Rural Health
Resources by Topic: Rural-urban differences
The Effect of Rural Versus Urban Residence on Risk of Unplanned Readmission and Death in Older Veterans Discharged From VA Hospitals
Examines the relationship among geography, readmission, and mortality rates of older veterans discharged from hospital to home. Examines 2023 readmission rates of 99,557 veterans discharged from Department of Veterans Affairs (VA) hospitals with data broken down according to sociodemographics, admission characteristics, health status, drive time to nearest VA facility, mortality, and rural versus urban location.
Author(s): Joanne K. Daggy, Anthony J. Perkins, Katie Ross-Driscoll, et al.
Citation: Journal of Rural Health, 42(3), e70183
Date: 07/2026
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Examines the relationship among geography, readmission, and mortality rates of older veterans discharged from hospital to home. Examines 2023 readmission rates of 99,557 veterans discharged from Department of Veterans Affairs (VA) hospitals with data broken down according to sociodemographics, admission characteristics, health status, drive time to nearest VA facility, mortality, and rural versus urban location.
Author(s): Joanne K. Daggy, Anthony J. Perkins, Katie Ross-Driscoll, et al.
Citation: Journal of Rural Health, 42(3), e70183
Date: 07/2026
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The Digital Divide in Adoption and Advanced Use of Electronic Health Records among U.S. Hospitals: Rural Versus Urban Disparities from 2008 to 2023
Examines differences in electronic health record (EHR) technology adoption in rural versus urban hospitals. Utilizes 2008-2023 American Hospital Association Annual Survey Information Technology Supplement data to analyze rural versus urban differences in hospital EHR use, with breakdowns according to EHR adoption, level of EHR technology, advanced EHR use and capabilities, and more. Includes U.S. map showing rural versus urban gap in EHR adoption.
Author(s): A. Jerrod Anzalone, Yinting Liu, Elizabeth Reisher, et al.
Citation: Journal of the American Medical Informatics Association, 33(7), 1354-1369
Date: 07/2026
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Examines differences in electronic health record (EHR) technology adoption in rural versus urban hospitals. Utilizes 2008-2023 American Hospital Association Annual Survey Information Technology Supplement data to analyze rural versus urban differences in hospital EHR use, with breakdowns according to EHR adoption, level of EHR technology, advanced EHR use and capabilities, and more. Includes U.S. map showing rural versus urban gap in EHR adoption.
Author(s): A. Jerrod Anzalone, Yinting Liu, Elizabeth Reisher, et al.
Citation: Journal of the American Medical Informatics Association, 33(7), 1354-1369
Date: 07/2026
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Family Caregivers of Adults Age 50-Plus: The Caregiving in the US 2025 Series
Explores demographics and other characteristics of family caregivers of adults aged 50 or older. Discusses their housing, types of care provided, finances, employment, and more. Offers comparisons with a rural break down of caregivers aged 18-49, as well as changes to caregivers between 2015 and 2020.
Date: 07/2026
Sponsoring organizations: AARP Public Policy Institute, National Alliance for Caregiving
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Explores demographics and other characteristics of family caregivers of adults aged 50 or older. Discusses their housing, types of care provided, finances, employment, and more. Offers comparisons with a rural break down of caregivers aged 18-49, as well as changes to caregivers between 2015 and 2020.
Date: 07/2026
Sponsoring organizations: AARP Public Policy Institute, National Alliance for Caregiving
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Alpha-gal Immunoglobulin E Seroprevalence Among Blood Donors — 10 States, 2024–2025
Reports on prevalence of alpha-gal syndrome (AGS), an allergy to meat and dairy due to tick bites, based on blood donor samples collected during 2024–2025 from 10 states. Includes data for rural, suburban, and urban locations.
Author(s): Eleanor F. Saunders, Marissa L. Taylor, Emma S. Jones, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(25), 315-321
Date: 07/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on prevalence of alpha-gal syndrome (AGS), an allergy to meat and dairy due to tick bites, based on blood donor samples collected during 2024–2025 from 10 states. Includes data for rural, suburban, and urban locations.
Author(s): Eleanor F. Saunders, Marissa L. Taylor, Emma S. Jones, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(25), 315-321
Date: 07/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Rural-Urban Disparities in Cardiovascular and Other Competing Risk of Death among Cancer Patients
Examines rural versus urban disparities in cardiovascular (CVD) death among cancer patients. Utilizes 1990-2017 data from 2,022,482 cancer patients and provides data breakdowns according to mortality, rural versus urban location, and cause of death. Discusses non-cancer and CVD death burden in cancer patients living in rural areas.
Author(s): Tianwang Guan, Jiaqi He, Liangjia Zeng, et al.
Citation: Journal of Advanced Research, 85, 725-736
Date: 07/2026
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Examines rural versus urban disparities in cardiovascular (CVD) death among cancer patients. Utilizes 1990-2017 data from 2,022,482 cancer patients and provides data breakdowns according to mortality, rural versus urban location, and cause of death. Discusses non-cancer and CVD death burden in cancer patients living in rural areas.
