Rural Health
Resources by Topic: Specialty care
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
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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
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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
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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
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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
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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
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Quantitative Effects of Mechanical Cardiopulmonary Resuscitation Devices in Rural American Emergency Medical Services: A Retrospective Cohort Study
Examines the effect of mechanical cardiopulmonary resuscitation on out-of-hospital cardiac arrest incidents in rural areas and the usefulness of new technologies on rural emergency medical services (EMS). Utilizes 2017–2019 National Emergency Medical Services Information System data to analyze 585 rural cardiac arrests and the impact of mechanical cardiopulmonary resuscitation on EMS care quality.
Author(s): Peter H. King, Esmaeil Bahalkeh
Citation: International Journal of Emergency Medicine, 18, 151
Date: 08/2025
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Examines the effect of mechanical cardiopulmonary resuscitation on out-of-hospital cardiac arrest incidents in rural areas and the usefulness of new technologies on rural emergency medical services (EMS). Utilizes 2017–2019 National Emergency Medical Services Information System data to analyze 585 rural cardiac arrests and the impact of mechanical cardiopulmonary resuscitation on EMS care quality.
Author(s): Peter H. King, Esmaeil Bahalkeh
Citation: International Journal of Emergency Medicine, 18, 151
Date: 08/2025
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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 unmet social needs 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
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Presents a study exploring the efficacy of community navigators, such as 211, to help alleviate unmet social needs 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
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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
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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
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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
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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
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An Examination of Geographic Proximity to Outpatient Cardiac Rehabilitation in Rural Versus Urban Tennessee Counties
Examines travel distance and time to outpatient cardiac rehabilitation (OCR) facilities in Tennessee counties. Provides rural versus urban comparisons of OCR facility access as well as county-level Tennessee maps showing myocardial infarction hospitalization rate and travel burden.
Author(s): Phoebe M. Tran, Benjamin Fogelson, Andrew B. Sorey, R. Eric Heidel, Raj Baljepally
Citation: Journal of Cardiovascular Nursing, 41(2), 120-124
Date: 07/2025
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Examines travel distance and time to outpatient cardiac rehabilitation (OCR) facilities in Tennessee counties. Provides rural versus urban comparisons of OCR facility access as well as county-level Tennessee maps showing myocardial infarction hospitalization rate and travel burden.
Author(s): Phoebe M. Tran, Benjamin Fogelson, Andrew B. Sorey, R. Eric Heidel, Raj Baljepally
Citation: Journal of Cardiovascular Nursing, 41(2), 120-124
Date: 07/2025
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Cancer in Rural America: Improving Access to Clinical Trials and Quality of Oncologic Care
Discusses the importance of rural populations accessing oncologic clinical trials to decrease cancer morbidity and mortality rates in rural areas. Provides rural versus urban patient data on distance from trial sites as well as prevalence of chronic disease. Suggests strategies and policies to improve access to clinical trials.
Author(s): Joseph M. Unger, Barbara L. McAneny, Raymond U. Osarogiagbon
Citation: CA: A Cancer Journal for Clinicians, 75(4), 341-361
Date: 07/2025
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Discusses the importance of rural populations accessing oncologic clinical trials to decrease cancer morbidity and mortality rates in rural areas. Provides rural versus urban patient data on distance from trial sites as well as prevalence of chronic disease. Suggests strategies and policies to improve access to clinical trials.
Author(s): Joseph M. Unger, Barbara L. McAneny, Raymond U. Osarogiagbon
Citation: CA: A Cancer Journal for Clinicians, 75(4), 341-361
Date: 07/2025
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Gaps in Access to Pulmonary Hypertension Care and Opportunities for Improvement: A Multi-Site Qualitative Study
Discusses access barriers to pulmonary hypertension (PH) specialty care in the United States. Utilizes qualitative feedback from staff and patients at 3 PH healthcare centers and discusses issues such as lack of expertise, lack of insurance coverage, and geographic barriers to care, including in rural areas.
Author(s): Kari R. Gillmeyer, Sara Shusterman, Seppo T. Rinne, A. Rani Elwy, Renda Soylemez Wiener
Citation: BMC Pulmonary Medicine, 25, 355
Date: 07/2025
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Discusses access barriers to pulmonary hypertension (PH) specialty care in the United States. Utilizes qualitative feedback from staff and patients at 3 PH healthcare centers and discusses issues such as lack of expertise, lack of insurance coverage, and geographic barriers to care, including in rural areas.
Author(s): Kari R. Gillmeyer, Sara Shusterman, Seppo T. Rinne, A. Rani Elwy, Renda Soylemez Wiener
Citation: BMC Pulmonary Medicine, 25, 355
Date: 07/2025
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