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Rural Health Information Hub

Rural Health
Resources by Topic: Access

A Stubborn Problem: Unaffordable Health Costs Continue to Strain Californians' Finances
Examines healthcare affordability in California from 2019 to 2024, comparing pre-COVID-19 pandemic experiences to after the pandemic had subsided, alongside the implementation of related state and federal policy impacting affordability. Provides percentages of Californians who have trouble paying medical bills, who use credit cards to pay medical bills, who have private insurance with deductibles above $2,000, and more, according to coverage type, demographics, region, and rural versus urban location.
Date: 03/2026
Sponsoring organization: State Health Access Data Assistance Center
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From Closure to Comeback: A Rural ICU Is Reborn
A podcast episode examining how rural hospitals can utilize technology and partnerships to provide local healthcare access to residents. Provides a discussion between CEOs of hospitals focusing on the reopening of an intensive care unit (ICU) at a Critical Access Hospital (CAH).
Author(s): Tom Haederle, Marc Boom, Mark Boucot
Date: 03/2026
Sponsoring organization: American Hospital Association
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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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NACH Facts and Figures: 2025 Edition
Provides an overview of hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, quality of care, and more. Includes data on geographic locations of hospice services and patients.
Date: 02/2026
Sponsoring organization: National Alliance for Care at Home
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Community Health Workers in Iowa – An Urban and Rural Perspective
A video that details the impact of community health workers (CHWs) on population health in Iowa and their role in removing healthcare barriers in both rural and urban communities. Transcript available below description.
Date: 02/2026
Sponsoring organization: Iowa Department of Health and Human Services
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Sociodemographic Drivers of Recruitment and Attrition in Digital Neurological Research: Longitudinal Cohort Study
Examines demographic differences in participation in a remote speech capture study with digital recruitment via the Mayo Clinic patient portal system. Includes data on enrollment and completion times by rural or urban area, among other factors.
Author(s): Peyman Nejat, Ashley D. Bachman, Vicki M. Stubbs, et al.
Citation: Journal of Medical Internet Research, 28, e83432
Date: 02/2026
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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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From Expansion to Expiration: Federal Policy Waivers and Telehealth Utilization in US Primary Care (2016–2024)
Examines the impact of COVID-19 federal policy waivers on the long-term sustainability of telehealth access. Provides a scoping review of 2016-2024 articles focused on telehealth utilization for primary care, the removal of geographic restrictions in telehealth policy, and the subsequent impact on healthcare access for rural areas.
Author(s): Abhilasha Bellapu, John Geracitano, Jamie Conklin, Saif Khairat
Citation: Advances in Health Information Science and Practice, 2(1), eRCTG8117
Date: 02/2026
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Empowering Rural Communities: Overcoming Barriers to Substance Use Treatment
Webinar recording discusses the ways rural communities can overcome barriers to substance use disorder (SUD) treatment and uptake. Explores substance use data for rural communities and outlines common barriers, such as travel times and distance to care, provider shortages, and concerns about stigma and patient confidentiality. Highlights strategies for rural communities to leverage their community bonds and faith communities to address SUD, and details models for expanding treatment and patient support in rural areas.
Additional links: Webinar Slides
Date: 02/2026
Sponsoring organization: Addiction Technology Transfer Center Network
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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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