Rural Health
Resources by Topic: Health disparities
Rural–Urban Disparities in Acute Pancreatitis Outcomes: A Retrospective Cohort Study using the National Inpatient Sample (2016–2021)
Compares rural and urban acute pancreatitis hospitalization costs, mortality, length of stay, complications, and other healthcare outcomes, using 2016-2021 National Inpatient Sample data.
Author(s): Fatima Rashid, Kasim Syed Jafri, Niloy Ghosh, et al.
Citation: Medicine, 105(23), e49138
Date: 06/2026
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Compares rural and urban acute pancreatitis hospitalization costs, mortality, length of stay, complications, and other healthcare outcomes, using 2016-2021 National Inpatient Sample data.
Author(s): Fatima Rashid, Kasim Syed Jafri, Niloy Ghosh, et al.
Citation: Medicine, 105(23), e49138
Date: 06/2026
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Medicaid Home- and Community-Based Services Rebalancing Is Concentrated in Large Urban Areas
Compares rural and urban utilization of home and community-based services among Medicaid long-term services and supports users, using 2022 Transformed Medicaid Statistical Information System data sourced through an ATI Advisory LTSS user dashboard. Analyzes rural-urban disparities in access by level of rurality and by state.
Author(s): Emmaline Keesee, Laura M. Keohane
Citation: The Journal of the Post-Acute and Long-Term Care Medical Association, 27(6), 106208
Date: 06/2026
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Compares rural and urban utilization of home and community-based services among Medicaid long-term services and supports users, using 2022 Transformed Medicaid Statistical Information System data sourced through an ATI Advisory LTSS user dashboard. Analyzes rural-urban disparities in access by level of rurality and by state.
Author(s): Emmaline Keesee, Laura M. Keohane
Citation: The Journal of the Post-Acute and Long-Term Care Medical Association, 27(6), 106208
Date: 06/2026
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Rural-Urban Disparity in Postacute Care and 1-Year Outcomes After Ischemic Stroke
Examines how postacute stroke care varies among rural and urban-dwelling ischemic stroke patients, and how mortality, readmission, and home time varied at 1 year. Uses 2017-2022 Medicare beneficiary data.
Author(s): Shumei Man, Jie-Lena Sun, Brooke Alhanti, et al.
Citation: Stroke, 57(7), 2138-2149
Date: 05/2026
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Examines how postacute stroke care varies among rural and urban-dwelling ischemic stroke patients, and how mortality, readmission, and home time varied at 1 year. Uses 2017-2022 Medicare beneficiary data.
Author(s): Shumei Man, Jie-Lena Sun, Brooke Alhanti, et al.
Citation: Stroke, 57(7), 2138-2149
Date: 05/2026
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Comparing Patient and Provider Perspectives on a Rural, Multilevel, Community-Engaged Food Is Medicine Intervention
Compares perspectives of 25 low-income patients with chronic disease risk and 19 healthcare providers in the rural Mississippi Delta on potential impacts of a food is medicine (FIM) program. Discusses themes regarding health status improvement, improvements to food insecurity, diet-related disease management and healthcare delivery, implementation barriers, and program adherence.
Author(s): Danielle M. Krobath, Vanessa Nicholson-Robinson, Yarisbel Melo Herrera, et al.
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Compares perspectives of 25 low-income patients with chronic disease risk and 19 healthcare providers in the rural Mississippi Delta on potential impacts of a food is medicine (FIM) program. Discusses themes regarding health status improvement, improvements to food insecurity, diet-related disease management and healthcare delivery, implementation barriers, and program adherence.
Author(s): Danielle M. Krobath, Vanessa Nicholson-Robinson, Yarisbel Melo Herrera, et al.
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Dementia Diagnostic Deserts: Workforce and Geographic Inequities in the Diagnostic Pathway for Cognitive Impairment
Describes the "Triple Disadvantage Zones" or the places where rurality, Primary Care Health Professional Shortage Areas, and social deprivation converge to create a dementia diagnostic desert resulting in both delayed diagnosis and over-testing. Discusses training gaps for nurse practitioners and physician assistants as well as policy measures to mitigate diagnosis errors.
