Rural Health
Resources by Topic: Healthcare needs and services
Model Standards for Crisis Care Workers
Proposes national standards for crisis care workers responding to the 988 Suicide and Crisis Lifeline and other behavioral health hotlines. Outlines 10 different standards for crisis care workers, such as core values and competencies; education, training, and qualifications; and standards for supervision, among others. Discusses some considerations for rural communities, such as lack of transportation and workforce shortages.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Proposes national standards for crisis care workers responding to the 988 Suicide and Crisis Lifeline and other behavioral health hotlines. Outlines 10 different standards for crisis care workers, such as core values and competencies; education, training, and qualifications; and standards for supervision, among others. Discusses some considerations for rural communities, such as lack of transportation and workforce shortages.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Association Between Social Determinants of Health and Cardiovascular Risk in Pregnant Women, United States
Examines the relationship between cardiovascular health (CVH) in pregnant women and the social determinants of health (SDOH). Utilizes 2016-2020 Pregnancy Risk Assessment and Monitoring System (PRAMS) survey data and analyzes CVH risk according to patient demographics, health behaviors, social determinants, rural residence, and more.
Author(s): Shazia Shaukat, Jennifer Horney, Xiaopeng Ji, Christine Hoch, Lauren Covington
Citation: Preventing Chronic Disease, 23
Date: 02/2026
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Examines the relationship between cardiovascular health (CVH) in pregnant women and the social determinants of health (SDOH). Utilizes 2016-2020 Pregnancy Risk Assessment and Monitoring System (PRAMS) survey data and analyzes CVH risk according to patient demographics, health behaviors, social determinants, rural residence, and more.
Author(s): Shazia Shaukat, Jennifer Horney, Xiaopeng Ji, Christine Hoch, Lauren Covington
Citation: Preventing Chronic Disease, 23
Date: 02/2026
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Geographic Distribution of Gastroenterologists and Patients with Inflammatory Bowel Disease in the United States
Analyzes the geographic distribution of gastroenterologists alongside patients with inflammatory bowel disease (IBD). Provides ratios on the availability of gastroenterologists per 100,000 people in the general population and per 100 patients with IBD. Includes data on rurality of gastroenterologists and patients as well as U.S. maps showing their distribution.
Author(s): Navneet Upadhyay, Aisha Vadhariya, Magdaliz Gorritz, et al.
Citation: Clinical and Translational Gastroenterology 17(2), e00953
Date: 02/2026
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Analyzes the geographic distribution of gastroenterologists alongside patients with inflammatory bowel disease (IBD). Provides ratios on the availability of gastroenterologists per 100,000 people in the general population and per 100 patients with IBD. Includes data on rurality of gastroenterologists and patients as well as U.S. maps showing their distribution.
Author(s): Navneet Upadhyay, Aisha Vadhariya, Magdaliz Gorritz, et al.
Citation: Clinical and Translational Gastroenterology 17(2), e00953
Date: 02/2026
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Methamphetamine Use, Mental Health Comorbidities, and Treatment in Rural and Urban Areas, 2016-2019
Examines the prevalence of methamphetamine use by level of rurality and U.S. region, with data on methamphetamine use and mental illness, suicide and suicidal ideation, concurrent alcohol use, treatment for methamphetamine use disorder, method of use, and other relating to methamphetamine use prevalence and associated risks.
Author(s): Signe E. Burchim, Lisa A. Garberson, Sara C. Woolcock, et al.
Date: 02/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Examines the prevalence of methamphetamine use by level of rurality and U.S. region, with data on methamphetamine use and mental illness, suicide and suicidal ideation, concurrent alcohol use, treatment for methamphetamine use disorder, method of use, and other relating to methamphetamine use prevalence and associated risks.
Author(s): Signe E. Burchim, Lisa A. Garberson, Sara C. Woolcock, et al.
