Rural Health
Resources by Topic: Healthcare needs and services
Development and Implementation of the Indian Health Service Expanded Function Dental Assistant-1 (EFDA-1) Occupation
Report describing the Expanded Function Dental Assistant-1 (EFDA-1) role within the Indian Health Service. Includes information about its implementation, its importance in rural and underserved areas, and its place in Washington's dental workforce and related career pathways.
Author(s): Natalia V. Oster, Grace A. Guenther, Paula M. Kett, Samantha W. Pollack, Susan M. Skillman
Date: 12/2025
Sponsoring organization: UW Center for Health Workforce Studies
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Report describing the Expanded Function Dental Assistant-1 (EFDA-1) role within the Indian Health Service. Includes information about its implementation, its importance in rural and underserved areas, and its place in Washington's dental workforce and related career pathways.
Author(s): Natalia V. Oster, Grace A. Guenther, Paula M. Kett, Samantha W. Pollack, Susan M. Skillman
Date: 12/2025
Sponsoring organization: UW Center for Health Workforce Studies
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Report on the Mental Health Program for Veterans for Fiscal Year 2025
Reports on the Texas Health and Human Service Commission (HHSC) and Texas Veterans Commission's (TVC) programs to ensure access to behavioral health services for service members, veterans, and their family members (SMVF) during fiscal year 2025 in Texas. Highlights the needs of rural SMVF throughout, and discusses services provided by the Rural Veteran Counselor (RVC) program.
Date: 12/2025
Sponsoring organization: Texas Health and Human Services
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Reports on the Texas Health and Human Service Commission (HHSC) and Texas Veterans Commission's (TVC) programs to ensure access to behavioral health services for service members, veterans, and their family members (SMVF) during fiscal year 2025 in Texas. Highlights the needs of rural SMVF throughout, and discusses services provided by the Rural Veteran Counselor (RVC) program.
Date: 12/2025
Sponsoring organization: Texas Health and Human Services
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Public Health Ethics and Stakeholder Engagement: Considerations and Practices for Local Health Departments
Toolkit providing strategies and resources on the use of stakeholder engagement to support public health ethics in local health departments. Includes action steps and case studies, as well as highlighting ethical considerations related to community engagement and collaboration. See PDF pages 12-14 for a case study on access to care in rural areas.
Date: 12/2025
Sponsoring organization: National Association of County and City Health Officials
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Toolkit providing strategies and resources on the use of stakeholder engagement to support public health ethics in local health departments. Includes action steps and case studies, as well as highlighting ethical considerations related to community engagement and collaboration. See PDF pages 12-14 for a case study on access to care in rural areas.
Date: 12/2025
Sponsoring organization: National Association of County and City Health Officials
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Maternal Syphilis in Mississippi, 2013 to 2023
Results of a study of maternal syphilis in Mississippi, using birth certificate data from 2013-2023. Features statistics with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): Manuela Staneva, Victoria Gholar, Thomas Dobbs
Citation: JAMA Network Open, 8(12), e2546787
Date: 12/2025
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Results of a study of maternal syphilis in Mississippi, using birth certificate data from 2013-2023. Features statistics with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): Manuela Staneva, Victoria Gholar, Thomas Dobbs
Citation: JAMA Network Open, 8(12), e2546787
Date: 12/2025
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Testing Oral Nicotine Pouches Versus Nicotine Replacement Therapy for Cigarette Harm Reduction in Appalachia: The ARISE Study Protocol
Study protocol for the Appalachian Research to Impact Smoking's Effects (ARISE) study, which will examine the provision of oral nicotine pouches versus nicotine replacement therapy among adult smokers living in rural Appalachian counties across 11 states.
Author(s): Amy Wermert, Theodore M. Brasky, Alison M. Newton, et al.
Citation: PLOS ONE, 20(12), e0338503
Date: 12/2025
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Study protocol for the Appalachian Research to Impact Smoking's Effects (ARISE) study, which will examine the provision of oral nicotine pouches versus nicotine replacement therapy among adult smokers living in rural Appalachian counties across 11 states.
