Rural Health
Resources by Type: Document
Community Relationships and Physician Retention in Clinician Shortage Areas
Results of a study examining the connections of community needs fulfillment and community integration with anticipated retention of physicians in rural Health Professional Shortage Areas (HPSAs) and urban HPSAs. Features demographics and statistics with breakdowns by type of practice, including Federally Qualified Health Centers and Look-Alike Health Centers, Rural Health Clinics, and hospital-based sites.
Author(s): Donald E. Pathman, David F. Schmitz, Thomas R. Konrad, Thomas E. Rauner, Mike Shimmens
Citation: JAMA Network Open, 9(9), e2635692
Date: 09/2026
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Results of a study examining the connections of community needs fulfillment and community integration with anticipated retention of physicians in rural Health Professional Shortage Areas (HPSAs) and urban HPSAs. Features demographics and statistics with breakdowns by type of practice, including Federally Qualified Health Centers and Look-Alike Health Centers, Rural Health Clinics, and hospital-based sites.
Author(s): Donald E. Pathman, David F. Schmitz, Thomas R. Konrad, Thomas E. Rauner, Mike Shimmens
Citation: JAMA Network Open, 9(9), e2635692
Date: 09/2026
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The Integrated Vulnerability Measure a Novel Financial Distress Index for US Hospitals
Tests the effectiveness of the integrated vulnerability measure (IVM) in identifying hospitals at risk of experiencing financial distress within 2 years. Discusses using IVM in decision-making and compares IVM to other distress indicators.
Author(s): Julianna Bernadi, Paul Ursino, Kevin Gormley, et al.
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Tests the effectiveness of the integrated vulnerability measure (IVM) in identifying hospitals at risk of experiencing financial distress within 2 years. Discusses using IVM in decision-making and compares IVM to other distress indicators.
Author(s): Julianna Bernadi, Paul Ursino, Kevin Gormley, et al.
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Building a Robust Primary Care Workforce: Diffusing Lessons Across States
Blog post examining primary care workforce shortages in rural and underserved areas. Describes efforts by Missouri, North Carolina, and Wisconsin to develop and implement state-level graduate medical education strategies to increase their primary care workforce.
Author(s): Erin Fraher, Andreas Stomby
Date: 09/2026
Sponsoring organization: Milbank Memorial Fund
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Blog post examining primary care workforce shortages in rural and underserved areas. Describes efforts by Missouri, North Carolina, and Wisconsin to develop and implement state-level graduate medical education strategies to increase their primary care workforce.
Author(s): Erin Fraher, Andreas Stomby
Date: 09/2026
Sponsoring organization: Milbank Memorial Fund
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Tribal Water Infrastructure: Opportunities Exist to Improve Federal Assistance
Provides an overview of federal roles in tribal water infrastructure projects. Examines the extent to which the Indian Health Service (IHS) can fund water infrastructure for homes and buildings in a tribal community. Explores opportunities to streamline application processes and administrative requirements when IHS collaborates with other federal agencies. Describes the limited financial capacity some tribes have to operate and maintain their water infrastructure, and the potential effects of IHS providing financial assistance for these purposes. Presents recommendations for Congress and federal agencies, including the U.S. Department of Agriculture (USDA) and the Environmental Protection Agency (EPA).
Additional links: Full Report
Date: 09/2026
Sponsoring organization: Government Accountability Office
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Provides an overview of federal roles in tribal water infrastructure projects. Examines the extent to which the Indian Health Service (IHS) can fund water infrastructure for homes and buildings in a tribal community. Explores opportunities to streamline application processes and administrative requirements when IHS collaborates with other federal agencies. Describes the limited financial capacity some tribes have to operate and maintain their water infrastructure, and the potential effects of IHS providing financial assistance for these purposes. Presents recommendations for Congress and federal agencies, including the U.S. Department of Agriculture (USDA) and the Environmental Protection Agency (EPA).
Additional links: Full Report
Date: 09/2026
Sponsoring organization: Government Accountability Office
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Geographic Disparities in Access to Broadband, Ambulance Services, and Health Care and Implications for Telehealth
Explores the degree to which populated areas, including rural areas, lack the sufficient broadband infrastructure needed to support telehealth services, referred to as broadband deserts. Presents data on the number and percentage of rural residents who live in broadband deserts. Describes the intersection of broadband deserts with areas with limited access to prehospital ambulance services (ambulance deserts) and hospitals and clinics (healthcare deserts) by state.
