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Rural Health Information Hub

Rural Health
Resources by Topic: Rural definitions

USAC Rurality Tier Search Tool
Allows users to determine the applicable rural tier for a specific site location to calculate the rural rate for telecommunications support through the RHC Telecom Program. Tiers include extremely rural, rural, less rural, and non-rural. Tool provides general information; rurality tiers are formally assigned through the review and approval of FCC forms.
Additional links: How to: Use the Rurality Tier Search Tool
Sponsoring organization: Universal Service Administrative Company
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Data for Rural Analysis
A collection of resources to help policymakers and researchers identify and describe rural and urban areas. Lists tools that can be used to determine rural status and degree of rurality and find county-level socioeconomic data. Also identifies other sources of rural data.
Sponsoring organization: USDA Economic Research Service
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What Is a Rural Hospital?
Explains the different definitions of rural and how they impact the number of hospitals in Texas considered rural.
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Urban Influence Codes: Documentation
Explains the 9 categories of rural/urban classification included in the 2024 Urban Influence Codes from the Economic Research Service, which are used to categorize counties and county equivalents in the U.S. and Puerto Rico. Includes a table showing population estimates and the number of counties in each category using 2020 Census data.
Sponsoring organization: USDA Economic Research Service
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2010 Census Urban and Rural Classification and Urban Area Criteria
Explains the U.S. Census Bureau's classification of rural and urban areas for the 2010 Census. Features tables comparing 2000 and 2010 Census data for rural and urban areas, including Urbanized Areas and Urban Clusters. Offers links to data files which provide the percent rural/urban by state and county for 2010.
Sponsoring organization: U.S. Census Bureau
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How We Define Rural
Explains the major federal government definitions of rural and how they are used by the Federal Office of Rural Health Policy (FORHP).
Sponsoring organization: Federal Office of Rural Health Policy
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NCHS Urban-Rural Classification Scheme for Counties
Provides information on a six-level urban-rural classification scheme for U.S. counties and county-equivalent entities developed by the National Center for Health Statistics (NCHS). Includes access to data files and reports describing the classification scheme.
Sponsoring organization: National Center for Health Statistics
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Urban Influence Codes
A list of Urban Influence Codes (UICs) data sets. The 2024 UICs are a classification scheme that further subdivides metropolitan counties by the population size of their metro area, and nonmetropolitan counties by the size of their largest city or town and proximity to metro and micropolitan areas. This scheme allows researchers to break down county data into finer residential groups for the analysis of trends in nonmetro areas.
Sponsoring organization: USDA Economic Research Service
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Federal Office of Rural Health Policy (FORHP) Data Files
A set of 4 Excel files identifying nonmetro counties and rural census tracts (CTs) that comprise rural areas as defined by the FORHP including: nonmetro counties (micropolitan and non-core based counties) and eligible census tracts in metropolitan counties, outlying metro counties with no Urbanized Areas, FORHP eligible ZIP Codes, and FORHP ZIP codes by county.
Additional links: FORHP Eligible ZIP Codes, FORHP ZIP Codes by County, List of 295 Outlying Metro Counties with No Urbanized Areas, Non-Metro Counties (Micropolitan and non-core based counties) and Eligible Census Tracts in Metropolitan Counties
Sponsoring organization: Federal Office of Rural Health Policy
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County Rurality Level: 2010
Spreadsheet that identifies, for each county in the U.S., the total, urban, and rural population, as well as the percent of the county population that is rural, based on 2010 Census data.
Sponsoring organization: U.S. Census Bureau
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