Date: 02/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Delivering Quality: Maternity Care Innovation in Critical Access Hospitals
Presents case studies of six Critical Access Hospitals (CAHs) that are high performers on maternity care quality measures. Summarizes interviews with leaders from each CAH regarding the benefits of their Perinatal Quality Collaboratives, use of safety bundles, training activities, and other successes in providing maternity care.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr, Mikayla Reinke
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Presents case studies of six Critical Access Hospitals (CAHs) that are high performers on maternity care quality measures. Summarizes interviews with leaders from each CAH regarding the benefits of their Perinatal Quality Collaboratives, use of safety bundles, training activities, and other successes in providing maternity care.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr, Mikayla Reinke
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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State Medicaid & CHIP Toolkit for Children's Behavioral Health Services and the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Requirements
Toolkit designed to support state Medicaid and CHIP agencies in ensuring that children and youth experiencing behavioral health conditions get the care they need under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) requirements. Offers state examples within each strategy and sub-strategy presented. Includes rural considerations throughout.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Toolkit designed to support state Medicaid and CHIP agencies in ensuring that children and youth experiencing behavioral health conditions get the care they need under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) requirements. Offers state examples within each strategy and sub-strategy presented. Includes rural considerations throughout.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Geospatial Structural Isolation Analysis of Emergency Services in New York State
Examines access to emergency healthcare across rural New York State. Utilizes geospatial analysis to analyze hospital isolation, inter-facility spacing, travel time catchments, coverage responsibilities, and more. Includes state-level maps showing location of emergency services, coverage area of the most isolated healthcare facilities, and catchment areas for healthcare facilities with emergency access along with populations served.
Author(s): Brandon Bedenbender
Citation: Journal of Rural Health, 42(1), e70126
Date: 02/2026
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Examines access to emergency healthcare across rural New York State. Utilizes geospatial analysis to analyze hospital isolation, inter-facility spacing, travel time catchments, coverage responsibilities, and more. Includes state-level maps showing location of emergency services, coverage area of the most isolated healthcare facilities, and catchment areas for healthcare facilities with emergency access along with populations served.
Author(s): Brandon Bedenbender
Citation: Journal of Rural Health, 42(1), e70126
Date: 02/2026
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Bypass of Local Surgical Care in North Carolina: Patient-Directed Care Destination and Utilization
Examines patient bypass of nearest surgical hospital (NSH) in North Carolina. Utilizes 2016-2019 patient data to analyze bypassing of local surgery care according to rurality of NSH and facility characteristics, general surgery workforce density by county, and patient characteristics, including residence of metro, micro, small town, or rural area.
Author(s): Mustafa Abid, Tyler Malone, Mark Holmes, Anthony Charles
Citation: The American Surgeon
Date: 02/2026
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Examines patient bypass of nearest surgical hospital (NSH) in North Carolina. Utilizes 2016-2019 patient data to analyze bypassing of local surgery care according to rurality of NSH and facility characteristics, general surgery workforce density by county, and patient characteristics, including residence of metro, micro, small town, or rural area.
Author(s): Mustafa Abid, Tyler Malone, Mark Holmes, Anthony Charles
Citation: The American Surgeon
Date: 02/2026
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Nonventilator Hospital-Acquired Pneumonia: Prevalence and Hospital and Patient Characteristics, 2019-2023
Presents statistics on inpatient hospital stays involving nonventilator hospital-acquired pneumonia (NVHAP) between 2019-2023. Examines data by patient and hospital characteristics, including patient age group, urban or rural location, Critical Access Hospital status, and hospital ownership status.
Author(s): Rhona Limcangco, David P. Calfee, Melissa A. Miller
Date: 02/2026
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents statistics on inpatient hospital stays involving nonventilator hospital-acquired pneumonia (NVHAP) between 2019-2023. Examines data by patient and hospital characteristics, including patient age group, urban or rural location, Critical Access Hospital status, and hospital ownership status.
Author(s): Rhona Limcangco, David P. Calfee, Melissa A. Miller
Date: 02/2026
Sponsoring organization: Agency for Healthcare Research and Quality
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Usual Source of Care for Rural Medicare Fee-for-Service Beneficiaries in 2021
Explores Medicare fee-for-service (FFS) beneficiaries' usual source of care in 2021. Describes the types of facilities that serve as primary care providers for rural Medicare FFS beneficiaries. Compares the usual source of care for beneficiaries by demographic characteristics, including degree of rurality.
Author(s): Sruthi Malavika Srinivasan, Melissa Sandahl, Kristie Thompson, George Pink, Mark Holmes
Date: 02/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Explores Medicare fee-for-service (FFS) beneficiaries' usual source of care in 2021. Describes the types of facilities that serve as primary care providers for rural Medicare FFS beneficiaries. Compares the usual source of care for beneficiaries by demographic characteristics, including degree of rurality.
Author(s): Sruthi Malavika Srinivasan, Melissa Sandahl, Kristie Thompson, George Pink, Mark Holmes
Date: 02/2026
Sponsoring organization: North Carolina Rural Health Research Program
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