Rural Health
Resources by Topic: Access
Rural Versus Urban Distribution of Obstetrics and Gynecology Residency Training and Associated Rural Community Characteristics
Examines location of OB/GYN residency program training sites and the community's associated sociodemographic characteristics and healthcare workforce supply. Utilizes 2023-2024 Accreditation Council for Graduate Medical Education (ACGME) data to provide a map showing OB/GYN training site distribution across the U.S. as well as 2022-2023 Area Health Resource File data to analyze healthcare access characteristics of rural communities with or without OB/GYN residency program training sites. Discusses challenges in providing rural-focused opportunities during graduate medical education (GME) rotations and the related impact on maternity care shortages.
Author(s): Ryan Spencer, Mukesh Adhikari, Lori Rodefeld, et al.
Citation: Journal of Rural Health, 42(4), e70231
Date: 10/2026
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Examines location of OB/GYN residency program training sites and the community's associated sociodemographic characteristics and healthcare workforce supply. Utilizes 2023-2024 Accreditation Council for Graduate Medical Education (ACGME) data to provide a map showing OB/GYN training site distribution across the U.S. as well as 2022-2023 Area Health Resource File data to analyze healthcare access characteristics of rural communities with or without OB/GYN residency program training sites. Discusses challenges in providing rural-focused opportunities during graduate medical education (GME) rotations and the related impact on maternity care shortages.
Author(s): Ryan Spencer, Mukesh Adhikari, Lori Rodefeld, et al.
Citation: Journal of Rural Health, 42(4), e70231
Date: 10/2026
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Treatable Mortality in Illinois Counties, "Them That Has, Gets"
Examines preventable mortality in Illinois caused by diseases that could have been treated by available medical care. Utilizes CDC Wonder data from 2018 and 2024 and provides county-level, as well as metro versus nonmetro, mortality rates and causes of death.
Author(s): Adee Athiyaman
Date: 10/2026
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines preventable mortality in Illinois caused by diseases that could have been treated by available medical care. Utilizes CDC Wonder data from 2018 and 2024 and provides county-level, as well as metro versus nonmetro, mortality rates and causes of death.
Author(s): Adee Athiyaman
Date: 10/2026
Sponsoring organization: Illinois Institute for Rural Affairs
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Veterans' Views on Alcohol Use and Experience of Alcohol Withdrawal Syndrome Treatment and Subsequent Alcohol Use Disorder Care at Two Highly Rural-Serving VA Hospitals: A Qualitative Study
Presents findings from interviews with veterans with alcohol use disorder (AUD) about the alcohol withdrawal syndrome treatment they received at two rural-serving Veterans Affairs (VA) hospitals. Highlights perceived barriers to care and makes suggestions for improving it.
Author(s): Tony Pomales, Daniel Ball, Jeydith Gutierrez, James C. Willey
Citation: Journal of Behavioral Medicine, 49, 902-917
Date: 10/2026
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Presents findings from interviews with veterans with alcohol use disorder (AUD) about the alcohol withdrawal syndrome treatment they received at two rural-serving Veterans Affairs (VA) hospitals. Highlights perceived barriers to care and makes suggestions for improving it.
Author(s): Tony Pomales, Daniel Ball, Jeydith Gutierrez, James C. Willey
Citation: Journal of Behavioral Medicine, 49, 902-917
Date: 10/2026
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Rural Cardiovascular Health in Missouri: Needs, Care Gaps, and Resources for a More Connected System
Discusses the importance of cardiovascular risk to rural health in Missouri, and provides suggestions for improving rural cardiovascular disease prevention, treatment, and recovery via state policy, Rural Health Transformation initiatives, and facility-level service delivery improvements.
Author(s): Adnan I. Qureshi, Hatem Tolba, Muhammad Shah Miran, Muhammad Shakir, Camilo R. Gomez
Citation: Missouri Medicine, 123(5), 449-456
Date: 10/2026
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Discusses the importance of cardiovascular risk to rural health in Missouri, and provides suggestions for improving rural cardiovascular disease prevention, treatment, and recovery via state policy, Rural Health Transformation initiatives, and facility-level service delivery improvements.
Author(s): Adnan I. Qureshi, Hatem Tolba, Muhammad Shah Miran, Muhammad Shakir, Camilo R. Gomez
Citation: Missouri Medicine, 123(5), 449-456
Date: 10/2026
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Building on the 2025 National Academies Pharmacy Workshop: Pharmacy Deserts in the United States
Describes pharmacy access in the United States, including discussions of "pharmacy desert" definitions by rurality, drivers of recent pharmacy desert trends, and the impact of pharmacy deserts on health outcomes. Highlights potential policy strategies for addressing pharmacy deserts with a focus on the pharmacy workforce, reimbursement and payment models, new technologies, and service delivery models.
Author(s): Lucas A. Berenbrok, Delesha Carpenter, Teresa M. Salgado, et al.
Citation: Health Affairs Scholar, 4(10)
Date: 10/2026
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Describes pharmacy access in the United States, including discussions of "pharmacy desert" definitions by rurality, drivers of recent pharmacy desert trends, and the impact of pharmacy deserts on health outcomes. Highlights potential policy strategies for addressing pharmacy deserts with a focus on the pharmacy workforce, reimbursement and payment models, new technologies, and service delivery models.
