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Rural Health
Resources by Type: Document

Exploring Maternal Mental Health Conditions and Urban-Rural Disparities in Hypertensive Disorders of Pregnancy in South Carolina: A Fairlie Decomposition Approach
Examines the impact of maternal mental health on hypertensive disorders of pregnancy (HDP) in rural and urban areas of South Carolina. Utilizes data from 270,000 mothers with HDP to analyze maternal mental health conditions according to rural versus urban location, demographic variables, quality of prenatal care, mother's health condition, and more.
Author(s): Manan Roy, Maggie Sugg, Jennifer Runkle
Citation: Maternal and Child Health Journal
Date: 02/2026
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Study of the Feasibility and Desirability of Establishing a Delinquent Billing Reimbursement Grant System for Ambulance Service Providers - Survey Results & Overview
Presents a the results of a study on the feasibility of implementing a grant-funded reimbursement system for ambulance service providers in North Dakota. Explores the financial stability of North Dakota's EMS providers under the fee-for-service model and highlights gaps and shortfalls in reimbursement. Discusses the effect of these reimbursement issues in both rural and urban areas.
Date: 02/2026
Sponsoring organizations: North Dakota Department of Health and Human Services, North Dakota EMS Association, North Dakota Legislative Council
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The Changing Landscape of School-Based Health Centers and Other School-Based Clinics in California, 2011–2023
Examines access to school-based health centers (SBHCs) and other school-based clinics (OSBCs) in California and their role in providing medical care to under-resourced communities. Analyzes availability of SBHCs and OSBCs between 2011 and 2023, services provided, and the school's characteristics, including location in large city, small/medium city, suburb, or town/rural.
Author(s): Katherine M. Rancaño, Ashley M. Kranz, Jessica Richard, et al.
Citation: Journal of School Health, 96(4), e70126
Date: 02/2026
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Migration in Rural Minnesota: A Nuanced Story
Discusses rural versus urban net migration patterns in different regions of Minnesota during the 2000s, the 2010s, and the COVID-19 pandemic era to 2025. Provides county-level maps and charts representing migration data according to Minnesota counties comprised of rural, town/rural, urban/town/rural mix, and entirely urban populations.
Author(s): Kelly Asche
Date: 02/2026
Sponsoring organization: Center for Rural Policy and Development
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Analyzing Demographics Within Rural Populations: Considerations for Rural Public Health Research
A tip sheet from the Centers for Disease Control and Prevention discussing best practices for using demographic data in rural public health research. Discusses when to disaggregate data, common demographic variables for discovering meaningful variation, practical considerations, and limitations.
Date: 02/2026
Sponsoring organization: CDC Office of Rural Health
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From Mapping to Mobilizing: Leveraging Local Assets to Create Sustainable Solutions for Shared Challenges
Summarizes the community asset mapping process, an model for understanding community strengths and needs and supporting collaboration and informed decision-making. Provides a step-by-step approach for community asset mapping in rural areas.
Date: 02/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Model Standards for Crisis Care Workers
Proposes national standards for crisis care workers responding to the 988 Suicide and Crisis Lifeline and other behavioral health hotlines. Outlines 10 different standards for crisis care workers, such as core values and competencies; education, training, and qualifications; and standards for supervision, among others. Discusses some considerations for rural communities, such as lack of transportation and workforce shortages.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Willingness of Older Adults to Travel for Medical Care
Presents results from a survey of 2650 adults aged 65 years and older on their willingness to travel for primary care, specialty care, and one-time diagnostic appointments. See Table 3 for metro-nonmetro data comparisons, among other demographic data breakdowns.
Author(s): Jeremy Burke, Tabasa Ozawa, Ying Liu, Wei Ye, Soeren Mattke
Citation: JAMA Network Open, 9(2), e2560280
Date: 02/2026
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COVID-19: Federal Efforts to Support Behavioral Health Programs During the Pandemic
Describes how selected Substance Abuse and Mental Health Services Administration (SAMHSA) awardees provided behavioral health services during the COVID-19 pandemic and how SAMHSA supported awardees' response to the pandemic. Discusses how SAMHSA's advisory councils and Policy Lab supported the agency's COVID-19 response. Includes rural references throughout.
Additional links: Full Report
Date: 02/2026
Sponsoring organization: Government Accountability Office
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Reporting and Performance of Maternity-Related Quality Measures in Critical Access Hospitals
Describes the characteristics of Critical Access Hospitals (CAHs) with and without labor and delivery services. Examines CAH quality reporting and performance on five key measures related to maternity care and birth outcomes. Explores relationships between maternity care quality performance and CAH characteristics such as system affiliation, volume, and location. Identifies quality measures related to maternity and birth outcomes that are most feasible and relevant for CAHs and rural hospitals.
Author(s): Madeleine Pick, Megan Lahr, Mikayla Reinke, Hamdi Abas
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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