Rural Health
Resources by Topic: Access
The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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April 2026 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2026 meeting. Covers community engagement requirements in Medicaid, state and federal tools for ensuring accountability of Medicaid managed care plans, the role of the state Medicaid agency in the Program of All-Inclusive Care for the Elderly (PACE), pharmacy benefit managers and Medicaid, and more. Includes rural references throughout.
Date: 04/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2026 meeting. Covers community engagement requirements in Medicaid, state and federal tools for ensuring accountability of Medicaid managed care plans, the role of the state Medicaid agency in the Program of All-Inclusive Care for the Elderly (PACE), pharmacy benefit managers and Medicaid, and more. Includes rural references throughout.
Date: 04/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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April 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2026 meeting. Covers Medicare payment incentives, regional benchmarks and benchmark-plan availability in the Part D prescription drug plan (PDP) market, preferred networks and pharmacy access in Medicare Part D, the estimated association between Medicare Advantage enrollment and hospitals' and post-acute care providers' finances, information sources that beneficiaries use to make Medicare enrollment decisions, and institutional special-needs plans. Includes a mandated report on the assessment of the Medicare ground ambulance data collection system. Includes rural references and considerations throughout.
Additional links: Advising the Congress on Medicare Issues Preferred Networks and Pharmacy Access in Part D, Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 04/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2026 meeting. Covers Medicare payment incentives, regional benchmarks and benchmark-plan availability in the Part D prescription drug plan (PDP) market, preferred networks and pharmacy access in Medicare Part D, the estimated association between Medicare Advantage enrollment and hospitals' and post-acute care providers' finances, information sources that beneficiaries use to make Medicare enrollment decisions, and institutional special-needs plans. Includes a mandated report on the assessment of the Medicare ground ambulance data collection system. Includes rural references and considerations throughout.
Additional links: Advising the Congress on Medicare Issues Preferred Networks and Pharmacy Access in Part D, Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 04/2026
Sponsoring organization: Medicare Payment Advisory Commission
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A Roadmap for Building and Implementing a Comprehensive State Graduate Medical Education Strategy: Actionable Steps to Align Investments with Workforce Needs
Offers an evidence-based framework that organizes a graduate medical education (GME) growth strategy into 5 stages. Can be used as part of federal Rural Health Transformation Program activities to strengthen workforce recruitment and retention and to improve healthcare access in rural areas. Table 1 shows state GME models and technical assistance initiatives.
Author(s): Lori Rodefeld, Emily M. Hawes, Raquel Davis, et al.
Date: 04/2026
Sponsoring organization: Milbank Memorial Fund
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Offers an evidence-based framework that organizes a graduate medical education (GME) growth strategy into 5 stages. Can be used as part of federal Rural Health Transformation Program activities to strengthen workforce recruitment and retention and to improve healthcare access in rural areas. Table 1 shows state GME models and technical assistance initiatives.
Author(s): Lori Rodefeld, Emily M. Hawes, Raquel Davis, et al.
Date: 04/2026
Sponsoring organization: Milbank Memorial Fund
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Identification and Characteristics of Under-Resourced and High-Need Rural Counties
Describes how county-level data on healthcare workforce, chronic disease prevalence, and socioeconomic environment of rural communities can help policymakers identify the highest need counties for targeted policy initiatives and public health intervention. Features county-level U.S. maps showing geographic distribution of chronic disease burden, socioeconomic status, physician density, and overall resource need, with shadings showing level of need or nonrural status.
Author(s): Gabriel A. Benavidez, Emma Boswell, Peiyin Hung, Eyram Owusu-Sekyere, Elizabeth Crouch
Date: 04/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Describes how county-level data on healthcare workforce, chronic disease prevalence, and socioeconomic environment of rural communities can help policymakers identify the highest need counties for targeted policy initiatives and public health intervention. Features county-level U.S. maps showing geographic distribution of chronic disease burden, socioeconomic status, physician density, and overall resource need, with shadings showing level of need or nonrural status.
Author(s): Gabriel A. Benavidez, Emma Boswell, Peiyin Hung, Eyram Owusu-Sekyere, Elizabeth Crouch
Date: 04/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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County-Level Differences in Health Professional Shortage Areas by Rurality, Age, and Disability Status
Examines differences in healthcare access among working-age and older adults, by rurality and disability status. Features statistics including percents of counties qualifying as primary care, mental health, or dental Heath Professional Shortage Areas, with breakdowns by disability quartile and rural or urban location.
