Rural Health
Resources by Topic: Hospitals
Early Adoption of Telehealth/Remote Patient Monitoring and Hospital Revenue Changes During COVID-19
Evaluates telehealth and remote patient monitoring use between 2019 and 2020 among 1,742 rural and urban hospitals to determine the impact of COVID-19 on utilization and revenue. Discusses potential policy measures given study findings.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Telemedicine and Telecare, 31(10)
Date: 12/2025
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Evaluates telehealth and remote patient monitoring use between 2019 and 2020 among 1,742 rural and urban hospitals to determine the impact of COVID-19 on utilization and revenue. Discusses potential policy measures given study findings.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Telemedicine and Telecare, 31(10)
Date: 12/2025
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Inpatient Utilization of Therapeutic Plasma Exchange in the United States: 2016-2021
Examines demographic and clinical variables associated with utilization of therapeutic plasma exchange (TPE) in the U.S. from 2016 to 2021. Utilizes national inpatient sample (NIS) data to analyze TPE utilization according to patient demographics, insurance type, discharge outcomes, clinical conditions, and hospital type, costs, region, bed size, and rurality.
Author(s): Jianling Tao, Sijie Zheng, Lusilda Agolli, et al.
Citation: Kidney Medicine, 7(11), 101105
Date: 11/2025
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Examines demographic and clinical variables associated with utilization of therapeutic plasma exchange (TPE) in the U.S. from 2016 to 2021. Utilizes national inpatient sample (NIS) data to analyze TPE utilization according to patient demographics, insurance type, discharge outcomes, clinical conditions, and hospital type, costs, region, bed size, and rurality.
Author(s): Jianling Tao, Sijie Zheng, Lusilda Agolli, et al.
Citation: Kidney Medicine, 7(11), 101105
Date: 11/2025
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Geriatric Emergency Department Accreditation for Rural Providers, with Kevin Biese and Natalie Elder
An episode of the Exploring Rural Health podcast featuring Kevin Biese, MD, Chair of the Board of the American College of Emergency Physicians Geriatric Emergency Accreditation program, and Natalie Elder, MD, Director of Geriatric Emergency Medicine for the University of Vermont Health Network. Focuses on the Geriatric Emergency Department Accreditation and the standards of rural geriatric care that it ensures.
Date: 11/2025
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Kevin Biese, MD, Chair of the Board of the American College of Emergency Physicians Geriatric Emergency Accreditation program, and Natalie Elder, MD, Director of Geriatric Emergency Medicine for the University of Vermont Health Network. Focuses on the Geriatric Emergency Department Accreditation and the standards of rural geriatric care that it ensures.
Date: 11/2025
Sponsoring organization: Rural Health Information Hub
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Rural & Safety Net Health Facilities in Arizona
Map of Arizona's Critical Access Hospitals, Indian Health Service and Tribal Facilities, Rural Health Clinics, and Federally Qualified Health Centers. Highlights FORHP rural area and USDA frontier and remote area definitions.
Date: 10/2025
Sponsoring organization: Arizona Center for Rural Health
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Map of Arizona's Critical Access Hospitals, Indian Health Service and Tribal Facilities, Rural Health Clinics, and Federally Qualified Health Centers. Highlights FORHP rural area and USDA frontier and remote area definitions.
Date: 10/2025
Sponsoring organization: Arizona Center for Rural Health
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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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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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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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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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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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The Evolving Role of Critical Access Hospitals in Rural Physician Training
Research letter examining prevalence of Critical Access Hospital (CAH)-based training and comparing CAHs with other rural teaching hospitals to evaluate potential for expansion. Features statistics on characteristics of training programs in CAHs and other rural teaching hospitals.
Author(s): Lori Rodefeld, Mukesh Adhikari, Catherine (Kasia) Horger, John Boll, Emily M. Hawes
Citation: JAMA Health Forum, 6(10), e254742
Date: 10/2025
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Research letter examining prevalence of Critical Access Hospital (CAH)-based training and comparing CAHs with other rural teaching hospitals to evaluate potential for expansion. Features statistics on characteristics of training programs in CAHs and other rural teaching hospitals.
Author(s): Lori Rodefeld, Mukesh Adhikari, Catherine (Kasia) Horger, John Boll, Emily M. Hawes
Citation: JAMA Health Forum, 6(10), e254742
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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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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Application of MODIFI to the Adaptation of a Complex, Multilevel Intervention to Enhance Access to High-Quality Cancer Services in Rural Cancer Hospitals
Examines the process of applying the University of Kentucky Markey Cancer Center Affiliate Network (MCCAN) intervention, aimed at establishing high quality cancer care, to a rural hospital context in Iowa. Discusses the process of adapting MCCAN using the Making Optimal Decisions for Intervention Flexibility (MODIFI) approach and related modifications to the intervention.
Author(s): Mary C. Schroeder, Sarah A. Birken, Ingrid M. Lizarraga, et al.
Citation: Implementation Science Communications, 6, 105
Date: 10/2025
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Examines the process of applying the University of Kentucky Markey Cancer Center Affiliate Network (MCCAN) intervention, aimed at establishing high quality cancer care, to a rural hospital context in Iowa. Discusses the process of adapting MCCAN using the Making Optimal Decisions for Intervention Flexibility (MODIFI) approach and related modifications to the intervention.
Author(s): Mary C. Schroeder, Sarah A. Birken, Ingrid M. Lizarraga, et al.
Citation: Implementation Science Communications, 6, 105
Date: 10/2025
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