Rural Health
Resources by Topic: Older adults
Arizona State Plan on Aging: Federal Fiscal Years 2027 and 2028
Provides a plan for the ways Arizona's Division of Aging and Adult Services (DAAS) will support independent, healthy, and dignified community-based aging during FY 2027 and 2028. Addresses rural and tribal areas throughout, discussing topics including access to healthcare, well-being and safety, the need to ensure sufficient funding for rural programs, collaboration and communication with tribal and rural populations, and more.
Date: 11/2026
Sponsoring organization: Arizona Department of Economic Security
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Provides a plan for the ways Arizona's Division of Aging and Adult Services (DAAS) will support independent, healthy, and dignified community-based aging during FY 2027 and 2028. Addresses rural and tribal areas throughout, discussing topics including access to healthcare, well-being and safety, the need to ensure sufficient funding for rural programs, collaboration and communication with tribal and rural populations, and more.
Date: 11/2026
Sponsoring organization: Arizona Department of Economic Security
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Rural-Urban Disparities in the Delivery and Intensity of the Medicare Hospice Benefit
Analyzes how receipt, duration, location, and frequency of hospice care vary by rural or urban dwelling among Medicare-enrolled decedents aged 66 years or older, using 2013-2022 Master Beneficiary Summary File (MBSF) data.
Author(s): Claire Ankuda, Ken Covinsky, Bocheng Jing, et al.
Citation: JAMA, 336(13), 1167-1169
Date: 10/2026
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Analyzes how receipt, duration, location, and frequency of hospice care vary by rural or urban dwelling among Medicare-enrolled decedents aged 66 years or older, using 2013-2022 Master Beneficiary Summary File (MBSF) data.
Author(s): Claire Ankuda, Ken Covinsky, Bocheng Jing, et al.
Citation: JAMA, 336(13), 1167-1169
Date: 10/2026
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County-Level Differences in Fee-for-Service Medicare Quality Measures by Rurality and Disability Status
Results of a study examining county-level differences in 3 fee-for-service (FFS) Medicare quality measures to address differences in quality of care by rurality and disability status. Features statistics on percent of FFS enrollees receiving flu vaccine and mammogram screening, and rate of hospital stays for ambulatory care-sensitive conditions, with breakdowns by rural and urban areas.
Author(s): Carrie Henning-Smith, Andrew Abram, Alexis Swendener, et al.
Date: 10/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Results of a study examining county-level differences in 3 fee-for-service (FFS) Medicare quality measures to address differences in quality of care by rurality and disability status. Features statistics on percent of FFS enrollees receiving flu vaccine and mammogram screening, and rate of hospital stays for ambulatory care-sensitive conditions, with breakdowns by rural and urban areas.
Author(s): Carrie Henning-Smith, Andrew Abram, Alexis Swendener, et al.
Date: 10/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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People Living with Dementia in Rural Areas Are Most Likely to Report Unmet Service Needs in Home- and Community-based Services in the United States
Examines the relationship among home and community-based services (HCBS), dementia status, and rural versus urban location. Utilizes 2016-2019 National Core Indicators-Aging and Disability survey data to analyze 14,645 residents according to dementia status, sociodemographics, residential status and assistive care needs, and metropolitan, micropolitan, small town, or rural location. Discusses how location impacts access to HCBS for people living with dementia.
Author(s): Romil R. Parikh, Eric Jutkowitz, Jack M. Wolf, et al.
Citation: Journal of Rural Health, 42(4), e70230
Date: 10/2026
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Examines the relationship among home and community-based services (HCBS), dementia status, and rural versus urban location. Utilizes 2016-2019 National Core Indicators-Aging and Disability survey data to analyze 14,645 residents according to dementia status, sociodemographics, residential status and assistive care needs, and metropolitan, micropolitan, small town, or rural location. Discusses how location impacts access to HCBS for people living with dementia.
Author(s): Romil R. Parikh, Eric Jutkowitz, Jack M. Wolf, et al.
Citation: Journal of Rural Health, 42(4), e70230
Date: 10/2026
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Hospice Visit Patterns Across Patient Demographic and Clinical Characteristics
Examines visit patterns among Medicare beneficiaries aged 65 and older enrolled in hospice, to help establish or evaluate benchmark visit standards, quality measures, care delivery practices, and workforce planning. Features statistics on characteristics of Medicare hospice enrollees from 2016-2021, with breakdowns by urban, large rural, small rural, and isolated small rural location.
Author(s): Lauren J. Hunt, Joanne Spetz, Siqi Gan, et al.
Citation: Health Affairs Scholar, 4(10), qxag271
Date: 10/2026
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Examines visit patterns among Medicare beneficiaries aged 65 and older enrolled in hospice, to help establish or evaluate benchmark visit standards, quality measures, care delivery practices, and workforce planning. Features statistics on characteristics of Medicare hospice enrollees from 2016-2021, with breakdowns by urban, large rural, small rural, and isolated small rural location.
Author(s): Lauren J. Hunt, Joanne Spetz, Siqi Gan, et al.
