Rural Health
Resources by Topic: Primary care
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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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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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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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 2025-2030 State Health Improvement Plan
Describes a plan for public health improvement in South Carolina. Identifies priorities, strategies, and metrics for topics including health outcomes, maternal and infant health, and behavioral health. Mentions rural throughout.
Date: 10/2025
Sponsoring organization: South Carolina Department of Public Health
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Describes a plan for public health improvement in South Carolina. Identifies priorities, strategies, and metrics for topics including health outcomes, maternal and infant health, and behavioral health. Mentions rural throughout.
Date: 10/2025
Sponsoring organization: South Carolina Department of Public Health
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Affordability of Health Professional Education: Proceedings of a Workshop Series—In Brief
Summarizes presentations and discussions from the National Academies Global Forum on Innovation in Health Professional Education, convened in early 2025 to explore financial barriers, assess workforce effects, and consider ways to improve the value and accessibility of health professional education. Discusses primary care workforce shortages and lack of training opportunities in rural areas.
Date: 10/2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Summarizes presentations and discussions from the National Academies Global Forum on Innovation in Health Professional Education, convened in early 2025 to explore financial barriers, assess workforce effects, and consider ways to improve the value and accessibility of health professional education. Discusses primary care workforce shortages and lack of training opportunities in rural areas.
Date: 10/2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Investing in Primary Care: The Nurse Practitioner Will See You Now
Describes opportunities to support advancement of preparation and growth for nurse practitioners (NPs) to meet the population's primary care needs. Explores the importance of NPs in rural and underserved communities, and Health Professional Shortage Areas.
Author(s): Jessica McCann, Margaret Flinter
Date: 10/2025
Sponsoring organization: Milbank Memorial Fund
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Describes opportunities to support advancement of preparation and growth for nurse practitioners (NPs) to meet the population's primary care needs. Explores the importance of NPs in rural and underserved communities, and Health Professional Shortage Areas.
Author(s): Jessica McCann, Margaret Flinter
Date: 10/2025
Sponsoring organization: Milbank Memorial Fund
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Transforming Rural Health Care Through Medicaid Innovation: Tip Sheet Series
Informational tip sheets discussing the use of Medicaid innovations to assist states in creating their Rural Health Transformation (RHT) Program applications. Covers issues such as behavioral health, school-based services, integrated care access, community health workers, community paramedicine, specialty care, and healthcare technology. Provides examples, strategies, Medicaid policy information, and resources.
Additional links: Improving Access to Integrated Care for Dually Eligible Individuals in Rural Areas, Leveraging Community Health Workers to Address Rural Health Care Needs, Leveraging Community Paramedicine to Address Rural Health Needs, Leveraging Peers and Lay Counselors to Address Behavioral Health Care Workforce Shortages in Rural Areas, Using Project ECHO to Deliver Specialty Care in Rural Areas, Using School-Based Services to Improve Access to Preventive Health Care for Children in Rural Areas, Using Tech-Enabled Solutions to Improve Care Quality and Access in Rural Areas
Author(s): Molly Knowles, Nancy Archibald, Karla Silverman, Lauren Scannelli Jacobs
Date: 10/2025
Sponsoring organization: Center for Health Care Strategies
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Informational tip sheets discussing the use of Medicaid innovations to assist states in creating their Rural Health Transformation (RHT) Program applications. Covers issues such as behavioral health, school-based services, integrated care access, community health workers, community paramedicine, specialty care, and healthcare technology. Provides examples, strategies, Medicaid policy information, and resources.
Additional links: Improving Access to Integrated Care for Dually Eligible Individuals in Rural Areas, Leveraging Community Health Workers to Address Rural Health Care Needs, Leveraging Community Paramedicine to Address Rural Health Needs, Leveraging Peers and Lay Counselors to Address Behavioral Health Care Workforce Shortages in Rural Areas, Using Project ECHO to Deliver Specialty Care in Rural Areas, Using School-Based Services to Improve Access to Preventive Health Care for Children in Rural Areas, Using Tech-Enabled Solutions to Improve Care Quality and Access in Rural Areas
Author(s): Molly Knowles, Nancy Archibald, Karla Silverman, Lauren Scannelli Jacobs
Date: 10/2025
Sponsoring organization: Center for Health Care Strategies
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Using Propensity-Score Matched Cohorts to Evaluate Career Outcomes for Medical Students Completing the Underserved Pathway
Results of a study comparing career outcomes of medical students who completed the Underserved Pathway (UP) at the University of Washington School of Medicine to a cohort of peers who did not complete the UP. Examines whether UP participants were more likely to practice in rural communities and/or primary care than their peers. Features demographics and statistics on factors associated with rural family medicine and rural primary care practices.
