Rural Health
Resources by Topic: Rural-urban differences
2024 Forces of Change Survey
Presents results from a 2024 survey of 667 local health departments (LHDs). Provides data on LHD staffing and budgets, governance, fellowship and training programs, public health nursing, evaluation capacity, and harm reduction activities. Includes data comparisons between rural and urban LHDs, and LHDs serving small, medium, and large populations.
Author(s): Krishna Patel, Gwen Davis, Kellie Perkins, Timothy C. McCall
Date: 07/2025
Sponsoring organization: National Association of County and City Health Officials
view details
Presents results from a 2024 survey of 667 local health departments (LHDs). Provides data on LHD staffing and budgets, governance, fellowship and training programs, public health nursing, evaluation capacity, and harm reduction activities. Includes data comparisons between rural and urban LHDs, and LHDs serving small, medium, and large populations.
Author(s): Krishna Patel, Gwen Davis, Kellie Perkins, Timothy C. McCall
Date: 07/2025
Sponsoring organization: National Association of County and City Health Officials
view details
Financial Performance of Rural and Urban Nursing Homes: A Comparative Analysis
Presents a study comparing the financial performance between rural and urban nursing homes. Discusses the different structural barriers and facilitators that affect the operating margins in rural and urban facilities.
Author(s): Gregory N. Orewa, Rohit Pradhan, Akbar Ghiasi, et al.
Citation: Journal of Rural Health, 41(3), e70053
Date: 07/2025
view details
Presents a study comparing the financial performance between rural and urban nursing homes. Discusses the different structural barriers and facilitators that affect the operating margins in rural and urban facilities.
Author(s): Gregory N. Orewa, Rohit Pradhan, Akbar Ghiasi, et al.
Citation: Journal of Rural Health, 41(3), e70053
Date: 07/2025
view details
Pennsylvania Rural Health Plan, 2025-2030
Highlights healthcare challenges in rural Pennsylvania, acknowledges strengths, and promotes recommendations to address disparities. Features demographics and sections on social determinants of health, agricultural safety and farmworker health, aging, disabilities, homelessness, veterans, Pennsylvania's healthcare delivery system, broadband access, and telehealth.
Date: 07/2025
Sponsoring organization: Pennsylvania Rural Health Association
view details
Highlights healthcare challenges in rural Pennsylvania, acknowledges strengths, and promotes recommendations to address disparities. Features demographics and sections on social determinants of health, agricultural safety and farmworker health, aging, disabilities, homelessness, veterans, Pennsylvania's healthcare delivery system, broadband access, and telehealth.
Date: 07/2025
Sponsoring organization: Pennsylvania Rural Health Association
view details
Caregiving in the US 2025
A national profile of family caregivers, describing demographics, living situations, wellness, and more as well as caregiving related policies. Discusses rural throughout.
Additional links: Executive Summary, Full Report, Infographic
Date: 07/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
view details
A national profile of family caregivers, describing demographics, living situations, wellness, and more as well as caregiving related policies. Discusses rural throughout.
Additional links: Executive Summary, Full Report, Infographic
Date: 07/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
view details
Emergency Department Visits among Rural and Urban Older Adults: Disparities in Ambulatory and Emergency Care Sensitive Conditions
Compares emergency department (ED) utilization for ambulatory care sensitive conditions (ACSCs) and emergency care sensitive conditions (ECSCs) among rural and urban Medicare beneficiaries. Presents findings from a pooled cross-sectional analysis of 2016–2020 Medicare Current Beneficiary Survey data.
Author(s): Cameron J. Gettel, Courtney Kitchen, Craig Rothenberg, et al.
Citation: BMC Health Services Research, 25, 275
Date: 07/2025
view details
Compares emergency department (ED) utilization for ambulatory care sensitive conditions (ACSCs) and emergency care sensitive conditions (ECSCs) among rural and urban Medicare beneficiaries. Presents findings from a pooled cross-sectional analysis of 2016–2020 Medicare Current Beneficiary Survey data.
Author(s): Cameron J. Gettel, Courtney Kitchen, Craig Rothenberg, et al.
Citation: BMC Health Services Research, 25, 275
Date: 07/2025
view details
Palliative Care Specialist Use Among Medicare Decedents Who Had Poor-Prognosis Cancers
Examines demographic variation in specialty palliative care (PC) use, utilizing data of all Medicare fee-for-service beneficiaries who died from poor-prognosis cancers between 2018 and 2023. See Figure 3 for data on associations between rural or urban populations, among other factors, and PC use.