Author(s): Tianwang Guan, Jiaqi He, Liangjia Zeng, et al.
Citation: Journal of Advanced Research, 85, 725-736
Date: 07/2026
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Rural–Urban Variation in Guideline-Concordant Management of Early-Stage Kidney, Prostate, and Testicular Cancer in the United States (2010–2022)
Examines how receipt of guideline-concordant management of early-stage kidney, prostate, and testicular cancers varied among rural and urban populations, using 2010-2022 SEER data.
Author(s): Canan D. Dirican, Samer Jumean, Anas Al Mardini, Michael Maroules
Citation: Urologic Oncology: Seminars and Original Investigations, 44(6), 189-196
Date: 06/2026
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Examines how receipt of guideline-concordant management of early-stage kidney, prostate, and testicular cancers varied among rural and urban populations, using 2010-2022 SEER data.
Author(s): Canan D. Dirican, Samer Jumean, Anas Al Mardini, Michael Maroules
Citation: Urologic Oncology: Seminars and Original Investigations, 44(6), 189-196
Date: 06/2026
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National Health Center Financial and Operational Performance Analysis: 2021–2024
Examines financial and operational characteristics of Federally Qualified Health Centers (FQHCs) from 2021-2024. Explores FQHC growth and expansion, patient and payer mix, revenue and growth mix, staffing and productivity, operational trends, financial performance, and quality of care. Compares data on rural FQHCs to urban and national FQHC data.
Date: 06/2026
Sponsoring organization: Capital Link
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Examines financial and operational characteristics of Federally Qualified Health Centers (FQHCs) from 2021-2024. Explores FQHC growth and expansion, patient and payer mix, revenue and growth mix, staffing and productivity, operational trends, financial performance, and quality of care. Compares data on rural FQHCs to urban and national FQHC data.
Date: 06/2026
Sponsoring organization: Capital Link
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Beyond Maternal Mortality: How Severe Morbidity Reveals Policy Gaps in Maternal Care
Provides information about severe maternal morbidity (SMM) in the United States across sociodemographic groups and discusses possible policy interventions, including rural-specific strategies. Examines data on SMM with data broken down by year, state, medical condition, patient demographics, cost of delivery, insurance type, rurality, and hospital type of metro non-teaching, metro teaching, or rural.
Author(s): Eugene Declercq, Laurie C. Zephyrin
Date: 06/2026
Sponsoring organization: Commonwealth Fund
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Provides information about severe maternal morbidity (SMM) in the United States across sociodemographic groups and discusses possible policy interventions, including rural-specific strategies. Examines data on SMM with data broken down by year, state, medical condition, patient demographics, cost of delivery, insurance type, rurality, and hospital type of metro non-teaching, metro teaching, or rural.
Author(s): Eugene Declercq, Laurie C. Zephyrin
Date: 06/2026
Sponsoring organization: Commonwealth Fund
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A National Description of Emergency Medical Services Patient Utilization Patterns
Evaluates 9,508,809 emergency medical services encounters from 2024 to identify utilization patterns. Categorizes patients into single, moderate, high, and very-high utilization groups and explores various demographic and health conditions within those groups. Includes comparison of urban, rural, and super-rural areas for very-high utilization and single encounter groups.
Author(s): Antonio R. Fernandez, Jonathan Brent Myers, Scott S. Bourn, et al.
Citation: Health Affairs Scholar, 4(6)
Date: 06/2026
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Evaluates 9,508,809 emergency medical services encounters from 2024 to identify utilization patterns. Categorizes patients into single, moderate, high, and very-high utilization groups and explores various demographic and health conditions within those groups. Includes comparison of urban, rural, and super-rural areas for very-high utilization and single encounter groups.
Author(s): Antonio R. Fernandez, Jonathan Brent Myers, Scott S. Bourn, et al.
Citation: Health Affairs Scholar, 4(6)
Date: 06/2026
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Bullying Prevalence and Persistence in Rural and Urban Settings
Examines the characteristics of rural versus urban school bullying. Utilizes 2024 data from 1,250 students and provides rural versus urban breakdowns regarding timeline, social dynamics, frequency, perceived reason for, and type of bullying. Discusses the need for bullying interventions tailored for rural social contexts.
Author(s): Eric Landers, Juliann Sergi McBrayer, Monika Krah, Meredith A. Rausch
Citation: The Rural Educator, 47(3), 5-19
Date: 06/2026
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Examines the characteristics of rural versus urban school bullying. Utilizes 2024 data from 1,250 students and provides rural versus urban breakdowns regarding timeline, social dynamics, frequency, perceived reason for, and type of bullying. Discusses the need for bullying interventions tailored for rural social contexts.
Author(s): Eric Landers, Juliann Sergi McBrayer, Monika Krah, Meredith A. Rausch
Citation: The Rural Educator, 47(3), 5-19
Date: 06/2026
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