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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Aligning Initiatives to End the HIV Epidemic in the United States
Discusses the alignment of the Ryan White HIV/AIDS Program (RWHAP) and the Ending the HIV Epidemic in the United States (EHE) initiative to provide healthcare to low-income people living with HIV (PLWH) and prevent new infections. Includes commentary on how the programs work in rural areas and the 2019-2026 EHE funding information for Health Centers with rural technical assistance.
Author(s): Jesse P. Anderson, Agata Bodie, Kaushik Ghosh, Sara Te
Date: 08/2026
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Discusses the alignment of the Ryan White HIV/AIDS Program (RWHAP) and the Ending the HIV Epidemic in the United States (EHE) initiative to provide healthcare to low-income people living with HIV (PLWH) and prevent new infections. Includes commentary on how the programs work in rural areas and the 2019-2026 EHE funding information for Health Centers with rural technical assistance.
Author(s): Jesse P. Anderson, Agata Bodie, Kaushik Ghosh, Sara Te
Date: 08/2026
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Bridging the Gaps in School-Based Telehealth: A Scoping Review and Evaluation Framework
Provides a scoping review of telehealth interventions in K-12 schools between 2019 and 2026. Analyzes 22 studies related to school-based telehealth (SBTH) and discusses SBTH evaluation practices as well as utilization, satisfaction, and outcomes. Includes discussion of SBTH outcomes in rural locations.
Author(s): Sara Al-Ajlouny, Zhaoqiang Zhou, Suguna Kotte, et al.
Citation: Telemedicine Reports, 7
Date: 07/2026
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Provides a scoping review of telehealth interventions in K-12 schools between 2019 and 2026. Analyzes 22 studies related to school-based telehealth (SBTH) and discusses SBTH evaluation practices as well as utilization, satisfaction, and outcomes. Includes discussion of SBTH outcomes in rural locations.
Author(s): Sara Al-Ajlouny, Zhaoqiang Zhou, Suguna Kotte, et al.
Citation: Telemedicine Reports, 7
Date: 07/2026
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Telehealth for Community-Engaged Cardiovascular Care in Rural Populations
Discusses how telehealth can support better cardiovascular care for rural patients. Details rural barriers to cardiovascular healthcare and describes telehealth implementation strategies via community partnerships.
Author(s): Tiffany M. Powell-Wiley, Madyson Williams, Esa M. Davis
Citation: Circulation, 154(4)
Date: 07/2026
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Discusses how telehealth can support better cardiovascular care for rural patients. Details rural barriers to cardiovascular healthcare and describes telehealth implementation strategies via community partnerships.
Author(s): Tiffany M. Powell-Wiley, Madyson Williams, Esa M. Davis
Citation: Circulation, 154(4)
Date: 07/2026
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A Guide to GME Development in Rural and Underserved Areas
Offers a roadmap for establishing, expanding, or strengthening Graduate Medical Education (GME) programs in communities with limited access to healthcare. Highlights resources, tools, and best practices to align GME programs with workforce needs, strengthen physician pipelines, and improve access to care. Requires free account registration to access document.
Author(s): Laney McDougal, James Clardy, Deborah Clements, Alan Douglass, Lori Rodefeld
Date: 07/2026
Sponsoring organizations: Accreditation Council for Graduate Medical Education, Rural Residency Planning and Development Program, Teaching Health Center Technical Assistance Center
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Offers a roadmap for establishing, expanding, or strengthening Graduate Medical Education (GME) programs in communities with limited access to healthcare. Highlights resources, tools, and best practices to align GME programs with workforce needs, strengthen physician pipelines, and improve access to care. Requires free account registration to access document.
Author(s): Laney McDougal, James Clardy, Deborah Clements, Alan Douglass, Lori Rodefeld
Date: 07/2026
Sponsoring organizations: Accreditation Council for Graduate Medical Education, Rural Residency Planning and Development Program, Teaching Health Center Technical Assistance Center
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MauiWES Community Report - The Road to Recovery: Strengthening Health, Stability, and Resiliency Three Years After the Maui Wildfires
Reports on recovery and continued challenges in Maui after the August 2023 wildfires in Hawaii, including data from the Maui Wildfire Exposure Study (MauiWES) on physical and emotional health, housing, employment, food security, access to healthcare and other services, and other aspects of wellness among wildfire survivors. Dashboard provides results from the study in interactive form.
Additional links: Dashboard
Author(s): Ruben Juarez, Alika Maunakea, Chris Knightsbridge, et al.
