Rural Health
Resources by Topic: Specialty care
Changing Patterns of Specialty Care for Diabetic Foot Ulcers among Rural and Urban Veterans Following the VA MISSION Act
Presents a study on older veterans' access to specialty care for diabetic foot ulcers under the MISSION Act in rural and urban areas. Explores veterans' access both inside and outside of the VA and breaks down utilization data by specialty, such as podiatry, infectious disease, vascular surgery, and endocrinology.
Author(s): Hiroyuki Suzuki, Mary Vaughan-Sarrazin, Michael Ohl, et al.
Citation: International Wound Journal, 23(9), e71039
Date: 09/2026
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Presents a study on older veterans' access to specialty care for diabetic foot ulcers under the MISSION Act in rural and urban areas. Explores veterans' access both inside and outside of the VA and breaks down utilization data by specialty, such as podiatry, infectious disease, vascular surgery, and endocrinology.
Author(s): Hiroyuki Suzuki, Mary Vaughan-Sarrazin, Michael Ohl, et al.
Citation: International Wound Journal, 23(9), e71039
Date: 09/2026
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Associations of Rurality, Child Opportunity, and Distance with Use of Pediatric Asthma Specialists
Examines the relationship among rurality, child opportunity index (COI), and drive time to a pediatric asthma specialist. Utilizes 2015-2021 Maine Health Data Organization All-Payer Claims Data to analyze 12,014 children with a pediatric asthma referral according to patient demographics and health status, drive time to a specialist, COI, and metro, micro, small town, or isolated small rural location. Discusses disparities in access to asthma specialty care for rural children.
Author(s): James Bohnhoff, Anya Cutler, Elizabeth A. Jacobs, Wanda Phipatanakul, Yvonne Jonk
Citation: The Journal of Allergy and Clinical Immunology, 158(3), 751-757
Date: 09/2026
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Examines the relationship among rurality, child opportunity index (COI), and drive time to a pediatric asthma specialist. Utilizes 2015-2021 Maine Health Data Organization All-Payer Claims Data to analyze 12,014 children with a pediatric asthma referral according to patient demographics and health status, drive time to a specialist, COI, and metro, micro, small town, or isolated small rural location. Discusses disparities in access to asthma specialty care for rural children.
Author(s): James Bohnhoff, Anya Cutler, Elizabeth A. Jacobs, Wanda Phipatanakul, Yvonne Jonk
Citation: The Journal of Allergy and Clinical Immunology, 158(3), 751-757
Date: 09/2026
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ADDIE-Guided Development and Pilot Feasibility Evaluation of a Prototype VR Training Simulation for Suicide Prevention among Rural U.S. Veterans
Explores the feasibility of using virtual reality (VR) workforce training modules to address the lack of specialty-trained mental health professionals serving rural veterans and to improve suicide prevention efforts. Evaluates participants' engagement in the VR environment, realism of VR scenarios, and perception of usability across different workforce groups, among other measures.
Author(s): Donna L. Schuman , Micki Washburn, Regina T. Praetorius, et al.
Citation: PLoS One, 21(8), e0345819
Date: 08/2026
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Explores the feasibility of using virtual reality (VR) workforce training modules to address the lack of specialty-trained mental health professionals serving rural veterans and to improve suicide prevention efforts. Evaluates participants' engagement in the VR environment, realism of VR scenarios, and perception of usability across different workforce groups, among other measures.
Author(s): Donna L. Schuman , Micki Washburn, Regina T. Praetorius, et al.
Citation: PLoS One, 21(8), e0345819
Date: 08/2026
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Lung Cancer Screening Access and Cancer Stage at Diagnosis Among American Indian and White Patients
Examines the association between geographic access to low-dose computed tomography (LDCT) lung cancer screening facilities and stage at diagnosis among American Indians and Alaska Natives (AI/AN) and non-Hispanic White (NHW) adults in North Carolina. Utilizes 2016-2020 cancer registry and health insurance claims data to analyze 18,154 lung cancer patients according to distance to nearest LDCT, sociodemographic variables, and geography.
Author(s): Bradford E. Jackson, Madison Uhrin, Stephanie B. Wheeler, et al.
Citation: Journal of Rural Health, 42(3), e70207
Date: 08/2026
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Examines the association between geographic access to low-dose computed tomography (LDCT) lung cancer screening facilities and stage at diagnosis among American Indians and Alaska Natives (AI/AN) and non-Hispanic White (NHW) adults in North Carolina. Utilizes 2016-2020 cancer registry and health insurance claims data to analyze 18,154 lung cancer patients according to distance to nearest LDCT, sociodemographic variables, and geography.
Author(s): Bradford E. Jackson, Madison Uhrin, Stephanie B. Wheeler, et al.
