Rural Health
Resources by Topic: Healthcare needs and 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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Significant Mediation by Sadness and Self-Injury Is Observed in Associations Between County-Level Cyberbullying Victimization and Youth Suicidality in Rural New York State
Explores the relationship between cyberbullying, traditional bullying, and suicidality in rural counties in New York State. Highlights rates of bullying and cyberbullying, self-harm, recreational screen time, and other measures by demographic characteristic data.
Author(s): Laura E. Jones, Riya Nadkarni, Nicole Krupa
Citation: Journal of Affective Disorders, 401(15), 121270
Date: 05/2026
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Explores the relationship between cyberbullying, traditional bullying, and suicidality in rural counties in New York State. Highlights rates of bullying and cyberbullying, self-harm, recreational screen time, and other measures by demographic characteristic data.
Author(s): Laura E. Jones, Riya Nadkarni, Nicole Krupa
Citation: Journal of Affective Disorders, 401(15), 121270
Date: 05/2026
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Influenza and COVID-19 Vaccination Coverage Among Health Care Personnel — United States, 2024–25 Respiratory Virus Season
Reports on influenza and COVID-19 vaccination coverage during the 2024-2025 respiratory virus season among healthcare personnel working in hospitals, ambulatory care, long-term care/home health, and other clinical settings. Includes data by workplace location for rural and urban areas.
Author(s): Mehreen Meghani, Zhuping Garacci, Hilda Razzaghi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(12), 164-171
Date: 04/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on influenza and COVID-19 vaccination coverage during the 2024-2025 respiratory virus season among healthcare personnel working in hospitals, ambulatory care, long-term care/home health, and other clinical settings. Includes data by workplace location for rural and urban areas.
Author(s): Mehreen Meghani, Zhuping Garacci, Hilda Razzaghi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(12), 164-171
Date: 04/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Rural-Urban Trends in Pediatric Emergency Department Visits for Ambulatory Care Sensitive Conditions from 2016-2019
Examines trends in pediatric emergency department visits for ambulatory care sensitive conditions (ACSCs), including gastroenteritis, urinary tract infection, asthma, and diabetes, and discusses the role of primary care access in reducing ACSC-related hospitalizations. Provides data breakdowns by level of rurality and year, race and ethnicity, and health condition using 2016-2019 State Emergency Department Databases (SEDD) data.
Author(s): Marvellous Akinlotan, Nima Khodakarami, Alva O. Ferdinand
Date: 04/2026
Sponsoring organization: Southwest Rural Health Research Center
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Examines trends in pediatric emergency department visits for ambulatory care sensitive conditions (ACSCs), including gastroenteritis, urinary tract infection, asthma, and diabetes, and discusses the role of primary care access in reducing ACSC-related hospitalizations. Provides data breakdowns by level of rurality and year, race and ethnicity, and health condition using 2016-2019 State Emergency Department Databases (SEDD) data.
Author(s): Marvellous Akinlotan, Nima Khodakarami, Alva O. Ferdinand
Date: 04/2026
Sponsoring organization: Southwest Rural Health Research Center
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Is Medicare Home Health Care Utilization Substituting for Long-Term Care? Evidence From Dual Eligible Beneficiaries
Examines the relationship between Medicaid home and community-based services (HCBS) and Medicare community-initiated home health care (CIHHC). Utilizes 2016-2019 national Medicare and Medicaid claims data of dually enrolled older adults and analyzes the effects of Medicaid HCBS use on the utilization of Medicare CIHHC. Includes comparisons of HCBS users and non-HCBS users with breakdowns by demographics and rural versus urban county classification.
Author(s): Mingyu Qi, Rachel M. Werner, Megan Huisingh-Scheetz, R. Tamara Konetzka
Citation: Health Services Research, 61(2), e70109
Date: 04/2026
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Examines the relationship between Medicaid home and community-based services (HCBS) and Medicare community-initiated home health care (CIHHC). Utilizes 2016-2019 national Medicare and Medicaid claims data of dually enrolled older adults and analyzes the effects of Medicaid HCBS use on the utilization of Medicare CIHHC. Includes comparisons of HCBS users and non-HCBS users with breakdowns by demographics and rural versus urban county classification.
Author(s): Mingyu Qi, Rachel M. Werner, Megan Huisingh-Scheetz, R. Tamara Konetzka
Citation: Health Services Research, 61(2), e70109
Date: 04/2026
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Post-Hospital Access to Preferred and High-Quality Skilled Nursing Facilities for Patients With Opioid Use Disorder
Examines access to preferred and high-quality skilled nursing facilities (SNFs) among Medicare beneficiaries with opioid use disorder (OUD). Utilizes 2017-2021 Medicare inpatient claims data to analyze 6,490,593 patients with OUD and their likelihood to enter preferred and high-quality SNFs according to patient demographics and urbanicity of metro, micro, small town, or rural.
Author(s): Talia S. Benheim, Momotazur Rahman, Andrew R. Zullo, et al.
