Rural Health
Resources by Topic: Rural-urban differences
Medicare Fee-for-Service Health Care Expenditures among Rural and Urban Beneficiaries During 2009-2019
Examines trends in Medicare Fee-for-Service spending among rural noncore, rural micropolitan, and urban beneficiaries, utilizing 2009-2019 CMS Medicare Geographic Variation Public Use files data. Details rural-urban differences in spending over time on per-patient hospital inpatient, hospital outpatient, physician services, and post-acute care, among other categories. Discusses implications for healthcare access and quality.
Author(s): Peiyin Hung, Theodoros Giannouchos, Xuanzi Qin, et al.
Date: 01/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Examines trends in Medicare Fee-for-Service spending among rural noncore, rural micropolitan, and urban beneficiaries, utilizing 2009-2019 CMS Medicare Geographic Variation Public Use files data. Details rural-urban differences in spending over time on per-patient hospital inpatient, hospital outpatient, physician services, and post-acute care, among other categories. Discusses implications for healthcare access and quality.
Author(s): Peiyin Hung, Theodoros Giannouchos, Xuanzi Qin, et al.
Date: 01/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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Molecular and Socioeconomic Characteristics of Inflammatory Breast Cancer in the Carolina Breast Cancer Study
Examines associations between the incidence of inflammatory breast cancer (IBC) and demographic and clinical factors, including rurality, utilizing Carolina Breast Cancer Study data of 153 cases of IBC.
Author(s): Qichen Wang, Sarah C. Van Alsten, Xiaojia Ji, et al.
Citation: Breast Cancer Research and Treatment, 215(2), 61
Date: 01/2026
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Examines associations between the incidence of inflammatory breast cancer (IBC) and demographic and clinical factors, including rurality, utilizing Carolina Breast Cancer Study data of 153 cases of IBC.
Author(s): Qichen Wang, Sarah C. Van Alsten, Xiaojia Ji, et al.
Citation: Breast Cancer Research and Treatment, 215(2), 61
Date: 01/2026
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Financial Analysis 2024, Rural Hospitals: An Annual Report on the Financial Health of Pennsylvania Rural Hospitals
Provides data on general acute care (GAC) hospitals located in rural counties, as defined by the Center for Rural Pennsylvania. Features financial statistics for GAC hospitals from 2021-2024, with breakdowns by urban and rural areas.
Date: 01/2026
Sponsoring organization: Pennsylvania Health Care Cost Containment Council
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Provides data on general acute care (GAC) hospitals located in rural counties, as defined by the Center for Rural Pennsylvania. Features financial statistics for GAC hospitals from 2021-2024, with breakdowns by urban and rural areas.
Date: 01/2026
Sponsoring organization: Pennsylvania Health Care Cost Containment Council
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Rural Hospital Bypass by Patients With Commercial Health Insurance
Results of a study examining rural hospital bypass rates among commercially insured patients, and hospital payments from patients who bypassed their nearest hospitals. Features statistics with breakdowns by clinical category and 4 levels of population density.
Author(s): Jessica Y. Chang, Caitlin E. Carroll
Citation: JAMA Network Open, 9(1), e2555017
Date: 01/2026
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Results of a study examining rural hospital bypass rates among commercially insured patients, and hospital payments from patients who bypassed their nearest hospitals. Features statistics with breakdowns by clinical category and 4 levels of population density.
Author(s): Jessica Y. Chang, Caitlin E. Carroll
Citation: JAMA Network Open, 9(1), e2555017
Date: 01/2026
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Management of Cardiovascular Disease Risk Factors by Rural and Urban Primary Care Practices
Results of a study comparing management of cardiovascular disease risk factors between rural and urban practices, using data from a national primary care registry from 2016-2020. Features statistics with breakdowns by urban, large rural, and small rural areas.
Author(s): Lars E. Peterson, Zachary J. Morgan
Date: 01/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Results of a study comparing management of cardiovascular disease risk factors between rural and urban practices, using data from a national primary care registry from 2016-2020. Features statistics with breakdowns by urban, large rural, and small rural areas.
Author(s): Lars E. Peterson, Zachary J. Morgan
Date: 01/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Use of Preventive Services by Rurality, Disability Status, and Health Insurance
Examines rates of use of routine physicals and flu vaccination by rural or urban location, disability status, and health insurance type. Uses data from the 2022 National Health Interview Survey.
