Rural Health
Resources by Topic: Health disparities
Impact of COVID-19 on Clinical Trials Costs to Patients
Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Type: Document
Sponsoring organization: Mathematica
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Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Type: Document
Sponsoring organization: Mathematica
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Access to Maternity Care: Challenges and Solutions For Improving Equity Across US Communities
Examines access issues related to maternity care in the U.S., with a focus on disparities seen in racial minorities and rural areas. Discusses impacts of obstetric facility closures and the importance of policy and funding to support maternal health equity.
Author(s): Katy B. Kozhimannila, Julia D. Interrantea, Alecia J. McGregor
Citation: Current Opinion in Obstetrics and Gynecology
Date: 11/2024
Type: Document
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Examines access issues related to maternity care in the U.S., with a focus on disparities seen in racial minorities and rural areas. Discusses impacts of obstetric facility closures and the importance of policy and funding to support maternal health equity.
Author(s): Katy B. Kozhimannila, Julia D. Interrantea, Alecia J. McGregor
Citation: Current Opinion in Obstetrics and Gynecology
Date: 11/2024
Type: Document
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Advancing Health Equity in Rural, Tribal, and Geographically Isolated Communities: FY2024 Year in Review
Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2024 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers six priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2024 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers six priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Supply and Geographic Distribution of Geriatric Physicians and Geriatric Nurse Practitioners
Results of a study to explore trends in the supply of geriatric physicians (GMDs) and geriatric nurse practitioners (GNPs) from 2010 to 2020, and disparities between metropolitan and nonmetropolitan counties. Features county-level maps showing geographic trends in older adults, GMDs, and GNPs among U.S. counties in 2010 and 2020, and statistics with breakdowns by metropolitan and nonmetropolitan counties.
Author(s): Ying Xue, Lusine Poghosyan, Qinyun Lin
Citation: JAMA Network Open, 7(11), e2444659
Date: 11/2024
Type: Document
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Results of a study to explore trends in the supply of geriatric physicians (GMDs) and geriatric nurse practitioners (GNPs) from 2010 to 2020, and disparities between metropolitan and nonmetropolitan counties. Features county-level maps showing geographic trends in older adults, GMDs, and GNPs among U.S. counties in 2010 and 2020, and statistics with breakdowns by metropolitan and nonmetropolitan counties.
Author(s): Ying Xue, Lusine Poghosyan, Qinyun Lin
Citation: JAMA Network Open, 7(11), e2444659
Date: 11/2024
Type: Document
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2024 Rural-Urban Disparities in Health Care in Medicare
Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2023, with breakdowns by race and ethnicity. Describes trends in quality of care for rural and urban residents between 2017 and 2023.
Date: 11/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2023, with breakdowns by race and ethnicity. Describes trends in quality of care for rural and urban residents between 2017 and 2023.
Date: 11/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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New Mexico State Health Assessment, 2024
Assesses the health status of New Mexicans, identifies health needs and priorities, and details actions and strategies supporting public health in New Mexico. Highlights rural and tribal health and access disparities for select topics, including COVID-19, missing and murdered indigenous people, geographic access to healthcare and other services, and more.
Date: 11/2024
Type: Document
Sponsoring organization: New Mexico Department of Health
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Assesses the health status of New Mexicans, identifies health needs and priorities, and details actions and strategies supporting public health in New Mexico. Highlights rural and tribal health and access disparities for select topics, including COVID-19, missing and murdered indigenous people, geographic access to healthcare and other services, and more.
Date: 11/2024
Type: Document
Sponsoring organization: New Mexico Department of Health
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High-Risk Rural Surgical Patients and Poor Access to Elective Colorectal Cancer Surgery: Insight for Multilevel Intervention for Rural America
Examines factors associated with poor access to elective colorectal cancer (CRC) surgery for rural patients, utilizing 2007-2020 National Inpatient Sample data for 69,212 CRC surgery-related hospitalizations. Breaks down data by race and ethnicity, sex, age, insurance type, region, rural or urban facility, and other demographic, clinical, and facility factors. Discusses access barriers and health disparities experienced by rural populations.
Author(s): Yanick Tadé, Jillian Timperley, Danielle Dilsaver, et al.
Citation: Journal of Gastrointestinal Surgery, 28(11), 1883-1889
Date: 11/2024
Type: Document
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Examines factors associated with poor access to elective colorectal cancer (CRC) surgery for rural patients, utilizing 2007-2020 National Inpatient Sample data for 69,212 CRC surgery-related hospitalizations. Breaks down data by race and ethnicity, sex, age, insurance type, region, rural or urban facility, and other demographic, clinical, and facility factors. Discusses access barriers and health disparities experienced by rural populations.
Author(s): Yanick Tadé, Jillian Timperley, Danielle Dilsaver, et al.
Citation: Journal of Gastrointestinal Surgery, 28(11), 1883-1889
Date: 11/2024
Type: Document
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Medical Debt in Collections among Counties by Rural- Urban Location and Racial-Ethnic Composition
Highlights a study exploring the burden of medical debt in collections held by people in rural and urban counties and communities of color. Breaks down the data by rural and urban counties and adjusts rates for income nationally and for communities of color.
Author(s): Alexis Swendener, Hannah MacDougall, Ingrid Jacobson, et al.
Date: 11/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Highlights a study exploring the burden of medical debt in collections held by people in rural and urban counties and communities of color. Breaks down the data by rural and urban counties and adjusts rates for income nationally and for communities of color.
Author(s): Alexis Swendener, Hannah MacDougall, Ingrid Jacobson, et al.
Date: 11/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Access to Health Care in Rural America: Current Trends and Key Challenges
Highlights patterns in insurance coverage and uninsurance rates in rural and urban areas, explores non-financial challenges in accessing care faced by rural residents, and describes disparities in health outcomes between urban and rural areas. Features statistics on number of uninsured rural non-elderly adults by state, in 2010 and 2023.
Author(s): Gina Turrini, Eden Volkov, Christie Peters, Nancy De Lew, Thomas Buchmueller
Date: 10/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Highlights patterns in insurance coverage and uninsurance rates in rural and urban areas, explores non-financial challenges in accessing care faced by rural residents, and describes disparities in health outcomes between urban and rural areas. Features statistics on number of uninsured rural non-elderly adults by state, in 2010 and 2023.
Author(s): Gina Turrini, Eden Volkov, Christie Peters, Nancy De Lew, Thomas Buchmueller
Date: 10/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Resources for Dental Care Workforce in Health Centers
Discusses access to oral health in Federally Qualified Health Centers (FQHCs) and disparities experienced by underserved populations in rural and low-income communities. Provides examples and strategies from communities to effectively train, secure, and maximize the oral health workforce.
Additional links: 11 Shining Star Case Examples, State Policies & Strategies Brief Table, State Policies & Strategies Brief: Strengthen and Expand the Dental Workforce in Health Centers, State Policies & Strategies Guide: Strengthen and Expand The Dental Workforce In Health Centers
Date: 10/2024
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Discusses access to oral health in Federally Qualified Health Centers (FQHCs) and disparities experienced by underserved populations in rural and low-income communities. Provides examples and strategies from communities to effectively train, secure, and maximize the oral health workforce.
Additional links: 11 Shining Star Case Examples, State Policies & Strategies Brief Table, State Policies & Strategies Brief: Strengthen and Expand the Dental Workforce in Health Centers, State Policies & Strategies Guide: Strengthen and Expand The Dental Workforce In Health Centers
Date: 10/2024
Type: Document
Sponsoring organization: National Association of Community Health Centers
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