Rural Health
Resources by Topic: Primary care
Affordability of Health Professional Education: Proceedings of a Workshop Series—In Brief
Summarizes presentations and discussions from the National Academies Global Forum on Innovation in Health Professional Education, convened in early 2025 to explore financial barriers, assess workforce effects, and consider ways to improve the value and accessibility of health professional education. Discusses primary care workforce shortages and lack of training opportunities in rural areas.
Date: 10/2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Summarizes presentations and discussions from the National Academies Global Forum on Innovation in Health Professional Education, convened in early 2025 to explore financial barriers, assess workforce effects, and consider ways to improve the value and accessibility of health professional education. Discusses primary care workforce shortages and lack of training opportunities in rural areas.
Date: 10/2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Investing in Primary Care: The Nurse Practitioner Will See You Now
Describes opportunities to support advancement of preparation and growth for nurse practitioners (NPs) to meet the population's primary care needs. Explores the importance of NPs in rural and underserved communities, and Health Professional Shortage Areas.
Author(s): Jessica McCann, Margaret Flinter
Date: 10/2025
Sponsoring organization: Milbank Memorial Fund
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Describes opportunities to support advancement of preparation and growth for nurse practitioners (NPs) to meet the population's primary care needs. Explores the importance of NPs in rural and underserved communities, and Health Professional Shortage Areas.
Author(s): Jessica McCann, Margaret Flinter
Date: 10/2025
Sponsoring organization: Milbank Memorial Fund
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Transforming Rural Health Care Through Medicaid Innovation: Tip Sheet Series
Informational tip sheets discussing the use of Medicaid innovations to assist states in creating their Rural Health Transformation (RHT) Program applications. Discusses behavioral health, school-based services, and integrated care access. Provides examples, strategies, Medicaid policy information, and resources.
Additional links: Improving Access to Integrated Care for Dually Eligible Individuals in Rural Areas, Leveraging Peers and Lay Counselors to Address Behavioral Health Care Workforce Shortages in Rural Areas, Using School-Based Services to Improve Access to Preventive Health Care for Children in Rural Areas
Author(s): Molly Knowles, Nancy Archibald, Karla Silverman, Lauren Scannelli Jacobs
Date: 10/2025
Sponsoring organization: Center for Health Care Strategies
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Informational tip sheets discussing the use of Medicaid innovations to assist states in creating their Rural Health Transformation (RHT) Program applications. Discusses behavioral health, school-based services, and integrated care access. Provides examples, strategies, Medicaid policy information, and resources.
Additional links: Improving Access to Integrated Care for Dually Eligible Individuals in Rural Areas, Leveraging Peers and Lay Counselors to Address Behavioral Health Care Workforce Shortages in Rural Areas, Using School-Based Services to Improve Access to Preventive Health Care for Children in Rural Areas
Author(s): Molly Knowles, Nancy Archibald, Karla Silverman, Lauren Scannelli Jacobs
Date: 10/2025
Sponsoring organization: Center for Health Care Strategies
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Using Propensity-Score Matched Cohorts to Evaluate Career Outcomes for Medical Students Completing the Underserved Pathway
Results of a study comparing career outcomes of medical students who completed the Underserved Pathway (UP) at the University of Washington School of Medicine to a cohort of peers who did not complete the UP. Examines whether UP participants were more likely to practice in rural communities and/or primary care than their peers. Features demographics and statistics on factors associated with rural family medicine and rural primary care practices.
Author(s): Genya Shimkin, Kimberly Kardonsky, Alisse Cassell, et al.
Citation: Family Medicine, 57(9), 627-633
Date: 10/2025
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Results of a study comparing career outcomes of medical students who completed the Underserved Pathway (UP) at the University of Washington School of Medicine to a cohort of peers who did not complete the UP. Examines whether UP participants were more likely to practice in rural communities and/or primary care than their peers. Features demographics and statistics on factors associated with rural family medicine and rural primary care practices.
Author(s): Genya Shimkin, Kimberly Kardonsky, Alisse Cassell, et al.
Citation: Family Medicine, 57(9), 627-633
Date: 10/2025
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Characteristics of Family Medicine Physician Associates/Assistants in the United States
Examines characteristics of physician associates/assistants (PAs) who work in family medicine (FM). Utilizes 2023 National Commission on Certification of PAs (NCCPA) data to analyze PAs in FM, PAs working outside of FM, PA demographics, urban versus rural employment setting, practice characteristics, and more.
