Rural Health
Resources by Topic: Rural-urban differences
High-Deductible Health Plans in Rural and Urban Populations: Outpatient Utilization and Out-of-Pocket Costs
Policy brief exploring rural-urban differences in High-Deductible Health Plan enrollment, subsequent healthcare use, and out-of-pocket costs. Features demographics and statistics with breakdowns by urban and rural areas.
Author(s): Aaron P. Smith, Jefferey Talbert
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Policy brief exploring rural-urban differences in High-Deductible Health Plan enrollment, subsequent healthcare use, and out-of-pocket costs. Features demographics and statistics with breakdowns by urban and rural areas.
Author(s): Aaron P. Smith, Jefferey Talbert
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Examining Teacher Supply, Demand, and Shortages in Pennsylvania
Explores teacher shortages, supply, and demand in Pennsylvania rural and urban school districts from 2014-2025. Notes how rising student mental health needs are contributing to demand for teachers. Features statistics on vacancies from 2023-2025, with breakdowns by urban and rural areas.
Author(s): Edward J. Fuller
Date: 08/2026
Sponsoring organization: Center for Rural Pennsylvania
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Explores teacher shortages, supply, and demand in Pennsylvania rural and urban school districts from 2014-2025. Notes how rising student mental health needs are contributing to demand for teachers. Features statistics on vacancies from 2023-2025, with breakdowns by urban and rural areas.
Author(s): Edward J. Fuller
Date: 08/2026
Sponsoring organization: Center for Rural Pennsylvania
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Non-Metropolitan vs. Metropolitan Variations in Alcohol, Illicit Drug, and Prescription Therapeutic Drug Misuse
Reports on how alcohol use, illicit drug use, and the use of opioid and non-opioid prescription drugs vary by rural or urban area using 2023-2024 National Survey on Drug Use and Health (NSDUH) data.
Author(s): Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Reports on how alcohol use, illicit drug use, and the use of opioid and non-opioid prescription drugs vary by rural or urban area using 2023-2024 National Survey on Drug Use and Health (NSDUH) data.
Author(s): Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Monitoring the Workforce Outcomes of North Carolina Medical School Graduates: Retention In-State and in High Need Geographic Areas and Specialties
Summarizes workforce outcomes for physicians who graduate from North Carolina medical schools, including whether they practice in North Carolina, in rural areas, in high-need specialties, and in North Carolina safety net settings 5 years after graduation. Features statistics on 2020 North Carolina medical school graduates, with breakdowns by practice specialty and rural location.
Author(s): Evan Galloway, Erin Fraher, Nathan Tarr, Hugh H. Tilson Jr.
Date: 08/2026
Sponsoring organizations: North Carolina Area Health Education Center Program, The Cecil G. Sheps Center for Health Services Research
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Summarizes workforce outcomes for physicians who graduate from North Carolina medical schools, including whether they practice in North Carolina, in rural areas, in high-need specialties, and in North Carolina safety net settings 5 years after graduation. Features statistics on 2020 North Carolina medical school graduates, with breakdowns by practice specialty and rural location.
Author(s): Evan Galloway, Erin Fraher, Nathan Tarr, Hugh H. Tilson Jr.
Date: 08/2026
Sponsoring organizations: North Carolina Area Health Education Center Program, The Cecil G. Sheps Center for Health Services Research
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Urban Versus Rural Differences in Services Requested, Received, and Interest Expressed among Informal Caregivers of Older U.S. Veterans
Results of a study on differences in access to, utilization of, and interest in home and community-based services (HCBS) for caregivers of older veterans in rural and urban communities. Bases findings on an online survey of caregivers of older veterans. Breaks down data by demographic factors of both veterans and their caregivers, veterans' care complexity, and by caregivers' access to services and interest in services to support the veterans under their care.
Author(s): Elizabeth S. Chamberlin, Steven D. Shirk, Victoria Ngo, et al.
Citation: Journal of Rural Health, 42(3), e70218
Date: 08/2026
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Results of a study on differences in access to, utilization of, and interest in home and community-based services (HCBS) for caregivers of older veterans in rural and urban communities. Bases findings on an online survey of caregivers of older veterans. Breaks down data by demographic factors of both veterans and their caregivers, veterans' care complexity, and by caregivers' access to services and interest in services to support the veterans under their care.
Author(s): Elizabeth S. Chamberlin, Steven D. Shirk, Victoria Ngo, et al.
