Rural Health
Resources by Topic: Access
Availability of Hospital-Based Obstetric Services in the United States by County, 2010–2024: A State-by-State Report
Provides national-, state-, and county-specific information on changes in obstetric care availability between 2010-2024. Includes maps and statistics with breakdowns by rural and urban counties, including rural micropolitan and rural noncore counties.
Author(s): Kevan O'Hanlon, Katy B. Kozhimannil, Julia D. Interrante
Date: 11/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Provides national-, state-, and county-specific information on changes in obstetric care availability between 2010-2024. Includes maps and statistics with breakdowns by rural and urban counties, including rural micropolitan and rural noncore counties.
Author(s): Kevan O'Hanlon, Katy B. Kozhimannil, Julia D. Interrante
Date: 11/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural-Urban Differences for Integrated First Responder and Drone Automated External Defibrillator Delivery in North Carolina
Models the impact of equipping first responders with automated external defibrillators (AEDs) or utilizing drone networks on median AED arrival time in rural and urban areas of North Carolina. Compares interventions against historical response times using 2013-2019 Cardiac Arrest Registry to Enhance Survival (CARES) data.
Author(s): Jamal Chu, K.H. Benjamin Leung, Audrey L. Blewer, et al.
Citation: American Heart Journal, 303, 107604
Date: 11/2026
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Models the impact of equipping first responders with automated external defibrillators (AEDs) or utilizing drone networks on median AED arrival time in rural and urban areas of North Carolina. Compares interventions against historical response times using 2013-2019 Cardiac Arrest Registry to Enhance Survival (CARES) data.
Author(s): Jamal Chu, K.H. Benjamin Leung, Audrey L. Blewer, et al.
Citation: American Heart Journal, 303, 107604
Date: 11/2026
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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 Skin Cancer Patients Tend to 'Slip Through the Cracks.' These Programs Are Trying to Change That
Provides a brief overview of barriers to accessing dermatology healthcare services and highlights programs to improve dermatology care in rural areas. Features a mobile unit offering skin cancer screenings and other dermatology services in rural areas of California, Idaho, Illinois, Oregon, and Utah; a rural dermatology residency training track in Mississippi; and a Wisconsin program that provides dermatology training for rural primary care providers, equipping them with the hands-on skills to provide basic care when access to a specialist is limited.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2026
Sponsoring organization: Rural Health Information Hub
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Provides a brief overview of barriers to accessing dermatology healthcare services and highlights programs to improve dermatology care in rural areas. Features a mobile unit offering skin cancer screenings and other dermatology services in rural areas of California, Idaho, Illinois, Oregon, and Utah; a rural dermatology residency training track in Mississippi; and a Wisconsin program that provides dermatology training for rural primary care providers, equipping them with the hands-on skills to provide basic care when access to a specialist is limited.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2026
Sponsoring organization: Rural Health Information Hub
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Patient-Provider Distance in Medicare Outpatient Oncology Telehealth Versus Office Visits, 2021‐2023: Cross-Sectional Claims Analysis
Presents a study exploring the use of telehealth to extend the patient-provider geographic reach for outpatient oncology-related visits in patients aged 66 or older. Draws data from Medicare Fee-For-Service claims to compare patient-provider distance for in-office and telehealth oncology visits, by rurality and U.S. Census region.
Author(s): Lingbo Liu, Tracy Onega, Erika L. Moen, et al.
Citation: JMIR Medical Informatics, 14, e95370
Date: 10/2026
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Presents a study exploring the use of telehealth to extend the patient-provider geographic reach for outpatient oncology-related visits in patients aged 66 or older. Draws data from Medicare Fee-For-Service claims to compare patient-provider distance for in-office and telehealth oncology visits, by rurality and U.S. Census region.
Author(s): Lingbo Liu, Tracy Onega, Erika L. Moen, et al.
