Rural Health
Resources by Topic: Access
Annual Overview of Hospital-Level Changes in Obstetric Services Availability, 2010-2024
First annual report describing changes to the availability of obstetric services at short-term acute care hospitals. Examines the number of hospitals that lost obstetric services and the percentage of all hospitals without obstetric services between 2010 and 2024. Presents data on urban and rural hospitals by state and nationally.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Date: 09/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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First annual report describing changes to the availability of obstetric services at short-term acute care hospitals. Examines the number of hospitals that lost obstetric services and the percentage of all hospitals without obstetric services between 2010 and 2024. Presents data on urban and rural hospitals by state and nationally.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Date: 09/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Correlates of Glycemic Status among American Indian Adults With Type 2 Diabetes in Rural Southeastern Oklahoma
Explores correlating factors associated with elevated glycosylated hemoglobin (HbA1c), which is associated with an increased risk of type 2 diabetes complications, in a tribal community in rural southeastern Oklahoma. Discusses the relationship between elevated HbA1c levels and type 2 diabetes. Bases findings on data pulled from electronic health records and breaks down patient data by age, sex, distance to nearest clinic, and number of primary care visits per year, among other factors.
Author(s): Tarah Nelson, Diana J. Wilkie, Yingwei Yao, et al.
Citation: Nursing Research, 75(5), 338-345
Date: 09/2026
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Explores correlating factors associated with elevated glycosylated hemoglobin (HbA1c), which is associated with an increased risk of type 2 diabetes complications, in a tribal community in rural southeastern Oklahoma. Discusses the relationship between elevated HbA1c levels and type 2 diabetes. Bases findings on data pulled from electronic health records and breaks down patient data by age, sex, distance to nearest clinic, and number of primary care visits per year, among other factors.
Author(s): Tarah Nelson, Diana J. Wilkie, Yingwei Yao, et al.
Citation: Nursing Research, 75(5), 338-345
Date: 09/2026
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Association Between Transportation Access and Self-Rated Health among Older Adults with Disabilities
Analyzes the association between access to transportation and self-rated health for 257 community-dwelling older adults. Offers data on study participant characteristics by consistent and inconsistent transportation access, including a comparison of micropolitan/non-core and metropolitan residence.
Author(s): Jihyeong Jeong, Jason R. Falvey, Amanda J. Lehning
Citation: Journal of Transport & Health, 51
Date: 09/2026
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Analyzes the association between access to transportation and self-rated health for 257 community-dwelling older adults. Offers data on study participant characteristics by consistent and inconsistent transportation access, including a comparison of micropolitan/non-core and metropolitan residence.
Author(s): Jihyeong Jeong, Jason R. Falvey, Amanda J. Lehning
Citation: Journal of Transport & Health, 51
Date: 09/2026
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Navigating Rural Challenges and Promoting Posttraumatic Growth via Expressive Writing: A Qualitative Study among Rural Breast Cancer Survivors
Preprint article discussing findings from an expressive writing therapeutic intervention for rural breast cancer survivors via interviews with 14 participants. Analyzes interview themes related to the impact of expressive writing on emotional regulation, personal strength, relationships to others, and more, including discussion of rural challenges with rural cancer survivorship and access to supportive services.
Author(s): Yusi Aveva Xu, Eunju Choi, Celia C. Y. Wong-Meli, et al.
Citation: Supportive Care in Cancer, 34, 965
Date: 09/2026
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Preprint article discussing findings from an expressive writing therapeutic intervention for rural breast cancer survivors via interviews with 14 participants. Analyzes interview themes related to the impact of expressive writing on emotional regulation, personal strength, relationships to others, and more, including discussion of rural challenges with rural cancer survivorship and access to supportive services.
Author(s): Yusi Aveva Xu, Eunju Choi, Celia C. Y. Wong-Meli, et al.
Citation: Supportive Care in Cancer, 34, 965
Date: 09/2026
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Disparities in Rural–Urban Cancer Care Outcomes Among Pediatric, Adolescent, and Young Adult Populations: A Comprehensive Narrative Review
Literature review examining research on rural-urban disparities in cancer outcomes and access to care among children aged 0-18 and adolescents and young adults aged 15-39 years. Covers topics including distance to care, cancer incidence, social determinants of health, access to specialized oncology services, mortality, financial toxicity, supportive and survivorship care, and clinical trial access.
Author(s): Olivia C. Burke, Wencesley A. Paez
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2026
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Literature review examining research on rural-urban disparities in cancer outcomes and access to care among children aged 0-18 and adolescents and young adults aged 15-39 years. Covers topics including distance to care, cancer incidence, social determinants of health, access to specialized oncology services, mortality, financial toxicity, supportive and survivorship care, and clinical trial access.
Author(s): Olivia C. Burke, Wencesley A. Paez
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2026
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Florida RHT Program Annual Report - Year 1
Reports on the first year of the Rural Health Transformation Program (RHTP) in Florida. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each program funded by RHTP.
Date: 08/2026
Sponsoring organization: Florida Agency for Health Care Administration
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Reports on the first year of the Rural Health Transformation Program (RHTP) in Florida. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each program funded by RHTP.
Date: 08/2026
Sponsoring organization: Florida Agency for Health Care Administration
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Colorado RHT Program Annual Report - Year 1
Reports on the first year of the Rural Health Transformation Program (RHTP) in Colorado as of June 30, 2026. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each initiative funded by RHTP.
Date: 08/2026
Sponsoring organization: Colorado Department of Health Care Policy and Financing
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Reports on the first year of the Rural Health Transformation Program (RHTP) in Colorado as of June 30, 2026. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each initiative funded by RHTP.
Date: 08/2026
Sponsoring organization: Colorado Department of Health Care Policy and Financing
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Idaho RHT Program Annual Report - Year 1
Reports on the first year of the Rural Health Transformation Program (RHTP) in Idaho. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each program funded by RHTP.
Additional links: Idaho RHTP Project Plan
Date: 08/2026
Sponsoring organization: Idaho Department of Health and Welfare
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Reports on the first year of the Rural Health Transformation Program (RHTP) in Idaho. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each program funded by RHTP.
Additional links: Idaho RHTP Project Plan
Date: 08/2026
Sponsoring organization: Idaho Department of Health and Welfare
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Kentucky Rural Health Transformation Budget Period 1 Annual Report: CMS Checkpoint Model Evidence
Reports on the first year of the Rural Health Transformation Program (RHTP) in Kentucky. Outlines each initiative, including initiative governance, a list of signed contracts, success stories, and more.
Additional links: Five-Year Project Plan
Date: 08/2026
Sponsoring organization: Kentucky Cabinet for Health and Family Services
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Reports on the first year of the Rural Health Transformation Program (RHTP) in Kentucky. Outlines each initiative, including initiative governance, a list of signed contracts, success stories, and more.
Additional links: Five-Year Project Plan
Date: 08/2026
Sponsoring organization: Kentucky Cabinet for Health and Family Services
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Utah Master Plan for Aging: Three-Year Update Report, 2023-2026
Offers a progress report on implementation of the Utah Master Plan for Aging. Describes progress made toward the 6 sectors, remaining barriers, and plans for each priority in the next 3 years. Discusses rural throughout.
Date: 08/2026
Sponsoring organization: Utah Commission on Aging
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Offers a progress report on implementation of the Utah Master Plan for Aging. Describes progress made toward the 6 sectors, remaining barriers, and plans for each priority in the next 3 years. Discusses rural throughout.
Date: 08/2026
Sponsoring organization: Utah Commission on Aging
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