Rural Health
Resources by Topic: Emergency department and urgent care services
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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Advancing Trauma Systems in the United States: Bridging Disparities Through State-Level Legislation and a Health Systems Approach
Discusses disparities in trauma care in rural and urban communities in the United States. Examines weaknesses in the current trauma system and provides associated legislative solutions. Offers policy strategies for rural regions and trauma systems with limited capacity.
Author(s): Bilal Irfan, Zain Hashmi, Tatiana Ramos, Molly Jarman
Citation: Health Services Research, e70073
Date: 12/2025
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Discusses disparities in trauma care in rural and urban communities in the United States. Examines weaknesses in the current trauma system and provides associated legislative solutions. Offers policy strategies for rural regions and trauma systems with limited capacity.
Author(s): Bilal Irfan, Zain Hashmi, Tatiana Ramos, Molly Jarman
Citation: Health Services Research, e70073
Date: 12/2025
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Operational Challenges and Adaptive Leadership in Emergency Departments in the United States of America: A Mixed-Methods Analysis
Analyzes perspectives from emergency department (ED) leadership regarding operational challenges such as overcrowding, staffing shortages, and diminishing quality of care and provider well-being. Utilizes survey and interview data from ED leaders to examine adaptive strategies, evidence-based protocols, cross-professional collaboration, and more, with a focus on rural contexts included.
Author(s): Emmanuel Animashaun, Ellen Barnie Peprah, Olaoluwa Olorunfemi, et al.
Citation: BMC Emergency Medicine, 25, 241
Date: 11/2025
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Analyzes perspectives from emergency department (ED) leadership regarding operational challenges such as overcrowding, staffing shortages, and diminishing quality of care and provider well-being. Utilizes survey and interview data from ED leaders to examine adaptive strategies, evidence-based protocols, cross-professional collaboration, and more, with a focus on rural contexts included.
Author(s): Emmanuel Animashaun, Ellen Barnie Peprah, Olaoluwa Olorunfemi, et al.
Citation: BMC Emergency Medicine, 25, 241
Date: 11/2025
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Associations of Social Deprivation and Oncology Physician Network Vulnerability With Acute Care Utilization in the SEER-Medicare Population
Discusses the socioeconomic factors that correlate with acute care utilization among cancer patients, as well as the effect of regional specialist scarcity. Draws from Medicare data on patients with breast, lung, or colorectal cancer who have visited emergency departments or had non-elective hospitalizations and explores correlating social and regional factors, such as sex, rurality, social deprivation index score, and proximity to an oncology physician, among others.
Author(s): Ashlee A. Korsberg, Gabriel A. Brooks, A. James O'Malley, et al.
Citation: Health Services Research, e70070
Date: 11/2025
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Discusses the socioeconomic factors that correlate with acute care utilization among cancer patients, as well as the effect of regional specialist scarcity. Draws from Medicare data on patients with breast, lung, or colorectal cancer who have visited emergency departments or had non-elective hospitalizations and explores correlating social and regional factors, such as sex, rurality, social deprivation index score, and proximity to an oncology physician, among others.
Author(s): Ashlee A. Korsberg, Gabriel A. Brooks, A. James O'Malley, et al.
Citation: Health Services Research, e70070
Date: 11/2025
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Acute Care Utilization Patterns During Chemotherapy and Predictive Model Development at a Rural Community Cancer Center
Explores the development of a predictive model focused on identifying oncology patients at risk of all-cause and preventable acute care use, utilizing EHR data of 2,922 patients who received intravenous cancer treatment between October 2021 and April 2024 in a predominantly rural, midwestern cancer network. Provides data on the association between acute care use and clinical and demographic factors, including level of rurality.
