Rural Health
Resources by Topic: Health screening
Geographic and Social Equity in Population-Wide Genomic Screening
Examines whether combining implementation science and informatics infrastructure supports population-wide genomic screening, and assesses screening coverage by rurality and social disadvantage. Uses data collected from 2021-2025 in South Carolina. Features statistics with breakdowns by 9 levels population density.
Author(s): Kalyani Sonawane, Daniel P. Judge, Ella Moore, Samantha Norman, Caitlin G. Allen
Citation: JAMA Network Open, 9(7), e2622743
Date: 07/2026
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Examines whether combining implementation science and informatics infrastructure supports population-wide genomic screening, and assesses screening coverage by rurality and social disadvantage. Uses data collected from 2021-2025 in South Carolina. Features statistics with breakdowns by 9 levels population density.
Author(s): Kalyani Sonawane, Daniel P. Judge, Ella Moore, Samantha Norman, Caitlin G. Allen
Citation: JAMA Network Open, 9(7), e2622743
Date: 07/2026
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Veteran Satisfaction With Lung Cancer Screening Care: A Cross-Sectional Evaluation
Examines how satisfaction with lung cancer screening varied among rural and nonrural veterans receiving care at Veterans Affairs Medical Centers between 2018 and 2021, using survey data of 689 veterans. Includes data on how other demographic and clinical factors, including smoking status, influence satisfaction with care.
Author(s): Jennifer A. Lewis, Amber J. Hackstadt, Kathryn D. Snyder, et al.
Citation: Medical Care
Date: 07/2026
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Examines how satisfaction with lung cancer screening varied among rural and nonrural veterans receiving care at Veterans Affairs Medical Centers between 2018 and 2021, using survey data of 689 veterans. Includes data on how other demographic and clinical factors, including smoking status, influence satisfaction with care.
Author(s): Jennifer A. Lewis, Amber J. Hackstadt, Kathryn D. Snyder, et al.
Citation: Medical Care
Date: 07/2026
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When Policy Exists but Practice Fails: Rethinking Cognitive Screening as a Public Health Delivery Problem
An essay that discusses gaps in early dementia detection and the related impact of public health delivery constraints in rural communities. Examines policy efforts and state-level examples to improve dementia care.
Author(s): Brian Kim
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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An essay that discusses gaps in early dementia detection and the related impact of public health delivery constraints in rural communities. Examines policy efforts and state-level examples to improve dementia care.
Author(s): Brian Kim
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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The Need for Community-Based Multimodal Screening for Chronic Disease and Cancer in Rural Kansas
Discusses how the development of community-based, multimodal screening infrastructure can address the high prevalence of cancer and other chronic diseases in rural Kansas by improving access to preventive services and effectively addressing clustered chronic health conditions.
Author(s): Jordan A. Neely, Jerah R. Schmidt, Elham S. Ziaei, et al.
Citation: International Journal of General Medicine, 19, 613943
Date: 06/2026
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Discusses how the development of community-based, multimodal screening infrastructure can address the high prevalence of cancer and other chronic diseases in rural Kansas by improving access to preventive services and effectively addressing clustered chronic health conditions.
Author(s): Jordan A. Neely, Jerah R. Schmidt, Elham S. Ziaei, et al.
Citation: International Journal of General Medicine, 19, 613943
Date: 06/2026
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Michigan - Improving Diabetic Eye Exam Rates: A Practical Guide for Rural Health Clinics
A guidebook for Rural Health Centers (RHCs) in Michigan to screen and provide quality care for diabetic retinopathy (DR). Provides recommendations for DR screening, workflow, referral to eye care providers, and reducing barriers in rural areas.
Date: 06/2026
Sponsoring organization: Michigan Center for Rural Health
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A guidebook for Rural Health Centers (RHCs) in Michigan to screen and provide quality care for diabetic retinopathy (DR). Provides recommendations for DR screening, workflow, referral to eye care providers, and reducing barriers in rural areas.
