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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Calendar Year (CY) 2026 Medicare Physician Fee Schedule Final Rule (CMS-1832-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2026. Summarizes provisions related to telehealth services; improving care for chronic illness and behavioral health needs; Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) care coordination services, services requiring direct supervision, and telecommunication services; and more.
Date: 10/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Greater Physician Supply Associated with Lower Mortality in Rural Counties: A 23-Year County-Level Longitudinal Observational Study
Examines the relationship between increasing the primary care physician supply in rural areas and corresponding mortality rates. Provides data from a study conducted between 1992-2014 and analyzes rural versus urban trends in mortality rates and physician supply. Discusses rural healthcare practitioner workforce needs, rural versus urban healthcare disparities, and access to care.
Author(s): Nasim B. Ferdows, Cyrus Kosar, Orestis Panagiotou, Momotazur Rahman
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 10/2025
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Caregiving in the US 2025: Caring Across States
Offers data on caregivers including demographics, tasks performed, finances and employment, and wellness. Includes rural, suburban, and urban breakdown for caregivers in 32 states.
Additional links: State-Specific Findings
Date: 10/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
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What Drives Advanced Practice Nurses to Stay in Rural America? Insights From the 2022 National Survey of Registered Nurses
Presents a study on the factors influencing rural advanced practice registered nurses (APRNs) to leave their jobs or stay working in rural communities. Draws data from the 2022 National Sample Survey of Registered Nurses. Explores factors such as burnout, proximity to family, and cost of living, among others, that can contribute to whether or not APRNs stay in rural communities.
Author(s): Esita Patel, Chris Gillette, Jan Ostermann, et al.
Citation: Journal of Rural Health, 41(4), e70088
Date: 10/2025
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National Outcomes of Increasing Cervical Cancer Screening in Federally Qualified Health Centers
Analyzes the population served by Federally Qualified Health Centers (FQHCs) in 2023 to determine the number of adults underscreened for cervical cancer and how improving screenings in FQHCs would impact meeting a Healthy People 2030 goal. Includes rural and urban comparisons in addition to other sociodemographic factors.
Author(s): Trisha L. Amboree, Prajakta Adsul, Haluk Damgacioglu, et al.
Citation: JAMA Network Open, 8(10)
Date: 10/2025
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Sociodemographic Predictors of County-Level Mammography Screening Rates in the United States
Examines the relationship between mammography screening rates and county-level sociodemographic variables. Utilizes 2024 data to analyze screening engagement by demographic breakdowns, rurality, and county. Includes county-level U.S. map showing percentage of the population engaging in recommended screenings.
Author(s): Randy C. Miles, Caroline J. Walsh, Nhat-Tuan Tran, et al.
Citation: Radiology: Imaging Cancer, 7(6)
Date: 10/2025
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"Gives Us Peace of Mind for Keeping Our Hands Clean": Targeted Handwashing Intervention Increases Water Use and Hand Hygiene in Rural Alaska
Highlights a study on the hygiene outcomes of an intervention that installed Miniature Portable Alternative Sanitation System (Mini-PASS) handwashing stations in 14 rural Alaska Native communities. Details the lack of in-home water service in rural Alaska and the related health consequences. Evaluates the Mini-PASS intervention's outcomes in terms of handwashing station utilization and household water use.
Author(s): Amanda Hansen, Gretchen Day, Marla Wehrli, Laura Eichelberger
Citation: International Journal of Circumpolar Health, 84(1), 2569761
Date: 10/2025
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Disparities in Geographic Access to Cardiac Rehabilitation among Socially Vulnerable Communities
Examines geographic and social disparities regarding access to cardiac rehabilitation (CR) care. Analyzes the relationship between CR access and social vulnerability, focusing on county CR availability, population size, distance to CR services, percentage without health insurance, and more. Includes metro versus rural county comparisons and discusses the role of rurality in CR access.
Author(s): Edward W. Chen, Wen‐Chih Wu, Ling Han, et al.
Citation: Journal of the American Heart Association,14, 20
Date: 10/2025
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Financial Challenges of Providing Obstetric Services at Rural US Hospitals
Presents a study on the financial challenges faced by rural hospitals operating obstetric units. Bases findings on survey data from hospital administrators detailing financial factors such as payer mix, fixed costs, and workforce, among other measures.
Author(s): C.E. Busse, K. O'Hanlon, K.B. Kozhimannil, J.D. Interrante
Citation: Journal of Rural Health, 41(4), e70082
Date: 10/2025
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Barriers to Health Care among Rural Adults by Disability Status
Examines various barriers to healthcare access for rural adults with a disability. Utilizes 2022 National Health Interview Survey data to analyze rural adults with disabilities compared to rural adults without disabilities, with further breakdowns by demographic and socioeconomic variables as well as delayed healthcare due to cost, inability to afford prescription medication, clinic hours or availability, transportation, travel time, or insurance status.
Author(s): Alexis Swendener, Mariana Tuttle, Ingrid Jacobson, et al.
Citation: Journal of Rural Health, 41(2), e70086
Date: 10/2025
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