Rural Health
Resources by Topic: Access
How Do Services Offered Within Opioid Treatment Programs Vary Based on State Methadone Policies?
Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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What Telehealth Gets Right and What's Missing: A National Multistakeholder Study of Access and Sustainability
Explores the perspectives of telehealth patients and providers, as well as policymakers and administrators, regarding the impacts of telehealth on increasing healthcare access. Summarizes three sets of themes that emerged from semistructured interviews of 62 participants. Offers recommendations for improving the accessibility and sustainability of telehealth across each theme.
Author(s): Saif Khairat, John Geracitano, Andrea Huang, et al.
Citation: The Permanente Journal
Date: 09/2026
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Explores the perspectives of telehealth patients and providers, as well as policymakers and administrators, regarding the impacts of telehealth on increasing healthcare access. Summarizes three sets of themes that emerged from semistructured interviews of 62 participants. Offers recommendations for improving the accessibility and sustainability of telehealth across each theme.
Author(s): Saif Khairat, John Geracitano, Andrea Huang, et al.
Citation: The Permanente Journal
Date: 09/2026
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Associations of Rurality, Child Opportunity, and Distance with Use of Pediatric Asthma Specialists
Examines the relationship among rurality, child opportunity index (COI), and drive time to a pediatric asthma specialist. Utilizes 2015-2021 Maine Health Data Organization All-Payer Claims Data to analyze 12,014 children with a pediatric asthma referral according to patient demographics and health status, drive time to a specialist, COI, and metro, micro, small town, or isolated small rural location. Discusses disparities in access to asthma specialty care for rural children.
Author(s): James Bohnhoff, Anya Cutler, Elizabeth A. Jacobs, Wanda Phipatanakul, Yvonne Jonk
Citation: The Journal of Allergy and Clinical Immunology, 158(3), 751-757
Date: 09/2026
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Examines the relationship among rurality, child opportunity index (COI), and drive time to a pediatric asthma specialist. Utilizes 2015-2021 Maine Health Data Organization All-Payer Claims Data to analyze 12,014 children with a pediatric asthma referral according to patient demographics and health status, drive time to a specialist, COI, and metro, micro, small town, or isolated small rural location. Discusses disparities in access to asthma specialty care for rural children.
Author(s): James Bohnhoff, Anya Cutler, Elizabeth A. Jacobs, Wanda Phipatanakul, Yvonne Jonk
Citation: The Journal of Allergy and Clinical Immunology, 158(3), 751-757
Date: 09/2026
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Unmasking the Rural Substance Use Burden: The Need to Move Beyond Macro-Level Data in Substance Use Policy and Planning
Brief examines health-related differences and service gaps of rural, non-rural, and national communities to better understand substance use trends in order to inform policies and interventions in rural communities. Bases findings on data from the National Survey on Drug Use and Health (NSDUH) and details rates of opioid, stimulant, vape, and alcohol use in rural and urban areas in 2023 and 2024.
Date: 09/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Brief examines health-related differences and service gaps of rural, non-rural, and national communities to better understand substance use trends in order to inform policies and interventions in rural communities. Bases findings on data from the National Survey on Drug Use and Health (NSDUH) and details rates of opioid, stimulant, vape, and alcohol use in rural and urban areas in 2023 and 2024.
Date: 09/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Annual Overview of Hospital-Level Changes in Obstetric Services Availability, 2010-2024
First annual report describing changes to the availability of obstetric services at short-term acute care hospitals. Examines the number of hospitals that lost obstetric services and the percentage of all hospitals without obstetric services between 2010 and 2024. Presents data on urban and rural hospitals by state and nationally.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Date: 09/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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First annual report describing changes to the availability of obstetric services at short-term acute care hospitals. Examines the number of hospitals that lost obstetric services and the percentage of all hospitals without obstetric services between 2010 and 2024. Presents data on urban and rural hospitals by state and nationally.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Date: 09/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Broadband Connectivity Among Rural First Responders in Pennsylvania
Explores challenges and opportunities in digital communication technologies experienced by Pennsylvania rural first responders. Features recommendations for Pennsylvania policymakers and stakeholders to improve communication access.
Author(s): Christopher Ali, Abigail Simmerman, DongWook Jeong
Date: 09/2026
Sponsoring organization: Center for Rural Pennsylvania
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Explores challenges and opportunities in digital communication technologies experienced by Pennsylvania rural first responders. Features recommendations for Pennsylvania policymakers and stakeholders to improve communication access.
