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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Home Health Utilization in the Veterans Health Administration: Are there Rural and Urban Differences?
Examines home health usage and access among veterans in rural and urban areas. Utilizes 2019-2021 Veterans Health Administration (VA) data to analyze rural versus urban home health use, with data broken down by patient sociodemographic variables as well as number of visits.
Author(s): Heather Davila, Bradely Mayfield, Michelle A. Mengeling, et al.
Citation: Journal of Rural Health, 41(1), e12865
Date: 2025
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Associations Between COVID-19 Therapies and Outcomes in Rural and Urban America: A Multisite, Temporal Analysis from the Alpha to Omicron SARS-CoV-2 Variants
Examines COVID-19 treatment, health outcomes, and mortality disparities in rural and urban areas of the United States. Analyzes 2021-2023 National COVID Cohort Collaborative (N3C) data from 3,018,646 patients to break down COVID-19 disparities according to patient demographics, vaccine status, comorbidities, U.S. Census region, and adverse inpatient events, as well as urban, urban-adjacent, or nonurban-adjacent location.
Author(s): A. Jerrod Anzalone, William H. Beasley, Kimberly Murray, et al.
Citation: Journal of Rural Health, 41(1), e12857
Date: 2025
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Trends in and Factors Associated with Family Physician-Performed Screening Colonoscopies in the United States: 2016-2021
Examines factors and trends related to family physician (FP)-performed colonoscopy screenings. Analyzes 2016-2021 insurance claims data from 2,943,900 qualified colonoscopies, with data breakdowns according to patient demographics, accrued charges, region, and urban-rural classification, including large central metro, large fringe metro, medium metro, small metro, micropolitan, and noncore. Discusses the impact of FP-performed colonoscopy screenings for certain populations, including rural.
Author(s): Nicholas Edwardson, David van der Goes, V. Shane Pankratz, et al.
Citation: Journal of Rural Health, 41(1)
Date: 2025
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Provider-to-Provider Telemedicine for Sepsis Is Used Less Frequently in Communities with High Social Vulnerability
Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health, 41(1), e12861
Date: 2025
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Roadmap to Strong Rural Health Care
Provides information on sustaining rural hospitals and clinics, growing the rural healthcare workforce in Nebraska, improving long-term care, improving rural well-being and mental health, supporting rural mothers, addressing the social determinants of health, and preserving emergency medical services, among other topics related to rural healthcare in Nebraska.
Date: 2025
Sponsoring organizations: Nebraska Hospital Association, Nebraska Rural Health Association
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Fiscal Year 2024: Illinois Suicide Prevention Report
Provides information on the Illinois suicide prevention strategy. Focuses on data, COVID-19 impacts, and the history, purpose, and activities of the Illinois Suicide Prevention Alliance. Includes data on suicide mortality by urbanicity, age, and county.
Date: 12/2024
Sponsoring organization: Illinois Suicide Prevention Alliance
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Morbidity and Mortality Related to Intimate Partner Violence in the Perinatal Period
Policy brief discussing intimate partner violence (IPV) during the perinatal period, including IPV and IPV screening disparities in rural areas. Offers policy recommendations to address IPV experienced by perinatal people living in rural areas, focusing on prevention, screening, and resources for survivors.
Author(s): Susie Gurzenda, Casey P. Balio, Megan Weis
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Rural Independent Pharmacies Sustainability Strategy
Policy brief discussing unique challenges that threaten the stability of rural independent pharmacies. Offers policy recommendations to support rural independent pharmacies.
Author(s): Sagar Dugani, Vistrit Choudhary, Brian G. Williams
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Strategies for Promoting Well-Being Across the Workplace Lifecycle: Case Studies from Rural Community Health Centers, Part 1
A recorded webinar that discusses staff well-being in rural Community Health Centers, with a focus on best practices related to staff recruitment, hiring strategies, and engagement. Includes information on social isolation and loneliness, work-life balance, and social and family needs of healthcare staff in rural areas. Transcript available below description.
Additional links: Rural Recruitment Best Practices
Date: 12/2024
Sponsoring organization: Association of Clinicians for the Underserved
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Closing the Distance: A Qualitative Study to Identify Equitable Innovations for Rural Thyroid Cancer Treatment
Examines differences in thyroid cancer care between rural and urban communities. Utilizes interview feedback from rural surgeons from various states that cover issues such as training, access to medical specialties, telemedicine opportunities, and collaboration with colleagues.
Author(s): Hattie H. Huston-Paterson, Yifan V. Mao, Elena G. Hughes, et al.
Citation: The American Surgeon, 91(4)
Date: 12/2024
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