Rural Health
Resources by Type: Document
Assessing Homeowner Perspectives and Barriers to Maintenance of On-Lot Septic Systems in Rural Pennsylvania
Results of a study surveying septic system users in Pennsylvania in 2024 and 2025 to assess whether residents follow current maintenance guidelines, to examine barriers and needs for proper maintenance, and to evaluate water contaminants in private water sources. Features statistics including age of systems, pumping frequency, and contaminant detection frequencies of water samples, including drinking water.
Additional links: Legislative Brief
Author(s): Faith A. Kibuye, Andy Yencha, Susan Boser
Date: 06/2026
Sponsoring organization: Center for Rural Pennsylvania
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Results of a study surveying septic system users in Pennsylvania in 2024 and 2025 to assess whether residents follow current maintenance guidelines, to examine barriers and needs for proper maintenance, and to evaluate water contaminants in private water sources. Features statistics including age of systems, pumping frequency, and contaminant detection frequencies of water samples, including drinking water.
Additional links: Legislative Brief
Author(s): Faith A. Kibuye, Andy Yencha, Susan Boser
Date: 06/2026
Sponsoring organization: Center for Rural Pennsylvania
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Drug Use and Social Connectivity Related to Hepatitis C Infection Among Rural People Who Use Drugs
Presents a study on the levels of social connectivity of rural people who use drugs (PWUDs) that correlate hepatitis C virus (HCV) positivity. Explores data by demographic characteristics, and measurements of social connectivity, such as currently seeing a primary care provider, past substance use treatment, and access to transportation, among other measures.
Author(s): Alex Rains, Ellen Almirol, William Nicholson, et al.
Citation: Journal of Viral Hepatitis, 33(7), e70200
Date: 06/2026
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Presents a study on the levels of social connectivity of rural people who use drugs (PWUDs) that correlate hepatitis C virus (HCV) positivity. Explores data by demographic characteristics, and measurements of social connectivity, such as currently seeing a primary care provider, past substance use treatment, and access to transportation, among other measures.
Author(s): Alex Rains, Ellen Almirol, William Nicholson, et al.
Citation: Journal of Viral Hepatitis, 33(7), e70200
Date: 06/2026
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Tailoring the Relational Playbook for Cardiology Teams to the Rural Hospital Medicine Setting: A Multi-Method Pre-Implementation Evaluation
Examines the process of making the Relational Playbook for Cardiology Teams leadership program within the Veterans Health Administration (VA) acceptable, appropriate, and feasible for rural healthcare settings. Utilizes data from site visits with 3 VA hospitals serving rural veterans and discusses perspectives from clinical leaders regarding barriers and strategies to implementing the program.
Author(s): Heather M. Gilmartin, Paige Perry, Brigid Connelly, et al.
Citation: Journal of Rural Health, 42(2), e70165
Date: 06/2026
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Examines the process of making the Relational Playbook for Cardiology Teams leadership program within the Veterans Health Administration (VA) acceptable, appropriate, and feasible for rural healthcare settings. Utilizes data from site visits with 3 VA hospitals serving rural veterans and discusses perspectives from clinical leaders regarding barriers and strategies to implementing the program.
Author(s): Heather M. Gilmartin, Paige Perry, Brigid Connelly, et al.
Citation: Journal of Rural Health, 42(2), e70165
Date: 06/2026
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Rural–Urban Disparities in Acute Pancreatitis Outcomes: A Retrospective Cohort Study using the National Inpatient Sample (2016–2021)
Compares rural and urban acute pancreatitis hospitalization costs, mortality, length of stay, complications, and other healthcare outcomes, using 2016-2021 National Inpatient Sample data.
Author(s): Fatima Rashid, Kasim Syed Jafri, Niloy Ghosh, et al.
Citation: Medicine, 105(23), e49138
Date: 06/2026
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Compares rural and urban acute pancreatitis hospitalization costs, mortality, length of stay, complications, and other healthcare outcomes, using 2016-2021 National Inpatient Sample data.
Author(s): Fatima Rashid, Kasim Syed Jafri, Niloy Ghosh, et al.
Citation: Medicine, 105(23), e49138
Date: 06/2026
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Hierarchical Bayesian Analysis of Prehospital Timelines for Elderly Adults in Rural and Urban Motor-Vehicle Crashes
Analyzes emergency medical services (EMS) response and prehospital timelines for older adults involved in vehicle crashes in rural versus urban areas. Utilizes 2018-2023 crash data from Ohio and examines rural versus urban characteristics of crashes, prehospital time, and distance traveled.
Author(s): Philip F. Balyagati, Abdul S. Ngereza, Emmanuel Kidando, et al.
Citation: Journal of Safety Research, 97, 453-462
Date: 06/2026
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Analyzes emergency medical services (EMS) response and prehospital timelines for older adults involved in vehicle crashes in rural versus urban areas. Utilizes 2018-2023 crash data from Ohio and examines rural versus urban characteristics of crashes, prehospital time, and distance traveled.
Author(s): Philip F. Balyagati, Abdul S. Ngereza, Emmanuel Kidando, et al.
Citation: Journal of Safety Research, 97, 453-462
Date: 06/2026
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Hospital Closures Increase Emergency Care Travel Time: Rural-Urban Disparities
Examines the relationship between travel time to emergency care and hospital closures. Utilizes data from 2012-2023 hospital closures in Texas and analyzes 6,883 census tracts according to travel time to the nearest and second nearest emergency department (ED), with additional breakdowns by population characteristics and geographic categories of metro, micro, small town, or rural.
Author(s): Huiwen Zheng, Scott Horel, Christine Crudo Blackburn
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 63
Date: 06/2026
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Examines the relationship between travel time to emergency care and hospital closures. Utilizes data from 2012-2023 hospital closures in Texas and analyzes 6,883 census tracts according to travel time to the nearest and second nearest emergency department (ED), with additional breakdowns by population characteristics and geographic categories of metro, micro, small town, or rural.
Author(s): Huiwen Zheng, Scott Horel, Christine Crudo Blackburn
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 63
Date: 06/2026
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Timely Adjuvant Therapy in Head and Neck Cancer: Barriers and Facilitators in Rural Care
Examines initiation delays of postoperative radiotherapy (PORT) following surgery in rural patients with head and neck squamous cell carcinoma. Utilizes qualitative data from patients, caregivers, and staff at 2 rural New England cancer center clinics and discusses barriers and facilitators of PORT, such as communication, caregiver support, healthcare access, leveraging rural resources and culture, and more.
Author(s): Garrett T. Wasp, Shahed Khudaier, Olivia Siroonian, et al.
Citation: JAMA Otolaryngology – Head & Neck Surgery, 152(6), 569-577
Date: 06/2026
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Examines initiation delays of postoperative radiotherapy (PORT) following surgery in rural patients with head and neck squamous cell carcinoma. Utilizes qualitative data from patients, caregivers, and staff at 2 rural New England cancer center clinics and discusses barriers and facilitators of PORT, such as communication, caregiver support, healthcare access, leveraging rural resources and culture, and more.
Author(s): Garrett T. Wasp, Shahed Khudaier, Olivia Siroonian, et al.
Citation: JAMA Otolaryngology – Head & Neck Surgery, 152(6), 569-577
Date: 06/2026
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Virginia Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Virginia in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in Virginia in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Virginia Rural Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in Virginia in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the supply and distribution of behavioral health clinicians in Virginia in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Virginia Rural Obstetrical Workforce
Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Virginia in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Virginia in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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