Rural Health
Resources by Topic: Access
America's Health Rankings Annual Report 2025
Provides a national and state-by-state overview of population health by analyzing 99 measures drawn from 31 data sources to describe and rank health outcomes in the U.S. Analyzes and presents data on disparities by geography and demographic characteristics throughout. See the section titled, "Spotlight: Rural Communities," for information on trends in colorectal and breast cancer screening rates and physical inactivity of adults in rural areas between 2022 and 2024.
Additional links: Executive Brief
Date: 01/2026
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of population health by analyzing 99 measures drawn from 31 data sources to describe and rank health outcomes in the U.S. Analyzes and presents data on disparities by geography and demographic characteristics throughout. See the section titled, "Spotlight: Rural Communities," for information on trends in colorectal and breast cancer screening rates and physical inactivity of adults in rural areas between 2022 and 2024.
Additional links: Executive Brief
Date: 01/2026
Sponsoring organization: United Health Foundation
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Tennessee Uninsured Adult Healthcare Safety Net: 2025 Annual Report
Reports on Tennessee's uninsured population, state safety net funding, and services provided in 2025. Lists safety net service locations, including community and faith-based clinics, Federally Qualified Health Centers, dental clinics, and more. Provides county-by-county data on primary, oral, and specialty care population-to-provider ratios, and includes county-level maps of Health Resource Shortage Areas. Mentions rural throughout.
Date: 01/2026
Sponsoring organization: Tennessee Department of Health
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Reports on Tennessee's uninsured population, state safety net funding, and services provided in 2025. Lists safety net service locations, including community and faith-based clinics, Federally Qualified Health Centers, dental clinics, and more. Provides county-by-county data on primary, oral, and specialty care population-to-provider ratios, and includes county-level maps of Health Resource Shortage Areas. Mentions rural throughout.
Date: 01/2026
Sponsoring organization: Tennessee Department of Health
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Outcomes Among Patients With Colon Cancer Living in Neighborhoods With Persistent Poverty
Results of a study comparing clinical outcomes for colon cancer patients based on the number of census tracts per ZIP code that were in persistent poverty at the time of diagnosis. Features statistics with breakdowns by urban and rural areas.
Author(s): Leon Naar, Alexa L. Pohl, Arden M. Morris, Aaron J. Dawes,
Citation: JAMA Network Open, 9(1), e2551212.
Date: 01/2026
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Results of a study comparing clinical outcomes for colon cancer patients based on the number of census tracts per ZIP code that were in persistent poverty at the time of diagnosis. Features statistics with breakdowns by urban and rural areas.
Author(s): Leon Naar, Alexa L. Pohl, Arden M. Morris, Aaron J. Dawes,
Citation: JAMA Network Open, 9(1), e2551212.
Date: 01/2026
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Telemedicine Utilization and Preventive Services Among a Rural Population
Compares 2,012,290 rural adults who used telemedicine between January 2019 and December 2023 to identify associations with subsequent preventive service use. Notes the potential impact of study findings on increasing preventive care utilization for rural residents. Discusses the impacts of COVID-19 and other demographic and health status factors on the data.
Author(s): Daniel Cullen, April M. Falconi, Carrie Levin, Geoffrey Crawford, Sarah Adkins Svoboda
Citation: The American Journal of Managed Care, 32(1)
Date: 01/2026
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Compares 2,012,290 rural adults who used telemedicine between January 2019 and December 2023 to identify associations with subsequent preventive service use. Notes the potential impact of study findings on increasing preventive care utilization for rural residents. Discusses the impacts of COVID-19 and other demographic and health status factors on the data.
Author(s): Daniel Cullen, April M. Falconi, Carrie Levin, Geoffrey Crawford, Sarah Adkins Svoboda
Citation: The American Journal of Managed Care, 32(1)
Date: 01/2026
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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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2025 Broadband/Internet Availability Survey Report
Presents findings of a survey capturing rural broadband and internet availability data as reported by 201 internet companies that responded to NTCA's survey. Describes technologies used to provide broadband services, broadband availability and subscription rates, anchor institutions, network deployment progress, supply chain challenges, barriers to widespread fiber deployment, broadband deployment mapping, and more.
Date: 12/2025
Sponsoring organization: NTCA: The Rural Broadband Association
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Presents findings of a survey capturing rural broadband and internet availability data as reported by 201 internet companies that responded to NTCA's survey. Describes technologies used to provide broadband services, broadband availability and subscription rates, anchor institutions, network deployment progress, supply chain challenges, barriers to widespread fiber deployment, broadband deployment mapping, and more.
Date: 12/2025
Sponsoring organization: NTCA: The Rural Broadband Association
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Identifying the Unique Determinants Influencing Rural Families' Engagement with an Existing Tele-assessment Approach for Autism Identification: A Qualitative Study
Examines perceptions of tele-assessment for autism identification among caregivers of children with autism and community service providers in the rural Southeast. Identifies discussion themes and presents interview excerpts related to the validity, trustworthiness, feasibility, and privacy of tele-assessment for rural families.
Author(s): Liliana Wagner, Tori Foster, Kemberlee Bonnet, et al.
Citation: Autism, 29(6), 1458-1468
Date: 12/2025
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Examines perceptions of tele-assessment for autism identification among caregivers of children with autism and community service providers in the rural Southeast. Identifies discussion themes and presents interview excerpts related to the validity, trustworthiness, feasibility, and privacy of tele-assessment for rural families.
Author(s): Liliana Wagner, Tori Foster, Kemberlee Bonnet, et al.
Citation: Autism, 29(6), 1458-1468
Date: 12/2025
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Development and Implementation of the Indian Health Service Expanded Function Dental Assistant-1 (EFDA-1) Occupation
Report describing the Expanded Function Dental Assistant-1 (EFDA-1) role within the Indian Health Service. Includes information about its implementation, its importance in rural and underserved areas, and its place in Washington's dental workforce and related career pathways.
Author(s): Natalia V. Oster, Grace A. Guenther, Paula M. Kett, Samantha W. Pollack, Susan M. Skillman
Date: 12/2025
Sponsoring organization: UW Center for Health Workforce Studies
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Report describing the Expanded Function Dental Assistant-1 (EFDA-1) role within the Indian Health Service. Includes information about its implementation, its importance in rural and underserved areas, and its place in Washington's dental workforce and related career pathways.
Author(s): Natalia V. Oster, Grace A. Guenther, Paula M. Kett, Samantha W. Pollack, Susan M. Skillman
Date: 12/2025
Sponsoring organization: UW Center for Health Workforce Studies
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