Rural Health
Resources by Topic: Emergency medical services
The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Ambulance Deserts and Health Care Deserts
Story maps illustrating the intersection of ambulance deserts and rural healthcare deserts in 2020 across 41 states. Maps include the locations of hospitals, Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs). Presents data on the number and percent of rural residents living in ambulance deserts and healthcare deserts in each state and by region. Builds on a 2023 chartbook, Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services.
Author(s): Yvonne Jonk, Tyler DeAngelis, Celia Jewell, Thomas Griffin, Heidi O'Connor
Date: 04/2026
Sponsoring organization: Northeast Rural Health Research Center
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Story maps illustrating the intersection of ambulance deserts and rural healthcare deserts in 2020 across 41 states. Maps include the locations of hospitals, Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs). Presents data on the number and percent of rural residents living in ambulance deserts and healthcare deserts in each state and by region. Builds on a 2023 chartbook, Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services.
Author(s): Yvonne Jonk, Tyler DeAngelis, Celia Jewell, Thomas Griffin, Heidi O'Connor
Date: 04/2026
Sponsoring organization: Northeast Rural Health Research Center
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March 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2026 meeting. Covers research and proposals related to the Medicare ground ambulance data collection system, access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease and beneficiaries with cancer, provider participation in Medicare Advantage (MA) networks, MA encounter data in risk adjustment, the complexity of Medicare enrollment decisions for beneficiaries, and Medicare Part B premium payment basics. Includes rural references and considerations throughout.
Additional links: Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2026 meeting. Covers research and proposals related to the Medicare ground ambulance data collection system, access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease and beneficiaries with cancer, provider participation in Medicare Advantage (MA) networks, MA encounter data in risk adjustment, the complexity of Medicare enrollment decisions for beneficiaries, and Medicare Part B premium payment basics. Includes rural references and considerations throughout.
Additional links: Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Study of the Feasibility and Desirability of Establishing a Delinquent Billing Reimbursement Grant System for Ambulance Service Providers - Survey Results & Overview
Presents a the results of a study on the feasibility of implementing a grant-funded reimbursement system for ambulance service providers in North Dakota. Explores the financial stability of North Dakota's EMS providers under the fee-for-service model and highlights gaps and shortfalls in reimbursement. Discusses the effect of these reimbursement issues in both rural and urban areas.
Date: 02/2026
Sponsoring organizations: North Dakota Department of Health and Human Services, North Dakota EMS Association, North Dakota Legislative Council
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Presents a the results of a study on the feasibility of implementing a grant-funded reimbursement system for ambulance service providers in North Dakota. Explores the financial stability of North Dakota's EMS providers under the fee-for-service model and highlights gaps and shortfalls in reimbursement. Discusses the effect of these reimbursement issues in both rural and urban areas.
Date: 02/2026
Sponsoring organizations: North Dakota Department of Health and Human Services, North Dakota EMS Association, North Dakota Legislative Council
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Geospatial Structural Isolation Analysis of Emergency Services in New York State
Examines access to emergency healthcare across rural New York State. Utilizes geospatial analysis to analyze hospital isolation, inter-facility spacing, travel time catchments, coverage responsibilities, and more. Includes state-level maps showing location of emergency services, coverage area of the most isolated healthcare facilities, and catchment areas for healthcare facilities with emergency access along with populations served.
Author(s): Brandon Bedenbender
Citation: Journal of Rural Health, 42(1), e70126
Date: 02/2026
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Examines access to emergency healthcare across rural New York State. Utilizes geospatial analysis to analyze hospital isolation, inter-facility spacing, travel time catchments, coverage responsibilities, and more. Includes state-level maps showing location of emergency services, coverage area of the most isolated healthcare facilities, and catchment areas for healthcare facilities with emergency access along with populations served.
