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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Examining Rural Population Characteristics and Access to Care in 2022: A Study of Health Professional Shortage Areas (HPSAs) and Medically Underserved Areas (MUAs)
Chartbook examines the characteristics of populations living within Health Professional Shortage Areas (HPSAs) and Medically Underserved Areas (MUAs) across the U.S. Explores geographic, population, and facility-based HPSAs in Primary Care and Dental and Mental Health. Highlights population-to-provider ratios, travel time and distance, and several other category-specific measurements for each HPSA.
Author(s): Craig Holden, Shena Popat, Rachel Van Vleet, et al.
Date: 03/2026
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Chartbook examines the characteristics of populations living within Health Professional Shortage Areas (HPSAs) and Medically Underserved Areas (MUAs) across the U.S. Explores geographic, population, and facility-based HPSAs in Primary Care and Dental and Mental Health. Highlights population-to-provider ratios, travel time and distance, and several other category-specific measurements for each HPSA.
Author(s): Craig Holden, Shena Popat, Rachel Van Vleet, et al.
Date: 03/2026
Sponsoring organization: ETSU/NORC Rural Health Research Center
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An Examination of All-Payer Inpatient Rural Hospital Bypass
Examines the extent to which rural patients bypassed their nearest rural hospital for inpatient care in eight states. Analyzes data on inpatient hospital admissions for rural residents of these states using the 2018 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID). Identifies factors associated with hospital-level bypass rates by patient and hospital characteristics.
Author(s): Craig D. Holden, Shena Popat, Alana Knudson, Marilyn G. Klug
Date: 03/2026
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Examines the extent to which rural patients bypassed their nearest rural hospital for inpatient care in eight states. Analyzes data on inpatient hospital admissions for rural residents of these states using the 2018 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID). Identifies factors associated with hospital-level bypass rates by patient and hospital characteristics.
Author(s): Craig D. Holden, Shena Popat, Alana Knudson, Marilyn G. Klug
Date: 03/2026
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Advancing Technology Innovation through the Rural Health Transformation Program
Identifies common themes across Rural Health Transformation Program (RHTP) plans related to proposed health technology initiatives. Covers the information technology infrastructure, telehealth and remote patient monitoring, artificial intelligence, and catalyst funds and pilot programs.
Author(s): Daisy Kim, Maya Sandalow
Date: 03/2026
Sponsoring organization: Bipartisan Policy Center
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Identifies common themes across Rural Health Transformation Program (RHTP) plans related to proposed health technology initiatives. Covers the information technology infrastructure, telehealth and remote patient monitoring, artificial intelligence, and catalyst funds and pilot programs.
Author(s): Daisy Kim, Maya Sandalow
Date: 03/2026
Sponsoring organization: Bipartisan Policy Center
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Rural Health Transformation Program: State Focus on Primary Care
Describes primary care initiatives addressed in state Rural Health Transformation Program applications. Covers payment and delivery systems, the primary care workforce, community partners, technology upgrades to reduce barriers to care, and infrastructure and seed funding.
Author(s): Maddy Hraber, Katie Green
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Describes primary care initiatives addressed in state Rural Health Transformation Program applications. Covers payment and delivery systems, the primary care workforce, community partners, technology upgrades to reduce barriers to care, and infrastructure and seed funding.
Author(s): Maddy Hraber, Katie Green
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Rural Specialty Care for Veterans with the Chronic Overlapping Pain Conditions: Fibromyalgia, Migraine, or Irritable Bowel Syndrome
Presents a study on rural veterans' access to specialty care for chronic overlapping pain conditions (COPCs), such as fibromyalgia, migraine, and irritable bowel syndrome (IBS). Explores the role of rural residence and primary care site access plays in veterans' ability to receive specialty care for COPCs. Breaks down data by patient characteristics, chronic pain conditions, care site, and provider type, among other factors.
