Rural Health
Resources by Topic: Access
Rural–Urban and Appalachian Disparities in Geographic Access to Colonoscopy and Screening Prevalence Across the Contiguous US
Results of a study comparing access to colonoscopy providers. Features statistics on diagnostic/therapeutic procedures and screening procedures, with breakdowns by rural and urban areas and Appalachian and non-Appalachian areas and by type of colonoscopy provider.
Author(s): Sima Namin, R. Eric Heidel, Martin Whiteside, et al.
Citation: Preventing Chronic Disease, 23
Date: 09/2026
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Results of a study comparing access to colonoscopy providers. Features statistics on diagnostic/therapeutic procedures and screening procedures, with breakdowns by rural and urban areas and Appalachian and non-Appalachian areas and by type of colonoscopy provider.
Author(s): Sima Namin, R. Eric Heidel, Martin Whiteside, et al.
Citation: Preventing Chronic Disease, 23
Date: 09/2026
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Opportunities for a Healthier Rural America: Perspectives from the Rural Health Research Centers
Several Rural Health Research Center directors share insights on the challenges rural communities face and opportunities to improve access and outcomes.
Author(s): Jessica Rosencrans
Date: 09/2026
Sponsoring organization: Rural Health Information Hub
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Several Rural Health Research Center directors share insights on the challenges rural communities face and opportunities to improve access and outcomes.
Author(s): Jessica Rosencrans
Date: 09/2026
Sponsoring organization: Rural Health Information Hub
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Risk Factors for Loss of Hospital-Based Obstetric Care in Rural and Urban Hospitals
Examines factors associated with loss of obstetric services in hospitals. Analyzes 3,108 rural and urban hospitals in 2010 and then again in 2023 to observe rates of unit or hospital closure. Includes breakdown of hospital characteristics such as distance to nearest obstetric hospital, birth volume, hospital ownership, county unemployment, and more.
Author(s): Julia D. Interrante, Caitlin Carroll, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Citation: JAMA Health Forum, 7(9), e263122
Date: 09/2026
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Examines factors associated with loss of obstetric services in hospitals. Analyzes 3,108 rural and urban hospitals in 2010 and then again in 2023 to observe rates of unit or hospital closure. Includes breakdown of hospital characteristics such as distance to nearest obstetric hospital, birth volume, hospital ownership, county unemployment, and more.
Author(s): Julia D. Interrante, Caitlin Carroll, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Citation: JAMA Health Forum, 7(9), e263122
Date: 09/2026
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Changing Patterns of Specialty Care for Diabetic Foot Ulcers among Rural and Urban Veterans Following the VA MISSION Act
Presents a study on older veterans' access to specialty care for diabetic foot ulcers under the MISSION Act in rural and urban areas. Explores veterans' access both inside and outside of the VA and breaks down utilization data by specialty, such as podiatry, infectious disease, vascular surgery, and endocrinology.
Author(s): Hiroyuki Suzuki, Mary Vaughan-Sarrazin, Michael Ohl, et al.
Citation: International Wound Journal, 23(9), e71039
Date: 09/2026
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Presents a study on older veterans' access to specialty care for diabetic foot ulcers under the MISSION Act in rural and urban areas. Explores veterans' access both inside and outside of the VA and breaks down utilization data by specialty, such as podiatry, infectious disease, vascular surgery, and endocrinology.
Author(s): Hiroyuki Suzuki, Mary Vaughan-Sarrazin, Michael Ohl, et al.
Citation: International Wound Journal, 23(9), e71039
Date: 09/2026
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What Telehealth Gets Right and What's Missing: A National Multistakeholder Study of Access and Sustainability
Explores the perspectives of telehealth patients and providers, as well as policymakers and administrators, regarding the impacts of telehealth on increasing healthcare access. Summarizes three sets of themes that emerged from semistructured interviews of 62 participants. Offers recommendations for improving the accessibility and sustainability of telehealth across each theme.
Author(s): Saif Khairat, John Geracitano, Andrea Huang, et al.
Citation: The Permanente Journal
Date: 09/2026
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Explores the perspectives of telehealth patients and providers, as well as policymakers and administrators, regarding the impacts of telehealth on increasing healthcare access. Summarizes three sets of themes that emerged from semistructured interviews of 62 participants. Offers recommendations for improving the accessibility and sustainability of telehealth across each theme.
Author(s): Saif Khairat, John Geracitano, Andrea Huang, et al.
