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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Rural Cardiovascular Health in Missouri: Needs, Care Gaps, and Resources for a More Connected System
Discusses the importance of cardiovascular risk to rural health in Missouri, and provides suggestions for improving rural cardiovascular disease prevention, treatment, and recovery via state policy, Rural Health Transformation initiatives, and facility-level service delivery improvements.
Author(s): Adnan I. Qureshi, Hatem Tolba, Muhammad Shah Miran, Muhammad Shakir, Camilo R. Gomez
Citation: Missouri Medicine, 123(5), 449-456
Date: 10/2026
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Discusses the importance of cardiovascular risk to rural health in Missouri, and provides suggestions for improving rural cardiovascular disease prevention, treatment, and recovery via state policy, Rural Health Transformation initiatives, and facility-level service delivery improvements.
Author(s): Adnan I. Qureshi, Hatem Tolba, Muhammad Shah Miran, Muhammad Shakir, Camilo R. Gomez
Citation: Missouri Medicine, 123(5), 449-456
Date: 10/2026
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Veterans' Views on Alcohol Use and Experience of Alcohol Withdrawal Syndrome Treatment and Subsequent Alcohol Use Disorder Care at Two Highly Rural-Serving VA Hospitals: A Qualitative Study
Presents findings from interviews with veterans with alcohol use disorder (AUD) about the alcohol withdrawal syndrome treatment they received at two rural-serving Veterans Affairs (VA) hospitals. Highlights perceived barriers to care and makes suggestions to improving it.
Author(s): Tony Pomales, Daniel Ball, Jeydith Gutierrez, James C. Willey
Citation: Journal of Behavioral Medicine, 49, 902-917
Date: 10/2026
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Presents findings from interviews with veterans with alcohol use disorder (AUD) about the alcohol withdrawal syndrome treatment they received at two rural-serving Veterans Affairs (VA) hospitals. Highlights perceived barriers to care and makes suggestions to improving it.
Author(s): Tony Pomales, Daniel Ball, Jeydith Gutierrez, James C. Willey
Citation: Journal of Behavioral Medicine, 49, 902-917
Date: 10/2026
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Treatable Mortality in Illinois Counties, "Them That Has, Gets"
Examines preventable mortality in Illinois caused by diseases that could have been treated by available medical care. Utilizes CDC Wonder data from 2018 and 2024 and provides county-level, as well as metro versus nonmetro, mortality rates and causes of death.
Author(s): Adee Athiyaman
Date: 10/2026
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines preventable mortality in Illinois caused by diseases that could have been treated by available medical care. Utilizes CDC Wonder data from 2018 and 2024 and provides county-level, as well as metro versus nonmetro, mortality rates and causes of death.
Author(s): Adee Athiyaman
Date: 10/2026
Sponsoring organization: Illinois Institute for Rural Affairs
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Building on the 2025 National Academies Pharmacy Workshop: Pharmacy Deserts in the United States
Describes pharmacy access in the United States, including discussions of "pharmacy desert" definitions by rurality, drivers of recent pharmacy desert trends, and the impact of pharmacy deserts on health outcomes. Highlights potential policy strategies for addressing pharmacy deserts with focus on the pharmacy workforce, reimbursement and payment models, new technologies, and service delivery models.
Author(s): Lucas A. Berenbrok, Delesha Carpenter, Teresa M. Salgado, et al.
Citation: Health Affairs Scholar, 4(10)
Date: 10/2026
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Describes pharmacy access in the United States, including discussions of "pharmacy desert" definitions by rurality, drivers of recent pharmacy desert trends, and the impact of pharmacy deserts on health outcomes. Highlights potential policy strategies for addressing pharmacy deserts with focus on the pharmacy workforce, reimbursement and payment models, new technologies, and service delivery models.
Author(s): Lucas A. Berenbrok, Delesha Carpenter, Teresa M. Salgado, et al.
Citation: Health Affairs Scholar, 4(10)
Date: 10/2026
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October 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2026 meeting. Covers an analysis of physician participation in Medicare Advantage provider networks, issues affecting the payment accuracy of the physician fee schedule and the clinical laboratory fee schedule, clinician quality initiatives in fee-for-service Medicare, Medicare's late-enrollment penalties, and MedPAC's work plan regarding the skilled nursing facility and home health prospective payment systems.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2026 meeting. Covers an analysis of physician participation in Medicare Advantage provider networks, issues affecting the payment accuracy of the physician fee schedule and the clinical laboratory fee schedule, clinician quality initiatives in fee-for-service Medicare, Medicare's late-enrollment penalties, and MedPAC's work plan regarding the skilled nursing facility and home health prospective payment systems.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Survival Versus Scale: The Effects of Critical Access Hospital Designation
Explores whether designation-based hospital subsidies, specifically the Critical Access Hospital (CAH) program, preserve meaningful access to care. Describes the effects of CAH designation on hospital finances, capacity, and organizational outcomes between 1995-2010. Discusses the implications of hospital preservation and reduced operational scale on access to care and patient health.
