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Rural Health
Resources by Topic: Rural-urban differences

Emergency Department Visits among Rural and Urban Older Adults: Disparities in Ambulatory and Emergency Care Sensitive Conditions
Compares emergency department (ED) utilization for ambulatory care sensitive conditions (ACSCs) and emergency care sensitive conditions (ECSCs) among rural and urban Medicare beneficiaries. Presents findings from a pooled cross-sectional analysis of 2016–2020 Medicare Current Beneficiary Survey data.
Author(s): Cameron J. Gettel, Courtney Kitchen, Craig Rothenberg, et al.
Citation: BMC Health Services Research, 25, 275
Date: 07/2025
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Caregiving in the US 2025
A national profile of family caregivers, describing demographics, living situations, wellness, and more as well as caregiving related policies. Discusses rural throughout.
Additional links: Executive Summary, Full Report, Infographic
Date: 07/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
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Traffic Safety Facts, 2023 Data: Bicyclists and Other Cyclists
National data on fatal and non-fatal traffic crashes involving bicyclists and other cyclists, including riders of two-wheel vehicles, tricycles, and unicycles powered by pedals and/or motors. Features statistics from 2014-2023 with breakdowns including fatality and injury rates, age group, sex, time of day and day of the week, alcohol involvement, blood alcohol concentrations of riders, vehicle type and impact point, fatality rates by state, and rural or urban location.
Date: 07/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Traffic Safety Facts, 2023 Data: Motorcycles
National data on fatal and nonfatal traffic crashes involving two- and three-wheeled motorcycles, off-road motorcycles, mopeds, motor scooters, mini bikes, and pocket bikes. Features statistics from 2014-2023 with breakdowns including fatality and injury rates, age group and day of the week, engine size, speeding involvement, previous driving record of driver, alcohol-impaired driver fatality rate, blood alcohol concentrations of riders, helmet use and state, and rural or urban location.
Date: 07/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Pennsylvania Rural Health Plan, 2025-2030
Highlights healthcare challenges in rural Pennsylvania, acknowledges strengths, and promotes recommendations to address disparities. Features demographics and sections on social determinants of health, agricultural safety and farmworker health, aging, disabilities, homelessness, veterans, Pennsylvania's healthcare delivery system, broadband access, and telehealth.
Date: 07/2025
Sponsoring organization: Pennsylvania Rural Health Association
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Financial Performance of Rural and Urban Nursing Homes: A Comparative Analysis
Presents a study comparing the financial performance between rural and urban nursing homes. Discusses the different structural barriers and facilitators that affect the operating margins in rural and urban facilities.
Author(s): Gregory N. Orewa, Rohit Pradhan, Akbar Ghiasi, et al.
Citation: Journal of Rural Health, 41(3), e70053
Date: 07/2025
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Trends and Differences in Infant Mortality Rates in Rural and Metropolitan Counties in the United States, 2021-2023
Data brief offering mortality rates for infants for 3 levels of urbanization. Includes trends between 2014 and 2023 as well as analysis of data from 2021 to 2023 by various demographic factors.
Author(s): Danielle M. Ely
Date: 07/2025
Sponsoring organization: National Center for Health Statistics
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Midwesterners' Beliefs about Genetic Testing: Variability Across Ethnic Groups and Metro Vs. Nonmetro Residents
Examines perceptions about genetic testing among Midwesterners. Provides metro versus nonmetro types of and reasons for genetic testing. Includes demographic breakdowns about beliefs surrounding genetic testing confidentiality and ethics.
Author(s): Adee Athiyaman
Date: 07/2025
Sponsoring organization: Illinois Institute for Rural Affairs
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2025
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluation of a Combined Text Messaging and Online Survey Protocol for Giardiasis Case Investigation — Colorado, September 2023–May 2024
Reports on the use of text message–based survey invitations to gather case data from Colorado patients with laboratory-confirmed Giardia infection. Includes data on response levels among rural and urban patients.
Author(s): Ingrid Hewitson, Amanda Tran, Alayna Younger, Rachel H. Jervis
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(26), 424-429
Date: 07/2025
Sponsoring organization: Centers for Disease Control and Prevention
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