Rural Health
Resources by Topic: Social determinants of health
Digital Health Readiness and Medicare Primary Care Spending: Nationwide County-Level Observational Analysis
Analyzes associations between county-level digitalization and Medicare primary care spending for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in 2,993 counties between 2017 and 2023 using the Digital Health Index. Discusses the differences when comparing within a county over time and between counties, as well as the impact on healthcare access and socioeconomic factors.
Author(s): Zhaoqiang Zhou, John Geracitano, Baiming Zou, Saif Khairat
Citation: Journal of Medical Internet Research, 28
Date: 09/2026
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Analyzes associations between county-level digitalization and Medicare primary care spending for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in 2,993 counties between 2017 and 2023 using the Digital Health Index. Discusses the differences when comparing within a county over time and between counties, as well as the impact on healthcare access and socioeconomic factors.
Author(s): Zhaoqiang Zhou, John Geracitano, Baiming Zou, Saif Khairat
Citation: Journal of Medical Internet Research, 28
Date: 09/2026
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Opportunities for a Healthier Rural America: Perspectives from the Rural Health Research Centers
Several Rural Health Research Center directors share insights on the challenges rural communities face and opportunities to improve access and outcomes.
Author(s): Jessica Rosencrans
Date: 09/2026
Sponsoring organization: Rural Health Information Hub
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Several Rural Health Research Center directors share insights on the challenges rural communities face and opportunities to improve access and outcomes.
Author(s): Jessica Rosencrans
Date: 09/2026
Sponsoring organization: Rural Health Information Hub
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Disparities in Rural–Urban Cancer Care Outcomes Among Pediatric, Adolescent, and Young Adult Populations: A Comprehensive Narrative Review
Literature review examining research on rural-urban disparities in cancer outcomes and access to care among children aged 0-18 and adolescents and young adults aged 15-39 years. Covers topics including distance to care, cancer incidence, social determinants of health, access to specialized oncology services, mortality, financial toxicity, supportive and survivorship care, and clinical trial access.
Author(s): Olivia C. Burke, Wencesley A. Paez
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2026
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Literature review examining research on rural-urban disparities in cancer outcomes and access to care among children aged 0-18 and adolescents and young adults aged 15-39 years. Covers topics including distance to care, cancer incidence, social determinants of health, access to specialized oncology services, mortality, financial toxicity, supportive and survivorship care, and clinical trial access.
Author(s): Olivia C. Burke, Wencesley A. Paez
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2026
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The Obesity-Related Chronic Disease Index (ORCDi), a Novel Composite Metric to Quantify ORCD Burden: An Ecological Study Across U.S. Census Tracts
Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Analyzes obesity-related conditions across U.S. census-tracts to develop and validate the obesity-related chronic disease index (ORCDi), a metric used to quantify obesity burden at the community level. Utilizes Centers for Disease Control and Prevention (CDC) PLACES 2024 data to analyze health conditions across social vulnerability indices (SVIs) and rural-urban commuting area (RUCA) codes. Discusses the utility of ORCDi as a measure in health research to analyze ORCD burden in various communities.
Author(s): Md Roungu Ahmmad, Fazlay Faruque, Xiaoli Zhang
Citation: The Lancet Regional Health – Americas, 61, 101547
Date: 09/2026
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Health Outcomes in Rural America: A Prevention-to-Crisis View on Determinants of Health, Chronic Diseases, and Economic Consequences
Presents findings from a June 2026 symposium discussing factors behind health disparities in rural areas, the connection between health and economic opportunity, and possible avenues for improving healthcare outcomes for rural residents.
Author(s): Anthony F. Pipa, Brent Orrell, Adam Aley, Madeline Tong
Date: 08/2026
Sponsoring organizations: Brookings-AEI Commission on U.S. Rural Prosperity, The Brookings Institution
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Presents findings from a June 2026 symposium discussing factors behind health disparities in rural areas, the connection between health and economic opportunity, and possible avenues for improving healthcare outcomes for rural residents.
Author(s): Anthony F. Pipa, Brent Orrell, Adam Aley, Madeline Tong
Date: 08/2026
Sponsoring organizations: Brookings-AEI Commission on U.S. Rural Prosperity, The Brookings Institution
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Stories from the Field - Vital Conditions for Health and Well-Being
Describes the 7 Vital Conditions for Health and Well-Being framework: belonging, health and safety, housing, work and wealth, lifelong learning, thriving natural world, and transportation. Provides examples from health centers focused on these vital conditions, including rural examples such as the Agricultural Worker Health Program in South Carolina and CareVan in Kansas.