Author(s): Zhijing Xu, Ying Xue, Yaguang Zheng, Bei Wu
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Describes the "Triple Disadvantage Zones" or the places where rurality, Primary Care Health Professional Shortage Areas, and social deprivation converge to create a dementia diagnostic desert resulting in both delayed diagnosis and over-testing. Discusses training gaps for nurse practitioners and physician assistants as well as policy measures to mitigate diagnosis errors.
Author(s): Zhijing Xu, Ying Xue, Yaguang Zheng, Bei Wu
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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A Geographic Disparities Analysis Between Standard of Care and Clinical Trial CAR-T Patients in Kansas
Examines demographic and geographic disparities in cancer care access within clinical trials at the University of Kansas Cancer Center (KUCC) as well as standard-of-care (SOC) chimeric antigen receptor (CAR)-T cell therapy at the University of Kansas Health System (TUKHS). Provides data breakdowns according to treatment type, demographics, rural versus urban location, Health Professional Shortage Area (HPSA) designation, and distance to the University of Kansas Medical Center (KUMC). Discusses the importance of access to (CAR)-T cell therapy and need for targeted outreach in rural and HPSA-designated areas.
Author(s): Sam Pepper, Aliya Rashid, Carine Tabak, et al.
Citation: Cancer Medicine, 15(5), e71974
Date: 05/2026
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Examines demographic and geographic disparities in cancer care access within clinical trials at the University of Kansas Cancer Center (KUCC) as well as standard-of-care (SOC) chimeric antigen receptor (CAR)-T cell therapy at the University of Kansas Health System (TUKHS). Provides data breakdowns according to treatment type, demographics, rural versus urban location, Health Professional Shortage Area (HPSA) designation, and distance to the University of Kansas Medical Center (KUMC). Discusses the importance of access to (CAR)-T cell therapy and need for targeted outreach in rural and HPSA-designated areas.
Author(s): Sam Pepper, Aliya Rashid, Carine Tabak, et al.
Citation: Cancer Medicine, 15(5), e71974
Date: 05/2026
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Economic Stability of Children, a Key Social Determinant of Health, in the United States: Differences by Rurality
Presents a study exploring economic security as a social determinant of health for rural children. Compares rates of economic security for rural and urban children by three different measures: housing instability, food insecurity, and income inadequacy.
Author(s): Elizabeth Crouch, Emma Boswell, Cassie Odahowski, et al.
Citation: Journal of Rural Health, 42(2), e70164
Date: 05/2026
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Presents a study exploring economic security as a social determinant of health for rural children. Compares rates of economic security for rural and urban children by three different measures: housing instability, food insecurity, and income inadequacy.
Author(s): Elizabeth Crouch, Emma Boswell, Cassie Odahowski, et al.
Citation: Journal of Rural Health, 42(2), e70164
Date: 05/2026
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The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Significant Mediation by Sadness and Self-Injury Is Observed in Associations Between County-Level Cyberbullying Victimization and Youth Suicidality in Rural New York State
Explores the relationship between cyberbullying, traditional bullying, and suicidality in rural counties in New York State. Highlights rates of bullying and cyberbullying, self-harm, recreational screen time, and other measures by demographic characteristic data.
Author(s): Laura E. Jones, Riya Nadkarni, Nicole Krupa
Citation: Journal of Affective Disorders, 401(15), 121270
Date: 05/2026
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Explores the relationship between cyberbullying, traditional bullying, and suicidality in rural counties in New York State. Highlights rates of bullying and cyberbullying, self-harm, recreational screen time, and other measures by demographic characteristic data.
Author(s): Laura E. Jones, Riya Nadkarni, Nicole Krupa
Citation: Journal of Affective Disorders, 401(15), 121270
Date: 05/2026
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One Nation, Two Rural Health Crises: Georgia and Texas Show Why Local Data-Informed Solutions Matter
Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
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Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
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