Rural Health
Resources by Topic: Older adults

A Roadmap for Implementing Virtual Geriatric Mental Health Services for Rural Veterans: Qualitative Longitudinal Evaluation
Explores access to geriatric mental health (GMH) in rural areas among older rural veterans. Evaluates the Veterans Health Administration (VHA) tele-GMH program's ability to provide care to veterans in rural areas. Describes the phases of implementation of tele-GMH as a part of a longitudinal evaluation.
Author(s): Christine E. Gould, Marika Blair Humber, Chalise Carlson, et al.
Citation: JMIR Aging, 9, e95286
Date: 06/2026
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Hierarchical Bayesian Analysis of Prehospital Timelines for Elderly Adults in Rural and Urban Motor-Vehicle Crashes
Analyzes emergency medical services (EMS) response and prehospital timelines for older adults involved in vehicle crashes in rural versus urban areas. Utilizes 2018-2023 crash data from Ohio and examines rural versus urban characteristics of crashes, prehospital time, and distance traveled.
Author(s): Philip F. Balyagati, Abdul S. Ngereza, Emmanuel Kidando, et al.
Citation: Journal of Safety Research, 97, 453-462
Date: 06/2026
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Supporting Rural Older Adults in Home and Community-Based Settings: Perspectives from Area Agencies on Aging
Explores the needs of older adults living in rural communities who are homebound. Presents findings and themes from a July 2025 listening session with representatives from rural-serving Area Agencies on Aging (AAAs) from five states regarding challenges serving rural older adults who are homebound.
Author(s): Katie Rydberg, Jessica Machler, Megan Lahr, Carrie Henning-Smith
Date: 06/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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How Do Changes in Medicare Reimbursement for Mental Health Services Impact Access for Rural Older Adults?
Examines how policies allowing marriage and family therapists (MFTs) and mental health counselors (MHCs) to independently bill Medicare have impacted mental healthcare access among Medicare beneficiaries living in rural areas. Utilizes interview data from 14 leaders representing rural health systems and mental health organizations regarding their perceptions on mental healthcare access, Medicare reimbursement policy, and the inclusion of MFTs and MHCs as mental health providers for Medicare recipients.
Author(s): Natalia V. Oster, C. Holly A. Andrilla, Davis G. Patterson, Signe Burchim, Janessa M. Graves
Citation: Journal of Rural Health, 42(2), e70162
Date: 05/2026
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Healthy Aging in Illinois, Metro vs. Nonmetro
Examines factors contributing to healthy aging in Illinois according to metro versus nonmetro county. Utilizes 2024 data from the American Community Survey and Behavioral Risk Factor Surveillance System and provides county rankings for healthy aging.
Author(s): Adee Athiyaman
Date: 05/2026
Sponsoring organization: Illinois Institute for Rural Affairs
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Factors Associated With Mortality in Appalachian Nursing Homes During the COVID-19 Pandemic
Examines neighborhood characteristics related to Appalachian nursing home (NH) mortality during the COVID-19 pandemic. Analyzes 1,259 NHs in Appalachia for COVID-19 death rates and overall mortality, with breakdowns according to NH characteristics, patient sociodemographics, and rurality.
Author(s): Erica Gigas, Baiming Zou, Lorinda A Coombs, et al.
Citation: The Permanente Journal, 1-9
Date: 04/2026
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Agricultural Injuries With Dementia: Double Whammy?
Analyzes dementia and injury data to identify trends in injury mechanisms and severity among 251,910 adults over 60 in both the agricultural and nonagricultural population. Compares 3 groups of people: those with an agricultural injury and a dementia diagnosis, those with an agricultural injury and no dementia diagnosis, and those with a dementia diagnosis but no agricultural injury.
Author(s): Kanika Arora, Jonathan Davis, Lila B. Basnet, Julie Bobitt
Citation: American Journal of Industrial Medicine, 2026
Date: 04/2026
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County-Level Differences in Health Professional Shortage Areas by Rurality, Age, and Disability Status
Examines differences in healthcare access among working-age and older adults, by rurality and disability status. Features statistics including percents of counties qualifying as primary care, mental health, or dental Heath Professional Shortage Areas, with breakdowns by disability quartile and rural or urban location.
Author(s): Andrew Abram, Alexis Swendener, Mariana Tuttle, Katie Rydberg, Carrie Henning-Smith
Date: 04/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Is Medicare Home Health Care Utilization Substituting for Long-Term Care? Evidence From Dual Eligible Beneficiaries
Examines the relationship between Medicaid home and community-based services (HCBS) and Medicare community-initiated home health care (CIHHC). Utilizes 2016-2019 national Medicare and Medicaid claims data of dually enrolled older adults and analyzes the effects of Medicaid HCBS use on the utilization of Medicare CIHHC. Includes comparisons of HCBS users and non-HCBS users with breakdowns by demographics and rural versus urban county classification.
Author(s): Mingyu Qi, Rachel M. Werner, Megan Huisingh-Scheetz, R. Tamara Konetzka
Citation: Health Services Research, 61(2), e70109
Date: 04/2026
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Opportunities to Transform Care for Rural Older Adults: Using the Rural Health Transformation Program to Create Sustainable, Age-Friendly Healthcare
Recording of a March 2026 webinar discussing opportunities for including rural age-friendly care in Rural Health Transformation Program work. Includes information on PACE and community health workers.
Additional links: Webinar Slides
Date: 03/2026
Sponsoring organization: John A. Hartford Foundation
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