Rural Health
Resources by Topic: Hospitals
Financial Challenges of Providing Obstetric Services at Rural US Hospitals
Presents a study on the financial challenges faced by rural hospitals operating obstetric units. Bases findings on survey data from hospital administrators detailing financial factors such as payer mix, fixed costs, and workforce, among other measures.
Author(s): C.E. Busse, K. O'Hanlon, K.B. Kozhimannil, J.D. Interrante
Citation: Journal of Rural Health, 41(4), e70082
Date: 10/2025
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Presents a study on the financial challenges faced by rural hospitals operating obstetric units. Bases findings on survey data from hospital administrators detailing financial factors such as payer mix, fixed costs, and workforce, among other measures.
Author(s): C.E. Busse, K. O'Hanlon, K.B. Kozhimannil, J.D. Interrante
Citation: Journal of Rural Health, 41(4), e70082
Date: 10/2025
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Application of MODIFI to the Adaptation of a Complex, Multilevel Intervention to Enhance Access to High-Quality Cancer Services in Rural Cancer Hospitals
Examines the process of applying the University of Kentucky Markey Cancer Center Affiliate Network (MCCAN) intervention, aimed at establishing high quality cancer care, to a rural hospital context in Iowa. Discusses the process of adapting MCCAN using the Making Optimal Decisions for Intervention Flexibility (MODIFI) approach and related modifications to the intervention.
Author(s): Mary C. Schroeder, Sarah A. Birken, Ingrid M. Lizarraga, et al.
Citation: Implementation Science Communications, 6, 105
Date: 10/2025
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Examines the process of applying the University of Kentucky Markey Cancer Center Affiliate Network (MCCAN) intervention, aimed at establishing high quality cancer care, to a rural hospital context in Iowa. Discusses the process of adapting MCCAN using the Making Optimal Decisions for Intervention Flexibility (MODIFI) approach and related modifications to the intervention.
Author(s): Mary C. Schroeder, Sarah A. Birken, Ingrid M. Lizarraga, et al.
Citation: Implementation Science Communications, 6, 105
Date: 10/2025
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The New Rural Emergency Hospital Designation Program: Will It Improve Access to Care for Rural Americans?
Discusses rural hospital closures and the potential impact of the Rural Emergency Hospital (REH) designation. Provides U.S. maps showing Medicaid Expansion states and rural hospital closures as well as data specific to REHs in Texas.
Author(s): Suzanne B. Daly, Wei You, Elizabeth I. Merwin
Citation: Journal of Rural Health, 41(4)
Date: 10/2025
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Discusses rural hospital closures and the potential impact of the Rural Emergency Hospital (REH) designation. Provides U.S. maps showing Medicaid Expansion states and rural hospital closures as well as data specific to REHs in Texas.
Author(s): Suzanne B. Daly, Wei You, Elizabeth I. Merwin
Citation: Journal of Rural Health, 41(4)
Date: 10/2025
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How States Can Boost Behavioral Health Services in Rural Communities
Explores ways state officials can utilize federal funds to increase mental health and substance use treatment for rural communities. Highlights strategies for increasing access to behavioral health services in rural communities that can be funded through the Rural Health Transformation (RHT) Program.
Author(s): Alexandra Duncan, Kristen Mizzi Angelone
Date: 10/2025
Sponsoring organization: Pew Research Center
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Explores ways state officials can utilize federal funds to increase mental health and substance use treatment for rural communities. Highlights strategies for increasing access to behavioral health services in rural communities that can be funded through the Rural Health Transformation (RHT) Program.
Author(s): Alexandra Duncan, Kristen Mizzi Angelone
Date: 10/2025
Sponsoring organization: Pew Research Center
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Pennsylvania Common Procedures Report 2024
Provides information about the performance and utilization of Pennsylvania hospitals and ambulatory surgery centers for spinal fusion, total hip replacement, and total knee replacement, using data from October 2023 through September 2024. Includes hospitalization rates for each procedure by urban and rural areas, among other breakdowns.
Additional links: Summary and Highlights
Date: 10/2025
Sponsoring organization: Pennsylvania Health Care Cost Containment Council
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Provides information about the performance and utilization of Pennsylvania hospitals and ambulatory surgery centers for spinal fusion, total hip replacement, and total knee replacement, using data from October 2023 through September 2024. Includes hospitalization rates for each procedure by urban and rural areas, among other breakdowns.
Additional links: Summary and Highlights
Date: 10/2025
Sponsoring organization: Pennsylvania Health Care Cost Containment Council
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Georgia Counties Offering CON-Authorized Obstetrical (OB) Services
County-level map showing the location of obstetrical (OB) services authorized by Georgia's Certificate of Need (CON) program. Features shadings showing rural and urban counties with OB facilities, and counties containing Critical Access Hospitals with OB facilities.
