rural locations.
Author(s): Julia Raykin, Ilia Rochin, Ryan Wiegand, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(6), 69-76
Date: 02/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on factors associated with receiving an antiviral prescription among adults aged 65 years or older diagnosed with COVID-19 in an outpatient setting. Includes data for urban and rural locations.
Author(s): Julia Raykin, Ilia Rochin, Ryan Wiegand, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(6), 69-76
Date: 02/2026
Sponsoring organization: Centers for Disease Control and Prevention
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