Rural Health
Resources by Topic: Specialty care
Geographic and Socioeconomic Landscape of Veterans With Head and Neck Cancer
Explores the geographic and socioeconomic factors that correlate with the higher rates and worse outcomes for head and neck squamous cell carcinomas among veterans compared to civilians. Breaks down data by socioeconomic factors, such as marital status, unemployment, and service connection, among other factors, as well as rurality, travel distance, and drive time.
Author(s): Kristen L. Zayan, Jennifer L. McCoy, Monique Y. Boudreaux-Kelly, et al.
Citation: Head & Neck, 47(10), 2845-2855
Date: 10/2025
view details
Explores the geographic and socioeconomic factors that correlate with the higher rates and worse outcomes for head and neck squamous cell carcinomas among veterans compared to civilians. Breaks down data by socioeconomic factors, such as marital status, unemployment, and service connection, among other factors, as well as rurality, travel distance, and drive time.
Author(s): Kristen L. Zayan, Jennifer L. McCoy, Monique Y. Boudreaux-Kelly, et al.
Citation: Head & Neck, 47(10), 2845-2855
Date: 10/2025
view details
Rural Providers' Attitudes Toward Integrating Harm Reduction Strategies and PrEP Prescribing into Rural Primary Care Settings in the US. Southeast and Midwest
Examines the perceptions of providers working in rural primary care settings toward buprenorphine, methadone, comprehensive harm reduction, and PrEP prescriptions. Analyzes 409 providers treating either a person with opioid use disorder or a person with HIV and provides data breakdowns on PrEP prescriptions, medications for opioid use disorder (MOUD), and perceptions toward harm reduction integration.
Author(s): Phillip L. Marotta, Miryam Biaid, Robert Heimer, et al.
Citation: Addiction Science & Clinical Practice, 20, 73
Date: 09/2025
view details
Examines the perceptions of providers working in rural primary care settings toward buprenorphine, methadone, comprehensive harm reduction, and PrEP prescriptions. Analyzes 409 providers treating either a person with opioid use disorder or a person with HIV and provides data breakdowns on PrEP prescriptions, medications for opioid use disorder (MOUD), and perceptions toward harm reduction integration.
Author(s): Phillip L. Marotta, Miryam Biaid, Robert Heimer, et al.
Citation: Addiction Science & Clinical Practice, 20, 73
Date: 09/2025
view details
September 2025 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2024 meeting. Covers Medicare payment operations and improving payment accuracy, a discussion with the Comptroller General of the United States regarding the Government Accountability Office's work related to improper payments in the Medicare program and opportunities to improve program sustainability, Medicare's overall financial situation, access to hospice and services under the Medicare hospice benefit for beneficiaries with end-stage renal disease or cancer, and the relationship between changes in Medicare Advantage enrollment and hospital finances.
Date: 09/2025
Sponsoring organization: Medicare Payment Advisory Commission
view details
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2024 meeting. Covers Medicare payment operations and improving payment accuracy, a discussion with the Comptroller General of the United States regarding the Government Accountability Office's work related to improper payments in the Medicare program and opportunities to improve program sustainability, Medicare's overall financial situation, access to hospice and services under the Medicare hospice benefit for beneficiaries with end-stage renal disease or cancer, and the relationship between changes in Medicare Advantage enrollment and hospital finances.
Date: 09/2025
Sponsoring organization: Medicare Payment Advisory Commission
view details
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
view details
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
view details
Community Navigation Intervention for Social Needs in Patients With Abnormal Mammography: A Randomized Controlled Trial Study Protocol
Presents a study exploring the efficacy of community navigators, such as 211, to help alleviate the social need and change the likelihood of cancer patients with unmet social needs to complete their follow-up care. Discusses the importance of follow-up care in the treatment and prevention of cancer and the barriers individuals with unmet social needs face to receive it. Explores rurality as a potential barrier.
Author(s): Kirstin Beck, Mackenzie Mitchell, Andrea S. Wallace, et al.
Citation: BMC Public Health, 25, 2926
Date: 08/2025
view details
Presents a study exploring the efficacy of community navigators, such as 211, to help alleviate the social need and change the likelihood of cancer patients with unmet social needs to complete their follow-up care. Discusses the importance of follow-up care in the treatment and prevention of cancer and the barriers individuals with unmet social needs face to receive it. Explores rurality as a potential barrier.
Author(s): Kirstin Beck, Mackenzie Mitchell, Andrea S. Wallace, et al.
Citation: BMC Public Health, 25, 2926
Date: 08/2025
view details
End-Stage Renal Disease Treatment Choices (ETC) Model: Third Annual Evaluation Report, Calendar Years 2021-2023
Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, waitlisting for a kidney transplant, living donor and deceased donor transplantation, utilization of services, Medicare payments, and quality of care. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the first three years of the ETC Model, 2021-2023. Explores if the impacts of the ETC Model differed by patient subgroup, including rural residence.
