Rural Health
Resources by Topic: Access
Local Availability of Neonatal Intensive Care at Rural Hospitals with Childbirth Services
Discusses hospital and county characteristics for 89 rural hospitals offering childbirth services in 2021 based on proximity to neonatal intensive care units (NICU). Includes comparisons of characteristics for those hospitals more than and less than 30 miles from a NICU.
Author(s): Emily C. Sheffield, Clara E. Busse, Julia D. Interrante, Sara C. Handley, Katy Backes Kozhimannil
Citation: Journal of Perinatology, 2025
Date: 11/2025
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Discusses hospital and county characteristics for 89 rural hospitals offering childbirth services in 2021 based on proximity to neonatal intensive care units (NICU). Includes comparisons of characteristics for those hospitals more than and less than 30 miles from a NICU.
Author(s): Emily C. Sheffield, Clara E. Busse, Julia D. Interrante, Sara C. Handley, Katy Backes Kozhimannil
Citation: Journal of Perinatology, 2025
Date: 11/2025
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HRSA HIV/AIDS Bureau: Ending the HIV Epidemic in the U.S. Initiative Data Report 2023
Reports on the Ryan White HIV/AIDS Program's Ending the HIV Epidemic in the U.S. (EHE) initiative, which supports expanded programs and services to people who are not receiving regular HIV care or are unaware of their HIV status. Covers program activities, services funded, program administration, and populations served. Discusses providers, programs, and factors influencing access to care in rural areas.
Date: 11/2025
Sponsoring organization: HRSA HIV/AIDS Bureau
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Reports on the Ryan White HIV/AIDS Program's Ending the HIV Epidemic in the U.S. (EHE) initiative, which supports expanded programs and services to people who are not receiving regular HIV care or are unaware of their HIV status. Covers program activities, services funded, program administration, and populations served. Discusses providers, programs, and factors influencing access to care in rural areas.
Date: 11/2025
Sponsoring organization: HRSA HIV/AIDS Bureau
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Fiscal Year 2025 Federal Office of Rural Health Policy Investments: Fact Sheet
Provides an overview of Federal Office of Rural Health Policy (FORHP) grant programs in Fiscal Year 2025. Summarizes and briefly describes funding awarded to address rural behavioral health, expand the rural health workforce, increase access to care, advance maternal health, support rural health research and information dissemination, and support rural hospitals.
Date: 11/2025
Sponsoring organization: Federal Office of Rural Health Policy
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Provides an overview of Federal Office of Rural Health Policy (FORHP) grant programs in Fiscal Year 2025. Summarizes and briefly describes funding awarded to address rural behavioral health, expand the rural health workforce, increase access to care, advance maternal health, support rural health research and information dissemination, and support rural hospitals.
Date: 11/2025
Sponsoring organization: Federal Office of Rural Health Policy
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Differences in Rural and Urban Patient Perceptions of Facilitative Factors for Cancer Clinical Trial Participation
Examines factors associated with cancer clinical trial participation among 15 rural and 15 urban cancer patients in Vermont. Presents data and interview excerpts illustrating rural and urban patients' relative prioritization of factors including care coordination, travel time, financial support from hospitals, treatment regimen, and more.
Author(s): Maria C. Lent, Janine Cerutti, Maija Reblin, Randall F. Holcombe
Citation: BMC Health Services Research, 25, 1489
Date: 11/2025
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Examines factors associated with cancer clinical trial participation among 15 rural and 15 urban cancer patients in Vermont. Presents data and interview excerpts illustrating rural and urban patients' relative prioritization of factors including care coordination, travel time, financial support from hospitals, treatment regimen, and more.
Author(s): Maria C. Lent, Janine Cerutti, Maija Reblin, Randall F. Holcombe
Citation: BMC Health Services Research, 25, 1489
Date: 11/2025
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Rural-Urban Differences in Barriers to Care and Utilization of Preventive Care Among Traditional Medicare and Medicare Advantage Beneficiaries
Discusses the differences in barriers to care and preventive care utilization for older adults enrolled in traditional Medicare versus Medicare Advantage and makes a rural-urban comparison. Explores barriers to care, such as quality of care and out-of-pocket costs, as well as care utilization, such as regular vaccinations, cancer screenings, and cholesterol tests, among others.
Author(s): Gawain J. Williams, Dan M. Shane, Whitney E. Zahnd, Keith J. Mueller
Date: 11/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Discusses the differences in barriers to care and preventive care utilization for older adults enrolled in traditional Medicare versus Medicare Advantage and makes a rural-urban comparison. Explores barriers to care, such as quality of care and out-of-pocket costs, as well as care utilization, such as regular vaccinations, cancer screenings, and cholesterol tests, among others.
Author(s): Gawain J. Williams, Dan M. Shane, Whitney E. Zahnd, Keith J. Mueller
Date: 11/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Urban-Rural Disparities in Spatiotemporal Accessibility of Pharmacy Care: A Case Study of Vermont, USA
Examines geographic access to pharmacy care in Vermont. Assesses spatiotemporal accessibility by analyzing pharmacy locations, hours of operation, and staffing levels according to county as well as metro, micro, or rural location.