Date: 07/2026
Sponsoring organization: UHERO: The Economic Research Organization at the University of Hawai'i
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Reports on recovery and continued challenges in Maui after the August 2023 wildfires in Hawaii, including data from the Maui Wildfire Exposure Study (MauiWES) on physical and emotional health, housing, employment, food security, access to healthcare and other services, and other aspects of wellness among wildfire survivors. Dashboard provides results from the study in interactive form.
Additional links: Dashboard
Author(s): Ruben Juarez, Alika Maunakea, Chris Knightsbridge, et al.
Date: 07/2026
Sponsoring organization: UHERO: The Economic Research Organization at the University of Hawai'i
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The Integration of Spirituality Into Domestic Violence Services in Indian Country
Discusses the role of spirituality in supporting domestic violence services for tribal communities, noting challenges related to access to domestic violence services, funding, and incorporating traditional spiritual practices into care for survivors. Offers recommendations for overcoming highlighted challenges.
Date: 07/2026
Sponsoring organization: National Indigenous Women's Resource Center
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Discusses the role of spirituality in supporting domestic violence services for tribal communities, noting challenges related to access to domestic violence services, funding, and incorporating traditional spiritual practices into care for survivors. Offers recommendations for overcoming highlighted challenges.
Date: 07/2026
Sponsoring organization: National Indigenous Women's Resource Center
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Association Between the Declining Conversion Factor and Access to Care for Medicare Beneficiaries
Examines the impact of the inflation-adjusted conversion factor and reduced reimbursement on Medicare beneficiaries' access to care. Utilizes 2005-2023 Medicare fee-for-service data from 4,662,729 unique beneficiaries and provides data breakdowns on conversion factor values and care utilization according to community income, area deprivation index, and urbanicity.
Author(s): Eric W. Christensen, Alexandra R. Drake, Gregory N. Nicola, et al.
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 63
Date: 07/2026
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Examines the impact of the inflation-adjusted conversion factor and reduced reimbursement on Medicare beneficiaries' access to care. Utilizes 2005-2023 Medicare fee-for-service data from 4,662,729 unique beneficiaries and provides data breakdowns on conversion factor values and care utilization according to community income, area deprivation index, and urbanicity.
Author(s): Eric W. Christensen, Alexandra R. Drake, Gregory N. Nicola, et al.
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 63
Date: 07/2026
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How Primary Care Medics Can Bring Needed Health Care to Rural Americans
Describes Penn State College of Medicine's Primary Care Medic Project, a certificate-based pathway under development that will train local individuals to deliver primary and preventive care under the supervision of licensed clinicians. Discusses how primary care medics will fill gaps between community-based outreach and licensed primary care providers. Compares the scope of practice of primary care medics with those of community health workers, paramedics, and registered nurses, among others.
Author(s): Mark B. Stephens, Robin W. Weinick
Date: 07/2026
Sponsoring organization: Commonwealth Fund
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Describes Penn State College of Medicine's Primary Care Medic Project, a certificate-based pathway under development that will train local individuals to deliver primary and preventive care under the supervision of licensed clinicians. Discusses how primary care medics will fill gaps between community-based outreach and licensed primary care providers. Compares the scope of practice of primary care medics with those of community health workers, paramedics, and registered nurses, among others.
Author(s): Mark B. Stephens, Robin W. Weinick
Date: 07/2026
Sponsoring organization: Commonwealth Fund
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State Innovations in Improving Access to Care for Adults with Complex Needs in Rural Communities
Discusses Medicaid policy and financing strategies that can help improve rural delivery systems and access to care for rural older adults, people with disabilities, and others with complex health and social needs. Describes effective approaches undertaken in California, Missouri, North Dakota, South Dakota, and Virginia across three promising strategies. Identifies four factors critical to successful program design and implementation and key considerations for states.
Author(s): Molly Knowles, Nida Enehizena, Gretchen Bell, Ellen Breslin
Date: 07/2026
Sponsoring organization: Center for Health Care Strategies
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Discusses Medicaid policy and financing strategies that can help improve rural delivery systems and access to care for rural older adults, people with disabilities, and others with complex health and social needs. Describes effective approaches undertaken in California, Missouri, North Dakota, South Dakota, and Virginia across three promising strategies. Identifies four factors critical to successful program design and implementation and key considerations for states.
Author(s): Molly Knowles, Nida Enehizena, Gretchen Bell, Ellen Breslin
Date: 07/2026
Sponsoring organization: Center for Health Care Strategies
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