Citation: The Permanente Journal
Date: 09/2026
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Unmasking the Rural Substance Use Burden: The Need to Move Beyond Macro-Level Data in Substance Use Policy and Planning
Brief examines health-related differences and service gaps of rural, non-rural, and national communities to better understand substance use trends in order to inform policies and interventions in rural communities. Bases findings on data from the National Survey on Drug Use and Health (NSDUH) and details rates of opioid, stimulant, vape, and alcohol use in rural and urban areas in 2023 and 2024.
Date: 09/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Brief examines health-related differences and service gaps of rural, non-rural, and national communities to better understand substance use trends in order to inform policies and interventions in rural communities. Bases findings on data from the National Survey on Drug Use and Health (NSDUH) and details rates of opioid, stimulant, vape, and alcohol use in rural and urban areas in 2023 and 2024.
Date: 09/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Associations of Rurality, Child Opportunity, and Distance with Use of Pediatric Asthma Specialists
Examines the relationship among rurality, child opportunity index (COI), and drive time to a pediatric asthma specialist. Utilizes 2015-2021 Maine Health Data Organization All-Payer Claims Data to analyze 12,014 children with a pediatric asthma referral according to patient demographics and health status, drive time to a specialist, COI, and metro, micro, small town, or isolated small rural location. Discusses disparities in access to asthma specialty care for rural children.
Author(s): James Bohnhoff, Anya Cutler, Elizabeth A. Jacobs, Wanda Phipatanakul, Yvonne Jonk
Citation: The Journal of Allergy and Clinical Immunology, 158(3), 751-757
Date: 09/2026
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Examines the relationship among rurality, child opportunity index (COI), and drive time to a pediatric asthma specialist. Utilizes 2015-2021 Maine Health Data Organization All-Payer Claims Data to analyze 12,014 children with a pediatric asthma referral according to patient demographics and health status, drive time to a specialist, COI, and metro, micro, small town, or isolated small rural location. Discusses disparities in access to asthma specialty care for rural children.
Author(s): James Bohnhoff, Anya Cutler, Elizabeth A. Jacobs, Wanda Phipatanakul, Yvonne Jonk
Citation: The Journal of Allergy and Clinical Immunology, 158(3), 751-757
Date: 09/2026
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Broadband Connectivity Among Rural First Responders in Pennsylvania
Explores challenges and opportunities in digital communication technologies experienced by Pennsylvania rural first responders. Features recommendations for Pennsylvania policymakers and stakeholders to improve communication access.
Author(s): Christopher Ali, Abigail Simmerman, DongWook Jeong
Date: 09/2026
Sponsoring organization: Center for Rural Pennsylvania
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Explores challenges and opportunities in digital communication technologies experienced by Pennsylvania rural first responders. Features recommendations for Pennsylvania policymakers and stakeholders to improve communication access.
Author(s): Christopher Ali, Abigail Simmerman, DongWook Jeong
Date: 09/2026
Sponsoring organization: Center for Rural Pennsylvania
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Tele-Hospitalist Services to Support the Opening of a New Rural Hospital
Describes a tele-hospitalist model designed to support the Medical University of South Carolina Health System (MUSC Health) Black River, a 25-bed rural hospital in South Carolina that opened in 2023. Examines the operational and clinical performance of MUSC Health Black River during its first six quarters of operation, including patient volume, payer mix, average daily census (ADC), 30-day readmissions, and more.
Author(s): Yotam Papo, Jillian Harvey, Dunc Williams Jr., et al.
Citation: Journal of Hospital Medicine, 21(9), 1075-1080
Date: 09/2026
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Describes a tele-hospitalist model designed to support the Medical University of South Carolina Health System (MUSC Health) Black River, a 25-bed rural hospital in South Carolina that opened in 2023. Examines the operational and clinical performance of MUSC Health Black River during its first six quarters of operation, including patient volume, payer mix, average daily census (ADC), 30-day readmissions, and more.
Author(s): Yotam Papo, Jillian Harvey, Dunc Williams Jr., et al.
Citation: Journal of Hospital Medicine, 21(9), 1075-1080
Date: 09/2026
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Annual Overview of Hospital-Level Changes in Obstetric Services Availability, 2010-2024
First annual report describing changes to the availability of obstetric services at short-term acute care hospitals. Examines the number of hospitals that lost obstetric services and the percentage of all hospitals without obstetric services between 2010 and 2024. Presents data on urban and rural hospitals by state and nationally.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Date: 09/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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First annual report describing changes to the availability of obstetric services at short-term acute care hospitals. Examines the number of hospitals that lost obstetric services and the percentage of all hospitals without obstetric services between 2010 and 2024. Presents data on urban and rural hospitals by state and nationally.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Date: 09/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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