Rural Health
Resources by Topic: Cardiovascular disease
Disparities in Geographic Access to Cardiac Rehabilitation among Socially Vulnerable Communities
Examines geographic and social disparities regarding access to cardiac rehabilitation (CR) care. Analyzes the relationship between CR access and social vulnerability, focusing on county CR availability, population size, distance to CR services, percentage without health insurance, and more. Includes metro versus rural county comparisons and discusses the role of rurality in CR access.
Author(s): Edward W. Chen, WenâChih Wu, Ling Han, et al.
Citation: Journal of the American Heart Association,14, 20
Date: 10/2025
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Examines geographic and social disparities regarding access to cardiac rehabilitation (CR) care. Analyzes the relationship between CR access and social vulnerability, focusing on county CR availability, population size, distance to CR services, percentage without health insurance, and more. Includes metro versus rural county comparisons and discusses the role of rurality in CR access.
Author(s): Edward W. Chen, WenâChih Wu, Ling Han, et al.
Citation: Journal of the American Heart Association,14, 20
Date: 10/2025
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Inequity, Workload, and External Factors: A Descriptive Study on High-Intensity Statin Prescriptions for Patients with Clinical Cardiovascular Disease and at High Risk for Cardiovascular Disease
Examines adherence to guidelines related to statin prescriptions to treat atherosclerotic cardiovascular disease (ASCVD). Utilizes medical chart data from 20,923 ASCVD patients according to statin prescribing rates and patient demographics, including rural versus urban residence.
Author(s): Liberty Nguyen, Ethlyn Voorhies, Christy Jesme, et al.
Citation: BMC Cardiovascular Disorders, 25, 718
Date: 10/2025
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Examines adherence to guidelines related to statin prescriptions to treat atherosclerotic cardiovascular disease (ASCVD). Utilizes medical chart data from 20,923 ASCVD patients according to statin prescribing rates and patient demographics, including rural versus urban residence.
Author(s): Liberty Nguyen, Ethlyn Voorhies, Christy Jesme, et al.
Citation: BMC Cardiovascular Disorders, 25, 718
Date: 10/2025
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Tenecteplase in Practice: A Rural Tele-Stroke Network's Experience
Compares care outcomes of Alteplase and Tenecteplase as thrombolytic agents for acute ischemic stroke in rural populations. Utilizes data of 1,644 patients who received treatment through the Medical University of South Carolina (MUSC) Telestroke Network.
Author(s): Alexander Vorobyev, Marina Buciuc, Kevin Jacks, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(10), 108416
Date: 10/2025
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Compares care outcomes of Alteplase and Tenecteplase as thrombolytic agents for acute ischemic stroke in rural populations. Utilizes data of 1,644 patients who received treatment through the Medical University of South Carolina (MUSC) Telestroke Network.
Author(s): Alexander Vorobyev, Marina Buciuc, Kevin Jacks, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(10), 108416
Date: 10/2025
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Beyond the Clinic Walls: Exploring the Potential of Mobile Health
Explores the use mobile health services to increase access to care and highlights opportunities to close evidence gaps. Summarizes the research on mobile health delivery in primary, specialty, and emergency care. Discusses rural concerns including for breast cancer screening, dentistry, acute stroke response, behavioral crisis interventions, and community paramedicine.
Additional links: Executive Summary
Author(s): Maanasa Kona, Julia Burleson, Leila Sullivan
Date: 09/2025
Sponsoring organizations: Center on Health Insurance Reforms, Georgetown University McCourt School of Public Policy
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Explores the use mobile health services to increase access to care and highlights opportunities to close evidence gaps. Summarizes the research on mobile health delivery in primary, specialty, and emergency care. Discusses rural concerns including for breast cancer screening, dentistry, acute stroke response, behavioral crisis interventions, and community paramedicine.
Additional links: Executive Summary
Author(s): Maanasa Kona, Julia Burleson, Leila Sullivan
Date: 09/2025
Sponsoring organizations: Center on Health Insurance Reforms, Georgetown University McCourt School of Public Policy
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Fast Facts: Rates of Chronic Conditions Consistently Higher Among Adults in Rural Areas
Compares the prevalence of chronic health conditions and associated risk factors in rural and urban areas, utilizing 2023 Behavioral Risk Factor Surveillance System (BRFSS) data. Includes data on health conditions including obesity, chronic obstructive pulmonary disease, cardiovascular disease, arthritis, diabetes, chronic kidney disease, and depression, among others. Includes state-by-state rural health data for select conditions.
Date: 09/2025
Sponsoring organization: America's Health Rankings
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Compares the prevalence of chronic health conditions and associated risk factors in rural and urban areas, utilizing 2023 Behavioral Risk Factor Surveillance System (BRFSS) data. Includes data on health conditions including obesity, chronic obstructive pulmonary disease, cardiovascular disease, arthritis, diabetes, chronic kidney disease, and depression, among others. Includes state-by-state rural health data for select conditions.
