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Rural Health Information Hub

Rural Health
Resources by Topic: Chronic disease management

Rural–Urban Disparities in Diabetes Quality of Care with Accountable Care Organization Participation
Examines the relationship among diabetes quality of care, accountable care organization (ACO) participation, and rural versus urban health disparities. Utilizes 2011-2018 Wisconsin Collaborative for Healthcare Quality all-patient all-payer data to analyze diabetes care management across ACO versus non-ACO participation and rural versus urban location.
Author(s): Mariétou H. Ouayogodé, Xiyuan Hu
Citation: Journal of Rural Health, 42(1), e70121
Date: 02/2026
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Management of Cardiovascular Disease Risk Factors by Rural and Urban Primary Care Practices
Results of a study comparing management of cardiovascular disease risk factors between rural and urban practices, using data from a national primary care registry from 2016-2020. Features statistics with breakdowns by urban, large rural, and small rural areas.
Author(s): Lars E. Peterson, Zachary J. Morgan
Date: 01/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Supporting Rural Primary Care Practices in Delivering Care for Chronic Pain
Provides guidance on chronic pain care in rural primary care practices. Discusses best practices for delivering high-quality care in rural areas, including discussion of substance use disorder treatment and prevention, barriers to care delivery in rural practices, and more.
Date: 01/2026
Sponsoring organization: University of Rochester Medicine Recovery Center of Excellence
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Maternal Chronic Disease Prevention in Rural America: A Life Course Perspective
Examines maternal chronic disease management in rural areas of the United States. Discusses social determinants of health and maternal health disparities specific to rural areas. Provides policy, public health surveillance, and community engagement approaches to address the rural maternal health crisis.
Author(s): Kobi V Ajayi, Emesomhi Eboreime, Alva Ferdinand, Ninfa Purcell, Robin Page
Citation: Journal of Primary Care & Community Health
Date: 12/2025
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An Exploration of Access to Tobacco Cessation Services Through Pharmacies in a Medically Underserved Area in California: Accuracy of Telephone Information Regarding Pharmacist-Furnished NRT
Examines the reliability of nicotine replacement therapy (NRT) phone consultations with pharmacy staff in rural, underresourced areas of California's San Joaquin Valley (SJV). Discusses discrepancies in NRT information when comparing in-person NRT visits and telephone services.
Author(s): Sara Schneider, Deanna M. Halliday, Arturo Durazo, Anna V. Song, Dorie E. Apollonio
Citation: Journal of Primary Care & Community Health, 16
Date: 12/2025
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Rural Missourians' Perspectives on Pain: "I Like To Be in Control of My Life"
Explores Missourians' attitudes toward pain and pharmacological and non-pharmacological pain management via interviews of 25 rural Missourians. Discusses how pain treatment is influenced by pain medication stigma, desire for self-sufficiency, and other cultural factors.
Author(s): Karla T. Washington, Klaudia Kukulka, Archana Bharadwaj, et al.
Citation: Health & Place, 96, 103561
Date: 11/2025
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Evaluating the Relationship Between Primary Care Provider Access and High Blood Pressure among Hispanic Patients: A Cross-Sectional Study
Examines the relationship between having a primary care physician (PCP) and managing chronic disease in rural Yakima County, Washington State. Utilizes data from 218 participants at the Fiesta de Salud community health fair to analyze demographics, PCP access, and controlled versus uncontrolled blood pressure.
Author(s): Catalina Yepez, Kimberly McKeirnan, Megan Undeberg, Ryan G. Pett
Citation: Journal of Health, Population and Nutrition, 44, 402
Date: 11/2025
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Referrals and Utilization of Diabetes Self-Management Education and Support (DSMES) among Patients with Type 1 and Type 2 Diabetes at a Regional Medical Center in Kentucky
Analyzes demographic and clinical factors associated with diabetes self-management education and support (DSMES) among patients. Utilizes electronic health records of 10,587 diabetes patients receiving care at a regional medical center in Kentucky to examine DSMES attendance and referrals according to patient demographics, insurance type, clinical variables, and rural versus urban location.
Author(s): Omer Atac, George C. Bryant, William B. Burrows, et al.
Citation: BMC Public Health, 25, 3880
Date: 11/2025
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Rural Women Choose Self-Sampling over a Pelvic Exam for Cervical Cancer Screening: A Mixed-Method Study
Examines factors related to cervical cancer screening methods in an underserved, rural population in Michigan. Utilizes mixed methods to analyze demographics, barriers, and perspectives related to self-sampling screenings.
Author(s): Timothy C Guetterman, Alexandra Vinson, Matthew Stack, et al.
Citation: Cancer Causes Control, 36(12), 2023-2037
Date: 10/2025
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Rural Transformation Program State Legislative Resources
Provides an overview of the Rural Health Transformation Program, including how states approached seeking public input for the application. Describes how states have successfully implemented policies related to the allowable uses of Rural Health Transformation Program funds.
Date: 10/2025
Sponsoring organization: National Conference of State Legislatures
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