Rural Health
Resources by Topic: Rural-urban differences
Differences in Rural and Urban Patient Perceptions of Facilitative Factors for Cancer Clinical Trial Participation
Examines factors associated with cancer clinical trial participation among 15 rural and 15 urban cancer patients in Vermont. Presents data and interview excerpts illustrating rural and urban patients' relative prioritization of factors including care coordination, travel time, financial support from hospitals, treatment regimen, and more.
Author(s): Maria C. Lent, Janine Cerutti, Maija Reblin, Randall F. Holcombe
Citation: BMC Health Services Research, 25, 1489
Date: 11/2025
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Examines factors associated with cancer clinical trial participation among 15 rural and 15 urban cancer patients in Vermont. Presents data and interview excerpts illustrating rural and urban patients' relative prioritization of factors including care coordination, travel time, financial support from hospitals, treatment regimen, and more.
Author(s): Maria C. Lent, Janine Cerutti, Maija Reblin, Randall F. Holcombe
Citation: BMC Health Services Research, 25, 1489
Date: 11/2025
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Rural-Urban Differences in Barriers to Care and Utilization of Preventive Care Among Traditional Medicare and Medicare Advantage Beneficiaries
Discusses the differences in barriers to care and preventive care utilization for older adults enrolled in traditional Medicare versus Medicare Advantage and makes a rural-urban comparison. Explores barriers to care, such as quality of care and out-of-pocket costs, as well as care utilization, such as regular vaccinations, cancer screenings, and cholesterol tests, among others.
Author(s): Gawain J. Williams, Dan M. Shane, Whitney E. Zahnd, Keith J. Mueller
Date: 11/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Discusses the differences in barriers to care and preventive care utilization for older adults enrolled in traditional Medicare versus Medicare Advantage and makes a rural-urban comparison. Explores barriers to care, such as quality of care and out-of-pocket costs, as well as care utilization, such as regular vaccinations, cancer screenings, and cholesterol tests, among others.
Author(s): Gawain J. Williams, Dan M. Shane, Whitney E. Zahnd, Keith J. Mueller
Date: 11/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Severe Maternal Morbidity and Mortality After Delivery Hospitalization Among Rural Residents Bypassing Local Care for Urban Hospitals
Examines severe maternal morbidity and mortality (SMMM) when labor and delivery patients bypass rural, local hospitals to give birth at urban hospitals. Analyzes 235,375 rural versus urban births in South Carolina and associated 1-year postpartum follow-up visit data for rates of SMMM.
Author(s): Peiyin Hung, Haoyuan Gao, Jihong Liu, et al.
Citation: JAMA Network Open, 8(11), e2544522
Date: 11/2025
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Examines severe maternal morbidity and mortality (SMMM) when labor and delivery patients bypass rural, local hospitals to give birth at urban hospitals. Analyzes 235,375 rural versus urban births in South Carolina and associated 1-year postpartum follow-up visit data for rates of SMMM.
Author(s): Peiyin Hung, Haoyuan Gao, Jihong Liu, et al.
Citation: JAMA Network Open, 8(11), e2544522
Date: 11/2025
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Urban-Rural Disparities in Spatiotemporal Accessibility of Pharmacy Care: A Case Study of Vermont, USA
Examines geographic access to pharmacy care in Vermont. Assesses spatiotemporal accessibility by analyzing pharmacy locations, hours of operation, and staffing levels according to county as well as metro, micro, or rural location.
Author(s): Samuel Roubin, Joseph Holler, Peter Kedron
Citation: BMC Health Services Research, 25, 1484
Date: 11/2025
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Examines geographic access to pharmacy care in Vermont. Assesses spatiotemporal accessibility by analyzing pharmacy locations, hours of operation, and staffing levels according to county as well as metro, micro, or rural location.
Author(s): Samuel Roubin, Joseph Holler, Peter Kedron
Citation: BMC Health Services Research, 25, 1484
Date: 11/2025
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Chronic Health Conditions and Health Care Affordability Issues among U.S. Rural and Urban Adults
Analyzes associations between chronic health conditions and likelihood of experiencing healthcare affordability issues among rural and urban populations, utilizing 2022 National Health Interview Survey data. Examines rural and urban prevalence of individual chronic conditions, chronic condition multimorbidity, problems paying medical bills, and inability to pay medical bills.
Author(s): Ingrid Jacobson, Alexis Swendener, Hannah MacDougall, Carrie Henning-Smith
Citation: Journal of Multimorbidity and Comorbidity, 15
Date: 11/2025
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Analyzes associations between chronic health conditions and likelihood of experiencing healthcare affordability issues among rural and urban populations, utilizing 2022 National Health Interview Survey data. Examines rural and urban prevalence of individual chronic conditions, chronic condition multimorbidity, problems paying medical bills, and inability to pay medical bills.
