Rural Health
Resources by Topic: Rural-urban differences
Payment Source Shift for Surgical Care Among Veterans Enrolled in Medicare Advantage Plans
Examines the likelihood of veterans enrolled in Medicare Advantage (MA) plans to shift payments for inpatient surgical care from MA to the Veterans Health Administration (VHA). Analyzes 54,754 inpatient surgeries of VHA enrollees to observe payment trends, with data broken down by demographics, insurance characteristics, region, and rurality.
Author(s): Winta T. Mehtsun, Yanlei Ma, Ellen Latsko, et al.
Citation: JAMA Health Forum, 6(6)
Date: 06/2025
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Examines the likelihood of veterans enrolled in Medicare Advantage (MA) plans to shift payments for inpatient surgical care from MA to the Veterans Health Administration (VHA). Analyzes 54,754 inpatient surgeries of VHA enrollees to observe payment trends, with data broken down by demographics, insurance characteristics, region, and rurality.
Author(s): Winta T. Mehtsun, Yanlei Ma, Ellen Latsko, et al.
Citation: JAMA Health Forum, 6(6)
Date: 06/2025
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Primary Care Practices' Choice of Implementation Strategy for Continuous Glucose Monitoring for Patients with Diabetes: A Multiple Methods Study Within a Larger Hybrid Type-3 Effectiveness-Implementation Study
Examines characteristics of primary care (PC) practices that utilize either a self-paced or virtual continuous glucose monitoring (CGM) implementation service. Provides feedback on CGM implementation from 76 PC practices in Colorado as well as characteristics of those practices. Compares metro versus nonmetro PC utilization of two CGM services: the self-paced American Academy of Family Physicians Transformation in Practice Series (TIPS) service or the virtual CGM initiation service (virCIS).
Author(s): Kimberly T. Wiggins, Tristen L. Hall, Bonnie Jortberg, et al.
Citation: BMC Primary Care, 26, 195
Date: 06/2025
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Examines characteristics of primary care (PC) practices that utilize either a self-paced or virtual continuous glucose monitoring (CGM) implementation service. Provides feedback on CGM implementation from 76 PC practices in Colorado as well as characteristics of those practices. Compares metro versus nonmetro PC utilization of two CGM services: the self-paced American Academy of Family Physicians Transformation in Practice Series (TIPS) service or the virtual CGM initiation service (virCIS).
Author(s): Kimberly T. Wiggins, Tristen L. Hall, Bonnie Jortberg, et al.
Citation: BMC Primary Care, 26, 195
Date: 06/2025
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Pharmacy Deserts in Rural Pennsylvania
Describes the landscape of pharmacies and pharmacists in Pennsylvania as of May 2025 and examines the projected impact of Rite Aid pharmacy closures. Features statistics on numbers of pharmacies and pharmacists, with breakdowns by urban and rural areas, and county-level maps showing areas within a 5-mile radius of all pharmacies and all non-Rite Aid pharmacies, with shadings showing urban and rural areas.
Date: 06/2025
Sponsoring organization: Center for Rural Pennsylvania
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Describes the landscape of pharmacies and pharmacists in Pennsylvania as of May 2025 and examines the projected impact of Rite Aid pharmacy closures. Features statistics on numbers of pharmacies and pharmacists, with breakdowns by urban and rural areas, and county-level maps showing areas within a 5-mile radius of all pharmacies and all non-Rite Aid pharmacies, with shadings showing urban and rural areas.
Date: 06/2025
Sponsoring organization: Center for Rural Pennsylvania
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Economic Factors Associated With County-Level Mental Health – United States, 2019
Explores the correlation between economic factors, such as household income, education, and supplemental income and nutritional support, and county-level mental health. Breaks down economic factors, such as employment, income and wealth, and expenses by rural and urban location.
Author(s): Michele L.F. Bolduc, Parya Saberi, Torsten B. Neilands, et al.
Citation: PLoS One, 20(6), e0300939
Date: 06/2025
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Explores the correlation between economic factors, such as household income, education, and supplemental income and nutritional support, and county-level mental health. Breaks down economic factors, such as employment, income and wealth, and expenses by rural and urban location.
Author(s): Michele L.F. Bolduc, Parya Saberi, Torsten B. Neilands, et al.
