Rural Health
Resources by Topic: Statistics and data
As Rural Populations Grow Older, Communities Increasingly Rely on Smaller Labor Force
Reports on rural-urban differences in labor force availability and age dependency ratios caused by the growing demographic share of older people in the U.S. Breaks down data by county-level rurality, and discusses rural infrastructure, healthcare, and caregiving needs.
Author(s): Richelle L. Winkler
Citation: Amber Waves
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Reports on rural-urban differences in labor force availability and age dependency ratios caused by the growing demographic share of older people in the U.S. Breaks down data by county-level rurality, and discusses rural infrastructure, healthcare, and caregiving needs.
Author(s): Richelle L. Winkler
Citation: Amber Waves
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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U.S. Household Food Spending Post COVID-19 and the Implications for Diet Quality
Analyzes household food spending across various population groups between the years of 2016 and 2022. Analyzes food purchases and food away from home (FAFH) spending according to demographic groups, Supplemental Nutrition Assistance Program (SNAP) benefits, region, and urbanicity. Discusses the impact of COVID-19 and economic inflation in spending patterns.
Additional links: Report Summary
Author(s): Abigail Okrent, Eliana Zeballos
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Analyzes household food spending across various population groups between the years of 2016 and 2022. Analyzes food purchases and food away from home (FAFH) spending according to demographic groups, Supplemental Nutrition Assistance Program (SNAP) benefits, region, and urbanicity. Discusses the impact of COVID-19 and economic inflation in spending patterns.
Additional links: Report Summary
Author(s): Abigail Okrent, Eliana Zeballos
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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CAH Financial Indicators Report: Summary of Indicator Medians by State
Presents state and national median values of 29 financial indicators included in the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Provides an overview of each measurement and reports median values by state. Indicators represent seven areas of financial performance: profitability, liquidity, capital structure, revenue, cost, utilization, and other.
Date: 05/2025
Sponsoring organization: Flex Monitoring Team
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Presents state and national median values of 29 financial indicators included in the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Provides an overview of each measurement and reports median values by state. Indicators represent seven areas of financial performance: profitability, liquidity, capital structure, revenue, cost, utilization, and other.
Date: 05/2025
Sponsoring organization: Flex Monitoring Team
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Counties Most Reliant on Farming Tend to be Located in Center of the Country
Color-coded map highlighting counties with high farming concentration as of 2025. Distinguishes between rural and urban high farming-concentration counties.
Author(s): Austin Sanders
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Color-coded map highlighting counties with high farming concentration as of 2025. Distinguishes between rural and urban high farming-concentration counties.
Author(s): Austin Sanders
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Characteristics and Trends of Critical Access Hospitals That Own or Operate Ambulance Services
Explores trends in the number of Critical Access Hospital (CAH)-based ambulance services between 2017 and 2022. Analyzes Medicare Cost Report data to compare the characteristics of of CAHs that own and operate ambulance services to CAHs that do not. Presents findings from interviews with eight CAH-based ambulance services regarding the challenges of operating these services, including workforce recruitment and retention issues, the role of partnerships and community involvement, and lessons learned.
Author(s): John Gale, Karen Pearson, Rebecca Stearns, Zachariah Croll
Date: 05/2025
Sponsoring organization: Flex Monitoring Team
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Explores trends in the number of Critical Access Hospital (CAH)-based ambulance services between 2017 and 2022. Analyzes Medicare Cost Report data to compare the characteristics of of CAHs that own and operate ambulance services to CAHs that do not. Presents findings from interviews with eight CAH-based ambulance services regarding the challenges of operating these services, including workforce recruitment and retention issues, the role of partnerships and community involvement, and lessons learned.
Author(s): John Gale, Karen Pearson, Rebecca Stearns, Zachariah Croll
Date: 05/2025
Sponsoring organization: Flex Monitoring Team
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Evaluation of the Primary Care First Model: Third Annual Report
Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the PCF model implementation experiences for Cohort 1 and Cohort 2 practices through 2023. Explores the characteristics of practices and payers that continued to participate in the PCF model compared to those who left. Examines the role that the PCF Model's incentives and supports played in the strategies and practices adopted to improve care delivery and how the trajectory of these strategies and activities practices have transformed over time. Estimates the impact of the PCF Model on Medicare fee-for-service (FFS) expenditures and service use, including acute hospitalizations. Estimates the impacts of the model on a set of seven leading indicators to provide an early assessment of whether care delivery changes are resulting in meaningful early outcome changes.