Date: 08/2026
Sponsoring organization: National Association of Community Health Centers
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Describes the 7 Vital Conditions for Health and Well-Being framework: belonging, health and safety, housing, work and wealth, lifelong learning, thriving natural world, and transportation. Provides examples from health centers focused on these vital conditions, including rural examples such as the Agricultural Worker Health Program in South Carolina and CareVan in Kansas.
Date: 08/2026
Sponsoring organization: National Association of Community Health Centers
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Indiana Kidney Program Improves Outcomes Through Proactive Care and Education
Profiles the Kidney Care Options (KCO) Program developed by Major Health Partners (MHP) in rural Shelby County, Indiana. Shares how the nurse-led, interdisciplinary KCO program provides patient education, care coordination, patient advocacy, and other supports early in the treatment process so patients can make informed decisions about their kidney care.
Author(s): Allee Mead
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
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Profiles the Kidney Care Options (KCO) Program developed by Major Health Partners (MHP) in rural Shelby County, Indiana. Shares how the nurse-led, interdisciplinary KCO program provides patient education, care coordination, patient advocacy, and other supports early in the treatment process so patients can make informed decisions about their kidney care.
Author(s): Allee Mead
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
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Unequal Paths to Care: How Region, Rurality, and Deprivation Determine Transport to Verified Trauma Centers among the Critically Injured
Examines the relationship among rurality, area deprivation index (ADI), and trauma center transport of critically injured patients. Utilizes 2018-2022 National Emergency Medical Services Information System data from 36,897,269 critically injured patients and analyzes rural versus urban transport to a trauma center, region of the country, and ADI.
Author(s): Amani Sampson, Edward Helderop, Tokoya Williams, et al.
Citation: Surgery, 196, 110232
Date: 08/2026
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Examines the relationship among rurality, area deprivation index (ADI), and trauma center transport of critically injured patients. Utilizes 2018-2022 National Emergency Medical Services Information System data from 36,897,269 critically injured patients and analyzes rural versus urban transport to a trauma center, region of the country, and ADI.
Author(s): Amani Sampson, Edward Helderop, Tokoya Williams, et al.
Citation: Surgery, 196, 110232
Date: 08/2026
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Young Adult Urbanicity, Late Midlife Neighborhood Disadvantage, and Cognitive Functioning in Community-Dwelling Older Men
Examines the impact of geography and neighborhood socioeconomics on cognitive function in older men. Analyzes data of cognitive performance from 881 community-dwelling men with additional breakdowns according to demographic variables, rural versus urban location, and area disadvantage index (ADI).
Author(s): Rongxiang Tang, Asad Beck, Daniel E Gustavson, et al.
Citation: The Journals of Gerontology: Series B, 81(8)
Date: 08/2026
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Examines the impact of geography and neighborhood socioeconomics on cognitive function in older men. Analyzes data of cognitive performance from 881 community-dwelling men with additional breakdowns according to demographic variables, rural versus urban location, and area disadvantage index (ADI).
Author(s): Rongxiang Tang, Asad Beck, Daniel E Gustavson, et al.
Citation: The Journals of Gerontology: Series B, 81(8)
Date: 08/2026
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Rural–Urban Comparisons of Area-Based Socioeconomic Disadvantage and Vulnerability Indices
Analyzes how area-based socioeconomic disadvantage indices vary in their index items and predictive accuracy, including the Neighborhood Atlas Area Deprivation Index (NA-ADI), Standardized Area Deprivation Index, Reproducible Area Deprivation Index, Social Vulnerability Index (SVI), and Neighborhood Disadvantage Index. Compares NA-ADI and SVI discordance and discusses implications for health disparities research.
Author(s): Hannah Lang, Kimberly A. Rollings
Citation: Health Affairs Scholar, 4(7), qxag173
Date: 07/2026
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Analyzes how area-based socioeconomic disadvantage indices vary in their index items and predictive accuracy, including the Neighborhood Atlas Area Deprivation Index (NA-ADI), Standardized Area Deprivation Index, Reproducible Area Deprivation Index, Social Vulnerability Index (SVI), and Neighborhood Disadvantage Index. Compares NA-ADI and SVI discordance and discusses implications for health disparities research.
Author(s): Hannah Lang, Kimberly A. Rollings
Citation: Health Affairs Scholar, 4(7), qxag173
Date: 07/2026
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