Rural Health
Resources by Topic: Rural-urban differences
Rural-Urban Disparities in Cardiovascular and Other Competing Risk of Death among Cancer Patients
Examines rural versus urban disparities in cardiovascular (CVD) death among cancer patients. Utilizes 1990-2017 data from 2,022,482 cancer patients and provides data breakdowns according to mortality, rural versus urban location, and cause of death. Discusses non-cancer and CVD death burden in cancer patients living in rural areas.
Author(s): Tianwang Guan, Jiaqi He, Liangjia Zeng, et al.
Citation: Journal of Advanced Research, 85, 725-736
Date: 07/2026
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Examines rural versus urban disparities in cardiovascular (CVD) death among cancer patients. Utilizes 1990-2017 data from 2,022,482 cancer patients and provides data breakdowns according to mortality, rural versus urban location, and cause of death. Discusses non-cancer and CVD death burden in cancer patients living in rural areas.
Author(s): Tianwang Guan, Jiaqi He, Liangjia Zeng, et al.
Citation: Journal of Advanced Research, 85, 725-736
Date: 07/2026
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A National Description of Emergency Medical Services Patient Utilization Patterns
Evaluates 9,508,809 emergency medical services encounters from 2024 to identify utilization patterns. Categorizes patients into single, moderate, high, and very-high utilization groups and explores various demographic and health conditions within those groups. Includes comparison of urban, rural, and super-rural areas for very-high utilization and single encounter groups.
Author(s): Antonio R. Fernandez, Jonathan Brent Myers, Scott S. Bourn, et al.
Citation: Health Affairs Scholar, 4(6)
Date: 06/2026
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Evaluates 9,508,809 emergency medical services encounters from 2024 to identify utilization patterns. Categorizes patients into single, moderate, high, and very-high utilization groups and explores various demographic and health conditions within those groups. Includes comparison of urban, rural, and super-rural areas for very-high utilization and single encounter groups.
Author(s): Antonio R. Fernandez, Jonathan Brent Myers, Scott S. Bourn, et al.
Citation: Health Affairs Scholar, 4(6)
Date: 06/2026
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Receipt of Glucagon-Like Peptide-1 Receptor Agonists Among Rural Patients with Obstructive Sleep Apnea and Excess Weight
Analyzes how receipt of Glucagon-Like Peptide-1 Receptor Agonists (GLP-1RAs) varies among rural and urban-dwelling veterans with obstructive sleep apnea and excess weight, using 2018-2023 Veterans Health Administration data.
Author(s): Aristotle G. Leonhard, Kevin Josey, Jason M. Castaneda, et al.
Citation: Annals of the American Thoracic Society, 23(7), 1087-1096
Date: 06/2026
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Analyzes how receipt of Glucagon-Like Peptide-1 Receptor Agonists (GLP-1RAs) varies among rural and urban-dwelling veterans with obstructive sleep apnea and excess weight, using 2018-2023 Veterans Health Administration data.
Author(s): Aristotle G. Leonhard, Kevin Josey, Jason M. Castaneda, et al.
Citation: Annals of the American Thoracic Society, 23(7), 1087-1096
Date: 06/2026
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Bullying Prevalence and Persistence in Rural and Urban Settings
Examines the characteristics of rural versus urban school bullying. Utilizes 2024 data from 1,250 students and provides rural versus urban breakdowns regarding timeline, social dynamics, frequency, perceived reason for, and type of bullying. Discusses the need for bullying interventions tailored for rural social contexts.
Author(s): Eric Landers, Juliann Sergi McBrayer, Monika Krah, Meredith A. Rausch
Citation: The Rural Educator, 47(3), 5-19
Date: 06/2026
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Examines the characteristics of rural versus urban school bullying. Utilizes 2024 data from 1,250 students and provides rural versus urban breakdowns regarding timeline, social dynamics, frequency, perceived reason for, and type of bullying. Discusses the need for bullying interventions tailored for rural social contexts.
