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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Positive Outliers: How Some Rural Communities Maintain Access to Labor and Delivery Services
Explores healthcare providers' approaches to ensuring maternal care access in rural Texas, Oklahoma, Alabama, and Mississippi. Provides case studies on the role of rural hospitals and clinics in providing labor and delivery services, discusses financial and logistical challenges faced by providers, and details funding, policy, and service delivery strategies supporting continued access.
Author(s): Sarah Klein, Molly Castle Work
Date: 10/2025
Sponsoring organizations: Bassett Research Institute, Commonwealth Fund
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Nurse-Directed Coordination of Cancer Survivorship Care in a Tribal Primary Care Clinic
Examines the feasibility of a nurse cancer care coordinator intervention focused on improving cancer care at a tribally-operated primary care clinic in the Choctaw Nation of Oklahoma. Provides data on survivorship care plans, cancer-related distress, time spent on coordination activities, and other aspects of program implementation via a trial utilizing data of 23 American Indian intervention participants.
Author(s): Amber S. Anderson-Buettner, Kathleen A. Dwyer, Zsolt J. Nagykaldi, et al.
Citation: BMC Primary Care, 26, 334
Date: 10/2025
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2010-2023 County-Level Hospital-Based Obstetric Care Status
County-level dataset containing the county Federal Information Processing Standard (FIPS) code, county, state, and indicator of whether each county had hospital-based obstetrics care in years 2010-2023. Available for download as an XLS file.
Author(s): Julia D. Interrante, Emily C. Sheffield, Kevan O'Hanlon, Katy Kozhimannil
Date: 10/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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An Enhanced Method for Identifying Hospital-Based Obstetric Unit Status, Version 2 with Addendum
Results of a study using data from American Hospital Association annual surveys from 2010-2018 to conduct single- and multi-year assessments of obstetric unit status and to identify closures of obstetric units. Compares results obtained through the enhanced method with results of a survey sample of rural hospitals with obstetric units open at the time of the assessment and those with recently closed units. Addendum describes methodology updates since a previously published January 2022 report as well as additional findings using 2010-2023 data.
Additional links: An Enhanced Method for Identifying Hospital-Based Obstetric Unit Status (Version 1, 2022)
Author(s): Julia D. Interrante, Caitlin Carroll, Emily C. Sheffield, et al.
Date: 10/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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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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South Carolina Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in South Carolina in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 10/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Minnesota Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Minnesota in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 10/2025
Sponsoring organization: WWAMI Rural Health Research Center
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