Rural Health
Resources by State: California
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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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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Estimating County-Level Dental Care Utilization among Adults in California Using Multilevel Modeling with Raking Approach
Analyzes the accuracy and suitability of a small area estimation method combining multilevel modeling and raking for estimating county-level dental care utilization for adults in California, utilizing 2018 Behavioral Risk Factor Surveillance System and American Community Survey data. Highlights the value of small area estimation methods for geographic areas with small sample sizes.
Author(s): Yilan Huang, Honghu Liu
Citation: Archives of Public Health, 83, 183
Date: 07/2025
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Analyzes the accuracy and suitability of a small area estimation method combining multilevel modeling and raking for estimating county-level dental care utilization for adults in California, utilizing 2018 Behavioral Risk Factor Surveillance System and American Community Survey data. Highlights the value of small area estimation methods for geographic areas with small sample sizes.
Author(s): Yilan Huang, Honghu Liu
Citation: Archives of Public Health, 83, 183
Date: 07/2025
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Selected Rural Healthcare Facilities in California
Shows the state's Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites and short term/PPS (Prospective Payment System) hospitals located in rural areas.
Date: 07/2025
Sponsoring organization: Rural Health Information Hub
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Shows the state's Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites and short term/PPS (Prospective Payment System) hospitals located in rural areas.
Date: 07/2025
Sponsoring organization: Rural Health Information Hub
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Effectiveness of a Respiratory Therapist-Led, Community-Based Asthma Program in an Under Resourced Rural Border Town in California
Analyzes the impact of the Asthma Community Linkages Project (ACLP), a community-based asthma self-management program delivered through rural health clinics, on asthma control and emergency department visit frequency among 233 asthma patients in Imperial County, California. Highlights the value of the ACLP model for other rural and underserved border settings.
Author(s): Torrie Staten, Ping-Hui Liu, Catalina Holt, Abdullah Alismail
Citation: Respiratory Medicine, 241, 108071
Date: 05/2025
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Analyzes the impact of the Asthma Community Linkages Project (ACLP), a community-based asthma self-management program delivered through rural health clinics, on asthma control and emergency department visit frequency among 233 asthma patients in Imperial County, California. Highlights the value of the ACLP model for other rural and underserved border settings.
Author(s): Torrie Staten, Ping-Hui Liu, Catalina Holt, Abdullah Alismail
Citation: Respiratory Medicine, 241, 108071
Date: 05/2025
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Addressing Toxic Stress and Health Care Access in California Farmworker Communities: ACCESS Pilot Project Evaluation
Analyzes feedback from the farmworker community in California on the impact of toxic stress in their lives. Utilizes 482 responses from the farmworker community health survey to investigate issues such as toxic stress, public health outreach and education, healthcare access in rural areas, barriers to insurance coverage, and ways to address toxic stress in farmworker communities.
Author(s): Ingrid Estrada-Darley, Alejandro Roa Contreras, Cristina Alvarez, et al.
Date: 04/2025
Sponsoring organization: RAND Corporation
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Analyzes feedback from the farmworker community in California on the impact of toxic stress in their lives. Utilizes 482 responses from the farmworker community health survey to investigate issues such as toxic stress, public health outreach and education, healthcare access in rural areas, barriers to insurance coverage, and ways to address toxic stress in farmworker communities.
Author(s): Ingrid Estrada-Darley, Alejandro Roa Contreras, Cristina Alvarez, et al.
Date: 04/2025
Sponsoring organization: RAND Corporation
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Health Workforce Research Data Center: Annual Report to the Legislature, April 2025
Provides an overview of California's health workforce data, projections, demographics, education and employment trends, and more. Provides county-level data on healthcare occupations including behavioral health providers, nurses and advanced practice registered nurses, allied health professionals, and other clinicians.
Date: 04/2025
Sponsoring organization: California Department of Health Care Access and Information
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Provides an overview of California's health workforce data, projections, demographics, education and employment trends, and more. Provides county-level data on healthcare occupations including behavioral health providers, nurses and advanced practice registered nurses, allied health professionals, and other clinicians.
Date: 04/2025
Sponsoring organization: California Department of Health Care Access and Information
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Human Cases of Highly Pathogenic Avian Influenza A(H5N1) — California, September–December 2024
Reports on increased risk for infection from highly pathogenic avian influenza (HPAI) A(H5N1) among people who work closely with dairy cows, poultry, or other animals with suspected or confirmed infection. Includes data on investigations that led to identification of 38 people who tested positive for HPAI A(H5N1) viruses in California, including 37 dairy farm workers with exposure to sick cows, and one child with an undetermined exposure.
Author(s): Sophie Zhu, Kathleen Harriman, Caterina Liu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(8), 127–133
Date: 03/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on increased risk for infection from highly pathogenic avian influenza (HPAI) A(H5N1) among people who work closely with dairy cows, poultry, or other animals with suspected or confirmed infection. Includes data on investigations that led to identification of 38 people who tested positive for HPAI A(H5N1) viruses in California, including 37 dairy farm workers with exposure to sick cows, and one child with an undetermined exposure.
Author(s): Sophie Zhu, Kathleen Harriman, Caterina Liu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(8), 127–133
Date: 03/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Partnering to Improve Care for People Experiencing Homelessness Profile Series - Engaging the Community to Support People Experiencing Homelessness: Lessons from California's Tuolumne County
Discusses strategies to address homelessness and healthcare access in rural Tuolumne county in Northern California. Utilizes community needs assessment surveys to examine how to better meet healthcare and housing needs of residents through collaboration.
Author(s): Zackiya Grant-Knight, Jahira Sterling
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Discusses strategies to address homelessness and healthcare access in rural Tuolumne county in Northern California. Utilizes community needs assessment surveys to examine how to better meet healthcare and housing needs of residents through collaboration.
Author(s): Zackiya Grant-Knight, Jahira Sterling
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Building Trust Through Integrated Outreach and Mobile Clinics for People Experiencing Homelessness: Tips for Providers
Discusses the process of utilizing a mobile health clinic approach to provide services to people experiencing homelessness in rural Tuolumne county in Northern California. Discusses issues related to mobile clinics, such as understanding client, staff, and care team benefits of a mobile health model as well as strategies for outreach.
Author(s): Katie League
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Discusses the process of utilizing a mobile health clinic approach to provide services to people experiencing homelessness in rural Tuolumne county in Northern California. Discusses issues related to mobile clinics, such as understanding client, staff, and care team benefits of a mobile health model as well as strategies for outreach.
Author(s): Katie League
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Maternity Care in California: An Environmental Scan
Examines factors affecting declining hospital-based maternity care services in California and identifies approaches to increase access and quality of care. Includes discussion of rural hospital closures and rural quality of care challenges, and highlights rural program models in California and Alaska.
Date: 02/2025
Sponsoring organization: California Hospital Association
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Examines factors affecting declining hospital-based maternity care services in California and identifies approaches to increase access and quality of care. Includes discussion of rural hospital closures and rural quality of care challenges, and highlights rural program models in California and Alaska.
Date: 02/2025
Sponsoring organization: California Hospital Association
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