Rural Health
Resources by Topic: Access
Patient, Facility, and Community Determinants of Timely Follow up after Abnormal Screening Mammograms in Appalachia: A Multilevel Analysis
Examines the impact of community, patient, and facility characteristics on mammogram screening access, mammogram recall, and biopsy rates in 5 Appalachian states. Utilizes 2016-2018 Medicare claims data from breast imaging organizations to analyze characteristics of mammogram care, providing sociodemographic breakdowns and metro versus rural comparisons.
Author(s): Roger T. Anderson, Marianne M. Hillemeier, Jennifer A. Harvey, et al.
Citation: Journal of Rural Health, 42(1), e70104
Date: 01/2026
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Examines the impact of community, patient, and facility characteristics on mammogram screening access, mammogram recall, and biopsy rates in 5 Appalachian states. Utilizes 2016-2018 Medicare claims data from breast imaging organizations to analyze characteristics of mammogram care, providing sociodemographic breakdowns and metro versus rural comparisons.
Author(s): Roger T. Anderson, Marianne M. Hillemeier, Jennifer A. Harvey, et al.
Citation: Journal of Rural Health, 42(1), e70104
Date: 01/2026
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Availability of Hospital-Based Obstetric Services in the United States by County, 2010–2023: A State-by-State Report
Provides national, state, and county-specific information on changes in obstetric care access from 2010-2023. Displays county-level maps of changes in hospital-based services availability between 2010-2023, highlighting changes from 2022 to 2023. Features statistics with breakdowns by urban and rural counties.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Katy B. Kozhimannil
Date: 01/2026
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 access from 2010-2023. Displays county-level maps of changes in hospital-based services availability between 2010-2023, highlighting changes from 2022 to 2023. Features statistics with breakdowns by urban and rural counties.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Katy B. Kozhimannil
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Health Concerns of Women in Agriculture in the Midwestern United States
Presents a study exploring the health and safety needs of women working as agricultural producers. Bases findings on a survey of 120 agricultural women in Nebraska. Explores concerns about zoonotic diseases, reproductive health concerns, musculoskeletal disorders, and mental health challenges, among other issues common to agricultural work.
Author(s): Cheryl L. Beseler, Megan Lutt, Alex Egbuchiem, Ellen G. Duysen
Citation: Journal of Agromedicine, 31, 11-19
Date: 01/2026
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Presents a study exploring the health and safety needs of women working as agricultural producers. Bases findings on a survey of 120 agricultural women in Nebraska. Explores concerns about zoonotic diseases, reproductive health concerns, musculoskeletal disorders, and mental health challenges, among other issues common to agricultural work.
Author(s): Cheryl L. Beseler, Megan Lutt, Alex Egbuchiem, Ellen G. Duysen
Citation: Journal of Agromedicine, 31, 11-19
Date: 01/2026
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The Universal Service Fund and Related FCC Broadband Programs: Overview and Considerations for Congress
Provides an overview of the Federal Communications Commission's (FCC) Universal Service Fund (USF) and its four programs: the High Cost Program, Lifeline Program, Schools and Libraries Program, and Rural Health Care Program. Outlines considerations for Congress for each program. Describes legislation introduced in the 119th Congress that would impact the USF programs.
Date: 01/2026
Sponsoring organization: Congressional Research Service
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Provides an overview of the Federal Communications Commission's (FCC) Universal Service Fund (USF) and its four programs: the High Cost Program, Lifeline Program, Schools and Libraries Program, and Rural Health Care Program. Outlines considerations for Congress for each program. Describes legislation introduced in the 119th Congress that would impact the USF programs.
Date: 01/2026
Sponsoring organization: Congressional Research Service
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Improving Maternal Mental Health in Women With Serious Mental Illness
Report highlights gaps in maternal mental healthcare access and highlights promising practices aimed at closing those gaps in several states. Discusses factors that affect maternal mental health access, such as screening, workforce, training, and peer support, among others.
Date: 2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report highlights gaps in maternal mental healthcare access and highlights promising practices aimed at closing those gaps in several states. Discusses factors that affect maternal mental health access, such as screening, workforce, training, and peer support, among others.
Date: 2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Updated Locations of Hospitals with a Labor and Delivery Unit in Pennsylvania, 2026
County-level map showing locations of the 75 Pennsylvania hospitals with labor and delivery units, and shadings showing counties with no labor and delivery units.
Date: 2026
Sponsoring organization: Center for Rural Pennsylvania
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County-level map showing locations of the 75 Pennsylvania hospitals with labor and delivery units, and shadings showing counties with no labor and delivery units.
Date: 2026
Sponsoring organization: Center for Rural Pennsylvania
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2024 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, care affordability, healthy living, effective treatment, person-centered care, care coordination, and more.
Date: 12/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, care affordability, healthy living, effective treatment, person-centered care, care coordination, and more.
Date: 12/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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The South Carolina Certified Nurse Midwife Workforce - 2022
Describes the certified nurse midwife (CNM) workforce in South Carolina using data from the 2022 nursing licensure renewal process ending April 30, 2022. Features demographics and statistics including change in the size of the South Carolina CNM workforce from 2012-2022 with breakdowns by 3 levels of population density, and a county-level map showing locations of active CNMs as of 2022, with shadings showing rural and urban counties.
Date: 12/2025
Sponsoring organization: South Carolina Area Health Education Consortium
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Describes the certified nurse midwife (CNM) workforce in South Carolina using data from the 2022 nursing licensure renewal process ending April 30, 2022. Features demographics and statistics including change in the size of the South Carolina CNM workforce from 2012-2022 with breakdowns by 3 levels of population density, and a county-level map showing locations of active CNMs as of 2022, with shadings showing rural and urban counties.
Date: 12/2025
Sponsoring organization: South Carolina Area Health Education Consortium
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The State of Health in Tennessee 2025: Annual Report to the 114th Tennessee General Assembly
Assesses the health status of Tennesseans across the four areas of the State Health Plan Framework: A Healthy Start, A Healthy Life, a Healthy Environment, and a Healthy System of Care. Includes a section on social determinants of health and features statistics on various populations and aspects of healthcare, including rural hospital closures.
Date: 12/2025
Sponsoring organization: Tennessee Department of Health
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Assesses the health status of Tennesseans across the four areas of the State Health Plan Framework: A Healthy Start, A Healthy Life, a Healthy Environment, and a Healthy System of Care. Includes a section on social determinants of health and features statistics on various populations and aspects of healthcare, including rural hospital closures.
Date: 12/2025
Sponsoring organization: Tennessee Department of Health
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Trends in Non-Emergency Medical Transportation During Medicaid Transformation in North Carolina
Examines the impact of Medicaid transformation on non-emergency medical transportation (NEMT) services in North Carolina in the shift from fee-for-service (FFS) to Managed Care. Utilizes 2019-2023 Medicaid claims data to analyze NEMT service provision trends according to cost, travel mode, public versus private provider, and urban versus rural geography.
Author(s): Evan Iacobucci, Noreen McDonald
Citation: North Carolina Medical Journal, 86(4)
Date: 12/2025
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Examines the impact of Medicaid transformation on non-emergency medical transportation (NEMT) services in North Carolina in the shift from fee-for-service (FFS) to Managed Care. Utilizes 2019-2023 Medicaid claims data to analyze NEMT service provision trends according to cost, travel mode, public versus private provider, and urban versus rural geography.
Author(s): Evan Iacobucci, Noreen McDonald
Citation: North Carolina Medical Journal, 86(4)
Date: 12/2025
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