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Rural Health
Resources by Topic: Healthcare needs and services

Associations Between Rural Hospital Closures and Acute and Post-Acute Care Access and Outcomes
Examines the impact of rural hospital closures on hospital and post-acute care (PAC) use and outcomes. Analyzes 32 rural hospital closures and county-level impacts on travel distances, lengths of stay at hospitals, hospital charges, PAC episodes, fall injuries and related mortality and hospitalizations, and population-level hospitalization and death rates. Includes descriptive statistics of 2014-2018 rural hospital closure status.
Author(s): Geoffrey J. Hoffman, Jinkyung Ha, Zhaohui Fan, Jun Li
Citation: Health Services Research, 60(3), e14426
Date: 06/2025
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North Carolina Primary Care - Health Professional Shortage Areas (HPSA)
County-level map of Primary Care Health Professional Shortage Areas (HPSAs) in North Carolina, with shadings showing ranges of HPSA scores.
Date: 06/2025
Sponsoring organization: North Carolina Office of Rural Health
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North Carolina Health Professional Shortage Area: 2024 Profile
Fact sheet on Health Professional Shortage Areas (HPSAs) in North Carolina, covering primary, mental health, and dental HPSAs. Includes county-level maps showing population and geographic HPSA score ranges, and indicates counties that contain at least one HPSA facility.
Date: 06/2025
Sponsoring organization: North Carolina Office of Rural Health
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Iowa Community Health Centers and Value-Based Care
Describes how Iowa Primary Care Association (Iowa PCA) and two sister organizations, IowaHealth+ and INConcertCare, pursued value-based care opportunities before joining the Medicare Shared Savings Program. Discusses the network's Medicaid value-based care contract; a partnership with Main Street Health to expand value-based contracting and provide more comprehensive, integrated primary care to patients with Medicare Advantage; data analytics; strategic planning and roadmaps; and next steps.
Date: 06/2025
Sponsoring organization: Rural Health Value
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Health Care Vacancies and Turnover in Kansas
Provides data and trends of the Kansas healthcare workforce, including information on vacancies and turnover, data on nursing supply, hospital financial trends, projected job openings, and primary care physician Health Professional Shortage Areas (HPSAs) by county.
Date: 06/2025
Sponsoring organization: Kansas Hospital Association
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Differences in COVID-19 Testing Perceptions among Caregivers of Children with Medical Complexity by Rurality
Examines how COVID-19 testing access, intent to test, and related perceptions among caregivers of children with one or more complex chronic conditions surveyed between April and June 2022.
Author(s): Kristina Devi Singh-Verdeflor, Michelle M. Kelly, Gregory P. DeMuri, et al.
Citation: PLOS ONE, 20(5), e0323651
Date: 05/2025
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Care Packages to Promote Universal Suicide Prevention for Remote Alaska Native Communities: What Worked?
Presents a study on the efficacy of a suicide prevention intervention aimed at teens in remote Alaska Native communities. Details the distribution of mental health and safety promotion care packages sent to participants through the mail and highlights the results of a survey of participants on the perceived success of the intervention.
Author(s): Joshua Kennedy, Lisa Wexler, Tara Schmidt, et al.
Citation: Journal of Rural Health, 41(2), e70032
Date: 05/2025
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2025 Minnesota Adolescent Sexual Health Report
Highlights the rates of pregnancies and births among Minnesota adolescents from 1990-2023 and sexually transmitted infections from 2010-2024. Features sections on variations across demographic groups, adolescent sexual health, and geographic disparities between the Twin Cities metro area and greater Minnesota, including a county-level map showing counties with the highest birth, chlamydia, and gonorrhea rates among adolescents.
Author(s): J. Farris, A. Ivers, K. Beckman
Date: 05/2025
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Pain in the Nation 2025: The Epidemics of Alcohol, Drug, and Suicide Deaths
Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on polysubstance use and drug overdose issues. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Date: 05/2025
Sponsoring organization: Trust for America's Health
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Identifying Risk Factors for Adverse Lung Health Outcomes among Rural Appalachian Women
Examines risk factors related to lung function in Appalachian women. Utilizes 2015-2017 patient data from 2 Kentucky counties to analyze normal, restrictive, or obstructive lung function, with further data breakdowns according to demographic/social, behavioral, and health characteristics.
Author(s): Jessica R. Thompson, Courtney J. Walker, John C. Flunker, et al.
Citation: Journal of Rural Health, 41(2)
Date: 05/2025
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