Citation: Health Services Research, 61(2), e70110
Date: 04/2026
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Examines access to preferred and high-quality skilled nursing facilities (SNFs) among Medicare beneficiaries with opioid use disorder (OUD). Utilizes 2017-2021 Medicare inpatient claims data to analyze 6,490,593 patients with OUD and their likelihood to enter preferred and high-quality SNFs according to patient demographics and urbanicity of metro, micro, small town, or rural.
Author(s): Talia S. Benheim, Momotazur Rahman, Andrew R. Zullo, et al.
Citation: Health Services Research, 61(2), e70110
Date: 04/2026
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Prioritizing High-Volume Repair Hospitals with Ruptured Abdominal Aortic Aneurysms, for Rural and Nonrural Patients
Examines associations between in-hospital ruptured abdominal aortic aneurysm (rAAA) mortality, hospital rAAA repair volume, patient rurality, and patient transfer status, using 2015-2020 Healthcare Cost and Utilization Project State Inpatient Database (HCUP SID) data of 1,744 patients who underwent rAAA repair in New York and Florida.
Author(s): Neha H. Shetty, Hasan Nassereldine, Kristina E. Rudd, et al.
Citation: Journal of Vascular Surgery, 83(4), 1089-1099
Date: 04/2026
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Examines associations between in-hospital ruptured abdominal aortic aneurysm (rAAA) mortality, hospital rAAA repair volume, patient rurality, and patient transfer status, using 2015-2020 Healthcare Cost and Utilization Project State Inpatient Database (HCUP SID) data of 1,744 patients who underwent rAAA repair in New York and Florida.
Author(s): Neha H. Shetty, Hasan Nassereldine, Kristina E. Rudd, et al.
Citation: Journal of Vascular Surgery, 83(4), 1089-1099
Date: 04/2026
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Racial and Ethnic Disparities in Access to Acute Stroke Capabilities in California: Association with Rurality and Telestroke Access
Examines disparities in presentation to emergency departments (EDs) with or without acute stroke capability among patients with acute stroke by race and ethnicity, and variations in these associations by patient rurality and ED telestroke status, using 2021 NEDI-California and NEDI-USA survey data.
Author(s): Kori S. Zachrison, Renee Y. Hsia, Krislyn M. Boggs, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 35(4), 108607
Date: 04/2026
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Examines disparities in presentation to emergency departments (EDs) with or without acute stroke capability among patients with acute stroke by race and ethnicity, and variations in these associations by patient rurality and ED telestroke status, using 2021 NEDI-California and NEDI-USA survey data.
Author(s): Kori S. Zachrison, Renee Y. Hsia, Krislyn M. Boggs, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 35(4), 108607
Date: 04/2026
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Prenatal Vitamin D Levels and Postpartum Hemorrhage in a Rural Alaska Cohort
Examines the relationship between vitamin D levels during pregnancy and postpartum bleeding in a rural, Alaska Native/American Indian (AN/AI) population living in southwestern Alaska. Utilizes 2017-2019 data from 1,343 pregnancies to analyze levels of blood loss according to labor and delivery factors, obstetrics history, and pregnancy characteristics. Discusses strategies such as vitamin D supplementation and universal screening to address population health needs.
Author(s): Reinou S. Groen, Julie A. Beans, Gretchen Day, et al.
Citation: International Journal of Gynecology & Obstetrics, 173(1), 403-410
Date: 04/2026
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Examines the relationship between vitamin D levels during pregnancy and postpartum bleeding in a rural, Alaska Native/American Indian (AN/AI) population living in southwestern Alaska. Utilizes 2017-2019 data from 1,343 pregnancies to analyze levels of blood loss according to labor and delivery factors, obstetrics history, and pregnancy characteristics. Discusses strategies such as vitamin D supplementation and universal screening to address population health needs.
Author(s): Reinou S. Groen, Julie A. Beans, Gretchen Day, et al.
Citation: International Journal of Gynecology & Obstetrics, 173(1), 403-410
Date: 04/2026
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Can a Participant-Referred "Study Buddy" Increase Retention of Rural People Who Use Drugs in Research? A Multi-Site, Randomized Trial
Presents a study exploring the efficacy of an intervention aiming to increase retention of rural people who use drugs (PWUD) participating in randomized trials. Highlights an intervention involving participant recruitment of a support person, or "study buddy", to aid in the their continued participation in the study. Compares the efficacy of this intervention with standard retention practices.
Author(s): April M. Young, Kathryn E. Lancaster, Miriam R. Elman, et al.
Citation: Addiction, 121(4), 894-907
Date: 04/2026
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Presents a study exploring the efficacy of an intervention aiming to increase retention of rural people who use drugs (PWUD) participating in randomized trials. Highlights an intervention involving participant recruitment of a support person, or "study buddy", to aid in the their continued participation in the study. Compares the efficacy of this intervention with standard retention practices.
Author(s): April M. Young, Kathryn E. Lancaster, Miriam R. Elman, et al.
Citation: Addiction, 121(4), 894-907
Date: 04/2026
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