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Rural Health
Resources by Topic: Rural-urban differences

Comparing Utilization of Home Health Care Between Traditional Medicare and Medicare Advantage Beneficiaries by Rural-Urban Status
Policy report describing differences in utilization of home health care between beneficiaries enrolled in Traditional Medicare (TM) and Medicare Advantage (MA), and by rural or urban status. Examines differences in use of home health overall, provision of specific services, including physical and occupational therapy, and receipt of care from home health agencies by enrollment in TM and MA. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural areas.
Date: 09/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Traffic Safety Facts, 2024: Truck Crash Facts
Provide statistics on crashes involving trucks in North Dakota from 2017 through 2024. Includes data on cause of crash, manner of collision, location of collision, injuries and fatalities, and if the crash happened on a rural versus urban road.
Date: 09/2025
Sponsoring organization: Upper Great Plains Transportation Institute
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Comparison of Care in Hospital Outpatient Departments and Independent Physician Offices: Updated Findings for 2019-2024
Examines differences in Medicare payments for services at an independent physician's office (IPO) or a hospital outpatient department (HOPD). Utilizes 2019-2024 data to analyze characteristics of Medicare patients seen in HOPDs and IPOs, including rural versus urban location.
Date: 09/2025
Sponsoring organization: American Hospital Association
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Modeling the Impact of Changing Drug Markets and Structural Determinants on HCV and/or HIV Transmission Among People Who Inject Drugs in the United States: A Rural and Urban Comparison
Details a study exploring the impact of changing patterns of drug use in rural and urban areas are affecting the rates of hepatitis C virus (HCV) and HIV incidence among people who inject drugs (PWID). Compares rates of infection and drug use in San Diego, CA and rural Central and Northern, WI.
Author(s): Natasha K. Martin, Daniela Abramovitz, William H. Eger, et al.
Citation: International Journal of Drug Policy, 143, 104925
Date: 09/2025
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Comparison of Discharge Disposition and AHA Prehospital Stroke Compliance among Urban, Suburban, and Rural EMS Agencies
Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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Effectiveness of Nirsevimab among Infants in their First RSV Season in the United States, October 2023–March 2024: A Test-Negative Design Analysis
Analyzes the impact of the nirsevimab antibody for infants in their first respiratory syncytial virus (RSV) season. Utilizes 2023-2024 electronic health record (EHR) data from 6 healthcare systems to examine RSV-associated emergency department (ED) use and hospitalization according to patient demographics, social determinants of health, health conditions, and location on the rural-urban continuum.
Author(s): Amanda B. Payne, Steph Battan-Wraith, Elizabeth A.K. Rowley, et al.
Citation: The Lancet Regional Health - Americas, 49, 101196
Date: 09/2025
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Examining the Burden of Chronic Disease and Low SES to Identify High-Need Rural Counties
Analyzes the geographic and sociodemographic profile of rural, high-need counties in the United States. Examines chronic disease prevalence, socioeconomic status, and access to healthcare facilities by county, with additional breakdowns by demographic characteristics of low-, moderate-, and high-need counties.
Author(s): Gabriel A. Benavidez, Emma Boswell, Peiyin Hung, Elizabeth Crouch
Citation: Journal of Public Health Management & Practice, 31(5), 691-699
Date: 09/2025
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Virginia's Licensed Professional Counselor Workforce: 2025
An overview of the licensed professional counselor (LPC) workforce in Virginia based on data from the 2025 Licensed Professional Counselor Workforce Survey. Features statistics including the number of LPCs in rural Virginia and how many grew up in rural areas.
Date: 08/2025
Sponsoring organization: Virginia Department of Health Professions
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Virginia's Speech-Language Pathology Workforce: 2025
An overview of the speech-language pathologist (SLP) workforce in Virginia based on data from the 2025 Speech-Language Pathologist Workforce Survey. Features statistics including the number of SLPs in rural Virginia and how many grew up in rural areas.
Date: 08/2025
Sponsoring organization: Virginia Department of Health Professions
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Virginia's Audiologist Workforce: 2025
An overview of the audiologist workforce in Virginia based on data from the 2025 Audiologist Workforce Survey. Features statistics including the number of audiologists in rural Virginia and how many grew up in rural areas.
Date: 08/2025
Sponsoring organization: Virginia Department of Health Professions
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