Date: 06/2026
Sponsoring organization: Michigan Center for Rural Health
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Concordance Between Social Needs Screening and Availability of Associated Programs in US Hospitals
Examines the extent to which hospitals screen patients for social needs by analyzing data from the 2022 American Hospital Association (AHA) survey. Explores the alignment between hospitals that screen for social needs and the availability of programs to address those needs. Compares data on social needs screening and corresponding programs at hospitals by rural and urban location, Critical Access Hospital (CAH) status, region, ownership, and participation in Accountable Care Organizations (ACOs).
Author(s): Khyathi Gadag, Keith Mueller, Whitney E. Zahnd
Date: 06/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines the extent to which hospitals screen patients for social needs by analyzing data from the 2022 American Hospital Association (AHA) survey. Explores the alignment between hospitals that screen for social needs and the availability of programs to address those needs. Compares data on social needs screening and corresponding programs at hospitals by rural and urban location, Critical Access Hospital (CAH) status, region, ownership, and participation in Accountable Care Organizations (ACOs).
Author(s): Khyathi Gadag, Keith Mueller, Whitney E. Zahnd
Date: 06/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Understanding Capability, Opportunity, and Motivation for At-Home COVID-19 Testing in Underserved Populations During the Pandemic
Evaluates how access to COVID-19 testing barriers, facilitators, and motivations varied among underserved adults in Utah via interviews with 19 low-income Utahns. Includes rural and urban data comparisons and interview excerpts.
Author(s): Joni H. Pierce, Peter Taber, Leticia Stevens, et al.
Citation: Translational Behavioral Medicine, 16(1), ibag033
Date: 06/2026
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Evaluates how access to COVID-19 testing barriers, facilitators, and motivations varied among underserved adults in Utah via interviews with 19 low-income Utahns. Includes rural and urban data comparisons and interview excerpts.
Author(s): Joni H. Pierce, Peter Taber, Leticia Stevens, et al.
Citation: Translational Behavioral Medicine, 16(1), ibag033
Date: 06/2026
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Increasing Colorectal Cancer Screening among Alaska Native Peoples Living in Remote Areas of Alaska: A Multitarget Stool DNA Cluster Randomized Controlled Trial
Presents a study evaluating the efficacy of different colorectal cancer screening (CRC) outreach approaches to address high CRC rates among Alaska Native communities in remote areas of Alaska. Compares the outcomes of high-intensity outreach and medium-intensity outreach on patients' likelihood of participating in a CRC screening either by multi-target stool DNA (mt-sDNA) or colonoscopy.
Author(s): Diana Redwood, Christie Flanagan, Lauren Jeffries, et al.
Citation: BMC Primary Care, 27(1), 303
Date: 05/2026
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Presents a study evaluating the efficacy of different colorectal cancer screening (CRC) outreach approaches to address high CRC rates among Alaska Native communities in remote areas of Alaska. Compares the outcomes of high-intensity outreach and medium-intensity outreach on patients' likelihood of participating in a CRC screening either by multi-target stool DNA (mt-sDNA) or colonoscopy.
Author(s): Diana Redwood, Christie Flanagan, Lauren Jeffries, et al.
Citation: BMC Primary Care, 27(1), 303
Date: 05/2026
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From Conversation to Completion: Identifying Conversation Elements to Support Effective Shared Decision-Making for Lung Cancer Screening in Rural Primary Care
Evaluates how aspects of the shared decision-making (SDM) process influence lung cancer screening behaviors and attitudes among rural adults via a survey of 173 rural Appalachian West Virginians. Discusses information sources, provider conversation elements, topics discussed, practical considerations, and more.
Author(s): Dannell Boatman, Bethany Barone Gibbs, Lesley Cottrell, et al.
Citation: BMC Primary Care, 27, 255
Date: 05/2026
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Evaluates how aspects of the shared decision-making (SDM) process influence lung cancer screening behaviors and attitudes among rural adults via a survey of 173 rural Appalachian West Virginians. Discusses information sources, provider conversation elements, topics discussed, practical considerations, and more.
Author(s): Dannell Boatman, Bethany Barone Gibbs, Lesley Cottrell, et al.
Citation: BMC Primary Care, 27, 255
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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