Rural Health
Resources by Topic: Health conditions
Medicare Hospice Use Patterns Among Patients With Alzheimer's Disease or Related Dementias Compared to Those With Other Terminal Diagnoses
Examines hospice use among Medicare enrollees with Alzheimer's disease and related dementias (ADRD) compared to Medicare hospice enrollees with other terminal diagnoses. Explores whether hospice characteristics, including rural status, are associated with hospice length of stay, visit frequency, and live discharge rates among Medicare patients with and without terminal and comorbid ADRD diagnoses.
Date: 09/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines hospice use among Medicare enrollees with Alzheimer's disease and related dementias (ADRD) compared to Medicare hospice enrollees with other terminal diagnoses. Explores whether hospice characteristics, including rural status, are associated with hospice length of stay, visit frequency, and live discharge rates among Medicare patients with and without terminal and comorbid ADRD diagnoses.
Date: 09/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Impact of Ostomy Self-Management Telehealth Training for Rural Cancer Survivors on Health Care Utilization and Economic Outcomes in the United States
Examines the impact of the Ostomy Self-Management Telehealth (OSMT) treatment and education program versus usual care on healthcare utilization, cost, and employment status among rural cancer survivors. Discusses telehealth-delivered self-management education as an accessible and effective care model for rural populations.
Author(s): Daniel Maeng, Virginia Sun, Matthew E. Nielsen, et al.
Citation: Journal of Rural Health, 41(4), e70096
Date: 09/2025
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Examines the impact of the Ostomy Self-Management Telehealth (OSMT) treatment and education program versus usual care on healthcare utilization, cost, and employment status among rural cancer survivors. Discusses telehealth-delivered self-management education as an accessible and effective care model for rural populations.
Author(s): Daniel Maeng, Virginia Sun, Matthew E. Nielsen, et al.
Citation: Journal of Rural Health, 41(4), e70096
Date: 09/2025
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The ELEVATE Maternal Health Center of Excellence: A Program to Reduce Maternal Morbidity from Substance Use Disorder in Utah
Presents a study detailing the efforts of the ELEVATE Maternal Health Center of Excellence to address mental health and substance use disorders (SUD) among pregnant and postpartum women in rural and American Indian and Alaska Native communities in Utah. Discusses the role mental health disorders and SUD play in contributing to maternal deaths and highlights the way ELEVATE interventions aim to improve care and reduce maternal mortality.
Author(s): Erin P. Johnson, Marcela C. Smid, Susanna R. Cohen, et al.
Citation: Substance Use & Addiction Journal, 47(1), 216-223
Date: 09/2025
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Presents a study detailing the efforts of the ELEVATE Maternal Health Center of Excellence to address mental health and substance use disorders (SUD) among pregnant and postpartum women in rural and American Indian and Alaska Native communities in Utah. Discusses the role mental health disorders and SUD play in contributing to maternal deaths and highlights the way ELEVATE interventions aim to improve care and reduce maternal mortality.
Author(s): Erin P. Johnson, Marcela C. Smid, Susanna R. Cohen, et al.
Citation: Substance Use & Addiction Journal, 47(1), 216-223
Date: 09/2025
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Food Insecurity and Rural Child and Family Functioning
Examines the relationship between food security and family well-being in rural households during the COVID-19 pandemic. Analyzes feedback from 61 caregivers regarding household food insecurity, child mental health issues, parent-child conflict, and more.
Author(s): Merelise R. Ametti, Hannah E. Frering, Kierian Huang, Katya Marsh, Robert R. Althoff
Citation: JAMA Network Open, 8(9), e2530691
Date: 09/2025
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Examines the relationship between food security and family well-being in rural households during the COVID-19 pandemic. Analyzes feedback from 61 caregivers regarding household food insecurity, child mental health issues, parent-child conflict, and more.