Citation: Journal of Rural Health, 42(3), e70218
Date: 08/2026
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Rural and Urban Availability of Substance Use Treatment Facilities
Discusses the national availability of and regional variance in substance use disorder treatment facilities for rural and urban residents. Highlights the number of facilities per 100,000 population by rural status and county, as well as the number of facilities offering medication for opioid use disorder (MOUD) services.
Author(s): Aaron P. Smith, Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Discusses the national availability of and regional variance in substance use disorder treatment facilities for rural and urban residents. Highlights the number of facilities per 100,000 population by rural status and county, as well as the number of facilities offering medication for opioid use disorder (MOUD) services.
Author(s): Aaron P. Smith, Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Workplace Indicators and Well-Being among Oral Health Professionals in HRSA-Funded Health Centres
Discusses survey results on the associations between 16 drivers of well-being in the workplace and job satisfaction, burnout, engagement, and retention for 2,671 dental assistants, dental hygienists, and dentists. Highlights specific drivers by provider type and includes a rural and urban comparison of the study population. Notes findings related to dentists in rural facilities.
Author(s): Jinman Pang, Simona Surdu, Sage Shirey, Jean Moore
Citation: Health Affairs Scholar, 4(8)
Date: 08/2026
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Discusses survey results on the associations between 16 drivers of well-being in the workplace and job satisfaction, burnout, engagement, and retention for 2,671 dental assistants, dental hygienists, and dentists. Highlights specific drivers by provider type and includes a rural and urban comparison of the study population. Notes findings related to dentists in rural facilities.
Author(s): Jinman Pang, Simona Surdu, Sage Shirey, Jean Moore
Citation: Health Affairs Scholar, 4(8)
Date: 08/2026
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Analyzing Trends of Medicare-Participating Nurse Practitioners and Physician Associates in the United States From 2017 to 2025
Results of a study describing how the geographic distribution of nurse practitioners (NPs) and physician associates (PAs) has changed. Features statistics with breakdowns by rural and urban areas and state-level maps showing increases or decreases in the numbers of NPs and PAs from 2017 to 2025.
Author(s): Ryan J. Crowley, Jag S. Lally, David M. Kline, Amanda M. Bunting
Citation: Journal of the American Association of Nurse Practitioners, 38(8), 617-625
Date: 08/2026
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Results of a study describing how the geographic distribution of nurse practitioners (NPs) and physician associates (PAs) has changed. Features statistics with breakdowns by rural and urban areas and state-level maps showing increases or decreases in the numbers of NPs and PAs from 2017 to 2025.
Author(s): Ryan J. Crowley, Jag S. Lally, David M. Kline, Amanda M. Bunting
Citation: Journal of the American Association of Nurse Practitioners, 38(8), 617-625
Date: 08/2026
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2026 Annual Insurance Update: Health Insurance in Kansas
Reports on health insurance coverage across Kansas and nationwide, presenting 2009-2024 trends in coverage. Includes 2023 county-level data on uninsured rates by age group as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment. Compares uninsurance rates across frontier, rural, densely-settled rural, semi-urban, and urban county location.
Author(s): Kaci Cink, Viktoria Sterkhova, Cynthia Snyder, Wen-Chieh Lin
Date: 08/2026
Sponsoring organization: Kansas Health Institute
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Reports on health insurance coverage across Kansas and nationwide, presenting 2009-2024 trends in coverage. Includes 2023 county-level data on uninsured rates by age group as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment. Compares uninsurance rates across frontier, rural, densely-settled rural, semi-urban, and urban county location.
Author(s): Kaci Cink, Viktoria Sterkhova, Cynthia Snyder, Wen-Chieh Lin
Date: 08/2026
Sponsoring organization: Kansas Health Institute
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Buprenorphine Dispensed by Pharmacies and Administered in Emergency Departments in Urban and Rural Areas — United States, 2019–2025
Reports on how the provision of buprenorphine in pharmacies and emergency departments varied by rural or urban area between 2019 and 2025. Includes rural and urban data comparisons on the frequency of dispensing or administering buprenorphine, dosing, prescribing, availability, and more, including year-by-year comparisons.
Author(s): Gery P. Guy Jr., Yijie Chen, Kun Zhang, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(33), 522-528
Date: 08/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on how the provision of buprenorphine in pharmacies and emergency departments varied by rural or urban area between 2019 and 2025. Includes rural and urban data comparisons on the frequency of dispensing or administering buprenorphine, dosing, prescribing, availability, and more, including year-by-year comparisons.
Author(s): Gery P. Guy Jr., Yijie Chen, Kun Zhang, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(33), 522-528
Date: 08/2026
Sponsoring organization: Centers for Disease Control and Prevention
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