Citation: Journal of Rural Health, 42(3), e70207
Date: 08/2026
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MedPAC Comment on CMS's Proposed Rule on the Payment System for End-Stage Renal Disease for CY 2027
Comments on a June 26, 2026, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing updates to the ESRD bundled market basket and the low-volume payment adjustment (LVPA), approaches to increase home dialysis use, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a June 26, 2026, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing updates to the ESRD bundled market basket and the low-volume payment adjustment (LVPA), approaches to increase home dialysis use, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Mapping Rural–Urban Disparities in Otolaryngology Access: A Statewide Analysis of Georgia's ENT Workforce
Examines how the supply, distribution, and training characteristics of otolaryngologists in Georgia vary by rural or urban county using Centers for Medicare & Medicaid Services, Georgia Composite Medical Board, and American Academy of Otolaryngology-Head and Neck Surgery data. Includes data on rural and urban travel burden, subspecialty availability, and more.
Author(s): Shervin Eskandari, William E. Long, Benjamin Aderinwale, et al.
Citation: OTO Open, 10(3), e70286
Date: 08/2026
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Examines how the supply, distribution, and training characteristics of otolaryngologists in Georgia vary by rural or urban county using Centers for Medicare & Medicaid Services, Georgia Composite Medical Board, and American Academy of Otolaryngology-Head and Neck Surgery data. Includes data on rural and urban travel burden, subspecialty availability, and more.
Author(s): Shervin Eskandari, William E. Long, Benjamin Aderinwale, et al.
Citation: OTO Open, 10(3), e70286
Date: 08/2026
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FY 2022 Mississippi State Health Plan: Fourth Edition - Amended
Offers criteria and standards for health-related activities in Mississippi which require Certificate of Need review. Features sections on workforce, long-term care, mental health, perinatal care, acute care, rehabilitation services, and other services. Mentions rural throughout.
Date: 08/2026
Sponsoring organization: Mississippi State Department of Health
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Offers criteria and standards for health-related activities in Mississippi which require Certificate of Need review. Features sections on workforce, long-term care, mental health, perinatal care, acute care, rehabilitation services, and other services. Mentions rural throughout.
Date: 08/2026
Sponsoring organization: Mississippi State Department of Health
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Precision Oncology for Solid Tumor Malignancies in the Rural United States: A Scoping Review
Scoping review examining literature published between 2014 and 2026 on precision oncology service delivery, access, research, and health policy in the rural United States. Discusses topics related to rural and urban disparities, patient and provider perceptions, and implementation.
Author(s): Dena P. Rhinehart, Madelyn F. Klugman, Shuait Nair, et al.
Citation: JCO Oncology Advances, 3(3), e2600045
Date: 08/2026
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Scoping review examining literature published between 2014 and 2026 on precision oncology service delivery, access, research, and health policy in the rural United States. Discusses topics related to rural and urban disparities, patient and provider perceptions, and implementation.
Author(s): Dena P. Rhinehart, Madelyn F. Klugman, Shuait Nair, et al.
Citation: JCO Oncology Advances, 3(3), e2600045
Date: 08/2026
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Expansion of Access to Rheumatology Care for Rural Veterans: Program Development and Initial Feasibility of the National Tele-Rheumatology Program Using the RE-AIM Framework
Presents a study exploring the feasibility of the National Tele-Rheumatology Program (NTRP) hub-and-spoke model to expand access to rheumatology care for rural veterans. Discusses the program's design and implementation and evaluates outcomes based on surveys of veterans and staff interviews. Compares findings by rural and urban settings.
Author(s): Gabriela Schmajuk, Cherish R. Wilson, Catherine Nasrallah, et al.
Citation: Journal of Rural Health, 42(3), e70198
Date: 08/2026
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Presents a study exploring the feasibility of the National Tele-Rheumatology Program (NTRP) hub-and-spoke model to expand access to rheumatology care for rural veterans. Discusses the program's design and implementation and evaluates outcomes based on surveys of veterans and staff interviews. Compares findings by rural and urban settings.
Author(s): Gabriela Schmajuk, Cherish R. Wilson, Catherine Nasrallah, et al.
Citation: Journal of Rural Health, 42(3), e70198
Date: 08/2026
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Integrating Physical and Behavioral Health: Addressing Co-Occurring Mental Health and Substance Use Disorders with Chronic Physical Illnesses
Report details the way physical and behavioral healthcare integration can support patients with co-occurring behavioral health disorders and chronic physical issues. Discusses the different levels of care integration, evidence-based approaches, and established models for care integration in different settings. Highlights a rural clinic-based telepsychiatry model in South Carolina.
Date: 08/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report details the way physical and behavioral healthcare integration can support patients with co-occurring behavioral health disorders and chronic physical issues. Discusses the different levels of care integration, evidence-based approaches, and established models for care integration in different settings. Highlights a rural clinic-based telepsychiatry model in South Carolina.
Date: 08/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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