Rural Health
Resources by Topic: Healthcare needs and services
The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Significant Mediation by Sadness and Self-Injury Is Observed in Associations Between County-Level Cyberbullying Victimization and Youth Suicidality in Rural New York State
Explores the relationship between cyberbullying, traditional bullying, and suicidality in rural counties in New York State. Highlights rates of bullying and cyberbullying, self-harm, recreational screen time, and other measures by demographic characteristic data.
Author(s): Laura E. Jones, Riya Nadkarni, Nicole Krupa
Citation: Journal of Affective Disorders, 401(15), 121270
Date: 05/2026
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Explores the relationship between cyberbullying, traditional bullying, and suicidality in rural counties in New York State. Highlights rates of bullying and cyberbullying, self-harm, recreational screen time, and other measures by demographic characteristic data.
Author(s): Laura E. Jones, Riya Nadkarni, Nicole Krupa
Citation: Journal of Affective Disorders, 401(15), 121270
Date: 05/2026
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Prenatal Vitamin D Levels and Postpartum Hemorrhage in a Rural Alaska Cohort
Examines the relationship between vitamin D levels during pregnancy and postpartum bleeding in a rural, Alaska Native/American Indian (AN/AI) population living in southwestern Alaska. Utilizes 2017-2019 data from 1,343 pregnancies to analyze levels of blood loss according to labor and delivery factors, obstetrics history, and pregnancy characteristics. Discusses strategies such as vitamin D supplementation and universal screening to address population health needs.
Author(s): Reinou S. Groen, Julie A. Beans, Gretchen Day, et al.
Citation: International Journal of Gynecology & Obstetrics, 173(1), 403-410
Date: 04/2026
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Examines the relationship between vitamin D levels during pregnancy and postpartum bleeding in a rural, Alaska Native/American Indian (AN/AI) population living in southwestern Alaska. Utilizes 2017-2019 data from 1,343 pregnancies to analyze levels of blood loss according to labor and delivery factors, obstetrics history, and pregnancy characteristics. Discusses strategies such as vitamin D supplementation and universal screening to address population health needs.
Author(s): Reinou S. Groen, Julie A. Beans, Gretchen Day, et al.
Citation: International Journal of Gynecology & Obstetrics, 173(1), 403-410
Date: 04/2026
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Can a Participant-Referred "Study Buddy" Increase Retention of Rural People Who Use Drugs in Research? A Multi-Site, Randomized Trial
Presents a study exploring the efficacy of an intervention aiming to increase retention of rural people who use drugs (PWUD) participating in randomized trials. Highlights an intervention involving participant recruitment of a support person, or "study buddy", to aid in the their continued participation in the study. Compares the efficacy of this intervention with standard retention practices.
Author(s): April M. Young, Kathryn E. Lancaster, Miriam R. Elman, et al.
Citation: Addiction, 121(4), 894-907
Date: 04/2026
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Presents a study exploring the efficacy of an intervention aiming to increase retention of rural people who use drugs (PWUD) participating in randomized trials. Highlights an intervention involving participant recruitment of a support person, or "study buddy", to aid in the their continued participation in the study. Compares the efficacy of this intervention with standard retention practices.
Author(s): April M. Young, Kathryn E. Lancaster, Miriam R. Elman, et al.
Citation: Addiction, 121(4), 894-907
Date: 04/2026
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Resilience to Stigma in Medical, Social, and Employment Contexts among People Who Inject Drugs in Rural Ohio: Adapting the 10-Item Connor-Davidson Resilience Scale
Explores the role stigma related to drug use and HIV plays in the lives of people who inject drugs (PWID) and aims to build resilience in medical, social, and employment contexts for PWID in rural Appalachian Ohio. Presents results from a series of interviews and a qualitative survey placing participants on the Connor-Davidson Resilience Scale.
Author(s): Madison N. Enderle, Rebecca H. Neiberg, Stacy M. Endres-Dighe, et al.
Citation: AIDS and Behavior, 30, 894-906
Date: 03/2026
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Explores the role stigma related to drug use and HIV plays in the lives of people who inject drugs (PWID) and aims to build resilience in medical, social, and employment contexts for PWID in rural Appalachian Ohio. Presents results from a series of interviews and a qualitative survey placing participants on the Connor-Davidson Resilience Scale.
