Rural Health
Resources by Topic: Healthcare needs and services
2025 Kentucky Drug Overdose Fatality Report
Offers statistics on drug overdose deaths in Kentucky in 2025, based on autopsy and toxicology reports. Features demographics and statistics with breakdowns by type of drug and age-adjusted mortality rates by county. Includes county-level maps with shadings indicating numbers of deaths involving methamphetamine and fentanyl, and markings to show Appalachian counties.
Author(s): Meghan Steel, Mira Mirzaian, Lara Daniels
Date: 04/2026
Sponsoring organizations: Kentucky Injury Prevention and Research Center, Kentucky Public Health Association, Team Kentucky Justice and Public Safety Cabinet, University of Kentucky College of Public Health
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Offers statistics on drug overdose deaths in Kentucky in 2025, based on autopsy and toxicology reports. Features demographics and statistics with breakdowns by type of drug and age-adjusted mortality rates by county. Includes county-level maps with shadings indicating numbers of deaths involving methamphetamine and fentanyl, and markings to show Appalachian counties.
Author(s): Meghan Steel, Mira Mirzaian, Lara Daniels
Date: 04/2026
Sponsoring organizations: Kentucky Injury Prevention and Research Center, Kentucky Public Health Association, Team Kentucky Justice and Public Safety Cabinet, University of Kentucky College of Public Health
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MedPAC Comment on CMS's Proposed Rule on Inpatient Rehabilitation Facility for FY 2027
Comments on an April 6, 2026, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2026. Includes comments on the potential creation of an IRF-specific wage index and refinements to the IRF payment system, such as changes to IRF patient clinical classification. Includes rural considerations throughout.
Date: 04/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 6, 2026, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2026. Includes comments on the potential creation of an IRF-specific wage index and refinements to the IRF payment system, such as changes to IRF patient clinical classification. Includes rural considerations throughout.
Date: 04/2026
Sponsoring organization: Medicare Payment Advisory Commission
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County-Level Social Determinants of Health and Suicide Mortality Trends Among Formerly Incarcerated Persons in North Carolina, 2010–2018
Assesses how county-level factors including educational attainment, unemployment, poverty, aging, racial composition, and rurality are associated with suicide mortality among formerly incarcerated people in North Carolina. Features statistics including mortality rate per 100,000 with breakdowns by year from 2010-2018 and rural or urban county.
Author(s): Monica E. Swilley-Martinez, Brian W. Pence, Kate Vinita Fitch, et al.
Citation: Heath & Justice, 14, 20
Date: 04/2026
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Assesses how county-level factors including educational attainment, unemployment, poverty, aging, racial composition, and rurality are associated with suicide mortality among formerly incarcerated people in North Carolina. Features statistics including mortality rate per 100,000 with breakdowns by year from 2010-2018 and rural or urban county.
Author(s): Monica E. Swilley-Martinez, Brian W. Pence, Kate Vinita Fitch, et al.
Citation: Heath & Justice, 14, 20
Date: 04/2026
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Multi-Listing among Rural Kidney Transplant Recipients: A National Cohort Study
Explores the efficacy of multi-listing, or being added to waiting lists at more than two centers, for rural people who qualify for a kidney transplant as a method for improving rural transplantation rates. Breaks down data by patients characteristics of both recipients and donors and whether they were multi-listed prior to transplant.
Author(s): Erin R. Weeda, Arwen B. L. Declan, Patricia J. Greene, Derek A. DuBay
Citation: Journal of Rural Health, 42(2), e70156
Date: 04/2026
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Explores the efficacy of multi-listing, or being added to waiting lists at more than two centers, for rural people who qualify for a kidney transplant as a method for improving rural transplantation rates. Breaks down data by patients characteristics of both recipients and donors and whether they were multi-listed prior to transplant.
Author(s): Erin R. Weeda, Arwen B. L. Declan, Patricia J. Greene, Derek A. DuBay
Citation: Journal of Rural Health, 42(2), e70156
Date: 04/2026
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Characteristics of Firearm Injuries among Rural-Versus Urban-Residing Veterans Who Presented to VA Healthcare, 2010-2019
Presents a study using administrative data and electronic health records from VA health systems to compare firearm injuries among rural and urban veterans. Breaks down rural and urban veteran data by patient characteristics, such as age, marital status, and behavioral health diagnoses, among others.
Author(s): AnnaMarie S. O'Neill, Lauren A. Maxim, Tess A. Gilbert, et al.
Citation: Journal of Rural Health, 42(2), e70153
Date: 04/2026
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Presents a study using administrative data and electronic health records from VA health systems to compare firearm injuries among rural and urban veterans. Breaks down rural and urban veteran data by patient characteristics, such as age, marital status, and behavioral health diagnoses, among others.
