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Rural Health
Resources by Topic: Healthcare needs and services

Frequent Police Contact and Nonfatal Overdose among People Who Use Drugs in Rural Appalachia
Explores the relationship between non-fatal overdoses and frequent stop-and-search contact with the police for rural people who use drugs (PWUD) in Kentucky. Breaks down data by participant demographic measures, such as age, sex, housing stability, frequency of police stops, and drug use, among other measures.
Author(s): Javier A. Cepeda, Talia Loeb, Zach R. Salazar, et al.
Citation: Drug and Alcohol Dependence, 284, 113188
Date: 07/2026
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Exploring Associations Between Well-Being, Mental Distress, and Five Dimensions of Social Capital in Rural Georgia
Explores the role social capital plays in supporting mental health and well-being in rural communities. Bases findings on surveys collected from residents of 6 rural counties in Georgia. Breaks down findings by rates of mental health and well-being by dimension of social capital: trust, diversity of interactions, reciprocity, civic engagement, and voting.
Author(s): Alexis Joanna Smith, Lauren M Bigger, Robin E McGee, et al.
Citation: Family and Community Health, 49(3), 192-196
Date: 07/2026
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Assessing Homeowner Perspectives and Barriers to Maintenance of On-Lot Septic Systems in Rural Pennsylvania
Results of a study surveying septic system users in Pennsylvania in 2024 and 2025 to assess whether residents follow current maintenance guidelines, to examine barriers and needs for proper maintenance, and to evaluate water contaminants in private water sources. Features statistics including age of systems, pumping frequency, and contaminant detection frequencies of water samples, including drinking water.
Additional links: Legislative Brief
Author(s): Faith A. Kibuye, Andy Yencha, Susan Boser
Date: 06/2026
Sponsoring organization: Center for Rural Pennsylvania
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Advancing Behavioral Health Integration in Community Health Centers: Policy Pathways to Whole Person Care
Explores how high-performing community health centers (CHCs) implement behavioral health integration as well as the policy and financing factors that influence these efforts. Summarizes interviews with leaders from 10 CHCs and six experts on Medicaid, payment reform, and community-based care. Discusses the state of behavioral health integration in CHCs nationwide and the impact of integration across patient populations. Offers policy recommendations to strengthen and sustain behavioral health integration within CHCs.
Author(s): Erin Prendergast, Amy Flowers, Peter Shin
Date: 06/2026
Sponsoring organizations: Commonwealth Fund, National Association of Community Health Centers
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Local Facilitators Lead the Way in Stigma Reduction
Discusses how rural community members have led Community Conversations on Opioid Use Disorder workshops addressing substance use disorder stigma via training from the UR Medicine Recovery Center for Excellence. Highlights impacts of the Community Conversations series and strategies for effective training and collaboration.
Date: 06/2026
Sponsoring organization: University of Rochester Medicine Recovery Center of Excellence
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Report to Congress on Medicaid and CHIP, June 2026
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to community engagement (CE) requirements in Medicaid, automation in prior authorization, Medicaid managed care accountability, appropriate access to residential treatment services for Medicaid-enrolled youth, transitions to adult Medicaid coverage for children and youth with special health care needs (CYSHCN), the Program of All-Inclusive Care for the Elderly (PACE), and provider enrollment and credentialing in Medicaid. Includes rural references throughout.
Date: 06/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2026
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers payment incentives in Medicare, the complexity of Medicare enrollment decisions for beneficiaries, Medicare payment operations and their role in identifying improper payments, the estimated association between Medicare Advantage (MA) enrollment and hospitals' and post-acute care providers' finances, and access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease or cancer. Includes a mandated report regarding the Medicare Ground Ambulance Data Collection System. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Virginia Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Virginia 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: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Timely Adjuvant Therapy in Head and Neck Cancer: Barriers and Facilitators in Rural Care
Examines initiation delays of postoperative radiotherapy (PORT) following surgery in rural patients with head and neck squamous cell carcinoma. Utilizes qualitative data from patients, caregivers, and staff at 2 rural New England cancer center clinics and discusses barriers and facilitators of PORT, such as communication, caregiver support, healthcare access, leveraging rural resources and culture, and more.
Author(s): Garrett T. Wasp, Shahed Khudaier, Olivia Siroonian, et al.
Citation: JAMA Otolaryngology – Head & Neck Surgery, 152(6), 569-577
Date: 06/2026
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Hospital Closures Increase Emergency Care Travel Time: Rural-Urban Disparities
Examines the relationship between travel time to emergency care and hospital closures. Utilizes data from 2012-2023 hospital closures in Texas and analyzes 6,883 census tracts according to travel time to the nearest and second nearest emergency department (ED), with additional breakdowns by population characteristics and geographic categories of metro, micro, small town, or rural.
Author(s): Huiwen Zheng, Scott Horel, Christine Crudo Blackburn
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 63
Date: 06/2026
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