Additional links: Appendices, Executive Summary, Findings at a Glance
Date: 08/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
view details
Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, waitlisting for a kidney transplant, living donor and deceased donor transplantation, utilization of services, Medicare payments, and quality of care. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the first three years of the ETC Model, 2021-2023. Explores if the impacts of the ETC Model differed by patient subgroup, including rural residence.
Additional links: Appendices, Executive Summary, Findings at a Glance
Date: 08/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
view details
Supply, Distribution, and Access to Cardiologists, Oncologists, and Pulmonologists in the Rural and Urban U.S.
Describes the changes in the supply and demand of four specialists - cardiologists, neurologists, oncologists, and pulmonologists - between 2012 and 2022. Compares data on the ratio of these specialists per 100,000 population across urban, large rural, and small/isolated rural areas. Explores the socioeconomic characteristics of rural counties with and without one of these specialists in 2022. Summarizes perspectives of rural health system leaders on how specialty care is accessed by and delivered to rural patients.
Author(s): Signe Burchim, David Evans, Nathan Maris, et al.
Date: 08/2025
Sponsoring organization: WWAMI Rural Health Research Center
view details
Describes the changes in the supply and demand of four specialists - cardiologists, neurologists, oncologists, and pulmonologists - between 2012 and 2022. Compares data on the ratio of these specialists per 100,000 population across urban, large rural, and small/isolated rural areas. Explores the socioeconomic characteristics of rural counties with and without one of these specialists in 2022. Summarizes perspectives of rural health system leaders on how specialty care is accessed by and delivered to rural patients.
Author(s): Signe Burchim, David Evans, Nathan Maris, et al.
Date: 08/2025
Sponsoring organization: WWAMI Rural Health Research Center
view details
Improving Access to Specialty Care for Rural Children Using Enhanced Hearing Screening and Specialty Telehealth Follow-Up in Rural Kentucky Schools: Protocol for a Hybrid Effectiveness-Implementation Stepped Wedge, Cluster-Randomized Controlled Trial (Appalachian STAR Trial)
A study protocol for the Appalachian Specialty Telemedicine Access for Referrals (STAR) trial which aims to improve access to specialty hearing care for children living in rural Kentucky. Focuses on school hearing screenings of kindergartners and follow-up referrals to specialty care.
Author(s): Tarika Srinivasan, Samantha Kleindienst Robler, Elizabeth Turner, et al.
Citation: JMIR Research Protocols, 14
Date: 08/2025
view details
A study protocol for the Appalachian Specialty Telemedicine Access for Referrals (STAR) trial which aims to improve access to specialty hearing care for children living in rural Kentucky. Focuses on school hearing screenings of kindergartners and follow-up referrals to specialty care.
Author(s): Tarika Srinivasan, Samantha Kleindienst Robler, Elizabeth Turner, et al.
Citation: JMIR Research Protocols, 14
Date: 08/2025
view details
Time is Tissue: How CommonSpirit Mercy Hospital is Revolutionizing Rural Cardiac Care
Podcast episode discussing how CommonSpirit Mercy Hospital in Durango, Colorado, uses a communications platform that connects emergency medical services and pre-hospital providers with patients who are having chest pain and cardiac-related issues with on-call cardiologists.
Date: 08/2025
Sponsoring organization: American Hospital Association
view details
Podcast episode discussing how CommonSpirit Mercy Hospital in Durango, Colorado, uses a communications platform that connects emergency medical services and pre-hospital providers with patients who are having chest pain and cardiac-related issues with on-call cardiologists.
Date: 08/2025
Sponsoring organization: American Hospital Association
view details
Rural and Urban Differences in Prostate Cancer Recurrence
Examines rates of prostate cancer recurrence among 778 rural and urban men, utilizing data from the North Carolina Prostate Cancer Comparative Effectiveness Survivor Study. Analyzes the association of rurality and other demographic and clinical factors with recurrence.
Author(s): Julia B Balmaceda, Aaron J Katz, Katelyn Kane, et al.
Citation: JAMA Network Open, 8(8), e2526912
Date: 08/2025
view details
Examines rates of prostate cancer recurrence among 778 rural and urban men, utilizing data from the North Carolina Prostate Cancer Comparative Effectiveness Survivor Study. Analyzes the association of rurality and other demographic and clinical factors with recurrence.
Author(s): Julia B Balmaceda, Aaron J Katz, Katelyn Kane, et al.
Citation: JAMA Network Open, 8(8), e2526912
Date: 08/2025
view details