Author(s): Brandon Bedenbender
Citation: Journal of Rural Health, 42(1), e70126
Date: 02/2026
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Telemedicine in Rural EMS: Expanding Capabilities and Scope
Discusses the integration of telemedicine and emergency medical services (EMS) for improving rural health outcomes by connecting EMS with trauma specialists and expanding what is available as prehospital care. Describes the workforce, equipment, and infrastructure needs.
Author(s): Andrew Dreiser
Citation: EMS World, 2026
Date: 02/2026
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Discusses the integration of telemedicine and emergency medical services (EMS) for improving rural health outcomes by connecting EMS with trauma specialists and expanding what is available as prehospital care. Describes the workforce, equipment, and infrastructure needs.
Author(s): Andrew Dreiser
Citation: EMS World, 2026
Date: 02/2026
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Plugged in to Public Health: Rural Health Beyond the Mainland; Transportation, Access, and Care in Hawaii
Discusses how transportation influences healthcare access in rural Hawaii. Describes how geographic isolation and transportation barriers influence access to primary and preventive care and create high demand for emergency medical services, and details policy implications related to public transit, non-emergency medical transportation, and greater access to primary care. Transcript available below audio player.
Author(s): Lauren Lavin, John Desfor
Date: 02/2026
Sponsoring organization: University of Iowa College of Public Health
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Discusses how transportation influences healthcare access in rural Hawaii. Describes how geographic isolation and transportation barriers influence access to primary and preventive care and create high demand for emergency medical services, and details policy implications related to public transit, non-emergency medical transportation, and greater access to primary care. Transcript available below audio player.
Author(s): Lauren Lavin, John Desfor
Date: 02/2026
Sponsoring organization: University of Iowa College of Public Health
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"It's a Last Straw Situation"; Overdose Response and Preferences for Seeking Support from Emergency Services During Overdose in Rural Ohio
Explores the perceptions and preferences of people in rural Ohio affected by the opioid epidemic about contacting first responders during an overdose. Bases findings on a survey of 43 rural people who have experienced or witnessed an overdose on the factors they considered when deciding whether or not to call 911.
Author(s): David C. Colston, Vivian F. Go, Clare Barrington, et al.
Citation: PLOS One, 21(1), e0338689
Date: 01/2026
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Explores the perceptions and preferences of people in rural Ohio affected by the opioid epidemic about contacting first responders during an overdose. Bases findings on a survey of 43 rural people who have experienced or witnessed an overdose on the factors they considered when deciding whether or not to call 911.
Author(s): David C. Colston, Vivian F. Go, Clare Barrington, et al.
Citation: PLOS One, 21(1), e0338689
Date: 01/2026
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Simulation on Wheels: How Mobile Training Is Saving Lives in Rural Iowa
Podcast episode that discusses Simulation in Motion-Iowa (SIM-IA), a mobile clinical education program that provides rural hospitals and emergency medical service (EMS) professionals training experience in healthcare emergencies. Discusses the importance of SIM-IA in rural healthcare education to promote quality and patient safety in EMS and trauma situations.
Author(s): Tom Haederle, Jacinda Bunch, Tina Eden
Date: 01/2026
Sponsoring organization: American Hospital Association
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Podcast episode that discusses Simulation in Motion-Iowa (SIM-IA), a mobile clinical education program that provides rural hospitals and emergency medical service (EMS) professionals training experience in healthcare emergencies. Discusses the importance of SIM-IA in rural healthcare education to promote quality and patient safety in EMS and trauma situations.
Author(s): Tom Haederle, Jacinda Bunch, Tina Eden
Date: 01/2026
Sponsoring organization: American Hospital Association
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Rural Health Transformation Program State Application Summary: State-level Initiatives & Proposed Activities
Summarizes focus areas for each state in the applications for the Rural Health Transformation Program and highlights common themes across all applications.
Date: 12/2025
Sponsoring organization: National Rural Health Association
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Summarizes focus areas for each state in the applications for the Rural Health Transformation Program and highlights common themes across all applications.
Date: 12/2025
Sponsoring organization: National Rural Health Association
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