Date: 09/2025
Sponsoring organization: America's Health Rankings
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Enhancing Primary Care Capacity for Cardiovascular Disease Management Through the ECHO+ Model: A Multistate Rural Collaboration Among West Virginia, Arkansas, and Oklahoma
Examines quality of care and clinician capacity impacts of the ECHO+ cardiovascular disease (CVD) tele-education course, which included asynchronous pre-recorded lectures and a quality improvement learning collaborative for 41 rural primary care providers in West Virginia, Arkansas, and Oklahoma. Provides data on ECHO+ impacts on CVD quality indicators, patient outcomes, and participant feedback.
Author(s): Dru Ricci, Hannah Schmitt, Heidi Ngov, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Examines quality of care and clinician capacity impacts of the ECHO+ cardiovascular disease (CVD) tele-education course, which included asynchronous pre-recorded lectures and a quality improvement learning collaborative for 41 rural primary care providers in West Virginia, Arkansas, and Oklahoma. Provides data on ECHO+ impacts on CVD quality indicators, patient outcomes, and participant feedback.
Author(s): Dru Ricci, Hannah Schmitt, Heidi Ngov, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Comparison of Discharge Disposition and AHA Prehospital Stroke Compliance among Urban, Suburban, and Rural EMS Agencies
Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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Outcomes in Pregnant Patients with Congenital Heart Disease by Rurality
Examines associations between rurality, major adverse cardiac events, adverse pregnancy outcomes, and neonatal outcomes in pregnant women with congenital heart disease, utilizing 2016-2021 Healthcare Cost and Utilization Project-National Inpatient Sample data. Discusses factors influencing access to care, quality of care, and patient outcomes in rural communities.
Author(s): Mehr Jain, Franklin Iheanacho, Kristen Sparagna, et al.
Citation: Journal of Perinatal Medicine, 53(7), 900-907
Date: 08/2025
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Examines associations between rurality, major adverse cardiac events, adverse pregnancy outcomes, and neonatal outcomes in pregnant women with congenital heart disease, utilizing 2016-2021 Healthcare Cost and Utilization Project-National Inpatient Sample data. Discusses factors influencing access to care, quality of care, and patient outcomes in rural communities.
Author(s): Mehr Jain, Franklin Iheanacho, Kristen Sparagna, et al.
Citation: Journal of Perinatal Medicine, 53(7), 900-907
Date: 08/2025
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Combined Prevalence of Chronic Conditions or Obesity for Adults in 2022
Examines the combined prevalence of obesity and chronic health conditions, including high blood pressure, cancer, and diabetes, among others, by demographic group, utilizing Medical Expenditure Panel Survey (MEPS) Household Component data. See Figure 6 for a comparison of prevalence between metropolitan statistical areas (MSAs) and non-MSAs.
Author(s): Zhengyi Fang, Rebecca Ahrnsbrak
Date: 08/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines the combined prevalence of obesity and chronic health conditions, including high blood pressure, cancer, and diabetes, among others, by demographic group, utilizing Medical Expenditure Panel Survey (MEPS) Household Component data. See Figure 6 for a comparison of prevalence between metropolitan statistical areas (MSAs) and non-MSAs.
Author(s): Zhengyi Fang, Rebecca Ahrnsbrak
Date: 08/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Hospital Health Information Exchange Participation and Heart Failure Discharges to Skilled Nursing Facilities: A Cohort Study
Examines the correlation of health information exchange (HIE) participation and admission to skilled nursing facilities (SNF) following a heart failure (HF) hospital discharge. Utilizes 2018 Medicare Provider Analysis and Review (MedPar) file data to analyze 385,895 HF discharges according to SNF admission and HIE participation. Includes breakdowns by patient demographics, urban/rural status, hospital ownership, hospital type and bed size, length of stay, and more.
Author(s): Sara D. Turbow, Camille P. Vaughan, Mohammed K. Ali, Steven D. Culler
Citation: BMC Health Services Research, 25, 1079
Date: 08/2025
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Examines the correlation of health information exchange (HIE) participation and admission to skilled nursing facilities (SNF) following a heart failure (HF) hospital discharge. Utilizes 2018 Medicare Provider Analysis and Review (MedPar) file data to analyze 385,895 HF discharges according to SNF admission and HIE participation. Includes breakdowns by patient demographics, urban/rural status, hospital ownership, hospital type and bed size, length of stay, and more.
Author(s): Sara D. Turbow, Camille P. Vaughan, Mohammed K. Ali, Steven D. Culler
Citation: BMC Health Services Research, 25, 1079
Date: 08/2025
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