Author(s): Lucas A. Berenbrok, Delesha Carpenter, Teresa M. Salgado, et al.
Citation: Health Affairs Scholar, 4(10)
Date: 10/2026
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October 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2026 meeting. Covers an analysis of physician participation in Medicare Advantage provider networks, issues affecting the payment accuracy of the physician fee schedule and the clinical laboratory fee schedule, clinician quality initiatives in fee-for-service Medicare, Medicare's late-enrollment penalties, and MedPAC's work plan regarding the skilled nursing facility and home health prospective payment systems.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2026 meeting. Covers an analysis of physician participation in Medicare Advantage provider networks, issues affecting the payment accuracy of the physician fee schedule and the clinical laboratory fee schedule, clinician quality initiatives in fee-for-service Medicare, Medicare's late-enrollment penalties, and MedPAC's work plan regarding the skilled nursing facility and home health prospective payment systems.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Survival Versus Scale: The Effects of Critical Access Hospital Designation
Explores whether designation-based hospital subsidies, specifically the Critical Access Hospital (CAH) program, preserve meaningful access to care. Describes the effects of CAH designation on hospital finances, capacity, and organizational outcomes between 1995-2010. Discusses the implications of hospital preservation and reduced operational scale on access to care and patient health.
Author(s): Ian M. McCarthy, Katie Leinenbach
Date: 10/2026
Sponsoring organization: National Bureau of Economic Research
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Explores whether designation-based hospital subsidies, specifically the Critical Access Hospital (CAH) program, preserve meaningful access to care. Describes the effects of CAH designation on hospital finances, capacity, and organizational outcomes between 1995-2010. Discusses the implications of hospital preservation and reduced operational scale on access to care and patient health.
Author(s): Ian M. McCarthy, Katie Leinenbach
Date: 10/2026
Sponsoring organization: National Bureau of Economic Research
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Implementing a Telehealth Perinatal Depression Prevention Program: Perspectives of Rural and Urban Clinical Staff
Surveys 24 maternal health clinical staff, including nurses, medical assistants, lactation consultants, and others, on the implementation of a telehealth perinatal depression prevention program. Analyzes rural and urban differences in perceptions of facilitators and barriers of program participation among staff and patients.
Author(s): Tumilara Aderibigbe, Wen Tu, Ryoko Kausler, et al.
Citation: Journal of Nursing Management
Date: 10/2026
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Surveys 24 maternal health clinical staff, including nurses, medical assistants, lactation consultants, and others, on the implementation of a telehealth perinatal depression prevention program. Analyzes rural and urban differences in perceptions of facilitators and barriers of program participation among staff and patients.
Author(s): Tumilara Aderibigbe, Wen Tu, Ryoko Kausler, et al.
Citation: Journal of Nursing Management
Date: 10/2026
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Digital Breast Tomosynthesis Use, Facility Mammography Volume, and Timely Follow-Up After Abnormal Screening Mammograms in Appalachia, United States
Explores the effect of facility-level characteristics, such as rural versus urban location, and digital breast tomosynthesis (DBT) use on post-screening follow-up times in rural versus urban areas in Appalachia. Breaks down data by facility volume and individual patient characteristics that are associated with follow-up delay.
Author(s): Silas Selorm Daniels-Donkor, Fabian T. Camacho, Gloribel Bonilla, et al.
Citation: Journal of Rural Health, 42(4), e70229
Date: 10/2026
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Explores the effect of facility-level characteristics, such as rural versus urban location, and digital breast tomosynthesis (DBT) use on post-screening follow-up times in rural versus urban areas in Appalachia. Breaks down data by facility volume and individual patient characteristics that are associated with follow-up delay.
Author(s): Silas Selorm Daniels-Donkor, Fabian T. Camacho, Gloribel Bonilla, et al.
Citation: Journal of Rural Health, 42(4), e70229
Date: 10/2026
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Rural Patients' Transitional Care Experiences: A Qualitative Analysis of Provider Notes
Examines experiences of older, veteran patients discharged from a hospital to their home. Utilizes electronic health record clinical notes and Veterans Affairs (VA) Corporate Data Warehouse data from 200 veterans who died within 30 days of discharge. Analyzes rural versus urban differences in patient demographics, patient health conditions, geographic distance to care settings, willingness to utilize home health services, caregiver burden, and more. Discusses unique challenges experienced by rural veterans and their caregivers in transitional care.
Author(s): Samantha B. Randolph, Nicholas A. Rattray, Claire E. Donnelly, et al.
Citation: Journal of Rural Health, 42(4), e70225
Date: 10/2026
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Examines experiences of older, veteran patients discharged from a hospital to their home. Utilizes electronic health record clinical notes and Veterans Affairs (VA) Corporate Data Warehouse data from 200 veterans who died within 30 days of discharge. Analyzes rural versus urban differences in patient demographics, patient health conditions, geographic distance to care settings, willingness to utilize home health services, caregiver burden, and more. Discusses unique challenges experienced by rural veterans and their caregivers in transitional care.
Author(s): Samantha B. Randolph, Nicholas A. Rattray, Claire E. Donnelly, et al.
Citation: Journal of Rural Health, 42(4), e70225
Date: 10/2026
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