Author(s): Andrew Abram, Alexis Swendener, Mariana Tuttle, Katie Rydberg, Carrie Henning-Smith
Date: 04/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines differences in healthcare access among working-age and older adults, by rurality and disability status. Features statistics including percents of counties qualifying as primary care, mental health, or dental Heath Professional Shortage Areas, with breakdowns by disability quartile and rural or urban location.
Author(s): Andrew Abram, Alexis Swendener, Mariana Tuttle, Katie Rydberg, Carrie Henning-Smith
Date: 04/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Ambulance Deserts and Health Care Deserts
Story maps illustrating the intersection of ambulance deserts and rural healthcare deserts in 2020 across 41 states. Maps include the locations of hospitals, Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs). Presents data on the number and percent of rural residents living in ambulance deserts and healthcare deserts in each state and by region. Builds on a 2023 chartbook, Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services.
Author(s): Yvonne Jonk, Tyler DeAngelis, Celia Jewell, Thomas Griffin, Heidi O'Connor
Date: 04/2026
Sponsoring organization: Northeast Rural Health Research Center
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Story maps illustrating the intersection of ambulance deserts and rural healthcare deserts in 2020 across 41 states. Maps include the locations of hospitals, Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs). Presents data on the number and percent of rural residents living in ambulance deserts and healthcare deserts in each state and by region. Builds on a 2023 chartbook, Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services.
Author(s): Yvonne Jonk, Tyler DeAngelis, Celia Jewell, Thomas Griffin, Heidi O'Connor
Date: 04/2026
Sponsoring organization: Northeast Rural Health Research Center
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Impact of Rural Hospital Closures on Survival among Medicare Beneficiaries Diagnosed with Colorectal, Lung, Breast, and Prostate Cancer
Presents a study on the effect rural hospital closures have on mortality rates of patients with colorectal, lung, breast, and prostate cancer using 2000-2020 data from the National Cancer Institute. Breaks down data by closure year and patient demographics, such as age, rural status, and cancer stage, among others.
Author(s): Zhaoli Liu, Daoqi Gao, Tara Martin, et al.
Citation: Journal of Rural Health, 42(2), e70148
Date: 04/2026
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Presents a study on the effect rural hospital closures have on mortality rates of patients with colorectal, lung, breast, and prostate cancer using 2000-2020 data from the National Cancer Institute. Breaks down data by closure year and patient demographics, such as age, rural status, and cancer stage, among others.
Author(s): Zhaoli Liu, Daoqi Gao, Tara Martin, et al.
Citation: Journal of Rural Health, 42(2), e70148
Date: 04/2026
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Rural Community Engagement and Cultural Considerations in the Design and Deployment of Remote Health Monitoring Systems: A Scoping Review
Presents a literature review exploring whether remote health monitoring systems (RHMS) are designed with rural communities in mind as a solution for healthcare access issues. Details RHMS literature by study design, healthcare focus, and issue being monitored, among other measures.
Author(s): Kelly Reed, Victoria M. Petermann, Rhys D. Nicholas, et al.
Citation: Journal of Rural Health, 42(2), e70141
Date: 04/2026
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Presents a literature review exploring whether remote health monitoring systems (RHMS) are designed with rural communities in mind as a solution for healthcare access issues. Details RHMS literature by study design, healthcare focus, and issue being monitored, among other measures.
Author(s): Kelly Reed, Victoria M. Petermann, Rhys D. Nicholas, et al.
Citation: Journal of Rural Health, 42(2), e70141
Date: 04/2026
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Rural Targeted Messaging, Multiplex Salivary Measurement, and Rural Equity in SARS-CoV-2 Antibody Testing: Protocol Overview of a SeroNet Investigation
Overview of a study protocol to examine the influence of rural-targeted messaging on uptake of serological (antibody) testing for COVID-19, using data of 194 people northern Michigan who viewed either rural-targeted or general didactic videos on antibody testing. Discusses how the study will examine the role of rural messaging on receptivity of antibody testing, among other factors.
Author(s): Leah Maschino, Kelly A. Hirko, Christopher D. Heaney, et al.
Citation: Contemporary Clinical Trials Communications, 50, 101627
Date: 04/2026
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Overview of a study protocol to examine the influence of rural-targeted messaging on uptake of serological (antibody) testing for COVID-19, using data of 194 people northern Michigan who viewed either rural-targeted or general didactic videos on antibody testing. Discusses how the study will examine the role of rural messaging on receptivity of antibody testing, among other factors.
Author(s): Leah Maschino, Kelly A. Hirko, Christopher D. Heaney, et al.
Citation: Contemporary Clinical Trials Communications, 50, 101627
Date: 04/2026
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