Rural Health
Resources by Topic: Specialty care
School-Based Enhanced Hearing Screening and Specialty Telehealth Follow-Up for Hearing Loss among Children in Rural Alaska: Study Protocol for a Hybrid Effectiveness-Implementation Stepped Wedge, Cluster-Randomized Controlled Trial (North STAR Trial)
Describes a study protocol that examines the impact of providing specialty hearing care for students in rural Alaska following standard school hearing screenings. Focuses on trial objectives, design, setting, participants, recruitment, data collection, and planned statistical analyses.
Author(s): Samantha Kleindienst Robler, Janet Prvu Bettger, Elizabeth Turner, et al.
Citation: Trials, 26, 175
Date: 05/2025
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Describes a study protocol that examines the impact of providing specialty hearing care for students in rural Alaska following standard school hearing screenings. Focuses on trial objectives, design, setting, participants, recruitment, data collection, and planned statistical analyses.
Author(s): Samantha Kleindienst Robler, Janet Prvu Bettger, Elizabeth Turner, et al.
Citation: Trials, 26, 175
Date: 05/2025
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Wait Times for Medical Appointments among Adults Age 50 and Older
Reports on wait times and distance to healthcare services in rural and urban communities, utilizing data from a February 2025 survey of 1,012 adults age 50 or older. Breaks down data by level of rurality, type of facility, and type of care provided.
Additional links: Annotated Questionnaire
Author(s): Teresa A. Keenan
Date: 05/2025
Sponsoring organization: AARP
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Reports on wait times and distance to healthcare services in rural and urban communities, utilizing data from a February 2025 survey of 1,012 adults age 50 or older. Breaks down data by level of rurality, type of facility, and type of care provided.
Additional links: Annotated Questionnaire
Author(s): Teresa A. Keenan
Date: 05/2025
Sponsoring organization: AARP
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Evaluating Spoke Facilitation Costs of Implementing TelePain in the Veterans Health Administration
Examines TelePain and hub-and-spoke healthcare models to treat pain in U.S. veterans. Discusses implementation costs, staffing, patients reached, and potential cost barriers of the model in rural and small clinics.
Author(s): Alexandra L. Rose, Shaina Coogan, Jess Indresano, Steven B. Zeliadt, Jessica A. Chen
Citation: Implementation Science Communications, 6, 51
Date: 05/2025
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Examines TelePain and hub-and-spoke healthcare models to treat pain in U.S. veterans. Discusses implementation costs, staffing, patients reached, and potential cost barriers of the model in rural and small clinics.
Author(s): Alexandra L. Rose, Shaina Coogan, Jess Indresano, Steven B. Zeliadt, Jessica A. Chen
Citation: Implementation Science Communications, 6, 51
Date: 05/2025
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Bringing Virtual Behavioral Health Care Access to Rural Youth in West Virginia
Podcast episode that discusses a virtual collaborative behavioral healthcare model for children in rural West Virginia. Focuses on early behavioral health interventions, access, and improved health outcomes.
Author(s): Tom Haederle, Adrienne Coopey, Jordan Steiger
Date: 05/2025
Sponsoring organization: American Hospital Association
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Podcast episode that discusses a virtual collaborative behavioral healthcare model for children in rural West Virginia. Focuses on early behavioral health interventions, access, and improved health outcomes.
Author(s): Tom Haederle, Adrienne Coopey, Jordan Steiger
Date: 05/2025
Sponsoring organization: American Hospital Association
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Access to CCTA at Safety-Net Hospitals Across the United States
Examines the availability of coronary CT angiography (CCTA) at safety-net hospitals to evaluate patients with chest pain. Analyzes 391 safety-net hospitals according to bed size, state, academic status, and rural versus urban location.
Author(s): Jonah Delshad, Trevor Weis, Caleb Bayona, et al.
Citation: Journal of Cardiovascular Computed Tomography, 19(3), 340-343
Date: 05/2025
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Examines the availability of coronary CT angiography (CCTA) at safety-net hospitals to evaluate patients with chest pain. Analyzes 391 safety-net hospitals according to bed size, state, academic status, and rural versus urban location.
Author(s): Jonah Delshad, Trevor Weis, Caleb Bayona, et al.
Citation: Journal of Cardiovascular Computed Tomography, 19(3), 340-343
Date: 05/2025
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Environmental Scan on Reducing Barriers to Participation in Population-Based Total Cost of Care (PB-TCOC) Models and Supporting Primary and Specialty Care Transformation
Presents results of an environmental scan on reducing barriers to participation in population-based total cost of care (PB-TCOC) models and supporting primary and specialty care transformation. Discusses identifying pathways for maximizing participation of different kinds of organizations in PB-TCOC models; an assessment of and approaches to reducing organization-level barriers; approaches to support primary and specialty care transformation; an assessment of factors that influence the ability of PB-TCOC models to be competitive; and a summary of relevant features in previously submitted Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references throughout.
