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Rural Health
Resources by Topic: Technology for health and human services

Stuck in the Middle: Internet Insecurity in Rural America
Reports on internet insecurity and internet use among 2,600 rural households in Michigan and Colorado, with additional data and discussion of factors influencing rural internet access throughout the United States.
Date: 09/2025
Sponsoring organization: Connected Nation
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State Strategies for Strengthening Rural Health: Insights from NASHP's 2025 Annual Conference
Summarizes a session from the National Academy for State Health Policy (NASHP) 2025 Annual Conference regarding state strategies to improve access to care in rural communities. Highlights policies from North Dakota, Washington, and West Virginia related to workforce and capacity challenges, broadband and telehealth, behavioral health access points, and linking health and social care.
Date: 09/2025
Sponsoring organization: National Academy for State Health Policy
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Hospital Trends in the Use, Evaluation, and Governance of Predictive AI, 2023-2024
Describes trends in the foundational use, evaluation, and governance of predictive artificial intelligence (AI) in hospitals using data from the 2023 and 2024 American Hospital Association (AHA) Information Technology (IT) supplement. Presents data on the differences in acute care hospitals' use of predictive AI by hospital size, CAH status, rural/urban location, independent/system affiliation, and electronic health record (EHR) vendor.
Date: 09/2025
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Electronic Data Capture of Patient-Report Questionnaire in Patient Management in a Rural Population
Explores the feasibility and acceptability of electronic patient-reported outcomes among metabolic and bariatric surgery patients at an academic medical center in rural West Virginia. Describes results of a patient questionnaire regarding the experience of using a tablet to complete psychosocial evaluations before seeing a behavioral health provider and their preference for using a tablet or traditional paper-and-pencil forms.
Author(s): Hayley Harman, Ashleigh A. Pona, Lawrence Tabone, et al.
Citation: JSLS: Journal of the Society of Laparoscopic & Robotic Surgeons, 29(3), e2025.00068
Date: 09/2025
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Implementing High-Quality Primary Care: A Policy Menu for States
Presents policy strategies utilized by states to strengthen primary care across five priority areas. Strategies cover primary care reimbursement; addressing individual, community, and market-level barriers to care; expanding and supporting the primary care workforce; and supporting practice transformation. Includes rural references throughout.
Date: 09/2025
Sponsoring organizations: Milbank Memorial Fund, National Academy for State Health Policy
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Rural Resource: Availability of Obstetric Simulation Training by State
Explores the availability of simulation training and continuing medical education (CME)/distance learning opportunities for both rural hospitals with obstetric units and those without obstetric units. Presents findings of an environmental scan of national, regional, and state-level obstetric training resources. Offers recommendations for ways State Flex Programs and Critical Access Hospitals can use this resource to identify applicable simulation trainings.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr
Date: 09/2025
Sponsoring organization: Flex Monitoring Team
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Forces Driving Change in Rural North Carolina
Examines major forces driving change in rural North Carolina communities, which influence people, communities, and businesses. Includes sections on rural healthcare inequities, social determinants of health, and the long-term impact of COVID-19 on rural people. Features a county-level map showing health outcome rankings as of 2022, and statistics on the number of healthcare professionals per 10,000 people, with breakdowns by urban, suburban, and rural areas.
Date: 09/2025
Sponsoring organization: NC Rural Center
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Video and Telephone Telehealth Use and Web-Based Patient Portal Activation Among Rural-Dwelling Patients: Retrospective Medical Record Review and Policy Implications
Analyzes patient characteristics associated with telehealth use among rural California adults, utilizing electronic health record data of 9,359 patients dwelling in rural California ZIP codes. Provides data on patients' telehealth modality, provider type, portal activation, level of rurality, age, primary language, and other clinical and demographic characteristics. Discusses policy approaches to improving telehealth access in rural areas.
Author(s): Meghan Rowe Ferrara, Gina Intinarelli-Shuler, Susan A Chapman
Citation: Journal of Medical Internet Research, 27, e67226
Date: 08/2025
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Health-Related Internet Use among Adults In The Midwest, Metro and Nonmetro Geographies
Examines trends in health-related internet use in Midwestern adults. Utilizes data from 1,220 adult survey respondents and provides metro versus nonmetro data breakdowns on drive to seek online health information, internet searching literacy, device use, utilization of health-related social media and videos, and more. Discusses differences in rural and urban populations' abilities to utilize the internet for health needs.
Author(s): Adee Athiyaman
Date: 08/2025
Sponsoring organization: Illinois Institute for Rural Affairs
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Explaining the Diffusion of Project ECHO
Analyzes the creation and reach of the rural intervention Project Extension for Community Healthcare Outcomes (Project ECHO) to identify factors contributing to its rapid adoption as a model for mentorship and sharing knowledge in healthcare.
Author(s): James W. Dearing, R. Sam Larson
Citation: Implementation Science Communications, 6, 88
Date: 08/2025
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