Rural Health
Resources by Topic: Healthcare needs and services
Is Access to Primary Care Clinicians Improving in North Carolina? A 2025 Update
Blog post providing updated information on the ratio of North Carolina population to primary care clinicians. Provides county-level maps with shadings showing better or worse access to primary care as of 2025 and percentage change in access from 2017-2025.
Author(s): Evan Galloway
Date: 06/2026
Sponsoring organizations: Sheps Health Workforce NC, The Cecil G. Sheps Center for Health Services Research
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Blog post providing updated information on the ratio of North Carolina population to primary care clinicians. Provides county-level maps with shadings showing better or worse access to primary care as of 2025 and percentage change in access from 2017-2025.
Author(s): Evan Galloway
Date: 06/2026
Sponsoring organizations: Sheps Health Workforce NC, The Cecil G. Sheps Center for Health Services Research
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Syphilis Outbreak Field Outreach, Overdose Prevention, and Tribal Collaboration: Lessons Learned from Oklahoma State Department of Health
Details how the Oklahoma State Department of Health addressed a syphilis outbreak concurrently with overdose prevention efforts across rural, urban, and tribal areas via partnerships with the Southern Plains Tribal Health Board and other tribal and community organizations.
Date: 06/2026
Sponsoring organizations: National Association of County and City Health Officials, Oklahoma State Department of Health
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Details how the Oklahoma State Department of Health addressed a syphilis outbreak concurrently with overdose prevention efforts across rural, urban, and tribal areas via partnerships with the Southern Plains Tribal Health Board and other tribal and community organizations.
Date: 06/2026
Sponsoring organizations: National Association of County and City Health Officials, Oklahoma State Department of Health
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Beyond Maternal Mortality: How Severe Morbidity Reveals Policy Gaps in Maternal Care
Provides information about severe maternal morbidity (SMM) in the United States across sociodemographic groups and discusses possible policy interventions, including rural-specific strategies. Examines data on SMM with data broken down by year, state, medical condition, patient demographics, cost of delivery, insurance type, rurality, and hospital type of metro non-teaching, metro teaching, or rural.
Author(s): Eugene Declercq, Laurie C. Zephyrin
Date: 06/2026
Sponsoring organization: Commonwealth Fund
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Provides information about severe maternal morbidity (SMM) in the United States across sociodemographic groups and discusses possible policy interventions, including rural-specific strategies. Examines data on SMM with data broken down by year, state, medical condition, patient demographics, cost of delivery, insurance type, rurality, and hospital type of metro non-teaching, metro teaching, or rural.
Author(s): Eugene Declercq, Laurie C. Zephyrin
Date: 06/2026
Sponsoring organization: Commonwealth Fund
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A National Description of Emergency Medical Services Patient Utilization Patterns
Evaluates 9,508,809 emergency medical services encounters from 2024 to identify utilization patterns. Categorizes patients into single, moderate, high, and very-high utilization groups and explores various demographic and health conditions within those groups. Includes comparison of urban, rural, and super-rural areas for very-high utilization and single encounter groups.
Author(s): Antonio R. Fernandez, Jonathan Brent Myers, Scott S. Bourn, et al.
Citation: Health Affairs Scholar, 4(6)
Date: 06/2026
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Evaluates 9,508,809 emergency medical services encounters from 2024 to identify utilization patterns. Categorizes patients into single, moderate, high, and very-high utilization groups and explores various demographic and health conditions within those groups. Includes comparison of urban, rural, and super-rural areas for very-high utilization and single encounter groups.
Author(s): Antonio R. Fernandez, Jonathan Brent Myers, Scott S. Bourn, et al.
Citation: Health Affairs Scholar, 4(6)
Date: 06/2026
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Receipt of Glucagon-Like Peptide-1 Receptor Agonists Among Rural Patients with Obstructive Sleep Apnea and Excess Weight
Analyzes how receipt of Glucagon-Like Peptide-1 Receptor Agonists (GLP-1RAs) varies among rural and urban-dwelling veterans with obstructive sleep apnea and excess weight, using 2018-2023 Veterans Health Administration data.
Author(s): Aristotle G. Leonhard, Kevin Josey, Jason M. Castaneda, et al.
Citation: Annals of the American Thoracic Society, 23(7), 1087-1096
Date: 06/2026
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Analyzes how receipt of Glucagon-Like Peptide-1 Receptor Agonists (GLP-1RAs) varies among rural and urban-dwelling veterans with obstructive sleep apnea and excess weight, using 2018-2023 Veterans Health Administration data.