Author(s): Amy Wermert, Theodore M. Brasky, Alison M. Newton, et al.
Citation: PLOS ONE, 20(12), e0338503
Date: 12/2025
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Use of Telehealth in Nonmetropolitan and Metropolitan Areas, United States 2021-2023
Statistical brief on differences in telehealth use in nonmetropolitan and metropolitan areas, utilizing 2021-2023 AHRQ Medical Expenditure Panel Survey Household Component (MEPS-HC) data. Breaks down rural and urban frequency of telehealth use by specialty, primary source of payment, and more.
Author(s): Sandra Decker
Date: 12/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Statistical brief on differences in telehealth use in nonmetropolitan and metropolitan areas, utilizing 2021-2023 AHRQ Medical Expenditure Panel Survey Household Component (MEPS-HC) data. Breaks down rural and urban frequency of telehealth use by specialty, primary source of payment, and more.
Author(s): Sandra Decker
Date: 12/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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State of the Primary Care Workforce, 2025
Offers data on the current state and projected estimates of the future supply of physicians, nurse practitioners, and physician assistants offering primary care. Includes demographics as well as current and projected shortages with comparison and metropolitan and nonmetropolitan projections. Discusses challenges impacting the workforce and the impact of primary care on population health. Includes state by state data on the primary care physician workforce.
Date: 12/2025
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
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Offers data on the current state and projected estimates of the future supply of physicians, nurse practitioners, and physician assistants offering primary care. Includes demographics as well as current and projected shortages with comparison and metropolitan and nonmetropolitan projections. Discusses challenges impacting the workforce and the impact of primary care on population health. Includes state by state data on the primary care physician workforce.
Date: 12/2025
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
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Maternal Chronic Disease Prevention in Rural America: A Life Course Perspective
Examines maternal chronic disease management in rural areas of the United States. Discusses social determinants of health and maternal health disparities specific to rural areas. Provides policy, public health surveillance, and community engagement approaches to address the rural maternal health crisis.
Author(s): Kobi V Ajayi, Emesomhi Eboreime, Alva Ferdinand, Ninfa Purcell, Robin Page
Citation: Journal of Primary Care & Community Health
Date: 12/2025
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Examines maternal chronic disease management in rural areas of the United States. Discusses social determinants of health and maternal health disparities specific to rural areas. Provides policy, public health surveillance, and community engagement approaches to address the rural maternal health crisis.
Author(s): Kobi V Ajayi, Emesomhi Eboreime, Alva Ferdinand, Ninfa Purcell, Robin Page
Citation: Journal of Primary Care & Community Health
Date: 12/2025
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State of the U.S. Maternal Health Workforce, 2025
Offers demographic and occupational data on the maternal health workforce. Data sources include various years between 2021 and 2023. Includes current and projected comparisons of the workforce with the female population of childbearing age. Table 4 includes distribution of maternal health physicians compared with the population of women of childbearing age for large metropolitan, medium metropolitan, small metropolitan, micropolitan, and noncore areas in 2023.
Date: 12/2025
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
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Offers demographic and occupational data on the maternal health workforce. Data sources include various years between 2021 and 2023. Includes current and projected comparisons of the workforce with the female population of childbearing age. Table 4 includes distribution of maternal health physicians compared with the population of women of childbearing age for large metropolitan, medium metropolitan, small metropolitan, micropolitan, and noncore areas in 2023.
Date: 12/2025
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
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2021-2024 NSDUH Data Brief: Trends in Substance Use among Young Adults
Report details the substance use trends for young adults from 2021 to 2024 based on the findings from the Nation Survey on Drug Use and Health. Identifies substance use patterns and breaks down data by age, substance used, and whether participants resided in a large or small metropolitan or nonmetro county.
Date: 12/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report details the substance use trends for young adults from 2021 to 2024 based on the findings from the Nation Survey on Drug Use and Health. Identifies substance use patterns and breaks down data by age, substance used, and whether participants resided in a large or small metropolitan or nonmetro county.
Date: 12/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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