Author(s): McKenna Perrin, Crystal Hattum, Jamie Arens, Tobias Meissner
Citation: JCO Clinical Cancer Informatics, 9, e2500186
Date: 11/2025
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Explores the development of a predictive model focused on identifying oncology patients at risk of all-cause and preventable acute care use, utilizing EHR data of 2,922 patients who received intravenous cancer treatment between October 2021 and April 2024 in a predominantly rural, midwestern cancer network. Provides data on the association between acute care use and clinical and demographic factors, including level of rurality.
Author(s): McKenna Perrin, Crystal Hattum, Jamie Arens, Tobias Meissner
Citation: JCO Clinical Cancer Informatics, 9, e2500186
Date: 11/2025
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Geriatric Emergency Department Accreditation for Rural Providers, with Kevin Biese and Natalie Elder
An episode of the Exploring Rural Health podcast featuring Kevin Biese, MD, Chair of the Board of the American College of Emergency Physicians Geriatric Emergency Accreditation program, and Natalie Elder, MD, Director of Geriatric Emergency Medicine for the University of Vermont Health Network. Focuses on the Geriatric Emergency Department Accreditation and the standards of rural geriatric care that it ensures.
Date: 11/2025
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Kevin Biese, MD, Chair of the Board of the American College of Emergency Physicians Geriatric Emergency Accreditation program, and Natalie Elder, MD, Director of Geriatric Emergency Medicine for the University of Vermont Health Network. Focuses on the Geriatric Emergency Department Accreditation and the standards of rural geriatric care that it ensures.
Date: 11/2025
Sponsoring organization: Rural Health Information Hub
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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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Estimating Emergency Department Utilization of Select Drugs during Extreme Heat Events
Examines excess emergency department (ED) visits and drug utilization surges for heat-related illness. Utilizes medical claims data to analyze heatwave related illnesses and provides modeling that predicts associated ED visits and drug utilization surges. Includes a county-level U.S. map showing days of extreme heat each year and discusses the impact on rural areas.
Author(s): Daniel McGeeney, Shruti Rathnavel, Emily McAden, Clifton Dassuncao, Aylin Sertkaya
Date: 09/2025
Sponsoring organizations: Eastern Research Group, Inc., HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines excess emergency department (ED) visits and drug utilization surges for heat-related illness. Utilizes medical claims data to analyze heatwave related illnesses and provides modeling that predicts associated ED visits and drug utilization surges. Includes a county-level U.S. map showing days of extreme heat each year and discusses the impact on rural areas.
Author(s): Daniel McGeeney, Shruti Rathnavel, Emily McAden, Clifton Dassuncao, Aylin Sertkaya
Date: 09/2025
Sponsoring organizations: Eastern Research Group, Inc., HHS Office of the Assistant Secretary for Planning and Evaluation
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Supporting Rural Health Facilities
Discusses strategies pursued by states to strengthen the financial stability of rural hospitals and expand access to primary care, behavioral healthcare, and emergency care. Describes state policies related to technical assistance, financial stabilization grants, payment models, Rural Health Clinics (RHCs), health centers, Certified Community Behavioral Health Clinics (CCBHCs), and free-standing emergency departments.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Discusses strategies pursued by states to strengthen the financial stability of rural hospitals and expand access to primary care, behavioral healthcare, and emergency care. Describes state policies related to technical assistance, financial stabilization grants, payment models, Rural Health Clinics (RHCs), health centers, Certified Community Behavioral Health Clinics (CCBHCs), and free-standing emergency departments.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Best Practices for Implementing the Continuum of Crisis Services Under Medicaid and CHIP
Provides guidance for states to maintain a continuum of behavioral health crisis care for patients covered by Medicaid and CHIP. Details core elements of the continuum of crisis care and how Medicaid and CHIP function within that framework. Highlights considerations for rural communities.
Date: 09/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Substance Abuse and Mental Health Services Administration
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Provides guidance for states to maintain a continuum of behavioral health crisis care for patients covered by Medicaid and CHIP. Details core elements of the continuum of crisis care and how Medicaid and CHIP function within that framework. Highlights considerations for rural communities.
Date: 09/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Substance Abuse and Mental Health Services Administration
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