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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Health Concerns of Women in Agriculture in the Midwestern United States
Presents a study exploring the health and safety needs of women working as agricultural producers. Bases findings on a survey of 120 agricultural women in Nebraska. Explores concerns about zoonotic diseases, reproductive health concerns, musculoskeletal disorders, and mental health challenges, among other issues common to agricultural work.
Author(s): Cheryl L. Beseler, Megan Lutt, Alex Egbuchiem, Ellen G. Duysen
Citation: Journal of Agromedicine, 31, 11-19
Date: 01/2026
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Small but Essential: Understanding Rural Public Health Workforce Challenges and Strengths From the 2024 Public Health Workforce Interests and Needs Survey
Examines characteristics of the rural public health workforce. Utilizes 2024 Public Health Workforce Interests and Needs Survey (PH WINS) data to analyze the rural versus urban local health department (LHD) workforce with breakdowns according to demographics, education, employment tenure and type, and intentions to stay.
Author(s): Casey P. Balio, Stephanie M. Mathis, Michael B. Meit, Betty Bekemeier
Citation: Journal of Public Health Management & Practice, 32(1S), S60-S67
Date: 01/2026
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Predictors of Inpatient RN Turnover in Rural and Urban VHA Hospitals
A study on the rates and associated factors of registered nursing (RN) workforce turnover in rural and urban Veterans Health Administration (VHA) hospitals. Breaks down data by RN demographic factors, such as age, salary, and experience within the VHA, and hospital factors, such as average age, average base salary, and average number of units worked, among other factors.
Author(s): Katherine G. Bay, Chase S. Eck, Melissa K. Knox, et al.
Citation: Medical Care, 64(1S), S9-S17
Date: 01/2026
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Learning Modalities During COVID-19 and Adolescent Mental Health in North Carolina
Examines virtual, hybrid, and in-person learning modalities and their impact on adolescent mental health during the COVID-19 pandemic. Analyzes mental health emergency department (ED) visits in North Carolina alongside county-level information on learning modalities used over time. Provides rural versus urban data on impacts of learning modality on mental health.
Author(s): Justin Cole Gilbert, Martie P. Thompson, Sophia Ryan, Manan Roy
Citation: Journal of School Health, 96(1), e70093
Date: 01/2026
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Bone Density Scan (DEXA) Utilization Among Women Without Diagnosed Osteoporosis Aged 50 and Older in the United States, 2022
Statistical brief examining likelihood of having ever received low bone density screening (DEXA) among women aged 50 and older without a diagnosis of osteoporosis. See Figure 7 for a comparison between metropolitan and nonmetropolitan areas.
Author(s): Terceira A. Berdahl
Date: 12/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Changes in Bed-Based Measures of Surge Capacity from 2018 to 2022 among Rural and Urban Hospitals
Policy brief describing how hospitals' inpatient capacity changed from 2018-2022 and examining trade-offs between cost-saving reductions and emergency preparedness. Features statistics on hospitals' average daily census (ADC) and number and percentage of unoccupied beds, with breakdowns by year and urban or rural location.
Author(s): Emma Kerr, Tyler Malone, Mark Holmes
Date: 12/2025
Sponsoring organization: North Carolina Rural Health Research Program
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Policy Brief: Access to Mental Health Care for Ohio Children and Youth
Discusses mental healthcare access challenges for youth in Ohio. Provides county-level map showing Mental Health Professional Shortage Areas (HPSAs) and discusses access issues specific to rural areas.
Date: 12/2025
Sponsoring organization: Health Policy Institute of Ohio
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December 2025 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2025 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, Rural Emergency Hospitals (REHs), post-acute care, skilled nursing facility services, inpatient rehabilitation facility services, home health services, hospice services, and outpatient dialysis services. Includes discussions on improving Medicare payment approaches and mandated reports on the impact of recent changes to the home health prospective payment system and an assessment of the Medicare ground ambulance data collection system.
Additional links: Assessing Payment Adequacy and Updating Payments: Hospital Inpatient and Outpatient Services; Mandated Report on Rural Emergency Hospitals; And Update on Site-neutral Payments - Presentation Slides, Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System - Presentation Slides
Date: 12/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Missouri Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Missouri in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 12/2025
Sponsoring organization: WWAMI Rural Health Research Center
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How USPS Network Changes Threaten Prescription Drug Access for Vulnerable Populations
Discusses the impact of mail processing changes on mail-order medication and asthma and diabetes management for rural communities. Highlights the "triple burden" of limited pharmacy access, high use of mail-order prescriptions, and proximity to postal service restructuring. Includes rural and urban comparisons, Medicare data, and county-level analysis.
Author(s): Elena Patel, Joshua Feng, Matthew Higgins
Date: 12/2025
Sponsoring organization: The Brookings Institution
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