Author(s): Merelise R. Ametti, Hannah E. Frering, Kierian Huang, Katya Marsh, Robert R. Althoff
Citation: JAMA Network Open, 8(9), e2530691
Date: 09/2025
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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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County-Level Socioeconomic Status, Rurality, and Second Primary Cancer Risk among Breast Cancer Survivors in the United States
Examines the relationship between risk of second primary cancers (SPCs) and sociodemographic variables among women who have had breast cancer. Utilizes Surveillance, Epidemiology, and End Results (SEER) data from 721,957 women who are breast cancer survivors to analyze SPC risk by demographics, health status, cancer treatments, and 5 levels of rurality.
Author(s): Katherine Ho, Carolyn Brandt, Jessica Li, et al.
Citation: Cancer Causes & Control, 36, 1813-1824
Date: 09/2025
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Examines the relationship between risk of second primary cancers (SPCs) and sociodemographic variables among women who have had breast cancer. Utilizes Surveillance, Epidemiology, and End Results (SEER) data from 721,957 women who are breast cancer survivors to analyze SPC risk by demographics, health status, cancer treatments, and 5 levels of rurality.
Author(s): Katherine Ho, Carolyn Brandt, Jessica Li, et al.
Citation: Cancer Causes & Control, 36, 1813-1824
Date: 09/2025
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Participation in Cancer Survivorship Survey Research: Differences by Rurality and Age
Analyzes rural and urban and age-based differences in cancer survivorship research participation among 1,679 cancer survivors who recently received diagnosis or treatment at the University of Arkansas for Medical Sciences. Provides data on likelihood of participation by mail, internet, or telephone, and discusses the importance of improving access to research participation among rural and older cancer survivors.
Author(s): Emily Hallgren, Aaron R. Caldwell, Jennifer A. Andersen, et al.
Citation: Journal of Clinical and Translational Science, 9(1), e200
Date: 09/2025
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Analyzes rural and urban and age-based differences in cancer survivorship research participation among 1,679 cancer survivors who recently received diagnosis or treatment at the University of Arkansas for Medical Sciences. Provides data on likelihood of participation by mail, internet, or telephone, and discusses the importance of improving access to research participation among rural and older cancer survivors.
Author(s): Emily Hallgren, Aaron R. Caldwell, Jennifer A. Andersen, et al.
Citation: Journal of Clinical and Translational Science, 9(1), e200
Date: 09/2025
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Associations Between Insurance Status, Financial Hardship, and Rurality on Receipt of Guideline-Concordant Mammography
Analyzes associations between receipt of ACS or USPSTF guideline-concordant mammography and factors including healthcare-related financial hardship, insurance status, and rurality, utilizing 2023 National Health Interview Survey data of 11,138 women. Includes data on interactions between healthcare-related financial hardship and rurality within the context of access to mammography.
Author(s): Nicole E. Caston, Lisa P. Spees, Austin R. Waters, Stephanie B. Wheeler
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2025
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Analyzes associations between receipt of ACS or USPSTF guideline-concordant mammography and factors including healthcare-related financial hardship, insurance status, and rurality, utilizing 2023 National Health Interview Survey data of 11,138 women. Includes data on interactions between healthcare-related financial hardship and rurality within the context of access to mammography.
Author(s): Nicole E. Caston, Lisa P. Spees, Austin R. Waters, Stephanie B. Wheeler
Citation: Cancer Epidemiology, Biomarkers & Prevention
Date: 09/2025
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New York State's Paid Family Leave Improved Postpartum Health Care among Women with Hypertensive Disorders in Pregnancy
Assesses the impact of a state paid family leave law on postpartum healthcare utilization among 312,470 women with hypertensive disorders. Includes rural and urban break down by hypertension status of study participants, among other demographic and health characteristics.
Author(s): Donglan Zhang, Jun Soo Lee, Elena V. Kuklina, et al.
Citation: Health Affairs Scholar, 3(10)
Date: 09/2025
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Assesses the impact of a state paid family leave law on postpartum healthcare utilization among 312,470 women with hypertensive disorders. Includes rural and urban break down by hypertension status of study participants, among other demographic and health characteristics.
Author(s): Donglan Zhang, Jun Soo Lee, Elena V. Kuklina, et al.
Citation: Health Affairs Scholar, 3(10)
Date: 09/2025
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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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