Rural Health
Resources by Topic: Access
Mental Health Care Access in Rural Communities amid the Expansion of Telehealth
Analyzes National Health Interview Survey and Medical Expenditure Panel Survey data to explore how mental healthcare access has changed for rural and urban residents as telehealth services have expanded. Discusses findings regarding publicly insured, privately insured, and self-pay patients.
Author(s): Anja Gruber, Anders Van Sandt, Scott Loveridge, Craig Carpenter, Cris Meier
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Analyzes National Health Interview Survey and Medical Expenditure Panel Survey data to explore how mental healthcare access has changed for rural and urban residents as telehealth services have expanded. Discusses findings regarding publicly insured, privately insured, and self-pay patients.
Author(s): Anja Gruber, Anders Van Sandt, Scott Loveridge, Craig Carpenter, Cris Meier
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Increasing Access to Rural Behavioral Health Care Through a Community-Based Workforce
Provides examples for improving access to behavioral healthcare via a community-based workforce in rural areas. Discusses behavioral health workforce needs in rural communities, prioritizing relationship building alongside formal training, promoting conditions for peer support specialists to thrive, integrating community-based roles into clinical teams and community settings, and leveraging the Rural Health Transformation Program (RHTP) and other time-limited funds to build long-term sustainability.
Author(s): Hadley Fitzgerald, Ashley Jasko
Date: 09/2026
Sponsoring organization: Center for Health Care Strategies
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Provides examples for improving access to behavioral healthcare via a community-based workforce in rural areas. Discusses behavioral health workforce needs in rural communities, prioritizing relationship building alongside formal training, promoting conditions for peer support specialists to thrive, integrating community-based roles into clinical teams and community settings, and leveraging the Rural Health Transformation Program (RHTP) and other time-limited funds to build long-term sustainability.
Author(s): Hadley Fitzgerald, Ashley Jasko
Date: 09/2026
Sponsoring organization: Center for Health Care Strategies
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Veterans Health Care: Information on Eligibility for and Use of Dental Benefits
Provides an overview of Veterans Health Administration (VHA) dental benefits and eligibility. Describes the number and percentage of VHA-enrolled veterans who were eligible for VA dental benefits between 2020 and 2025. Presents data by demographic characteristics, including age and rural residence. Explores the potential effect of expanding eligibility for VA dental benefits to all veterans with a heart disease diagnosis. Appendix I discusses VHA's use of teledentistry between 2020 and 2025, including the number and percentage of VHA facilities, by facility type and rurality, that provided at least one dental visit by teledentistry.
Additional links: Full Report
Date: 09/2026
Sponsoring organization: Government Accountability Office
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Provides an overview of Veterans Health Administration (VHA) dental benefits and eligibility. Describes the number and percentage of VHA-enrolled veterans who were eligible for VA dental benefits between 2020 and 2025. Presents data by demographic characteristics, including age and rural residence. Explores the potential effect of expanding eligibility for VA dental benefits to all veterans with a heart disease diagnosis. Appendix I discusses VHA's use of teledentistry between 2020 and 2025, including the number and percentage of VHA facilities, by facility type and rurality, that provided at least one dental visit by teledentistry.
Additional links: Full Report
Date: 09/2026
Sponsoring organization: Government Accountability Office
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Geographic Disparities in Access to Broadband, Ambulance Services, and Health Care and Implications for Telehealth
Explores the degree to which populated areas, including rural areas, lack the sufficient broadband infrastructure needed to support telehealth services, referred to as broadband deserts. Presents data on the number and percentage of rural residents who live in broadband deserts. Describes the intersection of broadband deserts with areas with limited access to prehospital ambulance services (ambulance deserts) and hospitals and clinics (healthcare deserts) by state.
Author(s): Celia Jewell, Heidi O'Connor, Thomas E. Griffin, et al.
Citation: JAMA Health Forum, 7(9), e263290
Date: 09/2026
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Explores the degree to which populated areas, including rural areas, lack the sufficient broadband infrastructure needed to support telehealth services, referred to as broadband deserts. Presents data on the number and percentage of rural residents who live in broadband deserts. Describes the intersection of broadband deserts with areas with limited access to prehospital ambulance services (ambulance deserts) and hospitals and clinics (healthcare deserts) by state.
Author(s): Celia Jewell, Heidi O'Connor, Thomas E. Griffin, et al.
Citation: JAMA Health Forum, 7(9), e263290
Date: 09/2026
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An Academic-Community Partnership Model for the Virtual Dental Home
Describes the University of California San Francisco (UCSF)-Smile Keepers virtual dental home program, a collaboration which operated from 2021-2025 and offered school-based teledentistry services. Explores ways in which similar programs can help close access gaps for children in rural and underserved areas.
Author(s): Manwa Hegde, Katie Conklin, Rachel Howard, et al.
Citation: Journal of the California Dental Association, 54(1), 2719416
Date: 09/2026
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Describes the University of California San Francisco (UCSF)-Smile Keepers virtual dental home program, a collaboration which operated from 2021-2025 and offered school-based teledentistry services. Explores ways in which similar programs can help close access gaps for children in rural and underserved areas.
Author(s): Manwa Hegde, Katie Conklin, Rachel Howard, et al.
Citation: Journal of the California Dental Association, 54(1), 2719416
Date: 09/2026
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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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Digital Health Readiness and Medicare Primary Care Spending: Nationwide County-Level Observational Analysis
Analyzes associations between county-level digitalization and Medicare primary care spending for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in 2,993 counties between 2017 and 2023 using the Digital Health Index. Discusses the differences when comparing within a county over time and between counties, as well as the impact on healthcare access and socioeconomic factors.
Author(s): Zhaoqiang Zhou, John Geracitano, Baiming Zou, Saif Khairat
Citation: Journal of Medical Internet Research, 28
Date: 09/2026
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Analyzes associations between county-level digitalization and Medicare primary care spending for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in 2,993 counties between 2017 and 2023 using the Digital Health Index. Discusses the differences when comparing within a county over time and between counties, as well as the impact on healthcare access and socioeconomic factors.
Author(s): Zhaoqiang Zhou, John Geracitano, Baiming Zou, Saif Khairat
Citation: Journal of Medical Internet Research, 28
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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