Rural Health
Resources by Topic: Healthcare needs and services
Assessment of Mental and Physical Health Outcomes over Time in an Integrated Care Setting
Examines the impact of an integrated care setting in rural Louisiana for patients with mental health challenges. Utilizes data from 239 integrated care patients and analyzes various physical health indicators and mental health outcomes.
Author(s): Dependra Bhatta, Monteic A. Sizer, Binod Acharya, Dipendra Banjara
Citation: BMC Primary Care, 26, 181
Date: 05/2025
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Examines the impact of an integrated care setting in rural Louisiana for patients with mental health challenges. Utilizes data from 239 integrated care patients and analyzes various physical health indicators and mental health outcomes.
Author(s): Dependra Bhatta, Monteic A. Sizer, Binod Acharya, Dipendra Banjara
Citation: BMC Primary Care, 26, 181
Date: 05/2025
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Wait Times for Medical Appointments among Adults Age 50 and Older
Reports on wait times and distance to healthcare services in rural and urban communities, utilizing data from a February 2025 survey of 1,012 adults age 50 or older. Breaks down data by level of rurality, type of facility, and type of care provided.
Additional links: Annotated Questionnaire
Author(s): Teresa A. Keenan
Date: 05/2025
Sponsoring organization: AARP
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Reports on wait times and distance to healthcare services in rural and urban communities, utilizing data from a February 2025 survey of 1,012 adults age 50 or older. Breaks down data by level of rurality, type of facility, and type of care provided.
Additional links: Annotated Questionnaire
Author(s): Teresa A. Keenan
Date: 05/2025
Sponsoring organization: AARP
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Barriers and Facilitators to Implementing a Technology-Enhanced Psychiatric Collaborative Care Model among Rural Primary Care Sites: A Mixed-Methods Implementation Case Study
Examines the process of implementing a telehealth psychiatric collaborative care management (CoCM) model in rural South Carolina clinics. Utilizes mixed-methods data to examine workflow development, telehealth platform configuration, provider teams, implementation assessment, and more.
Author(s): Ryan Kruis, Emily Johnson, Constance Guille, et al.
Citation: BMC Primary Care, 26, 177
Date: 05/2025
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Examines the process of implementing a telehealth psychiatric collaborative care management (CoCM) model in rural South Carolina clinics. Utilizes mixed-methods data to examine workflow development, telehealth platform configuration, provider teams, implementation assessment, and more.
Author(s): Ryan Kruis, Emily Johnson, Constance Guille, et al.
Citation: BMC Primary Care, 26, 177
Date: 05/2025
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Geographic and Sociodemographic Factors and Receipt of Metabolic Disease Specialty Care
Examines geographic and sociodemographic factors that impact access to specialty metabolic care in rural areas. Utilizes data from 9,546 adults with chronic health conditions in Pennsylvania and provides data on receipt of endocrinology and cardiology care according to patient demographics, neighborhood characteristics, and location of urban, large rural town, or small rural town. Includes maps showing driving distance to care centers.
Author(s): Margaret F. Zupa, Scott D. Rothenberger, Jessica G. Bauer, et al.
Citation: JAMA Network Open, 8(5)
Date: 05/2025
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Examines geographic and sociodemographic factors that impact access to specialty metabolic care in rural areas. Utilizes data from 9,546 adults with chronic health conditions in Pennsylvania and provides data on receipt of endocrinology and cardiology care according to patient demographics, neighborhood characteristics, and location of urban, large rural town, or small rural town. Includes maps showing driving distance to care centers.
Author(s): Margaret F. Zupa, Scott D. Rothenberger, Jessica G. Bauer, et al.
Citation: JAMA Network Open, 8(5)
Date: 05/2025
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Community Health Centers: Leading Innovation in Health Care
Presents graphs, charts, and data highlighting services provided by Community Health Centers, characteristics of the patients served, and progress made in improving access to healthcare. Reports on health centers' historical growth and recent trends, financial health, healthcare screening and disease prevention, management of chronic diseases, maternal and child health, workforce and service utilization, health information technology, and more. Includes urban-rural comparisons and maps with data by state throughout.
Author(s): Sarah Hurlbert, Mahima Singeetham, Amy Flowers
Date: 05/2025
Sponsoring organization: National Association of Community Health Centers
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Presents graphs, charts, and data highlighting services provided by Community Health Centers, characteristics of the patients served, and progress made in improving access to healthcare. Reports on health centers' historical growth and recent trends, financial health, healthcare screening and disease prevention, management of chronic diseases, maternal and child health, workforce and service utilization, health information technology, and more. Includes urban-rural comparisons and maps with data by state throughout.
Author(s): Sarah Hurlbert, Mahima Singeetham, Amy Flowers
Date: 05/2025
Sponsoring organization: National Association of Community Health Centers
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The Protective Role of Community Cohesion Across Rural and Urban Contexts: Implications for Youth Mental Health
Examines the impact of community cohesion on youth resilience during adverse experiences and socioeconomic issues. Utilizes longitudinal data from the Adolescent Brain Cognitive Development (ABCD) Study and compares rural and urban youth across categories such as neighborhood characteristics, negative life events, community cohesion, and internalizing and externalizing mental health symptoms.