Author(s): Genya Shimkin, Kimberly Kardonsky, Alisse Cassell, et al.
Citation: Family Medicine, 57(9), 627-633
Date: 10/2025
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Results of a study comparing career outcomes of medical students who completed the Underserved Pathway (UP) at the University of Washington School of Medicine to a cohort of peers who did not complete the UP. Examines whether UP participants were more likely to practice in rural communities and/or primary care than their peers. Features demographics and statistics on factors associated with rural family medicine and rural primary care practices.
Author(s): Genya Shimkin, Kimberly Kardonsky, Alisse Cassell, et al.
Citation: Family Medicine, 57(9), 627-633
Date: 10/2025
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Beyond the Clinic Walls: Exploring the Potential of Mobile Health
Explores the use mobile health services to increase access to care and highlights opportunities to close evidence gaps. Summarizes the research on mobile health delivery in primary, specialty, and emergency care. Discusses rural concerns including for breast cancer screening, dentistry, acute stroke response, behavioral crisis interventions, and community paramedicine.
Additional links: Executive Summary
Author(s): Maanasa Kona, Julia Burleson, Leila Sullivan
Date: 09/2025
Sponsoring organizations: Center on Health Insurance Reforms, Georgetown University McCourt School of Public Policy
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Explores the use mobile health services to increase access to care and highlights opportunities to close evidence gaps. Summarizes the research on mobile health delivery in primary, specialty, and emergency care. Discusses rural concerns including for breast cancer screening, dentistry, acute stroke response, behavioral crisis interventions, and community paramedicine.
Additional links: Executive Summary
Author(s): Maanasa Kona, Julia Burleson, Leila Sullivan
Date: 09/2025
Sponsoring organizations: Center on Health Insurance Reforms, Georgetown University McCourt School of Public Policy
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Characteristics of Family Medicine Physician Associates/Assistants in the United States
Examines characteristics of physician associates/assistants (PAs) who work in family medicine (FM). Utilizes 2023 National Commission on Certification of PAs (NCCPA) data to analyze PAs in FM, PAs working outside of FM, PA demographics, urban versus rural employment setting, practice characteristics, and more.
Author(s): Bethany Grubb, Cynthia F. Griffith, Mirela Bruza-Augatis, Kasey Puckett, Andrzej Kozikowski
Citation: BMC Health Services Research, 25, 1220
Date: 09/2025
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Examines characteristics of physician associates/assistants (PAs) who work in family medicine (FM). Utilizes 2023 National Commission on Certification of PAs (NCCPA) data to analyze PAs in FM, PAs working outside of FM, PA demographics, urban versus rural employment setting, practice characteristics, and more.
Author(s): Bethany Grubb, Cynthia F. Griffith, Mirela Bruza-Augatis, Kasey Puckett, Andrzej Kozikowski
Citation: BMC Health Services Research, 25, 1220
Date: 09/2025
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Adverse Childhood Experiences and Preventive Health Care among Rural US Children: A Cross-Sectional Examination of 2022 National Health Interview Survey Data
Examines the relationship between preventative healthcare utilization and adverse childhood experiences (ACEs). Analyzes 2022 National Health Interview Survey data from 425 children residing in nonmetro locations according to physician visits, dental visits, vaccinations, and self-reported ACEs.
Author(s): Mary Labuhn, Andrew Williams
Citation: Journal of Rural Health, 41(4), e70081
Date: 09/2025
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Examines the relationship between preventative healthcare utilization and adverse childhood experiences (ACEs). Analyzes 2022 National Health Interview Survey data from 425 children residing in nonmetro locations according to physician visits, dental visits, vaccinations, and self-reported ACEs.
Author(s): Mary Labuhn, Andrew Williams
Citation: Journal of Rural Health, 41(4), e70081
Date: 09/2025
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