Rural Health
Resources by Topic: Health screening
Rural-Urban Differences in Barriers to Care and Utilization of Preventive Care Among Traditional Medicare and Medicare Advantage Beneficiaries
Discusses the differences in barriers to care and preventive care utilization for older adults enrolled in traditional Medicare versus Medicare Advantage and makes a rural-urban comparison. Explores barriers to care, such as quality of care and out-of-pocket costs, as well as care utilization, such as regular vaccinations, cancer screenings, and cholesterol tests, among others.
Author(s): Gawain J. Williams, Dan M. Shane, Whitney E. Zahnd, Keith J. Mueller
Date: 11/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Discusses the differences in barriers to care and preventive care utilization for older adults enrolled in traditional Medicare versus Medicare Advantage and makes a rural-urban comparison. Explores barriers to care, such as quality of care and out-of-pocket costs, as well as care utilization, such as regular vaccinations, cancer screenings, and cholesterol tests, among others.
Author(s): Gawain J. Williams, Dan M. Shane, Whitney E. Zahnd, Keith J. Mueller
Date: 11/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Missed Opportunities for Tobacco Dependence Treatment among U.S. Veterans Referred for Lung Cancer Screening: An Observational Cohort Study
Analyzes rates at which tobacco dependence treatment (TDT) is provided to veterans who use tobacco and were referred for lung cancer screening (LCS) at Veterans Affairs Medical Centers and associated clinics in the upper Midwest between September 2022 and September 2023. Breaks down clinical and demographic factors associated with TDT use, including rurality.
Author(s): Anne C. Melzer, Adam Kaplan, Megan Campbell, et al.
Citation: Preventive Medicine Reports, 59, 103263
Date: 11/2025
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Analyzes rates at which tobacco dependence treatment (TDT) is provided to veterans who use tobacco and were referred for lung cancer screening (LCS) at Veterans Affairs Medical Centers and associated clinics in the upper Midwest between September 2022 and September 2023. Breaks down clinical and demographic factors associated with TDT use, including rurality.
Author(s): Anne C. Melzer, Adam Kaplan, Megan Campbell, et al.
Citation: Preventive Medicine Reports, 59, 103263
Date: 11/2025
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Rural Women Choose Self-Sampling over a Pelvic Exam for Cervical Cancer Screening: A Mixed-Method Study
Examines factors related to cervical cancer screening methods in an underserved, rural population in Michigan. Utilizes mixed methods to analyze demographics, barriers, and perspectives related to self-sampling screenings.
Author(s): Timothy C Guetterman, Alexandra Vinson, Matthew Stack, et al.
Citation: Cancer Causes Control, 36(12), 2023-2037
Date: 10/2025
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Examines factors related to cervical cancer screening methods in an underserved, rural population in Michigan. Utilizes mixed methods to analyze demographics, barriers, and perspectives related to self-sampling screenings.
Author(s): Timothy C Guetterman, Alexandra Vinson, Matthew Stack, et al.
Citation: Cancer Causes Control, 36(12), 2023-2037
Date: 10/2025
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Advancing Diagnostic Excellence in Rural Areas: A Workshop
Recording of a workshop exploring potential improvements in diagnosis in rural areas of the United States. Topics discussed include the state of diagnosis in rural areas, access to diagnosis and diagnosis-related health disparities, applications of new technologies and innovations, healthcare workforce training, education, and support, and other aspects of service delivery innovation in rural areas. A video transcript is accessible through video control bar. Meeting materials are available for download below the video player, including workshop agenda, presentation slides, and public briefing materials.
Date: 10/2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Recording of a workshop exploring potential improvements in diagnosis in rural areas of the United States. Topics discussed include the state of diagnosis in rural areas, access to diagnosis and diagnosis-related health disparities, applications of new technologies and innovations, healthcare workforce training, education, and support, and other aspects of service delivery innovation in rural areas. A video transcript is accessible through video control bar. Meeting materials are available for download below the video player, including workshop agenda, presentation slides, and public briefing materials.
Date: 10/2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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National Outcomes of Increasing Cervical Cancer Screening in Federally Qualified Health Centers
Analyzes the population served by Federally Qualified Health Centers (FQHCs) in 2023 to determine the number of adults underscreened for cervical cancer and how improving screenings in FQHCs would impact meeting a Healthy People 2030 goal. Includes rural and urban comparisons in addition to other sociodemographic factors.
Author(s): Trisha L. Amboree, Prajakta Adsul, Haluk Damgacioglu, et al.
Citation: JAMA Network Open, 8(10)
Date: 10/2025
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Analyzes the population served by Federally Qualified Health Centers (FQHCs) in 2023 to determine the number of adults underscreened for cervical cancer and how improving screenings in FQHCs would impact meeting a Healthy People 2030 goal. Includes rural and urban comparisons in addition to other sociodemographic factors.
Author(s): Trisha L. Amboree, Prajakta Adsul, Haluk Damgacioglu, et al.
Citation: JAMA Network Open, 8(10)
Date: 10/2025
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Sociodemographic Predictors of County-Level Mammography Screening Rates in the United States
Examines the relationship between mammography screening rates and county-level sociodemographic variables. Utilizes 2024 data to analyze screening engagement by demographic breakdowns, rurality, and county. Includes county-level U.S. map showing percentage of the population engaging in recommended screenings.
Author(s): Randy C. Miles, Caroline J. Walsh, Nhat-Tuan Tran, et al.
Citation: Radiology: Imaging Cancer, 7(6)
Date: 10/2025
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Examines the relationship between mammography screening rates and county-level sociodemographic variables. Utilizes 2024 data to analyze screening engagement by demographic breakdowns, rurality, and county. Includes county-level U.S. map showing percentage of the population engaging in recommended screenings.
Author(s): Randy C. Miles, Caroline J. Walsh, Nhat-Tuan Tran, et al.
Citation: Radiology: Imaging Cancer, 7(6)
Date: 10/2025
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On the Road to Early Detection: Woman's Hospital's Mobile Mammography
A podcast episode discussing a mobile mammography unit in Louisiana. Discusses differences in rural and urban breast cancer incidence and how a mobile unit increases access to preventive care.
Date: 10/2025
Sponsoring organization: American Hospital Association
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A podcast episode discussing a mobile mammography unit in Louisiana. Discusses differences in rural and urban breast cancer incidence and how a mobile unit increases access to preventive care.
Date: 10/2025
Sponsoring organization: American Hospital Association
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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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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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Data Driven Decisions: Using Data to Identify Health Services and Needs for Rural Emergency Hospitals
Describes the Health Services and Needs Assessment (HSNA) tool provided to Rural Emergency Hospitals (REHs) and facility exploring the REH designation. Summarizes aggregated data on health indicators and availability of preventive care across REH communities based on 36 HSNAs completed through September 2024, as well as lessons learned regarding common issues faced by rural hospitals.
Author(s): Susie Aft, Autum Martin, Anna Anna, Candice Talkington, Tracey Dorff
Date: 09/2025
Sponsoring organization: Rural Health Redesign Center
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Describes the Health Services and Needs Assessment (HSNA) tool provided to Rural Emergency Hospitals (REHs) and facility exploring the REH designation. Summarizes aggregated data on health indicators and availability of preventive care across REH communities based on 36 HSNAs completed through September 2024, as well as lessons learned regarding common issues faced by rural hospitals.
Author(s): Susie Aft, Autum Martin, Anna Anna, Candice Talkington, Tracey Dorff
Date: 09/2025
Sponsoring organization: Rural Health Redesign Center
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