Author(s): Ingrid Jacobson, Alexis Swendener, Hannah MacDougall, Carrie Henning-Smith
Citation: Journal of Multimorbidity and Comorbidity, 15
Date: 11/2025
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The State of Rural Primary Care in the United States
Provides information, statistics, interactive maps, example programs, and policy suggestions regarding the rural primary care workforce supply in the United States. Provides data on projections for adequate supply as well as county-level maps on Health Professional Shortage Areas (HPSAs), National Health Service Corps (NHSC) clinicians, Rural Health Clinics (RHCs), and Federally Qualified Health Centers (FQHCs). Includes rural versus nonrural respondent survey data related to primary care access, use, availability, and delivery.
Author(s): Celli Horstman, Arnav Shah
Date: 11/2025
Sponsoring organization: Commonwealth Fund
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Provides information, statistics, interactive maps, example programs, and policy suggestions regarding the rural primary care workforce supply in the United States. Provides data on projections for adequate supply as well as county-level maps on Health Professional Shortage Areas (HPSAs), National Health Service Corps (NHSC) clinicians, Rural Health Clinics (RHCs), and Federally Qualified Health Centers (FQHCs). Includes rural versus nonrural respondent survey data related to primary care access, use, availability, and delivery.
Author(s): Celli Horstman, Arnav Shah
Date: 11/2025
Sponsoring organization: Commonwealth Fund
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Rural/Urban Differences among American Indian/Alaska Native Peoples in Health Care Access and Outcomes, 2019–2023
Compares health outcomes and healthcare utilization metrics for American Indian and Alaska Native (AI/AN) rural and urban residents using 2019-2023 National Health Interview Survey (NHIS) data. Discusses the impact of various sociodemographic factors and the Indian Health Service (IHS) on study findings.
Author(s): Katy Backes Kozhimannil, Hailey A. Baker, Julia D. Interrante, Kyle X. Hill, Melissa L. Walls
Citation: Journal of Community Health, 2025
Date: 11/2025
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Compares health outcomes and healthcare utilization metrics for American Indian and Alaska Native (AI/AN) rural and urban residents using 2019-2023 National Health Interview Survey (NHIS) data. Discusses the impact of various sociodemographic factors and the Indian Health Service (IHS) on study findings.
Author(s): Katy Backes Kozhimannil, Hailey A. Baker, Julia D. Interrante, Kyle X. Hill, Melissa L. Walls
Citation: Journal of Community Health, 2025
Date: 11/2025
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Acute Care Utilization Patterns During Chemotherapy and Predictive Model Development at a Rural Community Cancer Center
Explores the development of a predictive model focused on identifying oncology patients at risk of all-cause and preventable acute care use, utilizing EHR data of 2,922 patients who received intravenous cancer treatment between October 2021 and April 2024 in a predominantly rural, midwestern cancer network. Provides data on the association between acute care use and clinical and demographic factors, including level of rurality.
Author(s): McKenna Perrin, Crystal Hattum, Jamie Arens, Tobias Meissner
Citation: JCO Clinical Cancer Informatics, 9, e2500186
Date: 11/2025
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Explores the development of a predictive model focused on identifying oncology patients at risk of all-cause and preventable acute care use, utilizing EHR data of 2,922 patients who received intravenous cancer treatment between October 2021 and April 2024 in a predominantly rural, midwestern cancer network. Provides data on the association between acute care use and clinical and demographic factors, including level of rurality.
Author(s): McKenna Perrin, Crystal Hattum, Jamie Arens, Tobias Meissner
Citation: JCO Clinical Cancer Informatics, 9, e2500186
Date: 11/2025
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Infant Mortality, Alabama 2024
Offers statistics on infant mortality in Alabama from 2015-2024. Includes a county-level map showing urban and rural counties, and statistics on the distribution of infant mortality in 2024 by urban and rural classifications.
Date: 11/2025
Sponsoring organizations: Alabama Center for Health Statistics, Alabama Public Health
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Offers statistics on infant mortality in Alabama from 2015-2024. Includes a county-level map showing urban and rural counties, and statistics on the distribution of infant mortality in 2024 by urban and rural classifications.
Date: 11/2025
Sponsoring organizations: Alabama Center for Health Statistics, Alabama Public Health
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Early Estimates of Motor Vehicle Traffic Fatalities and Fatality Rate by Sub-Categories For the First Half (January-June) of 2025
Presents projections of traffic fatalities and the fatality rate per 100 million vehicle miles traveled in the first half of 2025. Includes data for rural versus urban roads, among other measures. Compares 2024 fatality data to 2025 rates by month for a number of indicators, including rural areas.
Date: 11/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Presents projections of traffic fatalities and the fatality rate per 100 million vehicle miles traveled in the first half of 2025. Includes data for rural versus urban roads, among other measures. Compares 2024 fatality data to 2025 rates by month for a number of indicators, including rural areas.
Date: 11/2025
Sponsoring organization: National Highway Traffic Safety Administration
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