Citation: JMIR Medical Informatics, 14, e95370
Date: 10/2026
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People Living with Dementia in Rural Areas Are Most Likely to Report Unmet Service Needs in Home- and Community-based Services in the United States
Examines the relationship among home and community-based services (HCBS), dementia status, and rural versus urban location. Utilizes 2016-2019 National Core Indicators-Aging and Disability survey data to analyze 14,645 residents according to dementia status, sociodemographics, residential status and assistive care needs, and metropolitan, micropolitan, small town, or rural location. Discusses how location impacts access to HCBS for people living with dementia.
Author(s): Romil R. Parikh, Eric Jutkowitz, Jack M. Wolf, et al.
Citation: Journal of Rural Health, 42(4), e70230
Date: 10/2026
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Examines the relationship among home and community-based services (HCBS), dementia status, and rural versus urban location. Utilizes 2016-2019 National Core Indicators-Aging and Disability survey data to analyze 14,645 residents according to dementia status, sociodemographics, residential status and assistive care needs, and metropolitan, micropolitan, small town, or rural location. Discusses how location impacts access to HCBS for people living with dementia.
Author(s): Romil R. Parikh, Eric Jutkowitz, Jack M. Wolf, et al.
Citation: Journal of Rural Health, 42(4), e70230
Date: 10/2026
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Defining Mental Disorder: Differences in Primary Care Providers' and Psychiatrists' Conceptions of Illness
Compares how primary care providers (PCPs) and psychiatrists define and treat mental disorders in their patients. Uses interview data from 41 PCPs and 41 psychiatrists regarding their descriptions of patients with mental health concerns, the ease or difficulty of diagnosing and treating patients, referrals and access to mental health services, and more. Includes perspectives from rural PCPs and psychiatrists.
Author(s): Skye A. Miner, Joshua Breslau, Charles Engel, Stacey Yi, Luke J. Matthews
Citation: Journal of General Internal Medicine
Date: 10/2026
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Compares how primary care providers (PCPs) and psychiatrists define and treat mental disorders in their patients. Uses interview data from 41 PCPs and 41 psychiatrists regarding their descriptions of patients with mental health concerns, the ease or difficulty of diagnosing and treating patients, referrals and access to mental health services, and more. Includes perspectives from rural PCPs and psychiatrists.
Author(s): Skye A. Miner, Joshua Breslau, Charles Engel, Stacey Yi, Luke J. Matthews
Citation: Journal of General Internal Medicine
Date: 10/2026
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Strategies for Addressing California's Rural Behavioral Health Workforce Shortages
Issue brief discussing behavioral health workforce shortages in rural California and identifying state policy and healthcare delivery strategies to support workforce supply and improve behavioral health access in the state. Covers topics including expanded behavioral health availability in primary care settings, use of community health workers and telehealth to expand service availability, workforce development, recruitment and retention, and more. The associated planning guide provides guidance on planning and implementing behavioral health workforce strategies at the community level.
Additional links: Planning Guide
Author(s): Rachel Davis
Date: 10/2026
Sponsoring organization: Healthforce Center at UCSF
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Issue brief discussing behavioral health workforce shortages in rural California and identifying state policy and healthcare delivery strategies to support workforce supply and improve behavioral health access in the state. Covers topics including expanded behavioral health availability in primary care settings, use of community health workers and telehealth to expand service availability, workforce development, recruitment and retention, and more. The associated planning guide provides guidance on planning and implementing behavioral health workforce strategies at the community level.
Additional links: Planning Guide
Author(s): Rachel Davis
Date: 10/2026
Sponsoring organization: Healthforce Center at UCSF
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Rural Health Transformation Program State Programmatic Snapshots: 2026 Release
Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas, as well as policy action commitments outlined in states' applications.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas, as well as policy action commitments outlined in states' applications.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Rural Health Transformation Program Planned State Initiatives: Budget Period 1
Presents an overview of initiatives planned by states as part of the Rural Health Transformation Program organized across eight categories: population health, workforce, payment and service models, health system innovation, accessible care, technology, disease prevention and care, and health promotion.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Presents an overview of initiatives planned by states as part of the Rural Health Transformation Program organized across eight categories: population health, workforce, payment and service models, health system innovation, accessible care, technology, disease prevention and care, and health promotion.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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