Author(s): Alexis Swendener, Katie Rydberg, Lisa I. Iezzoni, Carrie Henning-Smith
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines rates of use of routine physicals and flu vaccination by rural or urban location, disability status, and health insurance type. Uses data from the 2022 National Health Interview Survey.
Author(s): Alexis Swendener, Katie Rydberg, Lisa I. Iezzoni, Carrie Henning-Smith
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural America at a Glance: 2025 Edition
Provides an overview of social and economic factors affecting rural America, with a focus on population migration, poverty, and employment. Includes county-level maps as well as metro and nonmetro comparisons.
Author(s): Tracey Farrigan, Austin Sanders, Lauren Miller, et al.
Date: 01/2026
Sponsoring organization: USDA Economic Research Service
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Provides an overview of social and economic factors affecting rural America, with a focus on population migration, poverty, and employment. Includes county-level maps as well as metro and nonmetro comparisons.
Author(s): Tracey Farrigan, Austin Sanders, Lauren Miller, et al.
Date: 01/2026
Sponsoring organization: USDA Economic Research Service
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An Overview of Public Health Services Among Local Health Departments in Rural Versus Urban Jurisdictions
Examines the services provided by rural and urban public health departments. Utilizes 2022 National Profile of Local Health Departments data to examine rural versus urban local health department (LHD) clinical programs and services, population health programs and services, and workforce infrastructure and capacity.
Author(s): Gwen Davis, Margaret Cunningham, Kellie Perkins, Krishna Patel, Timothy McCall
Citation: Journal of Public Health Management & Practice
Date: 01/2026
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Examines the services provided by rural and urban public health departments. Utilizes 2022 National Profile of Local Health Departments data to examine rural versus urban local health department (LHD) clinical programs and services, population health programs and services, and workforce infrastructure and capacity.
Author(s): Gwen Davis, Margaret Cunningham, Kellie Perkins, Krishna Patel, Timothy McCall
Citation: Journal of Public Health Management & Practice
Date: 01/2026
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Persistent Poverty and Breast Cancer Incidence by Tumor Subtype: Intersections of Rural/Urban Residence and Race Within USA Surveillance Epidemiology and End Results Registries, 2017 to 2021
Examines the relationship between breast cancer types and persistent poverty across rurality and demographic variables. Utilizes county-level 2017-2021 (excluding 2020) Surveillance, Epidemiology, and End Results (SEER) data to analyze breast cancer subtype rates, with breakdowns according to counties defined as persistent poverty or non-persistent poverty and by rural versus urban. Discusses the impact of sociodemographics on cancer disparities.
Author(s): Heather R. Sherr, Amr S. Soliman, Kimberly A. Bertrand, Kelly A. Hirko
Citation: Cancer Causes & Control, 37(26)
Date: 01/2026
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Examines the relationship between breast cancer types and persistent poverty across rurality and demographic variables. Utilizes county-level 2017-2021 (excluding 2020) Surveillance, Epidemiology, and End Results (SEER) data to analyze breast cancer subtype rates, with breakdowns according to counties defined as persistent poverty or non-persistent poverty and by rural versus urban. Discusses the impact of sociodemographics on cancer disparities.
Author(s): Heather R. Sherr, Amr S. Soliman, Kimberly A. Bertrand, Kelly A. Hirko
Citation: Cancer Causes & Control, 37(26)
Date: 01/2026
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Indian Health Service and Health Care Affordability Issues Among American Indian/ Alaska Native People by Rurality
Report explores healthcare affordability and Indian Health Services (IHS) utilization among American Indian and Alaska Native (AI/AN) in rural and urban communities. Highlights rates of patients receiving care at IHS, privately insured, and uninsured in rural and urban communities, among other measures.
Author(s): Ingrid Jacobson, Katie Rydberg, Alexis Swendener, et al.
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Report explores healthcare affordability and Indian Health Services (IHS) utilization among American Indian and Alaska Native (AI/AN) in rural and urban communities. Highlights rates of patients receiving care at IHS, privately insured, and uninsured in rural and urban communities, among other measures.
Author(s): Ingrid Jacobson, Katie Rydberg, Alexis Swendener, et al.
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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