Rural Health
Resources by Topic: Hospitals
Washington's Health Workforce Sentinel Network Findings Brief: Small Hospitals
Describes reasons for long vacancies, high turnover, and retention problems at Washington hospitals with 25 beds or fewer. Examines problems such as lack of child care and housing, and workplace violence. Mentions rural throughout.
Date: 2025
Sponsoring organizations: The Health Workforce Sentinel Network, UW Center for Health Workforce Studies
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Describes reasons for long vacancies, high turnover, and retention problems at Washington hospitals with 25 beds or fewer. Examines problems such as lack of child care and housing, and workplace violence. Mentions rural throughout.
Date: 2025
Sponsoring organizations: The Health Workforce Sentinel Network, UW Center for Health Workforce Studies
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Cumulative Disadvantages in Nursing Home COVID-19 Infections and Deaths: Implications of Ownership Status and Location
Explores how nursing home characteristics are related to different health outcomes and susceptibility to momentary threats in the environment, such as nursing home and community COVID-19 infection rates and staffing shortages. Compares nursing home COVID-19 infection and mortality rates by facilities' profit status and rural versus urban location.
Author(s): Sungjae Hong, Shannon T. Mejia
Citation: Archives of Gerontology and Geriatrics, 137, 105918
Date: 2025
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Explores how nursing home characteristics are related to different health outcomes and susceptibility to momentary threats in the environment, such as nursing home and community COVID-19 infection rates and staffing shortages. Compares nursing home COVID-19 infection and mortality rates by facilities' profit status and rural versus urban location.
Author(s): Sungjae Hong, Shannon T. Mejia
Citation: Archives of Gerontology and Geriatrics, 137, 105918
Date: 2025
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Comparing Magnetic Resonance Imaging and Computed Tomography Machine Accessibility Among Urban and Rural County Hospitals in Wisconsin
Examines radiologic services in hospitals and disparities in access to magnetic resonance imaging (MRI) and computed tomography (CT) machines in rural versus urban Wisconsin hospitals. Provides data on rural and urban counties in Wisconsin, including population, county square miles, available MRI and CT machines, and person to MRI/CT ratios. Includes maps showing county-level access to radiologic services as well as comparisons across Wisconsin's rural and urban counties, all Wisconsin counties, and all U.S. counties.
Author(s): Benjamin Burdorf, William MacDonald, Pravallika Kesarla, Samantha Burdorf
Citation: Wisconsin Medical Journal, 124(3), 243-248
Date: 2025
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Examines radiologic services in hospitals and disparities in access to magnetic resonance imaging (MRI) and computed tomography (CT) machines in rural versus urban Wisconsin hospitals. Provides data on rural and urban counties in Wisconsin, including population, county square miles, available MRI and CT machines, and person to MRI/CT ratios. Includes maps showing county-level access to radiologic services as well as comparisons across Wisconsin's rural and urban counties, all Wisconsin counties, and all U.S. counties.
Author(s): Benjamin Burdorf, William MacDonald, Pravallika Kesarla, Samantha Burdorf
Citation: Wisconsin Medical Journal, 124(3), 243-248
Date: 2025
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The University of Arizona Center for Rural Health Annual Report FY 2024-2025
Highlights the Center for Rural Health's past-year accomplishments, and describes challenges and opportunities for improving the health of rural Arizonans in the upcoming year. Discusses the State Office of Rural Health, Arizona Health Improvement Plan (AzHIP), Arizona Rural Hospital Flexibility program (AzFLEX), Arizona Small Rural Hospital Improvement Program (AzSHIP), and other programs. Includes a map of rural and safety net health facilities.
Date: 2025
Sponsoring organization: Arizona Center for Rural Health
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Highlights the Center for Rural Health's past-year accomplishments, and describes challenges and opportunities for improving the health of rural Arizonans in the upcoming year. Discusses the State Office of Rural Health, Arizona Health Improvement Plan (AzHIP), Arizona Rural Hospital Flexibility program (AzFLEX), Arizona Small Rural Hospital Improvement Program (AzSHIP), and other programs. Includes a map of rural and safety net health facilities.
