Rural Health
Resources by Topic: Access
Prevalence and Correlates of Forgone Care among Older Rural and Urban Medicare Beneficiaries during the COVID-19 Pandemic
Results of a study assessing rural-urban differences in forgone care among Medicare beneficiaries aged 65 and older, using data from June and July 2020. Also examines what types of care were most often forgone and what access barriers were most common. Features demographics and statistics with breakdowns by urban and rural areas.
Author(s): Yvonne Jonk, Heidi O'Connor, Jean Talbot, Erica C. Ziller
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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Results of a study assessing rural-urban differences in forgone care among Medicare beneficiaries aged 65 and older, using data from June and July 2020. Also examines what types of care were most often forgone and what access barriers were most common. Features demographics and statistics with breakdowns by urban and rural areas.
Author(s): Yvonne Jonk, Heidi O'Connor, Jean Talbot, Erica C. Ziller
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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Rural-Urban Differences and Trends in Children's Health Insurance Coverage
Examines differences in urban and rural children's insurance coverage from 2012-2019, and socioeconomic characteristics of uninsured children in 2016 and 2019. Features demographics and statistics by year, with breakdowns by urban and rural residence.
Author(s): Erica C. Ziller. Catherine Gelsinger, Brianna Holston
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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Examines differences in urban and rural children's insurance coverage from 2012-2019, and socioeconomic characteristics of uninsured children in 2016 and 2019. Features demographics and statistics by year, with breakdowns by urban and rural residence.
Author(s): Erica C. Ziller. Catherine Gelsinger, Brianna Holston
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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High Prescription Drug Out-of-Pocket Spending Burden among Privately Insured Rural and Urban Adults Age 18-64
Analyzes prescription drug out-of-pocket spending among privately-insured rural and urban adults, utilizing 2017-2020 Medical Expenditure Panel Survey (MEPS) data. Compares average spending and high prescription out-of-pocket burden in rural and urban populations, and details implications for rural medication adherence and associated health outcomes.
Author(s): Jean A. Talbot, Elora Way, Yvonne Jonk, Erica C. Ziller
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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Analyzes prescription drug out-of-pocket spending among privately-insured rural and urban adults, utilizing 2017-2020 Medical Expenditure Panel Survey (MEPS) data. Compares average spending and high prescription out-of-pocket burden in rural and urban populations, and details implications for rural medication adherence and associated health outcomes.
Author(s): Jean A. Talbot, Elora Way, Yvonne Jonk, Erica C. Ziller
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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Genetic Services in Appalachia Conference Series
Identifies facilitators and barriers to genetics care provision and access in rural and underserved Appalachian communities, utilizing survey and feedback data of 137 participants in the Genetic Services in Appalachia webinar series. Discusses rural service delivery models, effects of genetic counseling access on rural health disparities, and more.
Author(s): Kimberly M. Kelly, Trupti Dhumal, Virginia G. Scott, et al.
Citation: American Journal of Medical Genetics - Part A, 197(5), e63990
Date: 01/2025
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Identifies facilitators and barriers to genetics care provision and access in rural and underserved Appalachian communities, utilizing survey and feedback data of 137 participants in the Genetic Services in Appalachia webinar series. Discusses rural service delivery models, effects of genetic counseling access on rural health disparities, and more.
Author(s): Kimberly M. Kelly, Trupti Dhumal, Virginia G. Scott, et al.
Citation: American Journal of Medical Genetics - Part A, 197(5), e63990
Date: 01/2025
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Telehealth Evolution in California: Progress, Challenges, and Opportunities
Reports on trends in telehealth policy, financing, implementation, and use in California, and provides recommendations to increase telehealth access. Discusses rural barriers to telehealth access.
Author(s): Natasha Arora, Maggie Jones
Date: 01/2025
Sponsoring organization: California Health Care Foundation
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Reports on trends in telehealth policy, financing, implementation, and use in California, and provides recommendations to increase telehealth access. Discusses rural barriers to telehealth access.
Author(s): Natasha Arora, Maggie Jones
Date: 01/2025
Sponsoring organization: California Health Care Foundation
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Sociodemographic Factors Associated with Prenatal Care Utilization in Arkansas, United States
Examines demographic factors associated with number of prenatal care visits, including data on late prenatal care and no prenatal care, in Arkansas. Utilizes 2014-2022 National Center for Health Statistics birth record data. Includes rural versus urban comparisons for select demographic indicators.