Additional links: Executive Summary, Findings at a Glance
Date: 05/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the PCF model implementation experiences for Cohort 1 and Cohort 2 practices through 2023. Explores the characteristics of practices and payers that continued to participate in the PCF model compared to those who left. Examines the role that the PCF Model's incentives and supports played in the strategies and practices adopted to improve care delivery and how the trajectory of these strategies and activities practices have transformed over time. Estimates the impact of the PCF Model on Medicare fee-for-service (FFS) expenditures and service use, including acute hospitalizations. Estimates the impacts of the model on a set of seven leading indicators to provide an early assessment of whether care delivery changes are resulting in meaningful early outcome changes.
Additional links: Executive Summary, Findings at a Glance
Date: 05/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Longitudinal Lipidomic Profile of Subclinical Peripheral Artery Disease in American Indians: The Strong Heart Family Study
Examines associations between lipid species and peripheral artery disease (PAD) among 1,886 American Indian members of tribal communities who participated in the Strong Heart Family Study. Provides data on the connection between specific lipid species and PAD, coronary heart disease, and other clinical factors.
Author(s): Mingjing Chen, Guanhong Miao, Mary J. Roman, et al.
Citation: Preventing Chronic Disease, 22, 240220
Date: 05/2025
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Examines associations between lipid species and peripheral artery disease (PAD) among 1,886 American Indian members of tribal communities who participated in the Strong Heart Family Study. Provides data on the connection between specific lipid species and PAD, coronary heart disease, and other clinical factors.
Author(s): Mingjing Chen, Guanhong Miao, Mary J. Roman, et al.
Citation: Preventing Chronic Disease, 22, 240220
Date: 05/2025
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Rural Access to Certified Community Behavioral Health Clinics (CCBHCs)
Examines access to, and services offered by, Certified Community Behavioral Health Clinics (CCBHCs) in rural and urban communities. Also compares services at CCBHCs with those offered at other mental health clinics. Features state-level maps showing CCBHC counts by state, and statistics on services counts in CCBHCs and other mental health facilities, with breakdowns by urban and rural areas.
Author(s): Aaron P. Smith, Jeffrey Talbert
Date: 05/2025
Sponsoring organization: Rural and Underserved Health Research Center
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Examines access to, and services offered by, Certified Community Behavioral Health Clinics (CCBHCs) in rural and urban communities. Also compares services at CCBHCs with those offered at other mental health clinics. Features state-level maps showing CCBHC counts by state, and statistics on services counts in CCBHCs and other mental health facilities, with breakdowns by urban and rural areas.
Author(s): Aaron P. Smith, Jeffrey Talbert
Date: 05/2025
Sponsoring organization: Rural and Underserved Health Research Center
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Industry Specialization Varies Across Rural Counties, Favoring Manufacturing and Farming
Color-coded map showing industry dependence among rural counties in 2025. Provides data breakdowns on the total prevalence of rural specialization in farming, mining, manufacturing, recreation, and other industries.
Author(s): Austin Sanders, James C. Davis
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Color-coded map showing industry dependence among rural counties in 2025. Provides data breakdowns on the total prevalence of rural specialization in farming, mining, manufacturing, recreation, and other industries.
Author(s): Austin Sanders, James C. Davis
Date: 05/2025
Sponsoring organization: USDA Economic Research Service
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Rural and Urban Differences in Suicide in the United States, 2018-2021
Highlights the rates of suicide across the U.S. from 2018-2021 in rural and urban areas. Discusses some of the geographic and demographic characteristics that correlate with higher rates of suicide. Breaks down data by year, demographics, Census and HHS regions, and rural versus urban location. Makes policy recommendations based on the report's findings.
Author(s): Qian Huang, Nicole Galler, Michael Meit, Amy Wahlquist
Date: 05/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Highlights the rates of suicide across the U.S. from 2018-2021 in rural and urban areas. Discusses some of the geographic and demographic characteristics that correlate with higher rates of suicide. Breaks down data by year, demographics, Census and HHS regions, and rural versus urban location. Makes policy recommendations based on the report's findings.
Author(s): Qian Huang, Nicole Galler, Michael Meit, Amy Wahlquist
Date: 05/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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