Rural Health
Resources by Topic: COVID-19
Learning Modalities During COVID-19 and Adolescent Mental Health in North Carolina
Examines virtual, hybrid, and in-person learning modalities and their impact on adolescent mental health during the COVID-19 pandemic. Analyzes mental health emergency department (ED) visits in North Carolina alongside county-level information on learning modalities used over time. Provides rural versus urban data on impacts of learning modality on mental health.
Author(s): Justin Cole Gilbert, Martie P. Thompson, Sophia Ryan, Manan Roy
Citation: Journal of School Health, 96(1), e70093
Date: 01/2026
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Examines virtual, hybrid, and in-person learning modalities and their impact on adolescent mental health during the COVID-19 pandemic. Analyzes mental health emergency department (ED) visits in North Carolina alongside county-level information on learning modalities used over time. Provides rural versus urban data on impacts of learning modality on mental health.
Author(s): Justin Cole Gilbert, Martie P. Thompson, Sophia Ryan, Manan Roy
Citation: Journal of School Health, 96(1), e70093
Date: 01/2026
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Did the Rural Health Infrastructure Break Down During the Pandemic? Evidence from the 2020 Meatpacking Plant COVID-19 Outbreaks
A webinar recording that discusses the impact of the COVID-19 pandemic on rural health infrastructure in Minnesota and South Dakota. Focuses on outbreaks experienced in meatpacking plants and subsequent impacts on surrounding rural communities. Transcript available below description.
Additional links: Presentation Slides
Author(s): Thomas P. Krumel
Date: 12/2025
Sponsoring organization: North Central Regional Center for Rural Development
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A webinar recording that discusses the impact of the COVID-19 pandemic on rural health infrastructure in Minnesota and South Dakota. Focuses on outbreaks experienced in meatpacking plants and subsequent impacts on surrounding rural communities. Transcript available below description.
Additional links: Presentation Slides
Author(s): Thomas P. Krumel
Date: 12/2025
Sponsoring organization: North Central Regional Center for Rural Development
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Early Adoption of Telehealth/Remote Patient Monitoring and Hospital Revenue Changes During COVID-19
Evaluates telehealth and remote patient monitoring use between 2019 and 2020 among 1,742 rural and urban hospitals to determine the impact of COVID-19 on utilization and revenue. Discusses potential policy measures given study findings.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Telemedicine and Telecare, 31(10)
Date: 12/2025
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Evaluates telehealth and remote patient monitoring use between 2019 and 2020 among 1,742 rural and urban hospitals to determine the impact of COVID-19 on utilization and revenue. Discusses potential policy measures given study findings.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Telemedicine and Telecare, 31(10)
Date: 12/2025
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Post-Pandemic Migration Has Reshaped Rural Population Change
Discusses rural population changes after the COVID-19 pandemic. Provides an interactive county-level map that shows population shifts due to migration or natural growth.
Author(s): Riordan Frost
Date: 11/2025
Sponsoring organization: Harvard University Joint Center for Housing Studies
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Discusses rural population changes after the COVID-19 pandemic. Provides an interactive county-level map that shows population shifts due to migration or natural growth.
Author(s): Riordan Frost
Date: 11/2025
Sponsoring organization: Harvard University Joint Center for Housing Studies
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Impact of Scope of Practice Laws for Certified Registered Nurse Anesthetists on the Utilization of Anesthesia Services
Examines scope of practice laws (SOPLs) for certified registered nurse anesthetists (CRNAs) and the impact of the COVID-19 pandemic on SOPLs. Utilizes 2018-2022 national administrative claims data to examine anesthesia providers by rurality, utilization rate of anesthesia procedures, and utilization of anesthesia procedures by SOPL changes and county underserved status, defined by density of available anesthesia providers. Discusses the impact of SOPLs on access to anesthesia services.
Author(s): Projesh P. Ghosh, Wafa W. Tarazi, Nwanneamaka Ume, et al.
Citation: Health Services Research
Date: 10/2025
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Examines scope of practice laws (SOPLs) for certified registered nurse anesthetists (CRNAs) and the impact of the COVID-19 pandemic on SOPLs. Utilizes 2018-2022 national administrative claims data to examine anesthesia providers by rurality, utilization rate of anesthesia procedures, and utilization of anesthesia procedures by SOPL changes and county underserved status, defined by density of available anesthesia providers. Discusses the impact of SOPLs on access to anesthesia services.
Author(s): Projesh P. Ghosh, Wafa W. Tarazi, Nwanneamaka Ume, et al.
Citation: Health Services Research
Date: 10/2025
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Higher Mortality Following SARS-CoV-2 Infection in Rural Versus Urban Dwellers Persists for Two Years Post-Infection
Compares two-year post-COVID-19 mortality by level of rurality among patients with SARS-CoV-2 infection which occurred between April 2020 and December 2022, utilizing National Clinical Cohort Collaborative COVID-19 Enclave data. Includes data on overall mortality risk, excess mortality, trends in mortality over time, and new onset conditions among urban, urban-adjacent rural, and nonurban-adjacent rural populations.