Author(s): Bethany Grubb, Cynthia F. Griffith, Mirela Bruza-Augatis, Kasey Puckett, Andrzej Kozikowski
Citation: BMC Health Services Research, 25, 1220
Date: 09/2025
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Examines characteristics of physician associates/assistants (PAs) who work in family medicine (FM). Utilizes 2023 National Commission on Certification of PAs (NCCPA) data to analyze PAs in FM, PAs working outside of FM, PA demographics, urban versus rural employment setting, practice characteristics, and more.
Author(s): Bethany Grubb, Cynthia F. Griffith, Mirela Bruza-Augatis, Kasey Puckett, Andrzej Kozikowski
Citation: BMC Health Services Research, 25, 1220
Date: 09/2025
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Adverse Childhood Experiences and Preventive Health Care among Rural US Children: A Cross-Sectional Examination of 2022 National Health Interview Survey Data
Examines the relationship between preventative healthcare utilization and adverse childhood experiences (ACEs). Analyzes 2022 National Health Interview Survey data from 425 children residing in nonmetro locations according to physician visits, dental visits, vaccinations, and self-reported ACEs.
Author(s): Mary Labuhn, Andrew Williams
Citation: Journal of Rural Health, 41(4), e70081
Date: 09/2025
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Examines the relationship between preventative healthcare utilization and adverse childhood experiences (ACEs). Analyzes 2022 National Health Interview Survey data from 425 children residing in nonmetro locations according to physician visits, dental visits, vaccinations, and self-reported ACEs.
Author(s): Mary Labuhn, Andrew Williams
Citation: Journal of Rural Health, 41(4), e70081
Date: 09/2025
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Supporting Rural Health Facilities
Discusses strategies pursued by states to strengthen the financial stability of rural hospitals and expand access to primary care, behavioral healthcare, and emergency care. Describes state policies related to technical assistance, financial stabilization grants, payment models, Rural Health Clinics (RHCs), health centers, Certified Community Behavioral Health Clinics (CCBHCs), and free-standing emergency departments.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Discusses strategies pursued by states to strengthen the financial stability of rural hospitals and expand access to primary care, behavioral healthcare, and emergency care. Describes state policies related to technical assistance, financial stabilization grants, payment models, Rural Health Clinics (RHCs), health centers, Certified Community Behavioral Health Clinics (CCBHCs), and free-standing emergency departments.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Disparities in Multi-Modal Spatial Access to Primary and Specialty Care in U.S. Neighborhoods: A Cross-Sectional and Temporal Analysis of Health Services
Provides a multi-modal spatial access measure to examine disparities in access to primary and specialty care across variable geographies. Includes data on spatial access to providers according to metro, micro, small town, or rural location as well as an example of a car-transit-walking composite spatial access map in micropolitan areas of Maine.
Author(s): R. Blake Buchalter, Paul R. Gunsalus, Madeleine M. Blazel, Michael W. Kenyhercz, Jarrod E. Dalton
Citation: PL0S One, 20(9), e0330427
Date: 09/2025
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Provides a multi-modal spatial access measure to examine disparities in access to primary and specialty care across variable geographies. Includes data on spatial access to providers according to metro, micro, small town, or rural location as well as an example of a car-transit-walking composite spatial access map in micropolitan areas of Maine.
Author(s): R. Blake Buchalter, Paul R. Gunsalus, Madeleine M. Blazel, Michael W. Kenyhercz, Jarrod E. Dalton
Citation: PL0S One, 20(9), e0330427
Date: 09/2025
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Rural Providers' Attitudes Toward Integrating Harm Reduction Strategies and PrEP Prescribing into Rural Primary Care Settings in the US. Southeast and Midwest
Examines the perceptions of providers working in rural primary care settings toward buprenorphine, methadone, comprehensive harm reduction, and PrEP prescriptions. Analyzes 409 providers treating either a person with opioid use disorder or a person with HIV and provides data breakdowns on PrEP prescriptions, medications for opioid use disorder (MOUD), and perceptions toward harm reduction integration.
Author(s): Phillip L. Marotta, Miryam Biaid, Robert Heimer, et al.
Citation: Addiction Science & Clinical Practice, 20, 73
Date: 09/2025
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Examines the perceptions of providers working in rural primary care settings toward buprenorphine, methadone, comprehensive harm reduction, and PrEP prescriptions. Analyzes 409 providers treating either a person with opioid use disorder or a person with HIV and provides data breakdowns on PrEP prescriptions, medications for opioid use disorder (MOUD), and perceptions toward harm reduction integration.
Author(s): Phillip L. Marotta, Miryam Biaid, Robert Heimer, et al.
Citation: Addiction Science & Clinical Practice, 20, 73
Date: 09/2025
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Oregon Areas of Unmet Health Care Need Report, 2025
Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2025
Sponsoring organization: Oregon Office of Rural Health
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Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2025
Sponsoring organization: Oregon Office of Rural Health
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