Rural Health
Resources by Topic: Healthcare facilities
Preventing Medical Debt among Rural Residents: Example Programs from Hospitals in Minnesota and Montana
Highlights the ways some rural hospitals are working to reduce medical debt for their patients. Presents a number of strategies from hospitals in Minnesota and Montana that aim to reduce patient medical debts through financial assistance programs and cost-cutting measures. Features case studies reviewing the structure of each hospital's debt reduction efforts.
Author(s): Katie Rydberg, Sushma Shankar, Mariana Tuttle, Carrie Henning-Smith
Date: 06/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Highlights the ways some rural hospitals are working to reduce medical debt for their patients. Presents a number of strategies from hospitals in Minnesota and Montana that aim to reduce patient medical debts through financial assistance programs and cost-cutting measures. Features case studies reviewing the structure of each hospital's debt reduction efforts.
Author(s): Katie Rydberg, Sushma Shankar, Mariana Tuttle, Carrie Henning-Smith
Date: 06/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Associations Between Rural Hospital Closures and Acute and Post-Acute Care Access and Outcomes
Examines the impact of rural hospital closures on hospital and post-acute care (PAC) use and outcomes. Analyzes 32 rural hospital closures and county-level impacts on travel distances, lengths of stay at hospitals, hospital charges, PAC episodes, fall injuries and related mortality and hospitalizations, and population-level hospitalization and death rates. Includes descriptive statistics of 2014-2018 rural hospital closure status.
Author(s): Geoffrey J. Hoffman, Jinkyung Ha, Zhaohui Fan, Jun Li
Citation: Health Services Research, 60(3), e14426
Date: 06/2025
view details
Examines the impact of rural hospital closures on hospital and post-acute care (PAC) use and outcomes. Analyzes 32 rural hospital closures and county-level impacts on travel distances, lengths of stay at hospitals, hospital charges, PAC episodes, fall injuries and related mortality and hospitalizations, and population-level hospitalization and death rates. Includes descriptive statistics of 2014-2018 rural hospital closure status.
Author(s): Geoffrey J. Hoffman, Jinkyung Ha, Zhaohui Fan, Jun Li
Citation: Health Services Research, 60(3), e14426
Date: 06/2025
view details
Iowa Community Health Centers and Value-Based Care
Describes how Iowa Primary Care Association (Iowa PCA) and two sister organizations, IowaHealth+ and INConcertCare, pursued value-based care opportunities before joining the Medicare Shared Savings Program. Discusses the network's Medicaid value-based care contract; a partnership with Main Street Health to expand value-based contracting and provide more comprehensive, integrated primary care to patients with Medicare Advantage; data analytics; strategic planning and roadmaps; and next steps.
Date: 06/2025
Sponsoring organization: Rural Health Value
view details
Describes how Iowa Primary Care Association (Iowa PCA) and two sister organizations, IowaHealth+ and INConcertCare, pursued value-based care opportunities before joining the Medicare Shared Savings Program. Discusses the network's Medicaid value-based care contract; a partnership with Main Street Health to expand value-based contracting and provide more comprehensive, integrated primary care to patients with Medicare Advantage; data analytics; strategic planning and roadmaps; and next steps.
Date: 06/2025
Sponsoring organization: Rural Health Value
view details
Obstetric Care in Rural Critical Access Hospitals: A Domestic Application of the World Health Organization Emergency Obstetric Care Framework in Rural Communities
Examines emergency obstetric readiness in rural Critical Access Hospitals (CAHs) that do not have obstetric units. Reports on facility assessments in Montana utilizing the World Health Organization (WHO) Emergency Obstetric Care (EmOC) framework to assess CAHs for emergency obstetric care readiness.
Author(s): Annie L. Glover, Diane Brown, Carly Holman, Megan Nelson
Citation: Journal of Rural Health, 41(2), e70037
Date: 05/2025
view details
Examines emergency obstetric readiness in rural Critical Access Hospitals (CAHs) that do not have obstetric units. Reports on facility assessments in Montana utilizing the World Health Organization (WHO) Emergency Obstetric Care (EmOC) framework to assess CAHs for emergency obstetric care readiness.
Author(s): Annie L. Glover, Diane Brown, Carly Holman, Megan Nelson
Citation: Journal of Rural Health, 41(2), e70037
Date: 05/2025
view details
Evaluating Nature-Based Versus Generic Physical Activity Programs to Address Chronic Health Conditions: Lessons from an Oregon (USA) Pilot Study
Describes the design, implementation, and results of a "nature prescription" program for patients with chronic health conditions in 2 rural Oregon clinics. Discusses recruitment strategies, participant engagement, burdens on clinics, and more. Highlights lessons learned and recommendations for research design in similar studies.
Author(s): Randall Bluffstone, Ma Chan, Cort Cox, et al.
