Rural Health
Resources by Topic: Access
Closing the Distance in Rural Primary Care: Evidence, Stories and Solutions
Explores the state of rural primary care in the United States. Describes recent federal legislation that may impact rural primary care, healthcare access, and health outcomes. Discusses trends in rural primary care, including comparisons between rural and urban primary care spending relative to all total spending, primary care workforce availability, and comprehensiveness of primary care. Presents five case studies highlighting rural primary care practices and practice models.
Date: 11/2025
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Explores the state of rural primary care in the United States. Describes recent federal legislation that may impact rural primary care, healthcare access, and health outcomes. Discusses trends in rural primary care, including comparisons between rural and urban primary care spending relative to all total spending, primary care workforce availability, and comprehensiveness of primary care. Presents five case studies highlighting rural primary care practices and practice models.
Date: 11/2025
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Rural Perspectives on Digital Health in Cardiovascular Care: Qualitative Study of Interviews With Rural and Rural-Serving Primary Care Providers and Cardiologists
Explores the perspectives of 17 rural and rural-serving healthcare providers in Alaska, Idaho, and Washington, on the use of digital health to deliver rural cardiovascular care. Discusses five factors that influence adoption outlined by the Diffusion of Innovations (DOI) theory: relative advantage, compatibility, complexity, trialability, and observability. Identifies themes that emerged from semi-structured interviews with these providers, including advantages and disadvantages of using digital health in their practice.
Author(s): Signe Burchim, Susan Miller, Kristin Beima-Sofie, et al.
Citation: Journal of Medical Internet Research, 27, e77234
Date: 11/2025
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Explores the perspectives of 17 rural and rural-serving healthcare providers in Alaska, Idaho, and Washington, on the use of digital health to deliver rural cardiovascular care. Discusses five factors that influence adoption outlined by the Diffusion of Innovations (DOI) theory: relative advantage, compatibility, complexity, trialability, and observability. Identifies themes that emerged from semi-structured interviews with these providers, including advantages and disadvantages of using digital health in their practice.
Author(s): Signe Burchim, Susan Miller, Kristin Beima-Sofie, et al.
Citation: Journal of Medical Internet Research, 27, e77234
Date: 11/2025
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County-Level Vulnerability Is Associated With Mental Health and Substance Use Treatment Among Rural Suicide Decedents: A National Multi-Year Cross-Sectional Study
Presents a study on the relationship between individual- and county-level factors that correlate with rural suicide decedents who receive mental health and substance use dependence treatment. Breaks down data by county-level factors, such as number of mental health providers, number of primary care providers, and rate of social associations, among others, as well as individual characteristics, such as age, sex, education, and marital status, among others.
Author(s): J. Priyanka Vakkalanka, Victor A. Soupene, Jennifer Van Tiem, et al.
Citation: Journal of Rural Health, 41(4), e70094
Date: 11/2025
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Presents a study on the relationship between individual- and county-level factors that correlate with rural suicide decedents who receive mental health and substance use dependence treatment. Breaks down data by county-level factors, such as number of mental health providers, number of primary care providers, and rate of social associations, among others, as well as individual characteristics, such as age, sex, education, and marital status, among others.
Author(s): J. Priyanka Vakkalanka, Victor A. Soupene, Jennifer Van Tiem, et al.
Citation: Journal of Rural Health, 41(4), e70094
Date: 11/2025
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Communities That Care: The Power of Giving with Sanford Health
A conversation with Sanford Health's president and CE0, Bill Gassen, and chief philanthropy officer, Deb Koski, about philanthropy to support healthcare access in rural Midwestern communities. Focuses on community engagement and collaboration.
Author(s): Tom Haederle, Bill Gassen, Sue Ellen Wagner, Deb Koski
Date: 11/2025
Sponsoring organization: American Hospital Association
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A conversation with Sanford Health's president and CE0, Bill Gassen, and chief philanthropy officer, Deb Koski, about philanthropy to support healthcare access in rural Midwestern communities. Focuses on community engagement and collaboration.
Author(s): Tom Haederle, Bill Gassen, Sue Ellen Wagner, Deb Koski
Date: 11/2025
Sponsoring organization: American Hospital Association
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Missed Opportunities for Tobacco Dependence Treatment among U.S. Veterans Referred for Lung Cancer Screening: An Observational Cohort Study
Analyzes rates at which tobacco dependence treatment (TDT) is provided to veterans who use tobacco and were referred for lung cancer screening (LCS) at Veterans Affairs Medical Centers and associated clinics in the upper Midwest between September 2022 and September 2023. Breaks down clinical and demographic factors associated with TDT use, including rurality.
Author(s): Anne C. Melzer, Adam Kaplan, Megan Campbell, et al.
Citation: Preventive Medicine Reports, 59, 103263
Date: 11/2025
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Analyzes rates at which tobacco dependence treatment (TDT) is provided to veterans who use tobacco and were referred for lung cancer screening (LCS) at Veterans Affairs Medical Centers and associated clinics in the upper Midwest between September 2022 and September 2023. Breaks down clinical and demographic factors associated with TDT use, including rurality.
