Rural Health
Resources by Topic: Elderly population
Supporting Older-Adult Behavioral Health: Building the First State Center of Excellence for Behavioral Health and Aging
Describes the establishment of the Oregon Center of Excellence for Behavioral Health and Aging which seeks to increase access to behavioral health services for older adults with mental illness and substance use disorders in Oregon through translational research, workforce development, and policy innovation. Highlights national initiatives related to behavioral health and aging. Offers guidance to other states interested in a similar model. Mentions rural throughout.
Author(s): Walter D. Dawson, Allyson Stodola, Paula Carder, et al.
Citation: Health Affairs Scholar, 3(9)
Date: 09/2025
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Describes the establishment of the Oregon Center of Excellence for Behavioral Health and Aging which seeks to increase access to behavioral health services for older adults with mental illness and substance use disorders in Oregon through translational research, workforce development, and policy innovation. Highlights national initiatives related to behavioral health and aging. Offers guidance to other states interested in a similar model. Mentions rural throughout.
Author(s): Walter D. Dawson, Allyson Stodola, Paula Carder, et al.
Citation: Health Affairs Scholar, 3(9)
Date: 09/2025
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Comprehensive Analysis of the Supply, Demand, and Affordability of Senior Housing in Rural Pennsylvania
Examines the housing circumstances of rural Pennsylvania residents age 65 and over, by analyzing population projections, demographics, housing situations, and financial conditions. Features statistics including health insurance status of senior residents, with breakdowns by private, public, or no insurance, and numbers of senior residents who lived in a nursing home during 2023, with breakdowns by rural and urban areas.
Author(s): Thuy Bui, Benjamas Jirasakuldech
Date: 09/2025
Sponsoring organization: Center for Rural Pennsylvania
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Examines the housing circumstances of rural Pennsylvania residents age 65 and over, by analyzing population projections, demographics, housing situations, and financial conditions. Features statistics including health insurance status of senior residents, with breakdowns by private, public, or no insurance, and numbers of senior residents who lived in a nursing home during 2023, with breakdowns by rural and urban areas.
Author(s): Thuy Bui, Benjamas Jirasakuldech
Date: 09/2025
Sponsoring organization: Center for Rural Pennsylvania
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Vermont Suicide Data-Linkage Project: 2022-2023 Data Analysis
Identifies risk factors for suicide, populations at disproportionate risk for suicide, and patterns in how Vermonters who died by suicide interacted with various state, community systems, and services prior to death. Features statistics with breakdowns including suicides by rural or urban residence and suicides of rural veterans and elderly people.
Date: 09/2025
Sponsoring organization: Vermont Department of Health
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Identifies risk factors for suicide, populations at disproportionate risk for suicide, and patterns in how Vermonters who died by suicide interacted with various state, community systems, and services prior to death. Features statistics with breakdowns including suicides by rural or urban residence and suicides of rural veterans and elderly people.
Date: 09/2025
Sponsoring organization: Vermont Department of Health
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Shifting Care Patterns: How Medicaid Policies Shape Family and Formal Care Use
Analyzes the impacts of Medicaid 1915(c) waivers on likelihood of receiving formal versus family care among adults aged 70 years and older with functional limitations, utilizing 2011-2019 National Health and Aging Trends Study (NHATS) data. Highlights the significance of waiver payments for family caregiving for population subgroups including Medicaid beneficiaries, rural residents, and people living with dementia.
Author(s): Johanna Thunell, Elise M Parrish, Katherine E M Miller
Citation: Alzheimer's & Dementia, 21(9), e70715
Date: 09/2025
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Analyzes the impacts of Medicaid 1915(c) waivers on likelihood of receiving formal versus family care among adults aged 70 years and older with functional limitations, utilizing 2011-2019 National Health and Aging Trends Study (NHATS) data. Highlights the significance of waiver payments for family caregiving for population subgroups including Medicaid beneficiaries, rural residents, and people living with dementia.
Author(s): Johanna Thunell, Elise M Parrish, Katherine E M Miller
Citation: Alzheimer's & Dementia, 21(9), e70715
Date: 09/2025
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Rural and Tribal Transit: The Federal Transit Administration Should Evaluate Its Efforts to Help Improve Accessibility and Service
Explores the primary federal funding sources for accessible transit for older adults and people with disabilities for rural and tribal communities. Describes the approaches these communities have used to provide accessible transit, and the challenges they have faced. Discusses how the Department of Transportation (DOT) and Federal Transit Administration (FTA) have helped communities use funds to improve these transit services.
Additional links: Full Report
Date: 09/2025
Sponsoring organization: Government Accountability Office
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Explores the primary federal funding sources for accessible transit for older adults and people with disabilities for rural and tribal communities. Describes the approaches these communities have used to provide accessible transit, and the challenges they have faced. Discusses how the Department of Transportation (DOT) and Federal Transit Administration (FTA) have helped communities use funds to improve these transit services.
