Rural Health
Resources by Topic: Rural-urban differences
Medicare Advantage Enrollment Update 2024
Reports on the percentage of Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2014-2024.
Author(s): Fred Ullrich, Keith Mueller
Date: 01/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Reports on the percentage of Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2014-2024.
Author(s): Fred Ullrich, Keith Mueller
Date: 01/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Social Risks and Nonadherence to Recommended Cancer Screening Among US Adults
Examines social risks associated with nonadherence to U.S. Preventive Services Task Force cancer screening guidelines, utilizing 2022 Behavioral Risk Factor Surveillance System data. See Table 2 for demographic data breakdowns on prevalence and risk ratios of screening nonadherence by type of test, including rural-urban dwelling.
Author(s): Ami E. Sedani, Scarlett L. Gomez, Wayne R. Lawrence, et al.
Citation: JAMA Network Open, 8(1), e2449556
Date: 01/2025
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Examines social risks associated with nonadherence to U.S. Preventive Services Task Force cancer screening guidelines, utilizing 2022 Behavioral Risk Factor Surveillance System data. See Table 2 for demographic data breakdowns on prevalence and risk ratios of screening nonadherence by type of test, including rural-urban dwelling.
Author(s): Ami E. Sedani, Scarlett L. Gomez, Wayne R. Lawrence, et al.
Citation: JAMA Network Open, 8(1), e2449556
Date: 01/2025
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A Comparison of Rural and Urban Differences in Geographic Proximity to Outpatient Stroke Rehabilitation Services in Tennessee
Examines distance and travel time disparities for outpatient stroke rehabilitation (OSR) services in rural and urban areas of Tennessee. Analyzes 185 facilities for OSR and provides rural versus urban median travel distance and time according to OSR service type. Includes county-level maps showing mean travel distance by kilometers.
Author(s): Phoebe M. Tran, Benjamin Fogelson, Robert E. Heidel, Raj Baljepally
Citation: Journal of Cardiopulmonary Rehabilitation and Prevention 45(1), 65-71
Date: 01/2025
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Examines distance and travel time disparities for outpatient stroke rehabilitation (OSR) services in rural and urban areas of Tennessee. Analyzes 185 facilities for OSR and provides rural versus urban median travel distance and time according to OSR service type. Includes county-level maps showing mean travel distance by kilometers.
Author(s): Phoebe M. Tran, Benjamin Fogelson, Robert E. Heidel, Raj Baljepally
Citation: Journal of Cardiopulmonary Rehabilitation and Prevention 45(1), 65-71
Date: 01/2025
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Proximity to Cancer Rehabilitation and Exercise Oncology by Geography, Race, and Socioeconomic Status
Examines the proximity to cancer rehabilitation and exercise oncology (CR/EO) programs and the health impacts of access. Utilizes 2020 American Community Survey (ACS) and Centers for Disease Control and Prevention (CDC) data to analyze 2,133 CR/EO programs, with breakdowns according to CR/EO distance, density, rural versus urban location, race/ethnicity, social deprivation index, U.S. region, and cancer incidence and mortality. Includes U.S. maps showing location of CR/EO programs and areas with or without proximity to programs.
Author(s): Kathryn H. Schmitz, Kathryn Demanelis, Mary E. Crisafio, et al.
Citation: Cancer: An International Interdisciplinary Journal of the American Cancer Society, 131(1)
Date: 01/2025
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Examines the proximity to cancer rehabilitation and exercise oncology (CR/EO) programs and the health impacts of access. Utilizes 2020 American Community Survey (ACS) and Centers for Disease Control and Prevention (CDC) data to analyze 2,133 CR/EO programs, with breakdowns according to CR/EO distance, density, rural versus urban location, race/ethnicity, social deprivation index, U.S. region, and cancer incidence and mortality. Includes U.S. maps showing location of CR/EO programs and areas with or without proximity to programs.
Author(s): Kathryn H. Schmitz, Kathryn Demanelis, Mary E. Crisafio, et al.
Citation: Cancer: An International Interdisciplinary Journal of the American Cancer Society, 131(1)
Date: 01/2025
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Health Differences Between Rural and Non-Rural Texas Counties Based on 2023 County Health Rankings
Examines rural versus nonrural counties in Texas by health outcomes and factors. Utilizes 2023 County Health Rankings data to explore county-level health disparities and includes maps showing health insurance, poverty, length and quality of life, socioeconomic factors, physical environment, health behavior, and clinical care ratings by county.
Author(s): Elizabeth Ekren, Shadi Maleki, Cristian Curran, Cassidy Watkins, Melinda M. Villagran
Citation: BMC Health Services Research, 25, 2
Date: 01/2025
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Examines rural versus nonrural counties in Texas by health outcomes and factors. Utilizes 2023 County Health Rankings data to explore county-level health disparities and includes maps showing health insurance, poverty, length and quality of life, socioeconomic factors, physical environment, health behavior, and clinical care ratings by county.
