Rural Health
Resources by Topic: Closures of healthcare facilities and services
Changes in Staffing, Resident Health, Closure, and Financial Performance of Rural Nursing Homes from 2017 to 2022
Examines changes in various characteristics of nursing homes, using data from 2017-2022. Features statistics with breakdowns by metropolitan, micropolitan, and small/isolated rural areas.
Author(s): Gulrukh Mehboob, Hari Sharma, Fred Ullrich, Keith Mueller
Date: 05/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines changes in various characteristics of nursing homes, using data from 2017-2022. Features statistics with breakdowns by metropolitan, micropolitan, and small/isolated rural areas.
Author(s): Gulrukh Mehboob, Hari Sharma, Fred Ullrich, Keith Mueller
Date: 05/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Determinants of Rural Hospital Closures or Conversions in the United States
Examines determinants leading to rural hospital closures or conversion to outpatient-only facilities. Provides data on hospital closures and conversions from 2012 to 2023 and analyzes potential determinants such as inpatient occupancy rates, ownership type, proximity to an urban county, profit margin, and more.
Author(s): Eden Volkov, Kaushik Ghosh, Steven Sheingold, Ge Bai
Date: 05/2026
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines determinants leading to rural hospital closures or conversion to outpatient-only facilities. Provides data on hospital closures and conversions from 2012 to 2023 and analyzes potential determinants such as inpatient occupancy rates, ownership type, proximity to an urban county, profit margin, and more.
Author(s): Eden Volkov, Kaushik Ghosh, Steven Sheingold, Ge Bai
Date: 05/2026
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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One Nation, Two Rural Health Crises: Georgia and Texas Show Why Local Data-Informed Solutions Matter
Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
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Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
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Impact of Rural Hospital Closures on Survival among Medicare Beneficiaries Diagnosed with Colorectal, Lung, Breast, and Prostate Cancer
Presents a study on the effect rural hospital closures have on mortality rates of patients with colorectal, lung, breast, and prostate cancer using 2000-2020 data from the National Cancer Institute. Breaks down data by closure year and patient demographics, such as age, rural status, and cancer stage, among others.
Author(s): Zhaoli Liu, Daoqi Gao, Tara Martin, et al.
Citation: Journal of Rural Health, 42(2), e70148
Date: 04/2026
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Presents a study on the effect rural hospital closures have on mortality rates of patients with colorectal, lung, breast, and prostate cancer using 2000-2020 data from the National Cancer Institute. Breaks down data by closure year and patient demographics, such as age, rural status, and cancer stage, among others.
Author(s): Zhaoli Liu, Daoqi Gao, Tara Martin, et al.
Citation: Journal of Rural Health, 42(2), e70148
Date: 04/2026
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Unapologetically Built Backwards: ONU HealthWise, Pharmacist-Driven Healthcare Access in Rural Ohio
Features a university pharmacy department in rural Ohio that prepares pharmacy students for rural practice while also providing mobile services in nearby rural counties. Describes how the program has expanded to offer interprofessional education experiences and serve a larger region.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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Features a university pharmacy department in rural Ohio that prepares pharmacy students for rural practice while also providing mobile services in nearby rural counties. Describes how the program has expanded to offer interprofessional education experiences and serve a larger region.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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The Importance of Long-Term Services and Supports to a High-Performance Rural Health System: Demographic, Policy and Economic Challenges
Explores the potential impact of The One Big Beautiful Bill Act of 2025 (HR 1) on sustaining long-term services and supports (LTSS) in rural areas as an important element of a high performing rural health system. Describes how the policy landscape affecting LTSS in rural America is undergoing changes in population characteristics, healthcare resources, and financing. Discusses the potential impact of federal policy changes on rural LTSS.
Date: 03/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Explores the potential impact of The One Big Beautiful Bill Act of 2025 (HR 1) on sustaining long-term services and supports (LTSS) in rural areas as an important element of a high performing rural health system. Describes how the policy landscape affecting LTSS in rural America is undergoing changes in population characteristics, healthcare resources, and financing. Discusses the potential impact of federal policy changes on rural LTSS.
Date: 03/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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From Closure to Comeback: A Rural ICU Is Reborn
A podcast episode examining how rural hospitals can utilize technology and partnerships to provide local healthcare access to residents. Provides a discussion between CEOs of hospitals focusing on the reopening of an intensive care unit (ICU) at a Critical Access Hospital (CAH).
Author(s): Tom Haederle, Marc Boom, Mark Boucot
Date: 03/2026
Sponsoring organization: American Hospital Association
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A podcast episode examining how rural hospitals can utilize technology and partnerships to provide local healthcare access to residents. Provides a discussion between CEOs of hospitals focusing on the reopening of an intensive care unit (ICU) at a Critical Access Hospital (CAH).
Author(s): Tom Haederle, Marc Boom, Mark Boucot
Date: 03/2026
Sponsoring organization: American Hospital Association
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Rural Healthcare Challenges Deepen as the Rural Health Transformation Program Ramps Up
Examines the impact of the Rural Health Transformation (RHT) program and the ongoing issues of rural hospital closures and financial losses, Medicaid policy, workforce shortages, diminishing access to rural healthcare services, and more. Discusses themes in state RHT applications and how they plan to utilize RHT funding.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Examines the impact of the Rural Health Transformation (RHT) program and the ongoing issues of rural hospital closures and financial losses, Medicaid policy, workforce shortages, diminishing access to rural healthcare services, and more. Discusses themes in state RHT applications and how they plan to utilize RHT funding.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Chartis Center for Rural Health Research & Resources for the 2026 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes 2026 Rural State of the State, and presentation slides on this report from the 2026 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Offers research and analysis of the stability of the rural healthcare safety net. Includes 2026 Rural State of the State, and presentation slides on this report from the 2026 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Bridging the Gap: A Mixed-Methods Evaluation of a New Rural Maternity Care Center Amid Nationwide Closures
Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
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Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
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