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Rural Health
Resources by Topic: Access

Integrating Mental Health Support into Rural Libraries: Evaluation of the Libraries for Health (L4H) Initiative
Presents findings from an evaluation of the implementation of Libraries for Health (L4H), a pilot project embedding nonclinical adult mental health supports into ten libraries in rural Texas. Summarizes how libraries implemented L4H, barriers and facilitators of implementation, and efforts to to build and sustain the program and sustain their capacity to address patrons' mental health needs.
Additional links: Research Summary
Author(s): Lynsay Ayer, Karen Christianson, Ivy Todd, et al.
Date: 06/2025
Sponsoring organization: RAND Corporation
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Interventions to Increase Colorectal Cancer Screening Uptake in Rural Settings: A Scoping Review
Scoping review examining 36 studies on interventions to increase colorectal cancer (CRC) screening uptake in rural communities. Highlights approaches and strategies of effective interventions and discusses the need for continued research on tailored interventions for underserved communities.
Author(s): Christine M. Kava, Judith Lee Smith, Emily K. Kobernik, et al.
Citation: Preventing Chronic Disease, 22, 250025
Date: 06/2025
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Self-Reported Reasons Preventing US Adults From Walking to Places Within 10 Minutes of Home
Examines environmental, access, and individual reasons given for not walking to places near home, utilizing 2022 SummerStyles survey data of 3,967 adults. Breaks down self-identified reasons for not walking by geographic and demographic characteristics, including rurality. Discusses the value of walkability for physical fitness and community accessibility.
Author(s): Hatidza Zaganjor, Tiffany J. Chen, Miriam E. Van Dyke, et al.
Citation: Preventing Chronic Disease, 22, 240394
Date: 06/2025
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Expanding a Primary Care Nurse Practitioner Fellowship to Support Rural and Underserved Pediatric Patients in the US
Discusses the structure and impacts of a Delaware nurse practitioner fellowship training program focused on providing mental health and primary care services in rural and underserved areas. Identifies challenges and lessons learned, and highlights the value of rural-specific training and education.
Author(s): Aaron Carpenter, Catherine Haut, Sarah E. Wawrzynski, Stacey Bachman, Lisa Kelly
Citation: Rural and Remote Health, 25, 9650
Date: 06/2025
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The Rural Health Center Landscape: Data, Challenges, & Insights
Recording of a June 10, 2025, webinar discussing unique financial and operational challenges that rural health centers face. Covers health center growth and expansion, patient and payer mix, financial performance, staffing mix, and more. Compares data on rural FQHCs to urban and national FQHC data 2020-2023. Features a discussion with William Edwards, chief financial officer of G.A. Carmichael Family Health Center in Canton, Mississippi.
Additional links: Presentation Slides
Date: 06/2025
Sponsoring organization: Capital Link
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Report to Congress on Medicaid and CHIP, June 2025
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to transitions from pediatric to adult care for Medicaid-covered children and youth with special health care needs (CYSHCN). Also discusses appropriate access to residential behavioral health treatment services for children, findings from MACPAC's analytic work on access to medications for opioid use disorder (MOUD) in Medicaid, an overview on the Program of All-Inclusive Care for the Elderly, and self-direction for Medicaid home- and community-based services. Includes rural references throughout.
Date: 06/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Caregiving in Rural Areas: A Qualitative Study of Challenges and Resilience
Examines rural-specific challenges and strengths in caregiving, utilizing interview data of 18 rural-dwelling caregivers in Vermont. Discusses community-based factors influencing care, access to services, and rural identity, among other topics.
Author(s): Hyojin Choi, Christine Vatovec, Maija Reblin
Citation: PLOS One, 20(6), e0325536
Date: 06/2025
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Pharmacy Deserts in Rural Pennsylvania
Describes the landscape of pharmacies and pharmacists in Pennsylvania as of May 2025 and examines the projected impact of Rite Aid pharmacy closures. Features statistics on numbers of pharmacies and pharmacists, with breakdowns by urban and rural areas, and county-level maps showing areas within a 5-mile radius of all pharmacies and all non-Rite Aid pharmacies, with shadings showing urban and rural areas.
Date: 06/2025
Sponsoring organization: Center for Rural Pennsylvania
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Organizational Factors Associated with Using Telehealth Services: Perspectives from Leaders of Rural Health Clinics and Federally Qualified Health Centers
Research and policy brief examining organizational factors influencing telehealth use in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Summarizes interviews with RHC and FQHC key informants to discuss perceptions of telehealth, implementation challenges, operational challenges, and opportunities for innovation. Provides suggestions for policy and reimbursement approaches to improve telehealth provision and access.
Author(s): Constance van Eeghen, John A. Gale, Erika Ziller, Yvonne Jonk
Date: 06/2025
Sponsoring organization: Rural Telehealth Research Center
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Bridging the Gap: Examples of Medicaid Innovation Enhancing Health Care Access in Rural America
Describes ways state Medicaid programs can improve access to rural healthcare. Highlights policies implemented in Tennessee, Missouri, and Georgia to fund projects related to improving rural healthcare needs, address social determinants of health, and support rural hospitals that serve large Medicaid and uninsured populations.
Date: 06/2025
Sponsoring organization: National Association of Medicaid Directors
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