Author(s): Alexis Brieant, Keith B. Burt
Citation: Child and Adolescent Mental Health, 30(2), 140-148
Date: 05/2025
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Examines the impact of community cohesion on youth resilience during adverse experiences and socioeconomic issues. Utilizes longitudinal data from the Adolescent Brain Cognitive Development (ABCD) Study and compares rural and urban youth across categories such as neighborhood characteristics, negative life events, community cohesion, and internalizing and externalizing mental health symptoms.
Author(s): Alexis Brieant, Keith B. Burt
Citation: Child and Adolescent Mental Health, 30(2), 140-148
Date: 05/2025
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Characteristics and Trends of Critical Access Hospitals That Own or Operate Ambulance Services
Explores trends in the number of Critical Access Hospital (CAH)-based ambulance services between 2017 and 2022. Analyzes Medicare Cost Report data to compare the characteristics of of CAHs that own and operate ambulance services to CAHs that do not. Presents findings from interviews with eight CAH-based ambulance services regarding the challenges of operating these services, including workforce recruitment and retention issues, the role of partnerships and community involvement, and lessons learned.
Author(s): John Gale, Karen Pearson, Rebecca Stearns, Zachariah Croll
Date: 05/2025
Sponsoring organization: Flex Monitoring Team
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Explores trends in the number of Critical Access Hospital (CAH)-based ambulance services between 2017 and 2022. Analyzes Medicare Cost Report data to compare the characteristics of of CAHs that own and operate ambulance services to CAHs that do not. Presents findings from interviews with eight CAH-based ambulance services regarding the challenges of operating these services, including workforce recruitment and retention issues, the role of partnerships and community involvement, and lessons learned.
Author(s): John Gale, Karen Pearson, Rebecca Stearns, Zachariah Croll
Date: 05/2025
Sponsoring organization: Flex Monitoring Team
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Reflections of Rural Primary Care Physicians on the Impact of the COVID-19 Pandemic: A Qualitative Study
Describes the impact of the COVID-19 pandemic on rural primary care physicians' relationships with patients, other physicians, clinic staff, and their communities via interviews conducted between Oct 2022 and April 2023 with 12 Wisconsin physicians. Discusses elements including challenges in implementing new clinical practices, impacts of beliefs about the pandemic, strategies and coping mechanisms, and availability of staff and other resources.
Author(s): Mary F. Henningfield, Keelin McHugh, Sarina Schrager
Citation: BMC Primary Care, 26, 160
Date: 05/2025
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Describes the impact of the COVID-19 pandemic on rural primary care physicians' relationships with patients, other physicians, clinic staff, and their communities via interviews conducted between Oct 2022 and April 2023 with 12 Wisconsin physicians. Discusses elements including challenges in implementing new clinical practices, impacts of beliefs about the pandemic, strategies and coping mechanisms, and availability of staff and other resources.
Author(s): Mary F. Henningfield, Keelin McHugh, Sarina Schrager
Citation: BMC Primary Care, 26, 160
Date: 05/2025
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Nonfatal Injury Emergency Department Visits and Inpatient Hospitalizations Among Persons Under Age 65 With an Intellectual and Developmental Disability or Deaf or Hard of Hearing Disability
Analyzes disparities in emergency department and inpatient hospitalization among people with intellectual and developmental disabilities (IDD), people who are deaf or hard of hearing (DHH), and those without IDD or DHH. Utilizes Kentucky ED and inpatient discharge data from 2019 to 2023. Breaks down data by demographic category, including metropolitan or nonmetropolitan dwelling.
Author(s): Terry L. Bunn, Jacqueline Seals, Dana Quesinberry, Alaina Murphy, Julia F. Costich
Citation: Injury Epidemiology, 12, 27
Date: 05/2025
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Analyzes disparities in emergency department and inpatient hospitalization among people with intellectual and developmental disabilities (IDD), people who are deaf or hard of hearing (DHH), and those without IDD or DHH. Utilizes Kentucky ED and inpatient discharge data from 2019 to 2023. Breaks down data by demographic category, including metropolitan or nonmetropolitan dwelling.
Author(s): Terry L. Bunn, Jacqueline Seals, Dana Quesinberry, Alaina Murphy, Julia F. Costich
Citation: Injury Epidemiology, 12, 27
Date: 05/2025
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Evaluation of the Primary Care First Model: Third Annual Report
Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the PCF model implementation experiences for Cohort 1 and Cohort 2 practices through 2023. Explores the characteristics of practices and payers that continued to participate in the PCF model compared to those who left. Examines the role that the PCF Model's incentives and supports played in the strategies and practices adopted to improve care delivery and how the trajectory of these strategies and activities practices have transformed over time. Estimates the impact of the PCF Model on Medicare fee-for-service (FFS) expenditures and service use, including acute hospitalizations. Estimates the impacts of the model on a set of seven leading indicators to provide an early assessment of whether care delivery changes are resulting in meaningful early outcome changes.
Additional links: Executive Summary, Findings at a Glance
Date: 05/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the PCF model implementation experiences for Cohort 1 and Cohort 2 practices through 2023. Explores the characteristics of practices and payers that continued to participate in the PCF model compared to those who left. Examines the role that the PCF Model's incentives and supports played in the strategies and practices adopted to improve care delivery and how the trajectory of these strategies and activities practices have transformed over time. Estimates the impact of the PCF Model on Medicare fee-for-service (FFS) expenditures and service use, including acute hospitalizations. Estimates the impacts of the model on a set of seven leading indicators to provide an early assessment of whether care delivery changes are resulting in meaningful early outcome changes.
Additional links: Executive Summary, Findings at a Glance
Date: 05/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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