Citation: PLoS One, 20(6), e0300939
Date: 06/2025
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Primary Care Screening for Sexually Transmitted Infections in the United States from 2019 to 2021
Examines the impact of COVID-19 on sexually transmitted infection (STI) testing in primary care settings from 2019-2021. Analyzes data from 4,410,609 patient encounters recorded in the PRIME Registry and observes testing rates according to STI type, patient demographics, patient region and community type, and metropolitan, micropolitan, small town, or rural location.
Author(s): Shiying Hao, Esther E. Velásquez, William S. Pearson, et al.
Citation: PLOS ONE, 20(6)
Date: 06/2025
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Examines the impact of COVID-19 on sexually transmitted infection (STI) testing in primary care settings from 2019-2021. Analyzes data from 4,410,609 patient encounters recorded in the PRIME Registry and observes testing rates according to STI type, patient demographics, patient region and community type, and metropolitan, micropolitan, small town, or rural location.
Author(s): Shiying Hao, Esther E. Velásquez, William S. Pearson, et al.
Citation: PLOS ONE, 20(6)
Date: 06/2025
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Logistic and Time Burdens Reported by Gynecologic and Breast Cancer Survivors
Examines logistic and time burdens of cancer care in breast and gynecologic cancer survivors. Analyzes survey feedback from 224 participants related to travel time, wait time, and trips to the cancer center, with data breakdowns according to patient's employment, education, cancer type and treatment status, dependent status, income, and rural versus urban residence. Discusses the impact of cancer care on time for other activities.
Author(s): Allison C. Dona, Aisha Ambo, Patricia Jewett, et al.
Citation: BMC Women's Health, 25, 273
Date: 06/2025
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Examines logistic and time burdens of cancer care in breast and gynecologic cancer survivors. Analyzes survey feedback from 224 participants related to travel time, wait time, and trips to the cancer center, with data breakdowns according to patient's employment, education, cancer type and treatment status, dependent status, income, and rural versus urban residence. Discusses the impact of cancer care on time for other activities.
Author(s): Allison C. Dona, Aisha Ambo, Patricia Jewett, et al.
Citation: BMC Women's Health, 25, 273
Date: 06/2025
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Impact of COVID-19 on Clinical Trials Costs to Patients
Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Sponsoring organization: Mathematica
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Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Sponsoring organization: Mathematica
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Population Change in Aggregate and by Metropolitan/Nonmetropolitan Status, 1971-2024
Line chart showing population change for the U.S. as a whole and for metropolitan and nonmetro counties.
Author(s): John Cromartie, Justin B. Winikoff
Date: 06/2025
Sponsoring organization: USDA Economic Research Service
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Line chart showing population change for the U.S. as a whole and for metropolitan and nonmetro counties.
Author(s): John Cromartie, Justin B. Winikoff
Date: 06/2025
Sponsoring organization: USDA Economic Research Service
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Adolescent and Teenage Pregnancy Report Kansas, 2023
Summarizes research examining teen pregnancy in Kansas from 2019-2023. Includes rural/urban comparisons and county-level information on pregnancy and birth rates, with data broken down by age and year.
Author(s): Janet Stanek, Kay Haug, Cathryn Savage, et al.
Date: 05/2025
Sponsoring organization: Kansas Department of Health and Environment
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Summarizes research examining teen pregnancy in Kansas from 2019-2023. Includes rural/urban comparisons and county-level information on pregnancy and birth rates, with data broken down by age and year.
Author(s): Janet Stanek, Kay Haug, Cathryn Savage, et al.
Date: 05/2025
Sponsoring organization: Kansas Department of Health and Environment
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Annual Insurance Update 2025: Health Insurance in Kansas
Reports on health insurance coverage across Kansas and nationwide, including 2009-2023 trends in coverage. Presents 2022 county-level data on uninsured rates by age group and urban/rural classification, as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment by county.
Author(s): Angela S. Wu, Kaci Cink, Viktoria Sterkhova, et al.
Date: 05/2025
Sponsoring organization: Kansas Health Institute
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Reports on health insurance coverage across Kansas and nationwide, including 2009-2023 trends in coverage. Presents 2022 county-level data on uninsured rates by age group and urban/rural classification, as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment by county.
Author(s): Angela S. Wu, Kaci Cink, Viktoria Sterkhova, et al.
Date: 05/2025
Sponsoring organization: Kansas Health Institute
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