Author(s): Christopher Ali, Abigail Simmerman, DongWook Jeong
Date: 09/2026
Sponsoring organization: Center for Rural Pennsylvania
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Tele-Hospitalist Services to Support the Opening of a New Rural Hospital
Describes a tele-hospitalist model designed to support the Medical University of South Carolina Health System (MUSC Health) Black River, a 25-bed rural hospital in South Carolina that opened in 2023. Examines the operational and clinical performance of MUSC Health Black River during its first six quarters of operation, including patient volume, payer mix, average daily census (ADC), 30-day readmissions, and more.
Author(s): Yotam Papo, Jillian Harvey, Dunc Williams Jr., et al.
Citation: Journal of Hospital Medicine, 21(9), 1075-1080
Date: 09/2026
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Describes a tele-hospitalist model designed to support the Medical University of South Carolina Health System (MUSC Health) Black River, a 25-bed rural hospital in South Carolina that opened in 2023. Examines the operational and clinical performance of MUSC Health Black River during its first six quarters of operation, including patient volume, payer mix, average daily census (ADC), 30-day readmissions, and more.
Author(s): Yotam Papo, Jillian Harvey, Dunc Williams Jr., et al.
Citation: Journal of Hospital Medicine, 21(9), 1075-1080
Date: 09/2026
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Correlates of Glycemic Status among American Indian Adults With Type 2 Diabetes in Rural Southeastern Oklahoma
Explores correlating factors associated with elevated glycosylated hemoglobin (HbA1c), which is associated with an increased risk of type 2 diabetes complications, in a tribal community in rural southeastern Oklahoma. Discusses the relationship between elevated HbA1c levels and type 2 diabetes. Bases findings on data pulled from electronic health records and breaks down patient data by age, sex, distance to nearest clinic, and number of primary care visits per year, among other factors.
Author(s): Tarah Nelson, Diana J. Wilkie, Yingwei Yao, et al.
Citation: Nursing Research, 75(5), 338-345
Date: 09/2026
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Explores correlating factors associated with elevated glycosylated hemoglobin (HbA1c), which is associated with an increased risk of type 2 diabetes complications, in a tribal community in rural southeastern Oklahoma. Discusses the relationship between elevated HbA1c levels and type 2 diabetes. Bases findings on data pulled from electronic health records and breaks down patient data by age, sex, distance to nearest clinic, and number of primary care visits per year, among other factors.
Author(s): Tarah Nelson, Diana J. Wilkie, Yingwei Yao, et al.
Citation: Nursing Research, 75(5), 338-345
Date: 09/2026
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Association Between Transportation Access and Self-Rated Health among Older Adults with Disabilities
Analyzes the association between access to transportation and self-rated health for 257 community-dwelling older adults. Offers data on study participant characteristics by consistent and inconsistent transportation access, including a comparison of micropolitan/non-core and metropolitan residence.
Author(s): Jihyeong Jeong, Jason R. Falvey, Amanda J. Lehning
Citation: Journal of Transport & Health, 51
Date: 09/2026
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Analyzes the association between access to transportation and self-rated health for 257 community-dwelling older adults. Offers data on study participant characteristics by consistent and inconsistent transportation access, including a comparison of micropolitan/non-core and metropolitan residence.
Author(s): Jihyeong Jeong, Jason R. Falvey, Amanda J. Lehning
Citation: Journal of Transport & Health, 51
Date: 09/2026
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Disparities in Rural–Urban Cancer Care Outcomes Among Pediatric, Adolescent, and Young Adult Populations: A Comprehensive Narrative Review
Literature review examining research on rural-urban disparities in cancer outcomes and access to care among children aged 0-18 and adolescents and young adults aged 15-39 years. Covers topics including distance to care, cancer incidence, social determinants of health, access to specialized oncology services, mortality, financial toxicity, supportive and survivorship care, and clinical trial access.
Author(s): Olivia C. Burke, Wencesley A. Paez
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2026
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Literature review examining research on rural-urban disparities in cancer outcomes and access to care among children aged 0-18 and adolescents and young adults aged 15-39 years. Covers topics including distance to care, cancer incidence, social determinants of health, access to specialized oncology services, mortality, financial toxicity, supportive and survivorship care, and clinical trial access.
Author(s): Olivia C. Burke, Wencesley A. Paez
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2026
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