Citation: Forests, 16(5)
Date: 05/2025
view details
Describes the design, implementation, and results of a "nature prescription" program for patients with chronic health conditions in 2 rural Oregon clinics. Discusses recruitment strategies, participant engagement, burdens on clinics, and more. Highlights lessons learned and recommendations for research design in similar studies.
Author(s): Randall Bluffstone, Ma Chan, Cort Cox, et al.
Citation: Forests, 16(5)
Date: 05/2025
view details
School-Based Health Centers and School Attendance in Rural Areas
Examines the relationship between the availability of School-Based Health Centers (SBHCs) and student absenteeism in rural areas. Analyzes 66,303 students from kindergarten to 12th grade for absenteeism in districts with a SBHC and those without a SBHC.
Author(s): Chris Kjolhede, Wendy M. Brunner, John W. Sipple
Citation: JAMA Network Open, 8(5), e2510083
Date: 05/2025
view details
Examines the relationship between the availability of School-Based Health Centers (SBHCs) and student absenteeism in rural areas. Analyzes 66,303 students from kindergarten to 12th grade for absenteeism in districts with a SBHC and those without a SBHC.
Author(s): Chris Kjolhede, Wendy M. Brunner, John W. Sipple
Citation: JAMA Network Open, 8(5), e2510083
Date: 05/2025
view details
Community Health Centers: Leading Innovation in Health Care
Presents graphs, charts, and data highlighting services provided by Community Health Centers, characteristics of the patients served, and progress made in improving access to healthcare. Reports on health centers' historical growth and recent trends, financial health, healthcare screening and disease prevention, management of chronic diseases, maternal and child health, workforce and service utilization, health information technology, and more. Includes urban-rural comparisons and maps with data by state throughout.
Author(s): Sarah Hurlbert, Mahima Singeetham, Amy Flowers
Date: 05/2025
Sponsoring organization: National Association of Community Health Centers
view details
Presents graphs, charts, and data highlighting services provided by Community Health Centers, characteristics of the patients served, and progress made in improving access to healthcare. Reports on health centers' historical growth and recent trends, financial health, healthcare screening and disease prevention, management of chronic diseases, maternal and child health, workforce and service utilization, health information technology, and more. Includes urban-rural comparisons and maps with data by state throughout.
Author(s): Sarah Hurlbert, Mahima Singeetham, Amy Flowers
Date: 05/2025
Sponsoring organization: National Association of Community Health Centers
view details
Barriers and Facilitators to Implementing a Technology-Enhanced Psychiatric Collaborative Care Model among Rural Primary Care Sites: A Mixed-Methods Implementation Case Study
Examines the process of implementing a telehealth psychiatric collaborative care management (CoCM) model in rural South Carolina clinics. Utilizes mixed-methods data to examine workflow development, telehealth platform configuration, provider teams, implementation assessment, and more.
Author(s): Ryan Kruis, Emily Johnson, Constance Guille, et al.
Citation: BMC Primary Care, 26, 177
Date: 05/2025
view details
Examines the process of implementing a telehealth psychiatric collaborative care management (CoCM) model in rural South Carolina clinics. Utilizes mixed-methods data to examine workflow development, telehealth platform configuration, provider teams, implementation assessment, and more.
Author(s): Ryan Kruis, Emily Johnson, Constance Guille, et al.
Citation: BMC Primary Care, 26, 177
Date: 05/2025
view details
Wait Times for Medical Appointments among Adults Age 50 and Older
Reports on wait times and distance to healthcare services in rural and urban communities, utilizing data from a February 2025 survey of 1,012 adults age 50 or older. Breaks down data by level of rurality, type of facility, and type of care provided.
Additional links: Annotated Questionnaire
Author(s): Teresa A. Keenan
Date: 05/2025
Sponsoring organization: AARP
view details
Reports on wait times and distance to healthcare services in rural and urban communities, utilizing data from a February 2025 survey of 1,012 adults age 50 or older. Breaks down data by level of rurality, type of facility, and type of care provided.
Additional links: Annotated Questionnaire
Author(s): Teresa A. Keenan
Date: 05/2025
Sponsoring organization: AARP
view details
Impact of Hospital Closure on Rural Communities: A Qualitative Study
Examines the impact of rural hospital closure on access to care, and identifies ways that rural communities adapt to hospital closures. Utilizes interview excerpts from 25 informants examining themes related to pre-closure conditions, impacts on communities and health systems, and actions by communities, states, health systems, and emergency medical services.
Author(s): Redwan Bin Abdul Baten, Mina Shrestha, Fred Ullrich, Whitney Zahnd, Keith J. Mueller
Date: 05/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Examines the impact of rural hospital closure on access to care, and identifies ways that rural communities adapt to hospital closures. Utilizes interview excerpts from 25 informants examining themes related to pre-closure conditions, impacts on communities and health systems, and actions by communities, states, health systems, and emergency medical services.
Author(s): Redwan Bin Abdul Baten, Mina Shrestha, Fred Ullrich, Whitney Zahnd, Keith J. Mueller
Date: 05/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details