Author(s): Ian M. McCarthy, Katie Leinenbach
Date: 10/2026
Sponsoring organization: National Bureau of Economic Research
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Explores whether designation-based hospital subsidies, specifically the Critical Access Hospital (CAH) program, preserve meaningful access to care. Describes the effects of CAH designation on hospital finances, capacity, and organizational outcomes between 1995-2010. Discusses the implications of hospital preservation and reduced operational scale on access to care and patient health.
Author(s): Ian M. McCarthy, Katie Leinenbach
Date: 10/2026
Sponsoring organization: National Bureau of Economic Research
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Digital Breast Tomosynthesis Use, Facility Mammography Volume, and Timely Follow-Up After Abnormal Screening Mammograms in Appalachia, United States
Explores the effect of facility-level characteristics, such as rural versus urban location, and digital breast tomosynthesis (DBT) use on post-screening follow-up times in rural versus urban areas in Appalachia. Breaks down data by facility volume and individual patient characteristics that are associated with follow-up delay.
Author(s): Silas Selorm Daniels-Donkor, Fabian T. Camacho, Gloribel Bonilla, et al.
Citation: Journal of Rural Health, 42(4), e70229
Date: 10/2026
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Explores the effect of facility-level characteristics, such as rural versus urban location, and digital breast tomosynthesis (DBT) use on post-screening follow-up times in rural versus urban areas in Appalachia. Breaks down data by facility volume and individual patient characteristics that are associated with follow-up delay.
Author(s): Silas Selorm Daniels-Donkor, Fabian T. Camacho, Gloribel Bonilla, et al.
Citation: Journal of Rural Health, 42(4), e70229
Date: 10/2026
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Percutaneous Coronary Intervention Facility Access and Clinical Outcomes Among Patients With Acute Myocardial Infarction
Analyzes how openings of percutaneous coronary intervention (PCI) facilities were associated with PCI access and mortality between 2011 and 2022 using California HCAI patient discharge, emergency department, and ambulatory surgery datasets. See Table for a comparison of rural and non-rural communities' access to PCI within 30 minutes at baseline.
Author(s): Yu-Chu Shen, Renee Y. Hsia
Citation: JAMA Network Open, 9(10), e2638687
Date: 10/2026
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Analyzes how openings of percutaneous coronary intervention (PCI) facilities were associated with PCI access and mortality between 2011 and 2022 using California HCAI patient discharge, emergency department, and ambulatory surgery datasets. See Table for a comparison of rural and non-rural communities' access to PCI within 30 minutes at baseline.
Author(s): Yu-Chu Shen, Renee Y. Hsia
Citation: JAMA Network Open, 9(10), e2638687
Date: 10/2026
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Providing Care to the Surprisingly Large Rural Population in the US: A Healthy Dialogue With Julie Donohue and Mark Holmes
Summarizes a podcast episode featuring a discussion with Mark Holmes, director of The Cecil G. Sheps Center for Health Services Research at The University of North Carolina at Chapel Hill, and Julie Donohue, professor and chair of health policy and management at the University of Pittsburgh and deputy editor at JAMA Health Forum. Describes challenges facing rural health and the potential impacts of the One Big Beautiful Bill Act (OBBBA).
Additional links: Providing Rural Health Care Is Really Hard; 60 Million Americans Rely on It, Transcript
Author(s): Derek C. Angus, Matthew B. O'Connor
Citation: JAMA
Date: 10/2026
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Summarizes a podcast episode featuring a discussion with Mark Holmes, director of The Cecil G. Sheps Center for Health Services Research at The University of North Carolina at Chapel Hill, and Julie Donohue, professor and chair of health policy and management at the University of Pittsburgh and deputy editor at JAMA Health Forum. Describes challenges facing rural health and the potential impacts of the One Big Beautiful Bill Act (OBBBA).
Additional links: Providing Rural Health Care Is Really Hard; 60 Million Americans Rely on It, Transcript
Author(s): Derek C. Angus, Matthew B. O'Connor
Citation: JAMA
Date: 10/2026
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