Additional links: Full Report
Date: 09/2025
Sponsoring organization: Government Accountability Office
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Bridging Rural Communities: Telehealth Innovations for Appalachia and Beyond
Video series on innovative approaches to telehealth in rural Appalachia, hosted by the Mid-Atlantic Telehealth Center (MATRC) on August 1, 2025. Features speakers on telehealth use in veterans' healthcare, substance use recovery, palliative care, mental health, healthy aging, emergency preparedness and response, cancer screening, and other topics related to healthcare access, quality of care, and healthcare economics. Transcripts are available via video descriptions.
Date: 08/2025
Sponsoring organization: Mid-Atlantic Telehealth Resource Center
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Video series on innovative approaches to telehealth in rural Appalachia, hosted by the Mid-Atlantic Telehealth Center (MATRC) on August 1, 2025. Features speakers on telehealth use in veterans' healthcare, substance use recovery, palliative care, mental health, healthy aging, emergency preparedness and response, cancer screening, and other topics related to healthcare access, quality of care, and healthcare economics. Transcripts are available via video descriptions.
Date: 08/2025
Sponsoring organization: Mid-Atlantic Telehealth Resource Center
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Video and Telephone Telehealth Use and Web-Based Patient Portal Activation Among Rural-Dwelling Patients: Retrospective Medical Record Review and Policy Implications
Analyzes patient characteristics associated with telehealth use among rural California adults, utilizing electronic health record data of 9,359 patients dwelling in rural California ZIP codes. Provides data on patients' telehealth modality, provider type, portal activation, level of rurality, age, primary language, and other clinical and demographic characteristics. Discusses policy approaches to improving telehealth access in rural areas.
Author(s): Meghan Rowe Ferrara, Gina Intinarelli-Shuler, Susan A Chapman
Citation: Journal of Medical Internet Research, 27, e67226
Date: 08/2025
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Analyzes patient characteristics associated with telehealth use among rural California adults, utilizing electronic health record data of 9,359 patients dwelling in rural California ZIP codes. Provides data on patients' telehealth modality, provider type, portal activation, level of rurality, age, primary language, and other clinical and demographic characteristics. Discusses policy approaches to improving telehealth access in rural areas.
Author(s): Meghan Rowe Ferrara, Gina Intinarelli-Shuler, Susan A Chapman
Citation: Journal of Medical Internet Research, 27, e67226
Date: 08/2025
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The Need for Medicare Dental Coverage
Details the oral health risks of limited dental coverage by Medicare. Discusses aging-related oral healthcare conditions, the economic barriers to care caused by lack of coverage, and how rurality can affect preexisting oral health disparities.
Date: 08/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Details the oral health risks of limited dental coverage by Medicare. Discusses aging-related oral healthcare conditions, the economic barriers to care caused by lack of coverage, and how rurality can affect preexisting oral health disparities.
Date: 08/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Barriers to Accessible and Affordable Mental Health and Substance Use Disorder Care for Older Adults
Discusses challenges in accessing healthcare for mental health and substance use disorders for older adults. Challenges discussed include workforce shortages in rural areas, Medicare regulations, stigma, health insurance coverage, and more.
Date: 08/2025
Sponsoring organization: AARP Public Policy Institute
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Discusses challenges in accessing healthcare for mental health and substance use disorders for older adults. Challenges discussed include workforce shortages in rural areas, Medicare regulations, stigma, health insurance coverage, and more.
Date: 08/2025
Sponsoring organization: AARP Public Policy Institute
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Expanding Access to Integrated Medicare-Medicaid Programs in Rural Communities
Discusses the rural population who are dually eligible for Medicare and Medicaid and their unique physical health, mental health, and health-related social needs (HRSNs). Includes information on dual eligibility issues related to access, integrated care, and managed care infrastructure. Provides a literature review and stakeholder interview feedback focused on potential strategies to improve healthcare integration.
Author(s): Molly Knowles, Nida Joseph, Nancy Archibald, Ellen Breslin
Date: 08/2025
Sponsoring organization: Center for Health Care Strategies
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Discusses the rural population who are dually eligible for Medicare and Medicaid and their unique physical health, mental health, and health-related social needs (HRSNs). Includes information on dual eligibility issues related to access, integrated care, and managed care infrastructure. Provides a literature review and stakeholder interview feedback focused on potential strategies to improve healthcare integration.
Author(s): Molly Knowles, Nida Joseph, Nancy Archibald, Ellen Breslin
Date: 08/2025
Sponsoring organization: Center for Health Care Strategies
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