Rural Health
Resources by Topic: Frontier and remote areas
A Chartbook on the Characteristics and Needs of Frontier Critical Access Hospitals
Summarizes findings from a 2025 national survey of executives from 117 Critical Access Hospitals (CAHs) in frontier counties. Includes data on the distribution and characteristics of frontier CAHs. Identifies themes related to financial and operational challenges, service availability, and access to care in frontier settings.
Author(s): John A. Gale, Rebecca Stearns, Zachariah Croll, Jayne Foley
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Summarizes findings from a 2025 national survey of executives from 117 Critical Access Hospitals (CAHs) in frontier counties. Includes data on the distribution and characteristics of frontier CAHs. Identifies themes related to financial and operational challenges, service availability, and access to care in frontier settings.
Author(s): John A. Gale, Rebecca Stearns, Zachariah Croll, Jayne Foley
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Reaching the Last Mile: Strategies for Serving Ultra-Rural Populations
A recorded webinar that discusses barriers when serving meals to ultra-rural and remote populations and provides related insights, strategies, and collaborative approaches to reach communities. Transcript available below description.
Additional links: Slide Deck
Date: 03/2026
Sponsoring organization: No Kid Hungry
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A recorded webinar that discusses barriers when serving meals to ultra-rural and remote populations and provides related insights, strategies, and collaborative approaches to reach communities. Transcript available below description.
Additional links: Slide Deck
Date: 03/2026
Sponsoring organization: No Kid Hungry
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Assessing Environmental, Nutritional, and Genetic Factors for Otitis Media-Related Hearing Loss in Rural Alaska Native Children
Highlights a study on the relationship between otitis media, a middle ear disease associated with childhood hearing loss, and environmental, genetic, and dietary risk factors among children aged 1-4 in Alaska Native communities in the rural Norton Sound region of Alaska. Explores the presence of genetic factors that increase the likelihood of respiratory infections in newborns, rates of breastfeeding, and environmental factors, such as smoke exposure and availability of running water, among others.
Author(s): Samantha Kleindienst Robler, Alyssa Platt, Rolvix H Patterson, et al.
Citation: Ear & Hearing, 47(2), 404-416
Date: 03/2026
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Highlights a study on the relationship between otitis media, a middle ear disease associated with childhood hearing loss, and environmental, genetic, and dietary risk factors among children aged 1-4 in Alaska Native communities in the rural Norton Sound region of Alaska. Explores the presence of genetic factors that increase the likelihood of respiratory infections in newborns, rates of breastfeeding, and environmental factors, such as smoke exposure and availability of running water, among others.
Author(s): Samantha Kleindienst Robler, Alyssa Platt, Rolvix H Patterson, et al.
Citation: Ear & Hearing, 47(2), 404-416
Date: 03/2026
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Understanding Risk Factors for Otitis Media in Rural Alaska Native Children: A Cohort Study
Presents a study on the relationship between otitis media, a middle ear disease associated with childhood hearing loss, and environmental, genetic, and dietary risk factors among children aged 1-4 in Alaska Native communities in the rural Bering Strait region of Alaska. Explores the presence of genetic factors that increase the likelihood of respiratory infections in newborns, rates of breastfeeding, and environmental factors, such as smoke exposure and availability of running water, among others.
Author(s): Rolvix H Patterson, Susan D Emmett, Kelli L Scheinman, et al.
Citation: Ear & Hearing, 47(2), 417-428
Date: 03/2026
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Presents a study on the relationship between otitis media, a middle ear disease associated with childhood hearing loss, and environmental, genetic, and dietary risk factors among children aged 1-4 in Alaska Native communities in the rural Bering Strait region of Alaska. Explores the presence of genetic factors that increase the likelihood of respiratory infections in newborns, rates of breastfeeding, and environmental factors, such as smoke exposure and availability of running water, among others.
Author(s): Rolvix H Patterson, Susan D Emmett, Kelli L Scheinman, et al.