Citation: Health Affairs Scholar, 4(10), qxag271
Date: 10/2026
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Traffic Safety Facts, 2024 Data: Older Population
National data on traffic crashes involving drivers age 65 and older. Features statistics from 2015-2024 with breakdowns by sex, age group, blood alcohol concentrations, state, and rural or urban location.
Date: 10/2026
Sponsoring organization: National Highway Traffic Safety Administration
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National data on traffic crashes involving drivers age 65 and older. Features statistics from 2015-2024 with breakdowns by sex, age group, blood alcohol concentrations, state, and rural or urban location.
Date: 10/2026
Sponsoring organization: National Highway Traffic Safety Administration
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Rural Patients' Transitional Care Experiences: A Qualitative Analysis of Provider Notes
Examines experiences of older, veteran patients discharged from a hospital to their home. Utilizes electronic health record clinical notes and Veterans Affairs (VA) Corporate Data Warehouse data from 200 veterans who died within 30 days of discharge. Analyzes rural versus urban differences in patient demographics, patient health conditions, geographic distance to care settings, willingness to utilize home health services, caregiver burden, and more. Discusses unique challenges experienced by rural veterans and their caregivers in transitional care.
Author(s): Samantha B. Randolph, Nicholas A. Rattray, Claire E. Donnelly, et al.
Citation: Journal of Rural Health, 42(4), e70225
Date: 10/2026
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Examines experiences of older, veteran patients discharged from a hospital to their home. Utilizes electronic health record clinical notes and Veterans Affairs (VA) Corporate Data Warehouse data from 200 veterans who died within 30 days of discharge. Analyzes rural versus urban differences in patient demographics, patient health conditions, geographic distance to care settings, willingness to utilize home health services, caregiver burden, and more. Discusses unique challenges experienced by rural veterans and their caregivers in transitional care.
Author(s): Samantha B. Randolph, Nicholas A. Rattray, Claire E. Donnelly, et al.
Citation: Journal of Rural Health, 42(4), e70225
Date: 10/2026
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Food Access and Mobility Toolkit
A toolkit that discusses the relationship between food security and mobility on health outcomes, focusing on older adults, people with disabilities, and low-income or rural populations who may have limited access to transportation. Provides strategies to improve mobility and food security, such as transportation and program integration, healthy food initiatives, federal funding braiding, connecting people with benefits to services, and more. Includes links to resources and program examples focused on rural areas.
Date: 10/2026
Sponsoring organization: Coordinating Council on Access and Mobility Technical Assistance Center
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A toolkit that discusses the relationship between food security and mobility on health outcomes, focusing on older adults, people with disabilities, and low-income or rural populations who may have limited access to transportation. Provides strategies to improve mobility and food security, such as transportation and program integration, healthy food initiatives, federal funding braiding, connecting people with benefits to services, and more. Includes links to resources and program examples focused on rural areas.
Date: 10/2026
Sponsoring organization: Coordinating Council on Access and Mobility Technical Assistance Center
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From Innovation to Implementation: Replicable Community-Based Care Models for Aging in Place
Offers 6 domains influencing feasibility, sustainability, and adaptability for community-based long-term care models, drawn from more than 60 programs. Includes analysis of 3 of those programs including 1 rural North Dakota program. More rural programs are highlighted in Table 3.
Author(s): Brendan Flinn, Cleanthe (Cleo) Kordomenos, Giselle Torralba, Alondra Janicek, Tyler Cromer
Date: 09/2026
Sponsoring organization: AARP Public Policy Institute
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Offers 6 domains influencing feasibility, sustainability, and adaptability for community-based long-term care models, drawn from more than 60 programs. Includes analysis of 3 of those programs including 1 rural North Dakota program. More rural programs are highlighted in Table 3.
Author(s): Brendan Flinn, Cleanthe (Cleo) Kordomenos, Giselle Torralba, Alondra Janicek, Tyler Cromer
Date: 09/2026
Sponsoring organization: AARP Public Policy Institute
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Migration and Aging Across the Rural-Urban Continuum
Examines migration and aging patterns from 1980 to 2020 across the rural-urban continuum. Covers age-specific net migration by decade, retirement-age and working adult migration, aging in place, and the relationship between housing, income, employment, and health on migration. Provides charts, graphs, and county-level U.S. maps depicting migration patterns.
Additional links: Report Summary
Author(s): Justin B. Winikoff, Richelle L. Winkler, John Cromartie, Katherine J. Curtis
Date: 09/2026
Sponsoring organization: USDA Economic Research Service
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Examines migration and aging patterns from 1980 to 2020 across the rural-urban continuum. Covers age-specific net migration by decade, retirement-age and working adult migration, aging in place, and the relationship between housing, income, employment, and health on migration. Provides charts, graphs, and county-level U.S. maps depicting migration patterns.
Additional links: Report Summary
Author(s): Justin B. Winikoff, Richelle L. Winkler, John Cromartie, Katherine J. Curtis
Date: 09/2026
Sponsoring organization: USDA Economic Research Service
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