Date: 05/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents results of an environmental scan on reducing barriers to participation in population-based total cost of care (PB-TCOC) models and supporting primary and specialty care transformation. Discusses identifying pathways for maximizing participation of different kinds of organizations in PB-TCOC models; an assessment of and approaches to reducing organization-level barriers; approaches to support primary and specialty care transformation; an assessment of factors that influence the ability of PB-TCOC models to be competitive; and a summary of relevant features in previously submitted Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references throughout.
Date: 05/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Social Determinants of Health and Variability in Treatment for Patients with Early-Stage Non-Small Cell Lung Cancer
Examines census tract-level social determinants of health (SDOH) and their impact on lung cancer treatment. Utilizes 2017-2022 Syapse Learning Health Network data to analyze patient social and demographic variables, housing burden, broadband internet access, primary care shortage areas, and rurality, as correlated with radiation therapy and/or surgery.
Author(s): Molly Scannell Bryan, Xiaohan Hu, Monika A. Izano, et al.
Citation: JNCI Cancer Spectrum, 9(2)
Date: 04/2025
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Examines census tract-level social determinants of health (SDOH) and their impact on lung cancer treatment. Utilizes 2017-2022 Syapse Learning Health Network data to analyze patient social and demographic variables, housing burden, broadband internet access, primary care shortage areas, and rurality, as correlated with radiation therapy and/or surgery.
Author(s): Molly Scannell Bryan, Xiaohan Hu, Monika A. Izano, et al.
Citation: JNCI Cancer Spectrum, 9(2)
Date: 04/2025
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Mapping Disparities in Access to Lecanemab in Georgia
Analyzes access to Alzheimer's disease (AD) treatments in Georgia. Analyzes location of and drive times to lecanemab infusion sites and amyloid positron emission tomography (PET) scan facilities across the state. Discusses issues of access in rural counties.
Author(s): Niying Li, Samruddhi Nandkumar Borate, Kai Zhang, et al.
Citation: Alzheimer's & Dementia: The Journal of the Alzheimer's Association, 21(4)
Date: 04/2025
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Analyzes access to Alzheimer's disease (AD) treatments in Georgia. Analyzes location of and drive times to lecanemab infusion sites and amyloid positron emission tomography (PET) scan facilities across the state. Discusses issues of access in rural counties.
Author(s): Niying Li, Samruddhi Nandkumar Borate, Kai Zhang, et al.
Citation: Alzheimer's & Dementia: The Journal of the Alzheimer's Association, 21(4)
Date: 04/2025
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Living With Chronic Myelogenous Leukemia in Rural Communities: Exploring Factors Related to Tyrosine Kinase Inhibitors Adherence With a Mixed Methods Approach
Presents a study on the use of tyrosine kinase inhibitor (TKI), which improves chronic myeloid leukemia (CML) outcomes, among rural CML patients. Bases findings on semi-structured interviews detailing side effects, perceived stress, and ability to self-manage chronic conditions, among other factors.
Author(s): Jingxi Sheng, Sue P. Heiney, Karen E. Wickersham, et al.
Citation: Journal of Rural Health, 41(2), e70028
Date: 04/2025
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Presents a study on the use of tyrosine kinase inhibitor (TKI), which improves chronic myeloid leukemia (CML) outcomes, among rural CML patients. Bases findings on semi-structured interviews detailing side effects, perceived stress, and ability to self-manage chronic conditions, among other factors.
Author(s): Jingxi Sheng, Sue P. Heiney, Karen E. Wickersham, et al.
Citation: Journal of Rural Health, 41(2), e70028
Date: 04/2025
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Medicare Beneficiary Receipt of Methadone by Drive Time to Opioid Treatment Programs
Examines availability of methadone at opioid treatment programs for Medicare beneficiaries who have been diagnosed with an opioid use disorder. Utilizes data from 640,706 Medicare beneficiaries and analyzes their respective drive time to a treatment facility as well as receipt of methadone treatment. Includes U.S. map showing locations of opioid treatment programs and rural versus urban comparisons of patient drive times.
Author(s): Jonathan Cantor, Helin G. Hernandez, Aaron Kofner, et al.
Citation: JAMA Network Open, 8(4), e253099
Date: 04/2025
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Examines availability of methadone at opioid treatment programs for Medicare beneficiaries who have been diagnosed with an opioid use disorder. Utilizes data from 640,706 Medicare beneficiaries and analyzes their respective drive time to a treatment facility as well as receipt of methadone treatment. Includes U.S. map showing locations of opioid treatment programs and rural versus urban comparisons of patient drive times.
Author(s): Jonathan Cantor, Helin G. Hernandez, Aaron Kofner, et al.
Citation: JAMA Network Open, 8(4), e253099
Date: 04/2025
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