Author(s): Madison N. Enderle, Rebecca H. Neiberg, Stacy M. Endres-Dighe, et al.
Citation: AIDS and Behavior, 30, 894-906
Date: 03/2026
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MedPAC Report to the Congress: Medicare Payment Policy: Hospice Services: Chapter 10
Discusses payment adequacy for hospice and palliative support services. Includes data on average costs by day and aggregate margins by urban and rural status, as well as demographics on Medicare decedents who used hospice during 2010 and between 2019-2024. Compares the actual hospice utilization rates in micropolitan, rural adjacent, rural nonadjacent, and frontier areas to urban hospice utilization rates.
Date: 03/2026
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Discusses payment adequacy for hospice and palliative support services. Includes data on average costs by day and aggregate margins by urban and rural status, as well as demographics on Medicare decedents who used hospice during 2010 and between 2019-2024. Compares the actual hospice utilization rates in micropolitan, rural adjacent, rural nonadjacent, and frontier areas to urban hospice utilization rates.
Date: 03/2026
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Increasing Uptake of Diabetes Self-Management Education and Support (DSMES) in Rural Kentucky Primary Care Clinics: Findings From a Pilot Pragmatic Cluster-Randomized Trial
Provides findings from a quality improvement pilot study focused on increasing diabetes self-management education and support (DSMES) uptake via coaching and technical assistance in rural Kentucky primary care clinics.
Author(s): Mary E. Lacy, Jessica Elliott, Vance Drakeford, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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Provides findings from a quality improvement pilot study focused on increasing diabetes self-management education and support (DSMES) uptake via coaching and technical assistance in rural Kentucky primary care clinics.
Author(s): Mary E. Lacy, Jessica Elliott, Vance Drakeford, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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Report to Congress on Medicaid and CHIP, March 2026
Reports on four aspects of Medicaid of interest to Congress: 1) the home- and community-based services (HCBS) workforce, 2) behavioral health in Medicaid and the State Children's Health Insurance Program (CHIP), 3) Medicaid for justice-involved youth, and 4) Medicaid for children in foster care.
Date: 03/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on four aspects of Medicaid of interest to Congress: 1) the home- and community-based services (HCBS) workforce, 2) behavioral health in Medicaid and the State Children's Health Insurance Program (CHIP), 3) Medicaid for justice-involved youth, and 4) Medicaid for children in foster care.
Date: 03/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Comparing the Care and Distance Traveled by Rural and Urban Medicaid Beneficiaries With Opioid Use Disorder
Results of a study describing the treatment for rural and urban Medicaid beneficiaries with opioid use disorder in 2019. Features demographics and statistics on number of visits and travel time and distance, with breakdowns by 5 levels of population density.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, Janessa M. Graves
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Results of a study describing the treatment for rural and urban Medicaid beneficiaries with opioid use disorder in 2019. Features demographics and statistics on number of visits and travel time and distance, with breakdowns by 5 levels of population density.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, Janessa M. Graves
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Barriers to Implementing a Pharmacist-Led COPD CARE Bundle in Rural Settings: A Qualitative Evaluation
Examines barriers to implementing the COPD Coordinated Access to Reduce Exacerbations (COPD CARE) program, a care bundle focused on improving chronic obstructive pulmonary disease care coordination among pharmacists, nurse care managers, and other pharmacy clinicians in the Veterans Affairs system. Describes themes from clinician interviews, including discussion of staffing challenges, limited referral availability, fragmentation of care, technological limitations, and more.
Author(s): Edward Christopher Portillo, Martha Maurer, Steven Do, et al.
Citation: BMJ Open Respiratory Research, 13, e003178
Date: 03/2026
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Examines barriers to implementing the COPD Coordinated Access to Reduce Exacerbations (COPD CARE) program, a care bundle focused on improving chronic obstructive pulmonary disease care coordination among pharmacists, nurse care managers, and other pharmacy clinicians in the Veterans Affairs system. Describes themes from clinician interviews, including discussion of staffing challenges, limited referral availability, fragmentation of care, technological limitations, and more.
Author(s): Edward Christopher Portillo, Martha Maurer, Steven Do, et al.
Citation: BMJ Open Respiratory Research, 13, e003178
Date: 03/2026
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