Rural Health
Resources by Topic: Specialty care
Quantitative Effects of Mechanical Cardiopulmonary Resuscitation Devices in Rural American Emergency Medical Services: A Retrospective Cohort Study
Examines the effect of mechanical cardiopulmonary resuscitation on out-of-hospital cardiac arrest incidents in rural areas and the usefulness of new technologies on rural emergency medical services (EMS). Utilizes 2017–2019 National Emergency Medical Services Information System data to analyze 585 rural cardiac arrests and the impact of mechanical cardiopulmonary resuscitation on EMS care quality.
Author(s): Peter H. King, Esmaeil Bahalkeh
Citation: International Journal of Emergency Medicine, 18, 151
Date: 08/2025
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Examines the effect of mechanical cardiopulmonary resuscitation on out-of-hospital cardiac arrest incidents in rural areas and the usefulness of new technologies on rural emergency medical services (EMS). Utilizes 2017–2019 National Emergency Medical Services Information System data to analyze 585 rural cardiac arrests and the impact of mechanical cardiopulmonary resuscitation on EMS care quality.
Author(s): Peter H. King, Esmaeil Bahalkeh
Citation: International Journal of Emergency Medicine, 18, 151
Date: 08/2025
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Understanding the Influence of Social Determinants of Health on Symptom Reporting in Pediatric Cancer
Highlights a study on the social determinants of health of caregivers of children with cancer in Appalachia. Discusses the symptom burden of child cancer and breaks down data by child's age, rurality, and Appalachian versus non-Appalachian location, among other measures.
Author(s): Micah A. Skeens, Adelaide Booze, Mark Ranalli, Anna Olsavsky
Citation: Journal of Rural Health, 41(3), e70071
Date: 08/2025
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Highlights a study on the social determinants of health of caregivers of children with cancer in Appalachia. Discusses the symptom burden of child cancer and breaks down data by child's age, rurality, and Appalachian versus non-Appalachian location, among other measures.
Author(s): Micah A. Skeens, Adelaide Booze, Mark Ranalli, Anna Olsavsky
Citation: Journal of Rural Health, 41(3), e70071
Date: 08/2025
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Spatial Accessibility of Substance Use Disorder Treatment Programs, Compared with Other Health Care Facilities, in New York State, 2024
Examines spatial accessibility to substance use disorder (SUD) treatment in New York State. Analyzes one-way travel time as well as the difference in travel between the closest and fifth closest facility. Includes maps comparing travel time to SUD treatment to other healthcare facilities in rural and urban areas of New York State.
Author(s): Marcus A. Bachhuber, Chinazo O. Cunningham, Pat Lincourt, Ashly E. Jordan
Citation: Addiction Science & Clinical Practice, 20, 60
Date: 07/2025
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Examines spatial accessibility to substance use disorder (SUD) treatment in New York State. Analyzes one-way travel time as well as the difference in travel between the closest and fifth closest facility. Includes maps comparing travel time to SUD treatment to other healthcare facilities in rural and urban areas of New York State.
Author(s): Marcus A. Bachhuber, Chinazo O. Cunningham, Pat Lincourt, Ashly E. Jordan
Citation: Addiction Science & Clinical Practice, 20, 60
Date: 07/2025
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2025
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Empowering Patients to Participate in Clinical Trials
Discusses the importance of clinical trials as well as the barriers that impact participant enrollment and retention. Provides strategies and policy suggestions to improve participation in clinical trials for various populations, including those in rural and remote areas.
Author(s): Allison Kolbe, Agata Bodie
Date: 07/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Discusses the importance of clinical trials as well as the barriers that impact participant enrollment and retention. Provides strategies and policy suggestions to improve participation in clinical trials for various populations, including those in rural and remote areas.