Author(s): Anne C. Melzer, Adam Kaplan, Megan Campbell, et al.
Citation: Preventive Medicine Reports, 59, 103263
Date: 11/2025
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The Unspoken Struggles from Mental Health Stigma in a Rural Community: A Qualitative Exploration of Clubhouse Members' Lived Experiences
Explores the efficacy of the clubhouse model at overcoming stigma around mental health conditions and receiving mental healthcare in rural communities. Bases findings on semi-structured interviews with participants and staff of the Clubhouse in Wyoming. Details the Clubhouse's efforts to address stigma and overcome mental health prejudices.
Author(s): Ruth Korankye, Gloria Oladeji, Lauren Gilbert
Citation: International Journal of Environmental Research and Public Health, 22(11), 1626
Date: 10/2025
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Explores the efficacy of the clubhouse model at overcoming stigma around mental health conditions and receiving mental healthcare in rural communities. Bases findings on semi-structured interviews with participants and staff of the Clubhouse in Wyoming. Details the Clubhouse's efforts to address stigma and overcome mental health prejudices.
Author(s): Ruth Korankye, Gloria Oladeji, Lauren Gilbert
Citation: International Journal of Environmental Research and Public Health, 22(11), 1626
Date: 10/2025
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Maternity Deserts: The Equality State's Growing Crisis
Highlights maternity healthcare deserts in Wyoming and nationally. Discusses the impact of labor and delivery department closures, maternal mortality and morbidity, and more on access to care. Notes opportunities to improve outcomes including increasing access to care, additional workforce training and facility protocols to improve healthcare quality, and promote networking opportunities to share knowledge. Offers policy recommendations based on report findings. Discusses rural throughout.
Date: 10/2025
Sponsoring organization: Wyoming Women's Action Network
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Highlights maternity healthcare deserts in Wyoming and nationally. Discusses the impact of labor and delivery department closures, maternal mortality and morbidity, and more on access to care. Notes opportunities to improve outcomes including increasing access to care, additional workforce training and facility protocols to improve healthcare quality, and promote networking opportunities to share knowledge. Offers policy recommendations based on report findings. Discusses rural throughout.
Date: 10/2025
Sponsoring organization: Wyoming Women's Action Network
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Advocating for Incorporating Public Veterinary Health Care Into Human Health Systems
Explores the human health impacts of a public veterinary health program in rural tribal communities in Alaska. Highlights the health concerns from stray dog populations in tribal communities and remote areas that lack veterinarian services. Details impact on rates of dog bites, rabies, and other zoonotic pathogens.
Author(s): Laurie Meythaler-Mullins, Cheryl Eia, Allyce H. Lobdell, Danielle M. Frey
Citation: Frontiers in Veterinary Science, 12
Date: 10/2025
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Explores the human health impacts of a public veterinary health program in rural tribal communities in Alaska. Highlights the health concerns from stray dog populations in tribal communities and remote areas that lack veterinarian services. Details impact on rates of dog bites, rabies, and other zoonotic pathogens.
Author(s): Laurie Meythaler-Mullins, Cheryl Eia, Allyce H. Lobdell, Danielle M. Frey
Citation: Frontiers in Veterinary Science, 12
Date: 10/2025
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Advancing Diagnostic Excellence in Rural Areas: A Workshop
Recording of a workshop exploring potential improvements in diagnosis in rural areas of the United States. Topics discussed include the state of diagnosis in rural areas, access to diagnosis and diagnosis-related health disparities, applications of new technologies and innovations, healthcare workforce training, education, and support, and other aspects of service delivery innovation in rural areas. A video transcript is accessible through video control bar. Meeting materials are available for download below the video player, including workshop agenda, presentation slides, and public briefing materials.
Date: 10/2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Recording of a workshop exploring potential improvements in diagnosis in rural areas of the United States. Topics discussed include the state of diagnosis in rural areas, access to diagnosis and diagnosis-related health disparities, applications of new technologies and innovations, healthcare workforce training, education, and support, and other aspects of service delivery innovation in rural areas. A video transcript is accessible through video control bar. Meeting materials are available for download below the video player, including workshop agenda, presentation slides, and public briefing materials.
Date: 10/2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Positive Outliers: How Some Rural Communities Maintain Access to Labor and Delivery Services
Explores healthcare providers' approaches to ensuring maternal care access in rural Texas, Oklahoma, Alabama, and Mississippi. Provides case studies on the role of rural hospitals and clinics in providing labor and delivery services, discusses financial and logistical challenges faced by providers, and details funding, policy, and service delivery strategies supporting continued access.
Author(s): Sarah Klein, Molly Castle Work
Date: 10/2025
Sponsoring organizations: Bassett Research Institute, Commonwealth Fund
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Explores healthcare providers' approaches to ensuring maternal care access in rural Texas, Oklahoma, Alabama, and Mississippi. Provides case studies on the role of rural hospitals and clinics in providing labor and delivery services, discusses financial and logistical challenges faced by providers, and details funding, policy, and service delivery strategies supporting continued access.
Author(s): Sarah Klein, Molly Castle Work
Date: 10/2025
Sponsoring organizations: Bassett Research Institute, Commonwealth Fund
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