Rural Health
Resources by Topic: Rural-urban differences
When Ambulances Wait at the Emergency Department: Hospital Factors and Offload times in California
Analyzes ambulance patient offload time (APOT) between emergency medical services (EMS) and 310 emergency departments (ED) in California in 2022 to determine associations with hospital characteristics including rurality and number of ED treatment stations. The study data precedes a 2023 state law establishing statewide standards for APOT and so aims to offer baseline metrics for understanding policy impact.
Author(s): Esmeralda Melgoza, Madeline Fedmeier, Crystal Chen, Hiram Beltrán-Sánchez, Renee Y. Hsia
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Analyzes ambulance patient offload time (APOT) between emergency medical services (EMS) and 310 emergency departments (ED) in California in 2022 to determine associations with hospital characteristics including rurality and number of ED treatment stations. The study data precedes a 2023 state law establishing statewide standards for APOT and so aims to offer baseline metrics for understanding policy impact.
Author(s): Esmeralda Melgoza, Madeline Fedmeier, Crystal Chen, Hiram Beltrán-Sánchez, Renee Y. Hsia
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Why Are Massachusetts Opioid Prescribing Rates Higher in Rural Versus Urban Areas?
Examines opioid prescribing trends in Massachusetts according to metro versus nonmetro patient characteristics, facility and provider availability, opioid supply and demand, and more. Utilizes 2010-2014 Massachusetts All-Payer Claims (MAPC) data and discusses the factors that lead to geographic differences in opioid prescribing.
Author(s): Alicia Sasser Modestino, Gary J. Young, Mahmudul Hasan, Jiesheng Shi, Noor E. Alam
Citation: PLoS One, 21(5), e0349247
Date: 05/2026
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Examines opioid prescribing trends in Massachusetts according to metro versus nonmetro patient characteristics, facility and provider availability, opioid supply and demand, and more. Utilizes 2010-2014 Massachusetts All-Payer Claims (MAPC) data and discusses the factors that lead to geographic differences in opioid prescribing.
Author(s): Alicia Sasser Modestino, Gary J. Young, Mahmudul Hasan, Jiesheng Shi, Noor E. Alam
Citation: PLoS One, 21(5), e0349247
Date: 05/2026
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Massachusetts Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Massachusetts 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: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in Massachusetts 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: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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New Hampshire Rural Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in New Hampshire 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: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the supply and distribution of behavioral health clinicians in New Hampshire 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: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Survivor Views on Rural Health
Presents findings from a survey of rural, urban, and suburban cancer patients and survivors on healthcare affordability, medical debt, provider access, cancer screening, patient navigation services, and other topics related to access to care.
Date: 05/2026
Sponsoring organization: American Cancer Society Cancer Action Network (ACS CAN)
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Presents findings from a survey of rural, urban, and suburban cancer patients and survivors on healthcare affordability, medical debt, provider access, cancer screening, patient navigation services, and other topics related to access to care.
Date: 05/2026
Sponsoring organization: American Cancer Society Cancer Action Network (ACS CAN)
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Urgent Care Center and Retail Health Clinic Use: United States, 2024
Examines 2024 urgent care center and retail health clinic use in the United States by age and urbanization of large central metropolitan, large fringe metropolitan, medium and small metropolitan, or nonmetropolitan.
Author(s): Robin A. Cohen, Elizabeth M. Briones
Date: 05/2026
Sponsoring organization: National Center for Health Statistics
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Examines 2024 urgent care center and retail health clinic use in the United States by age and urbanization of large central metropolitan, large fringe metropolitan, medium and small metropolitan, or nonmetropolitan.
Author(s): Robin A. Cohen, Elizabeth M. Briones
Date: 05/2026
Sponsoring organization: National Center for Health Statistics
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New Hampshire Rural Obstetrical Workforce
Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in New Hampshire 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: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in New Hampshire 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: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Pennsylvania Rural Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in Pennsylvania 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: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the supply and distribution of behavioral health clinicians in Pennsylvania 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: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Pennsylvania Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Pennsylvania 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: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in Pennsylvania 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: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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New Hampshire Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in New Hampshire 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: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in New Hampshire 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: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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