Author(s): Celia Jewell, Heidi O'Connor, Thomas E. Griffin, et al.
Citation: JAMA Health Forum, 7(9), e263290
Date: 09/2026
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Explores the degree to which populated areas, including rural areas, lack the sufficient broadband infrastructure needed to support telehealth services, referred to as broadband deserts. Presents data on the number and percentage of rural residents who live in broadband deserts. Describes the intersection of broadband deserts with areas with limited access to prehospital ambulance services (ambulance deserts) and hospitals and clinics (healthcare deserts) by state.
Author(s): Celia Jewell, Heidi O'Connor, Thomas E. Griffin, et al.
Citation: JAMA Health Forum, 7(9), e263290
Date: 09/2026
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A Community-Focused Rural Academic Health Department Model in North Carolina: Elevating Community Engagement, Rural Public Health Practice and Research
Examines the collaboration among a rural district health department, the local community in north-central North Carolina, and academic partnerships. Discusses the development of a rural academic health department (RAHD) and its work related to public health research and interventions in rural areas.
Author(s): Carmen D. Samuel-Hodge, Lisa Macon Harrison, Wendy Smith, et al.
Citation: Frontiers in Public Health, 14
Date: 09/2026
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Examines the collaboration among a rural district health department, the local community in north-central North Carolina, and academic partnerships. Discusses the development of a rural academic health department (RAHD) and its work related to public health research and interventions in rural areas.
Author(s): Carmen D. Samuel-Hodge, Lisa Macon Harrison, Wendy Smith, et al.
Citation: Frontiers in Public Health, 14
Date: 09/2026
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The 21st Century ROAD to Housing Act (P.L. 119-101)
Provides an overview of the 21st Century ROAD to Housing Act (P.L. 119-101), which became law on July 11, 2026, and aims to address housing supply and affordability. Summarizes each provision of the law, as well as deadlines applicable to federal agencies. Includes references to rural programs throughout.
Date: 09/2026
Sponsoring organization: Congressional Research Service
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Provides an overview of the 21st Century ROAD to Housing Act (P.L. 119-101), which became law on July 11, 2026, and aims to address housing supply and affordability. Summarizes each provision of the law, as well as deadlines applicable to federal agencies. Includes references to rural programs throughout.
Date: 09/2026
Sponsoring organization: Congressional Research Service
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Urban and Rural Hospital Closures in Georgia, 2022-2024
Results of a study examining postclosure changes in discharge volume, charges, and length of stay at hospitals within 35 miles of a hospital closure in Georgia from 2022-2024. Includes statistics on characteristics of discharges from hospitals that remained open, as well as outcomes associated with a closure, with breakdowns by urban and rural areas.
Author(s): Sara D. Turbow, Kajal Patel, Young-Rock Hong, Jennifer Lom, Mohammed K. Ali
Citation: JAMA Network Open, 9(9), e2635085
Date: 09/2026
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Results of a study examining postclosure changes in discharge volume, charges, and length of stay at hospitals within 35 miles of a hospital closure in Georgia from 2022-2024. Includes statistics on characteristics of discharges from hospitals that remained open, as well as outcomes associated with a closure, with breakdowns by urban and rural areas.
Author(s): Sara D. Turbow, Kajal Patel, Young-Rock Hong, Jennifer Lom, Mohammed K. Ali
Citation: JAMA Network Open, 9(9), e2635085
Date: 09/2026
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Rural–Urban and Appalachian Disparities in Geographic Access to Colonoscopy and Screening Prevalence Across the Contiguous US
Results of a study comparing access to colonoscopy providers. Features statistics on diagnostic/therapeutic procedures and screening procedures, with breakdowns by rural and urban areas and Appalachian and non-Appalachian areas and by type of colonoscopy provider.
Author(s): Sima Namin, R. Eric Heidel, Martin Whiteside, et al.
Citation: Preventing Chronic Disease, 23
Date: 09/2026
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Results of a study comparing access to colonoscopy providers. Features statistics on diagnostic/therapeutic procedures and screening procedures, with breakdowns by rural and urban areas and Appalachian and non-Appalachian areas and by type of colonoscopy provider.
Author(s): Sima Namin, R. Eric Heidel, Martin Whiteside, et al.
Citation: Preventing Chronic Disease, 23
Date: 09/2026
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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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