Author(s): Katherine Hadlandsmyth, Mary A. Driscoll, Jenna L. Adamowicz, et al.
Citation: Journal of Rural Health, 42(1), e70132
Date: 03/2026
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Presents a study on rural veterans' access to specialty care for chronic overlapping pain conditions (COPCs), such as fibromyalgia, migraine, and irritable bowel syndrome (IBS). Explores the role of rural residence and primary care site access plays in veterans' ability to receive specialty care for COPCs. Breaks down data by patient characteristics, chronic pain conditions, care site, and provider type, among other factors.
Author(s): Katherine Hadlandsmyth, Mary A. Driscoll, Jenna L. Adamowicz, et al.
Citation: Journal of Rural Health, 42(1), e70132
Date: 03/2026
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Transforming Rural Health: Strategies from the Field - Collaborating for Financial Viability
A brief that provides strategies for rural hospital and clinic financial viability. Discusses examples of health facility collaborations that improve access to healthcare services, address workforce shortages, and enhance quality of care.
Date: 03/2026
Sponsoring organization: Georgia Health Policy Center
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A brief that provides strategies for rural hospital and clinic financial viability. Discusses examples of health facility collaborations that improve access to healthcare services, address workforce shortages, and enhance quality of care.
Date: 03/2026
Sponsoring organization: Georgia Health Policy Center
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Comparing the Care and Distance Traveled by Rural and Urban Medicaid Beneficiaries With Opioid Use Disorder
Results of a study describing the treatment for rural and urban Medicaid beneficiaries with opioid use disorder in 2019. Features demographics and statistics on number of visits and travel time and distance, with breakdowns by 5 levels of population density.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, Janessa M. Graves
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Results of a study describing the treatment for rural and urban Medicaid beneficiaries with opioid use disorder in 2019. Features demographics and statistics on number of visits and travel time and distance, with breakdowns by 5 levels of population density.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, Janessa M. Graves
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Glioblastoma Survival in Rural America: A 10-Year Experience from a Quaternary Care Center
Examines factors influencing glioblastoma survival and overall prognosis among West Virginians, using medical record data of 380 adults treated at WVU Ruby Memorial Hospital between January 2015 and August 2025. Includes data on patient rurality, sex, treatment received, and more. Discusses the role of referrals in mitigating rural access barriers for cancer care and improving rural cancer outcomes.
Author(s): Emily Pack, Christopher P. Cifarelli, Sanjay Bhatia, et al.
Citation: Journal of Neuro-Oncology, 177(36)
Date: 03/2026
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Examines factors influencing glioblastoma survival and overall prognosis among West Virginians, using medical record data of 380 adults treated at WVU Ruby Memorial Hospital between January 2015 and August 2025. Includes data on patient rurality, sex, treatment received, and more. Discusses the role of referrals in mitigating rural access barriers for cancer care and improving rural cancer outcomes.
Author(s): Emily Pack, Christopher P. Cifarelli, Sanjay Bhatia, et al.
Citation: Journal of Neuro-Oncology, 177(36)
Date: 03/2026
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Measles Outbreak — New Mexico, 2025
Reports on a communication and vaccination outreach strategy used by the New Mexico Department of Health to reach a largely rural population, in response to a measles outbreak. Discusses communication activities and coordination strategies, as well as vaccination clinics and measles, mumps, and rubella (MMR) vaccination doses administered.
Author(s): Emma Stanislawski, Andrea Romero, Nora Holzinger, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(9), 111-115
Date: 03/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on a communication and vaccination outreach strategy used by the New Mexico Department of Health to reach a largely rural population, in response to a measles outbreak. Discusses communication activities and coordination strategies, as well as vaccination clinics and measles, mumps, and rubella (MMR) vaccination doses administered.
Author(s): Emma Stanislawski, Andrea Romero, Nora Holzinger, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(9), 111-115
Date: 03/2026
Sponsoring organization: Centers for Disease Control and Prevention
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