Author(s): A. Jerrod Anzalone, Michael T. Vest, Makayla E. Schissel, et al.
Citation: Nature Communications, 16, 8933
Date: 10/2025
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Compares two-year post-COVID-19 mortality by level of rurality among patients with SARS-CoV-2 infection which occurred between April 2020 and December 2022, utilizing National Clinical Cohort Collaborative COVID-19 Enclave data. Includes data on overall mortality risk, excess mortality, trends in mortality over time, and new onset conditions among urban, urban-adjacent rural, and nonurban-adjacent rural populations.
Author(s): A. Jerrod Anzalone, Michael T. Vest, Makayla E. Schissel, et al.
Citation: Nature Communications, 16, 8933
Date: 10/2025
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Cost of Implementing Evidence-Based Practices to Reduce Opioid Overdose Fatalities in New York State Communities
Presents a study on the cost of implementing an intervention to deploy opioid education, naloxone distribution, and medication for opioid use disorder (MOUD) during the COVID-19 pandemic in rural and urban locations in New York. Evaluates data from two time periods, or waves, from January 2020 to June 2022 and July 2022 to December 2023.
Author(s): Jazmine M. Li, Dawn Gruss, Timothy Hunt, et al.
Citation: Addiction Science & Clinical Practice, 20, 77
Date: 10/2025
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Presents a study on the cost of implementing an intervention to deploy opioid education, naloxone distribution, and medication for opioid use disorder (MOUD) during the COVID-19 pandemic in rural and urban locations in New York. Evaluates data from two time periods, or waves, from January 2020 to June 2022 and July 2022 to December 2023.
Author(s): Jazmine M. Li, Dawn Gruss, Timothy Hunt, et al.
Citation: Addiction Science & Clinical Practice, 20, 77
Date: 10/2025
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Transforming Care: The Impact of COVID-19 on Telehealth Adoption in U.S. Home Health Care Agencies
Surveys 474 home health agencies between November 2022 and March 2024 to identify telehealth use and the perceived impact of COVID-19 policies on telehealth adoption. Includes rural and urban comparisons of telehealth modalities utilized to discuss targeted policies to support rural adoption.
Author(s): U. Gayani E. Perera, Ashley M. Chastain, Andrew W. Dick, et al.
Citation: Telemedicine and e-Health, 31(12), 1503-1507
Date: 09/2025
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Surveys 474 home health agencies between November 2022 and March 2024 to identify telehealth use and the perceived impact of COVID-19 policies on telehealth adoption. Includes rural and urban comparisons of telehealth modalities utilized to discuss targeted policies to support rural adoption.
Author(s): U. Gayani E. Perera, Ashley M. Chastain, Andrew W. Dick, et al.
Citation: Telemedicine and e-Health, 31(12), 1503-1507
Date: 09/2025
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Sources of Health Insurance among Adults with Long COVID: Estimates from the Medical Expenditure Panel Survey
Examines the prevalence of ongoing symptoms after COVID-19 exposure (Long COVID), prevalence of activity-limiting Long COVID, and sources of health insurance among adults reporting Long COVID, utilizing Medical Expenditure Panel Survey Household Component (MEPS-HC) data. See Tables 1 and 2 for a comparison of the prevalence of Long COVID and activity-limiting Long COVID between metropolitan statistical areas (MSAs) and non-MSAs, among other factors.
Author(s): Thomas M. Selden, Zhengyi Fang, Steven C. Hill
Date: 09/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines the prevalence of ongoing symptoms after COVID-19 exposure (Long COVID), prevalence of activity-limiting Long COVID, and sources of health insurance among adults reporting Long COVID, utilizing Medical Expenditure Panel Survey Household Component (MEPS-HC) data. See Tables 1 and 2 for a comparison of the prevalence of Long COVID and activity-limiting Long COVID between metropolitan statistical areas (MSAs) and non-MSAs, among other factors.
Author(s): Thomas M. Selden, Zhengyi Fang, Steven C. Hill
Date: 09/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Treatment Initiations and Opioid Overdoses among Recently Incarcerated People after Adoption of the Take-Home Methadone Policy
Explores the effect flexible methadone policies implemented during the COVID-19 pandemic had on opioid overdoses and treatment initiation and uptake among incarcerated people upon release. Highlights the effect this policy had on rural areas and communities that lack access to opioid treatment.
Author(s): Benjamin A. Barsky, Shapei Yan, Meredith B. Rosenthal
Citation: Drug and Alcohol Dependence, 274, 112775
Date: 09/2025
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Explores the effect flexible methadone policies implemented during the COVID-19 pandemic had on opioid overdoses and treatment initiation and uptake among incarcerated people upon release. Highlights the effect this policy had on rural areas and communities that lack access to opioid treatment.
Author(s): Benjamin A. Barsky, Shapei Yan, Meredith B. Rosenthal
Citation: Drug and Alcohol Dependence, 274, 112775
Date: 09/2025
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