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Rural Health Information Hub

Rural Health
Resources by Topic: Access

WIC Participant and Local Agency Staff Perspectives on Increased Cash-Value Benefits for Fruits and Vegetables Within an American Indian Tribal Organization
Explores the perceived impacts of increased cash-value benefits for fruits and vegetables through the Special Supplemental Nutrition Program of Women, Infants, and Children (WIC) in tribal communities associated with the Inter Tribal Council of Arizona. Bases findings on a survey of participants and staff on their perceptions about the increase and its effect on their ability to access a more nutritious diet.
Author(s): Emily M Melnick, Francesco Acciai, Nicole Vaudrin O'Reilly, et al.
Citation: Maternal & Child Nutrition, 22(1), e70148
Date: 03/2026
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Strategies for Effective Alternate Care Sites in Rural Iowa
Discusses alternate care sites for rural Iowa during times of disaster impacting healthcare access. Uses a literature review and survey of 27 Iowa healthcare and county emergency managers to highlight areas of readiness and opportunity in rural disaster preparedness. Offers 3 recommendations based on study findings related to regional collaboration, proactively addressing staffing and resource constraints, and cross-sector partnerships.
Author(s): Lynn J. Royer
Citation: Pracademic Affairs, 6
Date: 01/2026
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Update: The Expanding Maternity Care Desert in Pennsylvania
Provides an overview of labor and delivery services in rural Pennsylvania and implications of limited access to maternity care. Features county-level maps showing locations of Pennsylvania hospitals with labor and delivery units and areas that are a 20-minute drive from a labor and delivery unit, as of 2026.
Date: 01/2026
Sponsoring organization: Center for Rural Pennsylvania
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Doula Services for Medicaid Beneficiaries in Virginia: Access, Utilization, and Policy Lessons
Discusses barriers and facilitators of access to doula care for Medicaid beneficiaries in Virginia after evaluation of a collection of both qualitative and quantitative data gathered between January 2022 and January 2025. Discusses geographic disparities including concerns for access in rural areas and policies to address access.
Author(s): Desirae Leaphart Mensah, Alison E. Cuellar
Citation: Health Affairs Scholar, 4(1)
Date: 01/2026
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Examining Rural Community Pharmacists' Knowledge and Practices in Opioid Overdose Prevention and Treatment Services in the Southeastern United States
Highlights a study on the knowledge and practices of rural pharmacists around opioid use disorder-related education and counseling in the Southeastern U.S. Presents data by pharmacist demographic characteristics, knowledge, and experience with medications for opioid use disorder (MOUD).
Author(s): Stefanie P. Ferreri, Paige Q. Ngo, Kaileigh D. Yen, Kevin Wang, et al.
Citation: Harm Reduction Journal, 23(11)
Date: 01/2026
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"The Crux of the Community": A Qualitative Focus Group Study of the Impact of Community Pharmacy Closures in Colorado and Utah
Discusses themes identified in focus groups of pharmacy workforce that had experienced a community pharmacy closure in Colorado or Utah. Themes discussed include community impacts, pharmacy operations, job experience, and patient impact. Highlights rural considerations throughout.
Author(s): Michael J. DiStefano, Nai-Chia Chen, Carl V. Asche, Kelly E. Anderson, T. Joseph Mattingly, II
Citation: Journal of the American Pharmacists Association, 66(1)
Date: 01/2026
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Use of Preventive Services by Rurality, Disability Status, and Health Insurance
Examines rates of use of routine physicals and flu vaccination by rural or urban location, disability status, and health insurance type. Uses data from the 2022 National Health Interview Survey.
Author(s): Alexis Swendener, Katie Rydberg, Lisa I. Iezzoni, Carrie Henning-Smith
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Providing Accountable Care Organizations the Ability to Expand the Use of Telehealth: Report to Congress
Analyzes the telehealth use and spending among fee-for-service (FFS) Medicare beneficiaries assigned to accountable care organizations (ACOs). Compares the rate of telehealth use across ACO and non-ACO providers between 2020 and 2023, as well as across provider types, dual eligibility, HPSA-status of patient residence, and more.
Date: 01/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluating Rural Healthcare Workforce Programs: Applying Modified Whole-of-Person Retention Improvement Framework in VHA Programs
Examines gaps in recruitment and retention programs in addressing workforce shortages in rural areas. Uses the Veterans Health Administration's 2023 Rural Recruitment and Hiring Plan and aims to identify gaps by applying a modified whole-of-person retention improvement framework.
Author(s): Meghan R. Longacre, Linda M. Kinney, Kathleen L. Carluzzo, et al.
Citation: Journal of Rural Health, 42(1), e70115
Date: 01/2026
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Supporting Rural Primary Care Practices in Delivering Care for Chronic Pain
Provides guidance on chronic pain care in rural primary care practices. Discusses best practices for delivering high-quality care in rural areas, including discussion of substance use disorder treatment and prevention, barriers to care delivery in rural practices, and more.
Date: 01/2026
Sponsoring organization: University of Rochester Medicine Recovery Center of Excellence
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