Author(s): Elizabeth Ekren, Shadi Maleki, Cristian Curran, Cassidy Watkins, Melinda M. Villagran
Citation: BMC Health Services Research, 25, 2
Date: 01/2025
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Minnesota Chartbook Section 6: Uninsurance, Forgone Care, and the Safety Net
Reports on uninsurance trends in Minnesota from 2007 to 2023. Discusses statewide measures, population groups, characteristics and potential access to coverage of the uninsured, and uncompensated care. Includes charts showing rural versus urban hospital uncompensated care expenses.
Date: 01/2025
Sponsoring organization: Minnesota Department of Health
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Reports on uninsurance trends in Minnesota from 2007 to 2023. Discusses statewide measures, population groups, characteristics and potential access to coverage of the uninsured, and uncompensated care. Includes charts showing rural versus urban hospital uncompensated care expenses.
Date: 01/2025
Sponsoring organization: Minnesota Department of Health
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Status Report of the Alabama Primary Care Physician Workforce, 2025
Discusses distribution of Alabama's primary care physicians (PCPs) and their availability to state residents. Features county-level maps showing 78 Alabama cities and towns and the practice locations of PCPs, Alabama towns and cities with shortages of PCPs and those with an adequate number or a surplus of PCPs as of 2025, and statistics on physician need in Alabama population centers as of 2026, with breakdowns by urban or rural location.
Author(s): Heather Crow, MSHA, Kyle Siegrist, Caleb Lenox
Date: 2025
Sponsoring organization: Alabama Office of Healthcare Workforce
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Discusses distribution of Alabama's primary care physicians (PCPs) and their availability to state residents. Features county-level maps showing 78 Alabama cities and towns and the practice locations of PCPs, Alabama towns and cities with shortages of PCPs and those with an adequate number or a surplus of PCPs as of 2025, and statistics on physician need in Alabama population centers as of 2026, with breakdowns by urban or rural location.
Author(s): Heather Crow, MSHA, Kyle Siegrist, Caleb Lenox
Date: 2025
Sponsoring organization: Alabama Office of Healthcare Workforce
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Illinois Homelessness Mortality and Morbidity Report 2017-2023
Provides a statistical overview of homelessness in Illinois from 2017-2023, with a focus on mortality, morbidity, and hospital utilization. Includes data by Illinois region and rural versus urban county, as well as by population groups, such as veterans, widows, rural residents, and more.
Additional links: Executive Summary, Fact Sheet
Author(s): Dana Madigan, Jerrilyn Cambron, Lee Friedman, et al.
Date: 2025
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Provides a statistical overview of homelessness in Illinois from 2017-2023, with a focus on mortality, morbidity, and hospital utilization. Includes data by Illinois region and rural versus urban county, as well as by population groups, such as veterans, widows, rural residents, and more.
Additional links: Executive Summary, Fact Sheet
Author(s): Dana Madigan, Jerrilyn Cambron, Lee Friedman, et al.
Date: 2025
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North Carolina Health Information Technology/Telehealth Program
Features program facts for state fiscal year 2025 on Health Information Technology/Telehealth grants and return on investment and economic impact. Includes county-level maps showing virtual behavioral health services reach and telehealth infrastructure grants reach, with shadings indicating rural and urban counties.
Date: 2025
Sponsoring organization: North Carolina Department of Health and Human Services
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Features program facts for state fiscal year 2025 on Health Information Technology/Telehealth grants and return on investment and economic impact. Includes county-level maps showing virtual behavioral health services reach and telehealth infrastructure grants reach, with shadings indicating rural and urban counties.
Date: 2025
Sponsoring organization: North Carolina Department of Health and Human Services
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2025 Kentucky Rural Nursing Workforce Update
Infographic providing demographics and statistics on wages and numbers of advanced practice registered nurses (APRNs), registered nurses (RNs), and licensed practical nurses (LPNs) in Kentucky as of 2024, with breakdowns by rural or urban location. Features percentage of state distribution of nurses with breakdowns by rural, urban, Appalachia, and Delta regions. Includes a county-level map showing distribution of APRNs and RNs by Kentucky Area Development District.
Author(s): William M. Baker, Caleb K. Williams, Beth Bowling
Date: 2025
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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Infographic providing demographics and statistics on wages and numbers of advanced practice registered nurses (APRNs), registered nurses (RNs), and licensed practical nurses (LPNs) in Kentucky as of 2024, with breakdowns by rural or urban location. Features percentage of state distribution of nurses with breakdowns by rural, urban, Appalachia, and Delta regions. Includes a county-level map showing distribution of APRNs and RNs by Kentucky Area Development District.
Author(s): William M. Baker, Caleb K. Williams, Beth Bowling
Date: 2025
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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