Date: 09/2025
Sponsoring organization: Georgia State Office of Rural Health
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County-level map showing the location of obstetrical (OB) services authorized by Georgia's Certificate of Need (CON) program. Features shadings showing rural and urban counties with OB facilities, and counties containing Critical Access Hospitals with OB facilities.
Date: 09/2025
Sponsoring organization: Georgia State Office of Rural Health
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Rural/Urban Disparities in the Availability of Diabetes Prevention Programs in US Hospitals
Examines access to Diabetes Prevention Programs (DPPs) by geographic and socioeconomic variables. Analyzes DPPs in 3,204 general medical hospitals according to sociodemographic variables such as food environment, insurance rates, income, and more, as well as hospital characteristics, such as ownership type, geographic region, and county location of metro, micro, or noncore.
Author(s): Allyson Hughes, Shyamkumar Sriram, Berkeley Franz, Cory Cronin
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Examines access to Diabetes Prevention Programs (DPPs) by geographic and socioeconomic variables. Analyzes DPPs in 3,204 general medical hospitals according to sociodemographic variables such as food environment, insurance rates, income, and more, as well as hospital characteristics, such as ownership type, geographic region, and county location of metro, micro, or noncore.
Author(s): Allyson Hughes, Shyamkumar Sriram, Berkeley Franz, Cory Cronin
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Creation of a Telehealth Addiction Consultation Service at a Rural Hospital: A Case Study
Details the implementation and evaluation of the Community Addiction Consult (CAC) service, which facilitated medications for opioid use disorder (MOUD) treatment and provided other supports for hospital-based addiction care via telehealth consultations by community, non-hospital clinicians in rural Massachusetts. Highlights the significance of the CAC model as a support for improving access to hospital-based substance use disorder treatment in rural areas.
Author(s): Rachel Katz, Tiarra Fisher, Talia Singer-Clark, et al.
Citation: Addiction Science & Clinical Practice, 20, 76
Date: 09/2025
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Details the implementation and evaluation of the Community Addiction Consult (CAC) service, which facilitated medications for opioid use disorder (MOUD) treatment and provided other supports for hospital-based addiction care via telehealth consultations by community, non-hospital clinicians in rural Massachusetts. Highlights the significance of the CAC model as a support for improving access to hospital-based substance use disorder treatment in rural areas.
Author(s): Rachel Katz, Tiarra Fisher, Talia Singer-Clark, et al.
Citation: Addiction Science & Clinical Practice, 20, 76
Date: 09/2025
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Comparing Guillain-Barré Syndrome Outcomes Between Rural and Urban Hospitals in the United States: A Retrospective Cohort Study
Examines the impact of rural versus urban location on patient outcomes for Guillain-Barré Syndrome-related hospitalizations, utilizing 2021 National Inpatient Sample data. Provides data on patient outcomes including mortality, length of stay, complications, and discharge disposition. Highlights differences in clinical factors and patient demographics influencing care in rural and urban settings.
Author(s): Anudeep Surendranath, Rahul Damani, Anushareddy Muddasani, Anupam Kumar Gupta
Citation: PLoS One, 20(9), e0333403
Date: 09/2025
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Examines the impact of rural versus urban location on patient outcomes for Guillain-Barré Syndrome-related hospitalizations, utilizing 2021 National Inpatient Sample data. Provides data on patient outcomes including mortality, length of stay, complications, and discharge disposition. Highlights differences in clinical factors and patient demographics influencing care in rural and urban settings.
Author(s): Anudeep Surendranath, Rahul Damani, Anushareddy Muddasani, Anupam Kumar Gupta
Citation: PLoS One, 20(9), e0333403
Date: 09/2025
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Maternal Health in Utah: Risk Factors, Workforce Gaps, and Access to Care
Describes the state of maternal healthcare in Utah including outcomes, mortality, risk factors, health status, access to hospitals, and workforce shortages. Offers county-level data and discusses rural throughout.
Author(s): Melanie Beagley
Date: 09/2025
Sponsoring organizations: Kem C. Gardner Policy Institute, Utah Department of Health and Human Services, Utah Office of Primary Care and Rural Health
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Describes the state of maternal healthcare in Utah including outcomes, mortality, risk factors, health status, access to hospitals, and workforce shortages. Offers county-level data and discusses rural throughout.
Author(s): Melanie Beagley
Date: 09/2025
Sponsoring organizations: Kem C. Gardner Policy Institute, Utah Department of Health and Human Services, Utah Office of Primary Care and Rural Health
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