Author(s): Isaac S. Chua, Haiden A. Huskamp, Ateev Mehrotra, Andrew D. Wilcock
Citation: JAMA Network Open, 8(7), e2522886
Date: 07/2025
view details
Examines demographic variation in specialty palliative care (PC) use, utilizing data of all Medicare fee-for-service beneficiaries who died from poor-prognosis cancers between 2018 and 2023. See Figure 3 for data on associations between rural or urban populations, among other factors, and PC use.
Author(s): Isaac S. Chua, Haiden A. Huskamp, Ateev Mehrotra, Andrew D. Wilcock
Citation: JAMA Network Open, 8(7), e2522886
Date: 07/2025
view details
Evaluating the Implementation of Maternal Safety Bundles for Obstetric Hemorrhage and Severe Hypertension During Pregnancy in Arkansas
Examines the impact of maternal safety bundles to improve outcomes for patients with obstetric hemorrhage and maternal hypertension. Analyzes safety bundle implementation in 37 Arkansas hospitals, with breakdowns according to hospital characteristics such as hospital size and type, number of beds, number of maternal healthcare professionals, rural versus urban region, and more.
Author(s): Cheng Peng, Mahip Acharya, Batool Khattab, et al.
Citation: BMC Pregnancy and Childbirth, 25, 793
Date: 07/2025
view details
Examines the impact of maternal safety bundles to improve outcomes for patients with obstetric hemorrhage and maternal hypertension. Analyzes safety bundle implementation in 37 Arkansas hospitals, with breakdowns according to hospital characteristics such as hospital size and type, number of beds, number of maternal healthcare professionals, rural versus urban region, and more.
Author(s): Cheng Peng, Mahip Acharya, Batool Khattab, et al.
Citation: BMC Pregnancy and Childbirth, 25, 793
Date: 07/2025
view details
Palliative Care and Caregiving in the Midwest, Metro and Nonmetro Geographies: Insights from HINTS 2024
Examines characteristics of palliative caregiving in the Midwest. Utilizes 2024 Health Information National Trends Survey (HINTS) data to provide metro versus nonmetro breakdowns on the health of caregivers, knowledge about and perspectives on palliative care, person being cared for, and more.
Author(s): Adee Athiyaman
Date: 07/2025
Sponsoring organization: Illinois Institute for Rural Affairs
view details
Examines characteristics of palliative caregiving in the Midwest. Utilizes 2024 Health Information National Trends Survey (HINTS) data to provide metro versus nonmetro breakdowns on the health of caregivers, knowledge about and perspectives on palliative care, person being cared for, and more.
Author(s): Adee Athiyaman
Date: 07/2025
Sponsoring organization: Illinois Institute for Rural Affairs
view details
Metropolitan/Nonmetropolitan Differences of the Impact of COVID-19 on Cancer Survivors' Care
Examines the impact of the COVID-19 pandemic on cancer care in metro and nonmetro locations. Utilizes 2021 Health Information National Trends-Surveillance Epidemiology End Results (HINTS-SEER) data from cancer survivors regarding their routine cancer screening, preventive care, treatment, and follow-up appointments.
Author(s): Whitney E. Zahnd, Jason T. Semprini, Robin C. Vanderpool, et al.
Citation: Journal of Rural Health, 41(3)
Date: 07/2025
view details
Examines the impact of the COVID-19 pandemic on cancer care in metro and nonmetro locations. Utilizes 2021 Health Information National Trends-Surveillance Epidemiology End Results (HINTS-SEER) data from cancer survivors regarding their routine cancer screening, preventive care, treatment, and follow-up appointments.
Author(s): Whitney E. Zahnd, Jason T. Semprini, Robin C. Vanderpool, et al.
Citation: Journal of Rural Health, 41(3)
Date: 07/2025
view details
COVID-19 Risk Stratification among Older Adults: A Machine Learning Approach to Identify Personal and Health-Related Risk Factors
Examines risk perceptions and health behaviors related to COVID-19 to create a predictive model to classify individuals into risk categories. Analyzes individual features such as demographic variables, health conditions, adherence to public health guidelines, health literacy, and urbanicity.
Author(s): Arezoo Abasi, Seyed Abbas Motevalian, Haleh Ayatollahi
Citation: BMC Public Health 25, 2577
Date: 07/2025
view details
Examines risk perceptions and health behaviors related to COVID-19 to create a predictive model to classify individuals into risk categories. Analyzes individual features such as demographic variables, health conditions, adherence to public health guidelines, health literacy, and urbanicity.
Author(s): Arezoo Abasi, Seyed Abbas Motevalian, Haleh Ayatollahi
Citation: BMC Public Health 25, 2577
Date: 07/2025
view details