Author(s): Pearl A. McElfish, Aaron Caldwell, Donya Watson, et al.
Citation: Preventive Medicine Reports, 51, 102983
Date: 01/2025
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Examines demographic factors associated with number of prenatal care visits, including data on late prenatal care and no prenatal care, in Arkansas. Utilizes 2014-2022 National Center for Health Statistics birth record data. Includes rural versus urban comparisons for select demographic indicators.
Author(s): Pearl A. McElfish, Aaron Caldwell, Donya Watson, et al.
Citation: Preventive Medicine Reports, 51, 102983
Date: 01/2025
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Health Panel Comment Letter – Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program
Offers comments in response to a December 10, 2024, proposed rule regarding policy and technical changes to the Medicare Advantage program for contract year 2026. Discusses transparency and access to pharmacy services and prescription drugs, network adequacy, notice to providers, and more.
Date: 01/2025
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to a December 10, 2024, proposed rule regarding policy and technical changes to the Medicare Advantage program for contract year 2026. Discusses transparency and access to pharmacy services and prescription drugs, network adequacy, notice to providers, and more.
Date: 01/2025
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Addressing Colorectal Cancer Among Alaska Native Peoples: A Community and Subject Matter Expert Symposium
Reports proceedings from the 2023 Alaska Native CRC Research Symposium in Anchorage, Alaska. Describes the current state of research and programs focused on addressing colorectal cancer disparities and access to services among Alaska Native people. Summarizes topics explored at the conference, including concerns specific to rural, tribal, and remote areas.
Author(s): Diana Redwood, Samantha McNelly, Kate Flynn, et al.
Citation: Gastro Hep Advances, 4(3), 100572
Date: 01/2025
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Reports proceedings from the 2023 Alaska Native CRC Research Symposium in Anchorage, Alaska. Describes the current state of research and programs focused on addressing colorectal cancer disparities and access to services among Alaska Native people. Summarizes topics explored at the conference, including concerns specific to rural, tribal, and remote areas.
Author(s): Diana Redwood, Samantha McNelly, Kate Flynn, et al.
Citation: Gastro Hep Advances, 4(3), 100572
Date: 01/2025
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Factors Influencing the Choice Between Multi-Target Stool DNA and Colonoscopy for Colorectal Cancer Screening Among Alaska Native Peoples
Examines colorectal cancer (CRC) screening preferences and awareness among Alaska Native people living in rural or remote areas of Alaska. Compares attitudes toward colonoscopy and multi-target stool DNA test (mt-sDNA) testing, including discussion of common barriers to access.
Author(s): Lauren A. Jeffries, Christie A. Flanagan, Lila J. Finney Rutten, John B. Kisiel, Diana G. Redwood
Citation: Life, 15(1), 120
Date: 01/2025
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Examines colorectal cancer (CRC) screening preferences and awareness among Alaska Native people living in rural or remote areas of Alaska. Compares attitudes toward colonoscopy and multi-target stool DNA test (mt-sDNA) testing, including discussion of common barriers to access.
Author(s): Lauren A. Jeffries, Christie A. Flanagan, Lila J. Finney Rutten, John B. Kisiel, Diana G. Redwood
Citation: Life, 15(1), 120
Date: 01/2025
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Access to Firearms and Opioids Among Veterans at Risk for Suicide
Analyzes rates of access to firearms and opioids, gun safety practices, and being provided or declining naloxone or firearm locks among 38,454 veterans at risk for suicide, utilizing 2021-2023 Veterans Health Administration electronic health record data. Includes demographic breakdowns, including rural versus urban dwelling.
Author(s): Gabriela Kattan Khazanov, Matthew Wilson, Tom Cidav, et al.
Citation: JAMA Network Open, 8(1), e2456906
Date: 01/2025
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Analyzes rates of access to firearms and opioids, gun safety practices, and being provided or declining naloxone or firearm locks among 38,454 veterans at risk for suicide, utilizing 2021-2023 Veterans Health Administration electronic health record data. Includes demographic breakdowns, including rural versus urban dwelling.
Author(s): Gabriela Kattan Khazanov, Matthew Wilson, Tom Cidav, et al.
Citation: JAMA Network Open, 8(1), e2456906
Date: 01/2025
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