Rural Health
Resources by Topic: Health disparities
Impact of COVID-19 on Clinical Trials Costs to Patients
Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Type: Document
Sponsoring organization: Mathematica
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Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Type: Document
Sponsoring organization: Mathematica
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Addressing Workforce Challenges Across the Behavioral Health Continuum of Care: Proceedings of a Workshop
Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Author(s): Board on Health Care Services
Date: 2025
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Author(s): Board on Health Care Services
Date: 2025
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Drive Time to Care and Retention in HIV Care: Rural–Urban Differences Among Medicaid Enrollees in the United States South
Presents a study on the role geography plays in HIV care retention and maintenance. Draws data from Medicaid enrollees in 13 southern states including the District of Columbia and compares patient drive times to care in rural and urban areas. Breaks down data by county social determinants of health, healthcare supply, and HIV prevalence, as well as patient characteristics.
Author(s): April D. Kimmel, Rose S. Bono, Zhongzhe Pan, et al.
Citation: Journal of Rural Health, 41(1), e12877
Date: 2025
Type: Document
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Presents a study on the role geography plays in HIV care retention and maintenance. Draws data from Medicaid enrollees in 13 southern states including the District of Columbia and compares patient drive times to care in rural and urban areas. Breaks down data by county social determinants of health, healthcare supply, and HIV prevalence, as well as patient characteristics.
Author(s): April D. Kimmel, Rose S. Bono, Zhongzhe Pan, et al.
Citation: Journal of Rural Health, 41(1), e12877
Date: 2025
Type: Document
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Home Health Utilization in the Veterans Health Administration: Are there Rural and Urban Differences?
Examines home health usage and access among veterans in rural and urban areas. Utilizes 2019-2021 Veterans Health Administration (VA) data to analyze rural versus urban home health use, with data broken down by patient sociodemographic variables as well as number of visits.
Author(s): Heather Davila, Bradely Mayfield, Michelle A. Mengeling, et al.
Citation: Journal of Rural Health, 41(1), e12865
Date: 2025
Type: Document
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Examines home health usage and access among veterans in rural and urban areas. Utilizes 2019-2021 Veterans Health Administration (VA) data to analyze rural versus urban home health use, with data broken down by patient sociodemographic variables as well as number of visits.
Author(s): Heather Davila, Bradely Mayfield, Michelle A. Mengeling, et al.
Citation: Journal of Rural Health, 41(1), e12865
Date: 2025
Type: Document
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The Uneven Impact of Medicaid Expansion on Rural and Urban Black, Latino/a, and White Mortality
Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
Type: Document
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Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
Type: Document
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OHA Director 2024 Statewide Listening Tour
Outlines planned priorities following a 2024 listening tour by the Oregon Health Authority Director in the areas of public health, Medicaid, policy and analytics, and behavioral health. Discusses capturing rural and urban health disparities, alternative payment models for healthcare providers, and rural healthcare facility closures.
Date: 12/2024
Type: Document
Sponsoring organization: Oregon Health Authority
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Outlines planned priorities following a 2024 listening tour by the Oregon Health Authority Director in the areas of public health, Medicaid, policy and analytics, and behavioral health. Discusses capturing rural and urban health disparities, alternative payment models for healthcare providers, and rural healthcare facility closures.
Date: 12/2024
Type: Document
Sponsoring organization: Oregon Health Authority
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End-of-Year Reflections and Looking to the Future After 20 Years of Scholarly Publishing in Public Health Research, Evaluation, and Practice
A reflective column that discusses articles published in Preventing Chronic Disease over the past 20 years, focusing on themes such as chronic disease, substance use, health data, and more. Discusses themes for 2025, including public health research, population health, social determinants of health, and rural health disparities.
Author(s): Leonard Jack Jr
Citation: Preventing Chronic Disease, 21
Date: 12/2024
Type: Document
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A reflective column that discusses articles published in Preventing Chronic Disease over the past 20 years, focusing on themes such as chronic disease, substance use, health data, and more. Discusses themes for 2025, including public health research, population health, social determinants of health, and rural health disparities.
Author(s): Leonard Jack Jr
Citation: Preventing Chronic Disease, 21
Date: 12/2024
Type: Document
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Trends in Mental, Behavioral, and Developmental Disorders among Children and Adolescents in the US, 2016–2021
Analyzes mental, behavioral, and developmental disorders (MBDDs) in children and factors that contribute to MBDD outcomes. Utilizes 2016-2021 National Survey of Children's Health data with breakdowns according to prevalence and type of MBDD, receipt of healthcare services, parent and family well-being, community support and safety, and demographic characteristics of children with MBDD, including urban/suburban versus rural location.
Author(s): Rebecca T. Leeb, Melissa L. Danielson, Angelika H. Claussen, et al.
Citation: Preventing Chronic Disease, 21
Date: 12/2024
Type: Document
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Analyzes mental, behavioral, and developmental disorders (MBDDs) in children and factors that contribute to MBDD outcomes. Utilizes 2016-2021 National Survey of Children's Health data with breakdowns according to prevalence and type of MBDD, receipt of healthcare services, parent and family well-being, community support and safety, and demographic characteristics of children with MBDD, including urban/suburban versus rural location.
Author(s): Rebecca T. Leeb, Melissa L. Danielson, Angelika H. Claussen, et al.
Citation: Preventing Chronic Disease, 21
Date: 12/2024
Type: Document
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Identifying Best Practices for Improving the Evaluation and Management of Stroke in Rural Lower-Resourced Settings: A Scientific Statement From the American Heart Association
Discusses the value of quality improvement and expanded stroke service availability in underserved rural and remote settings. Identifies disparities in stroke care access and patient outcomes, and provides strategies related to policy, investment, training, and inter-organizational cooperation which address challenges in prehospital, inpatient, and postacute care, thrombolysis and ED care, patient transfers, and thrombectomy.
Author(s): Kori S. Zachrison, Kaiz S. Asif, Sherita Chapman, et al.
Citation: Stroke
Date: 12/2024
Type: Document
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Discusses the value of quality improvement and expanded stroke service availability in underserved rural and remote settings. Identifies disparities in stroke care access and patient outcomes, and provides strategies related to policy, investment, training, and inter-organizational cooperation which address challenges in prehospital, inpatient, and postacute care, thrombolysis and ED care, patient transfers, and thrombectomy.
Author(s): Kori S. Zachrison, Kaiz S. Asif, Sherita Chapman, et al.
Citation: Stroke
Date: 12/2024
Type: Document
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Health Equity at the Center of Rural Care
Podcast episode featuring a discussion with Terry Scoggin, CEO of Titus Regional Medical Center, on how the organization has designed a system of care to ensure equitable access to care for every patient. Highlights how the American Hospital Association's Health Equity Roadmap supported the equity initiative and influenced culture change within the organization.
Date: 12/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode featuring a discussion with Terry Scoggin, CEO of Titus Regional Medical Center, on how the organization has designed a system of care to ensure equitable access to care for every patient. Highlights how the American Hospital Association's Health Equity Roadmap supported the equity initiative and influenced culture change within the organization.
Date: 12/2024
Type: Audio
Sponsoring organization: American Hospital Association
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