Citation: Ear & Hearing, 47(2), 417-428
Date: 03/2026
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Frontier and Remote (FAR) Level 3 Census Tracts, 2020
Printable map that identifies the frontier and remote (FAR) level three ZIP code areas in the United States. Data source: USDA Economic Research Service
Additional links: Level 3 Census Tracts Data Table
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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Printable map that identifies the frontier and remote (FAR) level three ZIP code areas in the United States. Data source: USDA Economic Research Service
Additional links: Level 3 Census Tracts Data Table
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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Frontier and Remote (FAR) Level 4 Census Tracts, 2020
Printable map that identifies the frontier and remote (FAR) level four ZIP code areas in the United States. Data source: USDA Economic Research Service
Additional links: Level 4 Census Tracts Data Table
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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Printable map that identifies the frontier and remote (FAR) level four ZIP code areas in the United States. Data source: USDA Economic Research Service
Additional links: Level 4 Census Tracts Data Table
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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Frontier and Remote (FAR) Level 2 Census Tracts, 2020
Printable map that identifies the frontier and remote (FAR) level two ZIP code areas in the United States. Data source: USDA Economic Research Service
Additional links: Level 2 Census Tracts Data Table
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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Printable map that identifies the frontier and remote (FAR) level two ZIP code areas in the United States. Data source: USDA Economic Research Service
Additional links: Level 2 Census Tracts Data Table
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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Frontier and Remote (FAR) Level 1 Census Tracts, 2020
Printable map that identifies the frontier and remote (FAR) level one ZIP code areas in the United States. Data source: USDA Economic Research Service
Additional links: Level 1 Census Tracts Data Table
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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Printable map that identifies the frontier and remote (FAR) level one ZIP code areas in the United States. Data source: USDA Economic Research Service
Additional links: Level 1 Census Tracts Data Table
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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Working Across Contexts: Critical Events in Rural Teletherapy in Alaska
Explores the challenges of providing teletherapy to rural and remote communities in Alaska. Discusses the "critical events" that have shaped clinicians approaches to providing teletherapy to rural and remote patients.
Author(s): Peter L. Noon, Camille M. Booth, Edmond I. Arroyo, et al.
Citation: Rural and Remote Health, 25, 10336
Date: 12/2025
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Explores the challenges of providing teletherapy to rural and remote communities in Alaska. Discusses the "critical events" that have shaped clinicians approaches to providing teletherapy to rural and remote patients.
Author(s): Peter L. Noon, Camille M. Booth, Edmond I. Arroyo, et al.
Citation: Rural and Remote Health, 25, 10336
Date: 12/2025
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A Novel Approach to Incorporate Frontier Areas Into Urban–Rural Geographic Classifications: Integrated Metropolitan-to-Frontier Area Codes
Explores an effort to develop a rural-urban classification that captures the remoteness of frontier areas. Details the tract-level Integrated Metropolitan-to-Frontier Area Codes (tlMFAC), a combination of the USDA's Frontier and Remote Area (FAR) definition and the Rural-Urban Commuting Area (RUCA) Codes. Discusses the conceptual framework for tlMFAC and the census tract-level results of applying the definition nationally.
Author(s): Brody J. Gibson, Elizabeth Dobis, John Cromartie, et al.
Citation: Journal of Rural Health, 41(4), e70102
Date: 11/2025
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Explores an effort to develop a rural-urban classification that captures the remoteness of frontier areas. Details the tract-level Integrated Metropolitan-to-Frontier Area Codes (tlMFAC), a combination of the USDA's Frontier and Remote Area (FAR) definition and the Rural-Urban Commuting Area (RUCA) Codes. Discusses the conceptual framework for tlMFAC and the census tract-level results of applying the definition nationally.
Author(s): Brody J. Gibson, Elizabeth Dobis, John Cromartie, et al.
Citation: Journal of Rural Health, 41(4), e70102
Date: 11/2025
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