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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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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Where Medicaid Finances Births in Arkansas
Provides a map showing what percent of births were financed via Medicaid by county in Arkansas. Discusses the role of Medicaid in supporting maternal health.
Author(s): Elizabeth (Izzy) Montgomery
Date: 03/2026
Sponsoring organization: Arkansas Center for Health Improvement
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Provides a map showing what percent of births were financed via Medicaid by county in Arkansas. Discusses the role of Medicaid in supporting maternal health.
Author(s): Elizabeth (Izzy) Montgomery
Date: 03/2026
Sponsoring organization: Arkansas Center for Health Improvement
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Rural Specialty Care for Veterans with the Chronic Overlapping Pain Conditions: Fibromyalgia, Migraine, or Irritable Bowel Syndrome
Presents a study on rural veterans' access to specialty care for chronic overlapping pain conditions (COPCs), such as fibromyalgia, migraine, and irritable bowel syndrome (IBS). Explores the role of rural residence and primary care site access plays in veterans' ability to receive specialty care for COPCs. Breaks down data by patient characteristics, chronic pain conditions, care site, and provider type, among other factors.
Author(s): Katherine Hadlandsmyth, Mary A. Driscoll, Jenna L. Adamowicz, et al.
Citation: Journal of Rural Health, 42(1), e70132
Date: 03/2026
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Presents a study on rural veterans' access to specialty care for chronic overlapping pain conditions (COPCs), such as fibromyalgia, migraine, and irritable bowel syndrome (IBS). Explores the role of rural residence and primary care site access plays in veterans' ability to receive specialty care for COPCs. Breaks down data by patient characteristics, chronic pain conditions, care site, and provider type, among other factors.
Author(s): Katherine Hadlandsmyth, Mary A. Driscoll, Jenna L. Adamowicz, et al.
Citation: Journal of Rural Health, 42(1), e70132
Date: 03/2026
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Rural Health Transformation Program: State Focus on Primary Care
Describes primary care initiatives addressed in state Rural Health Transformation Program applications. Covers payment and delivery systems, the primary care workforce, community partners, technology upgrades to reduce barriers to care, and infrastructure and seed funding.
Author(s): Maddy Hraber, Katie Green
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Describes primary care initiatives addressed in state Rural Health Transformation Program applications. Covers payment and delivery systems, the primary care workforce, community partners, technology upgrades to reduce barriers to care, and infrastructure and seed funding.
Author(s): Maddy Hraber, Katie Green
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Resilience to Stigma in Medical, Social, and Employment Contexts among People Who Inject Drugs in Rural Ohio: Adapting the 10-Item Connor-Davidson Resilience Scale
Explores the role stigma related to drug use and HIV plays in the lives of people who inject drugs (PWID) and aims to build resilience in medical, social, and employment contexts for PWID in rural Appalachian Ohio. Presents results from a series of interviews and a qualitative survey placing participants on the Connor-Davidson Resilience Scale.
Author(s): Madison N. Enderle, Rebecca H. Neiberg, Stacy M. Endres-Dighe, et al.
Citation: AIDS and Behavior, 30, 894-906
Date: 03/2026
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Explores the role stigma related to drug use and HIV plays in the lives of people who inject drugs (PWID) and aims to build resilience in medical, social, and employment contexts for PWID in rural Appalachian Ohio. Presents results from a series of interviews and a qualitative survey placing participants on the Connor-Davidson Resilience Scale.
Author(s): Madison N. Enderle, Rebecca H. Neiberg, Stacy M. Endres-Dighe, et al.
Citation: AIDS and Behavior, 30, 894-906
Date: 03/2026
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Increasing Uptake of Diabetes Self-Management Education and Support (DSMES) in Rural Kentucky Primary Care Clinics: Findings From a Pilot Pragmatic Cluster-Randomized Trial
Provides findings from a quality improvement pilot study focused on increasing diabetes self-management education and support (DSMES) uptake via coaching and technical assistance in rural Kentucky primary care clinics.
Author(s): Mary E. Lacy, Jessica Elliott, Vance Drakeford, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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Provides findings from a quality improvement pilot study focused on increasing diabetes self-management education and support (DSMES) uptake via coaching and technical assistance in rural Kentucky primary care clinics.
Author(s): Mary E. Lacy, Jessica Elliott, Vance Drakeford, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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MedPAC Report to the Congress: Medicare Payment Policy, 2026
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D. Includes mandated reports on the impact of regulatory changes to the home health prospective payment system and dual-eligible special needs plans.
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D. Includes mandated reports on the impact of regulatory changes to the home health prospective payment system and dual-eligible special needs plans.
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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