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Rural Health
Resources by Topic: Healthcare needs and services

Is Medicare Home Health Care Utilization Substituting for Long-Term Care? Evidence From Dual Eligible Beneficiaries
Examines the relationship between Medicaid home and community-based services (HCBS) and Medicare community-initiated home health care (CIHHC). Utilizes 2016-2019 national Medicare and Medicaid claims data of dually enrolled older adults and analyzes the effects of Medicaid HCBS use on the utilization of Medicare CIHHC. Includes comparisons of HCBS users and non-HCBS users with breakdowns by demographics and rural versus urban county classification.
Author(s): Mingyu Qi, Rachel M. Werner, Megan Huisingh-Scheetz, R. Tamara Konetzka
Citation: Health Services Research, 61(2), e70109
Date: 04/2026
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Post-Hospital Access to Preferred and High-Quality Skilled Nursing Facilities for Patients With Opioid Use Disorder
Examines access to preferred and high-quality skilled nursing facilities (SNFs) among Medicare beneficiaries with opioid use disorder (OUD). Utilizes 2017-2021 Medicare inpatient claims data to analyze 6,490,593 patients with OUD and their likelihood to enter preferred and high-quality SNFs according to patient demographics and urbanicity of metro, micro, small town, or rural.
Author(s): Talia S. Benheim, Momotazur Rahman, Andrew R. Zullo, et al.
Citation: Health Services Research, 61(2), e70110
Date: 04/2026
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Prioritizing High-Volume Repair Hospitals with Ruptured Abdominal Aortic Aneurysms, for Rural and Nonrural Patients
Examines associations between in-hospital ruptured abdominal aortic aneurysm (rAAA) mortality, hospital rAAA repair volume, patient rurality, and patient transfer status, using 2015-2020 Healthcare Cost and Utilization Project State Inpatient Database (HCUP SID) data of 1,744 patients who underwent rAAA repair in New York and Florida.
Author(s): Neha H. Shetty, Hasan Nassereldine, Kristina E. Rudd, et al.
Citation: Journal of Vascular Surgery, 83(4), 1089-1099
Date: 04/2026
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Racial and Ethnic Disparities in Access to Acute Stroke Capabilities in California: Association with Rurality and Telestroke Access
Examines disparities in presentation to emergency departments (EDs) with or without acute stroke capability among patients with acute stroke by race and ethnicity, and variations in these associations by patient rurality and ED telestroke status, using 2021 NEDI-California and NEDI-USA survey data.
Author(s): Kori S. Zachrison, Renee Y. Hsia, Krislyn M. Boggs, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 35(4), 108607
Date: 04/2026
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Prenatal Vitamin D Levels and Postpartum Hemorrhage in a Rural Alaska Cohort
Examines the relationship between vitamin D levels during pregnancy and postpartum bleeding in a rural, Alaska Native/American Indian (AN/AI) population living in southwestern Alaska. Utilizes 2017-2019 data from 1,343 pregnancies to analyze levels of blood loss according to labor and delivery factors, obstetrics history, and pregnancy characteristics. Discusses strategies such as vitamin D supplementation and universal screening to address population health needs.
Author(s): Reinou S. Groen, Julie A. Beans, Gretchen Day, et al.
Citation: International Journal of Gynecology & Obstetrics, 173(1), 403-410
Date: 04/2026
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Can a Participant-Referred "Study Buddy" Increase Retention of Rural People Who Use Drugs in Research? A Multi-Site, Randomized Trial
Presents a study exploring the efficacy of an intervention aiming to increase retention of rural people who use drugs (PWUD) participating in randomized trials. Highlights an intervention involving participant recruitment of a support person, or "study buddy", to aid in the their continued participation in the study. Compares the efficacy of this intervention with standard retention practices.
Author(s): April M. Young, Kathryn E. Lancaster, Miriam R. Elman, et al.
Citation: Addiction, 121(4), 894-907
Date: 04/2026
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HEARTLAND Protocol: A Tiered Clinical Implementation Toolkit for Primary Care-Led Heart Failure Management in Rural and Resource-Limited Settings
Presents a study on the efficacy of the HEARTLAND (Heart failure Evidence-based Access in Rural Treatment, Linking Advanced Network Delivery) protocol at managing heart failure (HF) in rural and low-resourced healthcare settings. Highlights the protocol's structure and the process by which it evaluates patient HF risk, establishes monitoring, and ensures continuity of care.
Author(s): Vicky Muller Ferreira
Citation: Cureus, 18(3), e104817
Date: 03/2026
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Access to Oral Health Care in California: Barriers and Opportunities
Issue brief summarizing the state of oral health care access in California and prior efforts to address this issue. Discusses geographic barriers for people in rural areas, and Dental Health Professional Shortage Areas in California.
Author(s): Miranda Davis, Elizabeth Mertz
Date: 03/2026
Sponsoring organization: Healthforce Center at UCSF
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Dental Therapy in the United States as a Public Health Imperative: Perspectives from the Front Lines
Presents a study aiming to describe the role dental therapists play in expanding oral healthcare and provide evidence highlighting the safety and effectiveness of dental therapy for communities lacking access to traditional dental care. Details how dental therapists have been used in tribal and rural communities.
Author(s): Kari Ann Kuntzelman, Andrea Jordan, Elizabeth Branca, et al.
Citation: Journal of Public Health Dentistry, 86(S1), 72-75
Date: 03/2026
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Expanding Oral Health Access and Equity: The Impact of Federally Qualified Health Centers
Presents a literature review aiming to understand the role of Federally Qualified Health Centers (FQHCs) in providing access to oral healthcare. Highlights different delivery methods, such as telehealth, oral health integration, and school-based and mobile health center programs. Discusses access barriers, such as rurality, among other factors.
Author(s): Irene Hilton, Candace L. H. Owen, Rachel Johnston, et al.
Citation: Journal of Public Health Dentistry, 86(S1), 48-53
Date: 03/2026
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