Author(s): Allison Kolbe, Agata Bodie
Date: 07/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Beneficiary and Clinician Perspectives on Medicare and Other Issues: Findings from 2025 Focus Groups in St. Louis, Missouri, and 2021–2025 Rural Focus Groups
Summarizes findings from 8 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between April and May 2025, including one virtual focus group of rural Medicare beneficiaries. Compiles findings from 13 focus groups of rural Medicare beneficiaries between 2021 and 2025. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 06/2025
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Summarizes findings from 8 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between April and May 2025, including one virtual focus group of rural Medicare beneficiaries. Compiles findings from 13 focus groups of rural Medicare beneficiaries between 2021 and 2025. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 06/2025
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Environmental Scan on Reducing Barriers to Participation in Population-Based Total Cost of Care (PB-TCOC) Models and Supporting Primary and Specialty Care Transformation
Presents results of an environmental scan on reducing barriers to participation in population-based total cost of care (PB-TCOC) models and supporting primary and specialty care transformation. Discusses identifying pathways for maximizing participation of different kinds of organizations in PB-TCOC models; an assessment of and approaches to reducing organization-level barriers; approaches to support primary and specialty care transformation; an assessment of factors that influence the ability of PB-TCOC models to be competitive; and a summary of relevant features in previously submitted Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references throughout.
Date: 05/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents results of an environmental scan on reducing barriers to participation in population-based total cost of care (PB-TCOC) models and supporting primary and specialty care transformation. Discusses identifying pathways for maximizing participation of different kinds of organizations in PB-TCOC models; an assessment of and approaches to reducing organization-level barriers; approaches to support primary and specialty care transformation; an assessment of factors that influence the ability of PB-TCOC models to be competitive; and a summary of relevant features in previously submitted Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references throughout.
Date: 05/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Texas Health Stephenville Enhances Respiratory Care in Erath County
Profiles Texas Health Harris Methodist Hospital Stephenville in rural Texas and their pulmonary rehabilitation services. Discusses the need for pulmonary healthcare access in rural areas.
Author(s): Chandra Caradine
Date: 04/2025
Sponsoring organization: Texas Health Resources
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Profiles Texas Health Harris Methodist Hospital Stephenville in rural Texas and their pulmonary rehabilitation services. Discusses the need for pulmonary healthcare access in rural areas.
Author(s): Chandra Caradine
Date: 04/2025
Sponsoring organization: Texas Health Resources
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Rural Health Disparities and Differences in Definitions of Rurality
Examines health disparities and differences in healthcare characteristics between rural and nonrural counties using data from the 2023 County Health Rankings and 2021-2022 Area Health Resources Files. Compares community health and healthcare characteristics by two county-level urban-rural classification systems: Rural-Urban Continuum Codes (RUCC) and Core Based Statistical Areas (CBSAs). Explores the degree to which four county-level classification systems - RUCC, CBSA, the National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme for Counties, and Urban Influence Codes (UIC) - agree regarding which counties are designated as rural.
Date: 02/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Examines health disparities and differences in healthcare characteristics between rural and nonrural counties using data from the 2023 County Health Rankings and 2021-2022 Area Health Resources Files. Compares community health and healthcare characteristics by two county-level urban-rural classification systems: Rural-Urban Continuum Codes (RUCC) and Core Based Statistical Areas (CBSAs). Explores the degree to which four county-level classification systems - RUCC, CBSA, the National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme for Counties, and Urban Influence Codes (UIC) - agree regarding which counties are designated as rural.
Date: 02/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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A Perinatal Psychiatry Access Program to Address Rural and Medically Underserved Populations Using Telemedicine
Examines the Moms IMPACTT (Improving Access to Perinatal Mental Health and Substance Use Disorder Care Through Telehealth and Tele-mentoring) program in South Carolina, which aims to address perinatal mental health and substance use issues through healthcare partnerships and telemedicine. Provides details and impact of the program, including outreach and engagement with rural and underserved communities.
Author(s): Courtney King, Marie Hayes, Lizmarie Maldonado, et al.
Citation: BMC Women's Health, 25, 30
Date: 01/2025
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Examines the Moms IMPACTT (Improving Access to Perinatal Mental Health and Substance Use Disorder Care Through Telehealth and Tele-mentoring) program in South Carolina, which aims to address perinatal mental health and substance use issues through healthcare partnerships and telemedicine. Provides details and impact of the program, including outreach and engagement with rural and underserved communities.
Author(s): Courtney King, Marie Hayes, Lizmarie Maldonado, et al.
Citation: BMC Women's Health, 25, 30
Date: 01/2025
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