Author(s): Aristotle G. Leonhard, Kevin Josey, Jason M. Castaneda, et al.
Citation: Annals of the American Thoracic Society, 23(7), 1087-1096
Date: 06/2026
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Promoting Your Teaching Health Center Dental Residency
Toolkit offering strategies to reach dental students and encourage them to consider residency programs in Teaching Health Centers. Full access to toolkit requires a free 3RNET Employer account.
Date: 06/2026
Sponsoring organizations: 3RNET, THCGME.org, The Cecil G. Sheps Center for Health Services Research
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Toolkit offering strategies to reach dental students and encourage them to consider residency programs in Teaching Health Centers. Full access to toolkit requires a free 3RNET Employer account.
Date: 06/2026
Sponsoring organizations: 3RNET, THCGME.org, The Cecil G. Sheps Center for Health Services Research
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Barriers and Solutions to Effective Mental Health Services in Rural Schools: A Delphi Study
Examines strategies to provide effective school-based mental health services in rural areas. Utilizes feedback from 30 rural educators and discusses issues such as behavioral health workforce shortages, stigma, limited access to services, infrastructure problems, community partnership needs, classroom social-emotional learning, and more.
Author(s): Rawn Boulden, Anna Simmons
Citation: The Rural Educator, 47(3), 37-46
Date: 06/2026
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Examines strategies to provide effective school-based mental health services in rural areas. Utilizes feedback from 30 rural educators and discusses issues such as behavioral health workforce shortages, stigma, limited access to services, infrastructure problems, community partnership needs, classroom social-emotional learning, and more.
Author(s): Rawn Boulden, Anna Simmons
Citation: The Rural Educator, 47(3), 37-46
Date: 06/2026
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Resourcefulness, Ingenuity, and Community Strengths in Meeting Rural Youth Mental Health Needs: A Multiple Case Study
Examines how rural schools strategize to meet mental health needs of their students. Utilizes interview and focus group data from 133 educators regarding their experiences of maximizing school resources, providing staff development and training, and developing social-emotional curricula.
Author(s): Aaron Leo, Jessie Tobin, Paul Guay, Kristen Campbell Wilcox
Citation: The Rural Educator, 47(3), 47-64
Date: 06/2026
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Examines how rural schools strategize to meet mental health needs of their students. Utilizes interview and focus group data from 133 educators regarding their experiences of maximizing school resources, providing staff development and training, and developing social-emotional curricula.
Author(s): Aaron Leo, Jessie Tobin, Paul Guay, Kristen Campbell Wilcox
Citation: The Rural Educator, 47(3), 47-64
Date: 06/2026
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Inpatient Outcomes and Complications After Left Atrial Appendage Occlusion in Rural Versus Urban Hospitals in the United States
Examines how outcomes and complications of left atrial appendage occlusion for treatment of atrial fibrillation differed by rural or urban hospital location, using 2016-2020 National Inpatient Sample data.
Author(s): Amanda Nguyen, Muhammad Zia Khan, Joseph Neely, et al.
Citation: Clinical Cardiology, 49(7), e70397
Date: 06/2026
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Examines how outcomes and complications of left atrial appendage occlusion for treatment of atrial fibrillation differed by rural or urban hospital location, using 2016-2020 National Inpatient Sample data.
Author(s): Amanda Nguyen, Muhammad Zia Khan, Joseph Neely, et al.
Citation: Clinical Cardiology, 49(7), e70397
Date: 06/2026
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2024 Preparedness Profile Study
Provides an overview of local health department (LHD) readiness in addressing emergencies and threats. Includes data on percentage of LHDs that focus on issues related to workforce, partnerships, preparedness capacity, and preparedness response activity, with select data broken down by small, medium, and large LHDs.
Author(s): Chloe Garofalini, Kellie Perkins, Krishna Patel, et al.
Date: 06/2026
Sponsoring organization: National Association of County and City Health Officials
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Provides an overview of local health department (LHD) readiness in addressing emergencies and threats. Includes data on percentage of LHDs that focus on issues related to workforce, partnerships, preparedness capacity, and preparedness response activity, with select data broken down by small, medium, and large LHDs.
Author(s): Chloe Garofalini, Kellie Perkins, Krishna Patel, et al.
Date: 06/2026
Sponsoring organization: National Association of County and City Health Officials
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