Author(s): Eric Landers, Juliann Sergi McBrayer, Monika Krah, Meredith A. Rausch
Citation: The Rural Educator, 47(3), 5-19
Date: 06/2026
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Non-Federal Acute Care Hospital Electronic Health Record Adoption, 2008–2024
Explores trends in electronic health record (EHR) adoption among acute care hospitals between 2010 and 2024 using data from the American Hospital Association (AHA) Information Technology (IT) supplement. Presents data on EHR adoption by hospital characteristics, by hospital size, CAH status, rural/urban location, and independent/system affiliation.
Date: 06/2026
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Explores trends in electronic health record (EHR) adoption among acute care hospitals between 2010 and 2024 using data from the American Hospital Association (AHA) Information Technology (IT) supplement. Presents data on EHR adoption by hospital characteristics, by hospital size, CAH status, rural/urban location, and independent/system affiliation.
Date: 06/2026
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Rural Implications of Increased Medicare Beneficiary Enrollment in ACOs and MA Plans
Explores the relationship between Medicare Advantage (MA) enrollment and beneficiary attribution to Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs). Describes the growth of ACO assignment and MA enrollment between 2013 and 2023 by county-level rurality. Compares the characteristics of micropolitan and noncore counties with high and low ACO and MA penetration in 2023. Discusses the implications of expanding MA and ACO enrollment in rural areas.
Author(s): Edmer Lazaro, Fred Ullrich, Dan M. Shane, Keith Mueller
Date: 06/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Explores the relationship between Medicare Advantage (MA) enrollment and beneficiary attribution to Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs). Describes the growth of ACO assignment and MA enrollment between 2013 and 2023 by county-level rurality. Compares the characteristics of micropolitan and noncore counties with high and low ACO and MA penetration in 2023. Discusses the implications of expanding MA and ACO enrollment in rural areas.
Author(s): Edmer Lazaro, Fred Ullrich, Dan M. Shane, Keith Mueller
Date: 06/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Inpatient Outcomes and Complications After Left Atrial Appendage Occlusion in Rural Versus Urban Hospitals in the United States
Examines how outcomes and complications of left atrial appendage occlusion for treatment of atrial fibrillation differed by rural or urban hospital location, using 2016-2020 National Inpatient Sample data.
Author(s): Amanda Nguyen, Muhammad Zia Khan, Joseph Neely, et al.
Citation: Clinical Cardiology, 49(7), e70397
Date: 06/2026
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Examines how outcomes and complications of left atrial appendage occlusion for treatment of atrial fibrillation differed by rural or urban hospital location, using 2016-2020 National Inpatient Sample data.
Author(s): Amanda Nguyen, Muhammad Zia Khan, Joseph Neely, et al.
Citation: Clinical Cardiology, 49(7), e70397
Date: 06/2026
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Declining Immigration Undermines Urban and Rural Population Growth
Examines the impact of immigration on rural and urban population growth. Provides interactive data on population and natural change, net immigration and domestic migration, and natural change plus domestic migration according to urban, suburban, smaller metro, and non-metro location as well as by U.S. county.
Author(s): Riordan Frost
Date: 06/2026
Sponsoring organization: Joint Center for Housing Studies
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Examines the impact of immigration on rural and urban population growth. Provides interactive data on population and natural change, net immigration and domestic migration, and natural change plus domestic migration according to urban, suburban, smaller metro, and non-metro location as well as by U.S. county.
Author(s): Riordan Frost
Date: 06/2026
Sponsoring organization: Joint Center for Housing Studies
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Rhode Island Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in Rhode Island in 2025. Includes county-level data.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the supply and distribution of behavioral health clinicians in Rhode Island in 2025. Includes county-level data.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Rhode Island Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Rhode Island in 2025. Includes county-level data.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in Rhode Island in 2025. Includes county-level data.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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