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Rural Health
Resources by Topic: Healthcare needs and services

How Do Services Offered Within Opioid Treatment Programs Vary Based on State Methadone Policies?
Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Unequal Paths to Care: How Region, Rurality, and Deprivation Determine Transport to Verified Trauma Centers among the Critically Injured
Examines the relationship among rurality, area deprivation index (ADI), and trauma center transport of critically injured patients. Utilizes 2018-2022 National Emergency Medical Services Information System data from 36,897,269 critically injured patients and analyzes rural versus urban transport to a trauma center, region of the country, and ADI.
Author(s): Amani Sampson, Edward Helderop, Tokoya Williams, et al.
Citation: Surgery, 196, 110232
Date: 08/2026
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Can Schools Detect Mild Hearing Loss? Evaluating Screening Accuracy and Feasibility
Examines the feasibility of accurate screening for mild hearing loss in rural Alaska. Analyzes results of screening 318 children with two pure-tone hearing screening levels and discusses the importance of accurate and reliable screening methods in rural schools.
Author(s): Samantha Kleindienst Robler, Jasmine Stewart, Christina Reaves, et al.
Citation: International Journal of Pediatric Otorhinolaryngology, 207, 112849
Date: 08/2026
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Structural Vulnerability in the United States Radiation Oncology Delivery System: Predictors and Consequences of Practice Site Disappearance
Examines the impact of radiation oncology (RO) practice site disappearance on treatment capacity in U.S. counties. Utilizes 2018-2025 data from the Centers for Medicare & Medicaid Services National Downloadable File to analyze RO practice sites according to urban, rural-adjacent, or rural-nonadjacent county location, hospital affiliation, and county sociodemographics. Includes county-level U.S. map showing RO site growth, loss, or stability.
Author(s): Catherine Yu, Sifan Grace Lu, Danielle Arons, Jared P. Rowley, Kunal K. Sindhu
Citation: International Journal of Radiation Oncology, Biology, Physics
Date: 07/2026
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A Twelve-Year Retrospective Analysis of a Journey Towards Rural Level I Trauma Center Verification
Discusses the goals, implementation strategies, and challenges of a rural trauma center in Montana which became an ACS Level I Trauma Center in 2023. Includes data on 8,947 trauma activations between 2011 and 2022, discussing quality of care, patient volume, and program infrastructure in a rural setting.
Author(s): Lanny C. Orr, Alexa Peterson, Tessa C. Savell, et al.
Citation: Open Access Emergency Medicine, 18, 618725
Date: 07/2026
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Postoperative Pain Management in Rural Communities
Describes the University of Rochester Medicine Recovery Center of Excellence's approach to addressing opioid overprescribing after surgery. Discusses topics including provider engagement, patient empowerment and effective communication strategies, and rural implementation concerns.
Date: 07/2026
Sponsoring organization: University of Rochester Medicine Recovery Center of Excellence
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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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MedPAC Data Book: Health Care Spending and the Medicare Program, 2026
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and Medicare and operating margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2026
Sponsoring organization: Medicare Payment Advisory Commission
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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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Train Rural, Work Rural: The Potential for Advanced Fellowships in Addressing Rural VA Healthcare Workforce Shortages
Explores the potential of professional training programs to increase recruitment and retention of the healthcare workforce in rural Veterans Health Administration (VHA) facilities. Bases findings on a survey of current VHA fellowships on whether they would be applicable to rural areas. Breaks down data by fellowship program, rurality of program site, and demographics of participating fellows.
Author(s): Kathleen L. Carluzzo, Linda M. Kinney, Bradley V. Watts, Karen E. Schifferdecker
Citation: Journal of Rural Health, 42(3), e70188
Date: 07/2026
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