Author(s): Samuel Roubin, Joseph Holler, Peter Kedron
Citation: BMC Health Services Research, 25, 1484
Date: 11/2025
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Examines geographic access to pharmacy care in Vermont. Assesses spatiotemporal accessibility by analyzing pharmacy locations, hours of operation, and staffing levels according to county as well as metro, micro, or rural location.
Author(s): Samuel Roubin, Joseph Holler, Peter Kedron
Citation: BMC Health Services Research, 25, 1484
Date: 11/2025
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Chronic Health Conditions and Health Care Affordability Issues among U.S. Rural and Urban Adults
Analyzes associations between chronic health conditions and likelihood of experiencing healthcare affordability issues among rural and urban populations, utilizing 2022 National Health Interview Survey data. Examines rural and urban prevalence of individual chronic conditions, chronic condition multimorbidity, problems paying medical bills, and inability to pay medical bills.
Author(s): Ingrid Jacobson, Alexis Swendener, Hannah MacDougall, Carrie Henning-Smith
Citation: Journal of Multimorbidity and Comorbidity, 15
Date: 11/2025
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Analyzes associations between chronic health conditions and likelihood of experiencing healthcare affordability issues among rural and urban populations, utilizing 2022 National Health Interview Survey data. Examines rural and urban prevalence of individual chronic conditions, chronic condition multimorbidity, problems paying medical bills, and inability to pay medical bills.
Author(s): Ingrid Jacobson, Alexis Swendener, Hannah MacDougall, Carrie Henning-Smith
Citation: Journal of Multimorbidity and Comorbidity, 15
Date: 11/2025
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A Lifeline for Rural Communities: Sutter Health's Bold Behavioral Health Access Expansion
A conversation with Dan Peterson of Sutter Health's Behavioral Health Services and Matthew White of the Behavioral Health Service Line that focuses on behavioral health access in rural areas of northern California. Discusses utilization of crisis stabilization units, clinic investments, and virtual psychiatry.
Author(s): Tom Haederle, Rebecca Chickey, Dan Peterson, Matthew White
Date: 11/2025
Sponsoring organization: American Hospital Association
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A conversation with Dan Peterson of Sutter Health's Behavioral Health Services and Matthew White of the Behavioral Health Service Line that focuses on behavioral health access in rural areas of northern California. Discusses utilization of crisis stabilization units, clinic investments, and virtual psychiatry.
Author(s): Tom Haederle, Rebecca Chickey, Dan Peterson, Matthew White
Date: 11/2025
Sponsoring organization: American Hospital Association
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Associations of Social Deprivation and Oncology Physician Network Vulnerability With Acute Care Utilization in the SEER-Medicare Population
Discusses the socioeconomic factors that correlate with acute care utilization among cancer patients, as well as the effect of regional specialist scarcity. Draws from Medicare data on patients with breast, lung, or colorectal cancer who have visited emergency departments or had non-elective hospitalizations and explores correlating social and regional factors, such as sex, rurality, social deprivation index score, and proximity to an oncology physician, among others.
Author(s): Ashlee A. Korsberg, Gabriel A. Brooks, A. James O'Malley, et al.
Citation: Health Services Research, e70070
Date: 11/2025
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Discusses the socioeconomic factors that correlate with acute care utilization among cancer patients, as well as the effect of regional specialist scarcity. Draws from Medicare data on patients with breast, lung, or colorectal cancer who have visited emergency departments or had non-elective hospitalizations and explores correlating social and regional factors, such as sex, rurality, social deprivation index score, and proximity to an oncology physician, among others.
Author(s): Ashlee A. Korsberg, Gabriel A. Brooks, A. James O'Malley, et al.
Citation: Health Services Research, e70070
Date: 11/2025
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Evaluating the Relationship Between Primary Care Provider Access and High Blood Pressure among Hispanic Patients: A Cross-Sectional Study
Examines the relationship between having a primary care physician (PCP) and managing chronic disease in rural Yakima County, Washington State. Utilizes data from 218 participants at the Fiesta de Salud community health fair to analyze demographics, PCP access, and controlled versus uncontrolled blood pressure.
Author(s): Catalina Yepez, Kimberly McKeirnan, Megan Undeberg, Ryan G. Pett
Citation: Journal of Health, Population and Nutrition, 44, 402
Date: 11/2025
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Examines the relationship between having a primary care physician (PCP) and managing chronic disease in rural Yakima County, Washington State. Utilizes data from 218 participants at the Fiesta de Salud community health fair to analyze demographics, PCP access, and controlled versus uncontrolled blood pressure.
Author(s): Catalina Yepez, Kimberly McKeirnan, Megan Undeberg, Ryan G. Pett
Citation: Journal of Health, Population and Nutrition, 44, 402
Date: 11/2025
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