Date: 2025
Sponsoring organization: Arizona Center for Rural Health
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U.S. Hospital List (2024)
Excel file providing a comprehensive list of urban and rural U.S. hospitals that were reported open as of January 1, 2024. Includes 4,497 acute care hospitals and 1,457 specialty hospitals.
Date: 2025
Sponsoring organization: North Carolina Rural Health Research Program
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Excel file providing a comprehensive list of urban and rural U.S. hospitals that were reported open as of January 1, 2024. Includes 4,497 acute care hospitals and 1,457 specialty hospitals.
Date: 2025
Sponsoring organization: North Carolina Rural Health Research Program
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An Updated Model of Rural Hospital Financial Distress
Discusses a potential model to predict financial distress in rural hospitals, including negative cash flow margin, negative equity, or closure of facility. Tests 2,311 rural hospitals from 2013 to 2019 with the model and discusses its potential to predict financial distress and create accurate assessments.
Author(s): Tyler L. Malone, George H. Pink, George M. Holmes
Citation: Journal of Rural Health, 41(2)
Date: 2025
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Discusses a potential model to predict financial distress in rural hospitals, including negative cash flow margin, negative equity, or closure of facility. Tests 2,311 rural hospitals from 2013 to 2019 with the model and discusses its potential to predict financial distress and create accurate assessments.
Author(s): Tyler L. Malone, George H. Pink, George M. Holmes
Citation: Journal of Rural Health, 41(2)
Date: 2025
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Rural Hospitals: Community Cornerstones Facing Perilous Threats to Care
Infographic presenting data regarding the importance of rural hospitals to their communities. Includes information on workforce and financial challenges experienced by rural hospitals, as well as the impact of hospital closures on access to care. Provides recommendations on actions to support rural hospitals and communities.
Date: 2025
Sponsoring organization: American Hospital Association
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Infographic presenting data regarding the importance of rural hospitals to their communities. Includes information on workforce and financial challenges experienced by rural hospitals, as well as the impact of hospital closures on access to care. Provides recommendations on actions to support rural hospitals and communities.
Date: 2025
Sponsoring organization: American Hospital Association
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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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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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Obstetric Care Access at Rural and Urban Hospitals in the United States
Offers data showing losses and gains of obstetric care for 4,964 short-term acute care hospitals between 2010 and 2022. Offers comparisons of rural and urban hospitals.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Caitlin Carroll, et al.
Date: 12/2024
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Offers data showing losses and gains of obstetric care for 4,964 short-term acute care hospitals between 2010 and 2022. Offers comparisons of rural and urban hospitals.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Caitlin Carroll, et al.
Date: 12/2024
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Texas Medicaid and CHIP Reference Guide: Fifteenth Edition
Reference guide for aspects of Texas's Medicaid and Children's Health Insurance Program (CHIP) programs, including caseload and costs, eligibility and enrollment, available services, program administration, and quality of care. Features information on rural-specific policies for reimbursement, time and distance standards, the Rural Access to Primary Care and Preventive Services Program, rural hospitals, Rural Health Clinics (RHCs), and Federally Qualified Health Centers (FQHCs).
Date: 12/2024
Sponsoring organization: Texas Health and Human Services
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Reference guide for aspects of Texas's Medicaid and Children's Health Insurance Program (CHIP) programs, including caseload and costs, eligibility and enrollment, available services, program administration, and quality of care. Features information on rural-specific policies for reimbursement, time and distance standards, the Rural Access to Primary Care and Preventive Services Program, rural hospitals, Rural Health Clinics (RHCs), and Federally Qualified Health Centers (FQHCs).
Date: 12/2024
Sponsoring organization: Texas Health and Human Services
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