Author(s): AnnaMarie S. O'Neill, Lauren A. Maxim, Tess A. Gilbert, et al.
Citation: Journal of Rural Health, 42(2), e70153
Date: 04/2026
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Driver Electronic Device Use in 2024
National data on driver use of electronic devices from 2015-2024. Features statistics on percentage of drivers holding cellphones to their ears, speaking with visible headsets, and visibly manipulating handheld devices while driving, with breakdowns including age, sex, race, and urban or rural location. Includes tables listing states banning texting and use of handheld cellphones while driving, as of June 2024.
Date: 04/2026
Sponsoring organization: National Highway Traffic Safety Administration
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National data on driver use of electronic devices from 2015-2024. Features statistics on percentage of drivers holding cellphones to their ears, speaking with visible headsets, and visibly manipulating handheld devices while driving, with breakdowns including age, sex, race, and urban or rural location. Includes tables listing states banning texting and use of handheld cellphones while driving, as of June 2024.
Date: 04/2026
Sponsoring organization: National Highway Traffic Safety Administration
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Coping Power-Rural: A Pilot Study of the Two-Tiered Preventive Intervention Focused on Addressing Transdiagnostic Needs in Rural Schools
Examines a pilot study of the Coping Power-Rural program, a mental health program designed for elementary and middle school students living in rural areas. Reports on the impact of the program with pre- and post-test data from school staff and students, focused on issues such as conduct problems, internalizing problems, teacher efficacy, burnout, family involvement, and more.
Author(s): Catherine P. Bradshaw, Courtney G. Newman, Katelyn Birchfield, et al.
Citation: School Mental Health
Date: 04/2026
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Examines a pilot study of the Coping Power-Rural program, a mental health program designed for elementary and middle school students living in rural areas. Reports on the impact of the program with pre- and post-test data from school staff and students, focused on issues such as conduct problems, internalizing problems, teacher efficacy, burnout, family involvement, and more.
Author(s): Catherine P. Bradshaw, Courtney G. Newman, Katelyn Birchfield, et al.
Citation: School Mental Health
Date: 04/2026
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Emergency Department Visits and Deaths Due to ATV Crashes - Alaska, 2019 - 2024
Describes the geographic distribution, age range, and injury type of 4,421 all-terrain vehicle (ATVs) related emergency department visits in Alaska between 2019 and 2024. Discusses frequent use of ATVs in rural Alaska and offers safety messaging for use in intervention initiatives.
Author(s): Joe McLaughlin, Jared Parrish
Date: 04/2026
Sponsoring organization: Alaska Department of Health
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Describes the geographic distribution, age range, and injury type of 4,421 all-terrain vehicle (ATVs) related emergency department visits in Alaska between 2019 and 2024. Discusses frequent use of ATVs in rural Alaska and offers safety messaging for use in intervention initiatives.
Author(s): Joe McLaughlin, Jared Parrish
Date: 04/2026
Sponsoring organization: Alaska Department of Health
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A Closer Look at Rural Nursing Homes
Compares characteristics of nursing homes in rural and urban areas including patient population data, distribution, and ownership. Also discusses payer mix, healthcare quality, and staffing levels. Highlights changes between 2015 and 2025 for some data.
Author(s): Priya Chidambaram, Alice Burns, Robin Rudowitz
Date: 04/2026
Sponsoring organization: KFF
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Compares characteristics of nursing homes in rural and urban areas including patient population data, distribution, and ownership. Also discusses payer mix, healthcare quality, and staffing levels. Highlights changes between 2015 and 2025 for some data.
Author(s): Priya Chidambaram, Alice Burns, Robin Rudowitz
Date: 04/2026
Sponsoring organization: KFF
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Expanding Zero Suicide: Qualitative Assessment of Community Mental Health Center Partnerships Supporting Rural Suicide Prevention
Examines the impact of the Zero Suicide framework and its ability to promote community mental health supports. Utilizes semi-structured interview feedback from Zero Suicide organizations served by a Community Mental Health Center (CMHC) and discusses suicide prevention partnerships, information sharing, and staffing in rural areas.
Author(s): Ryan Marawala, Thomas Delaney
Citation: Community Mental Health Journal
Date: 04/2026
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Examines the impact of the Zero Suicide framework and its ability to promote community mental health supports. Utilizes semi-structured interview feedback from Zero Suicide organizations served by a Community Mental Health Center (CMHC) and discusses suicide prevention partnerships, information sharing, and staffing in rural areas.
Author(s): Ryan Marawala, Thomas Delaney
Citation: Community Mental Health Journal
Date: 04/2026
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