Rural Health
Resources by Topic: Sustainability of programs
The Decentralized Academic Health Center: A 21st-Century Model for Rural Health Innovation
Discusses the role of academic health centers in addressing rural health needs and proposes the Decentralized Academic Health Center (D-AHC) model. Compares the traditional model with D-AHC and discusses implementation through teaching and workforce, research and data, clinical partnerships and digital health, community engagement and policy, financial sustainability, and provider and community readiness. Includes a 5-phase roadmap for implementation.
Author(s): Patrick C. Hardigan, Johannes Vieweg
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Discusses the role of academic health centers in addressing rural health needs and proposes the Decentralized Academic Health Center (D-AHC) model. Compares the traditional model with D-AHC and discusses implementation through teaching and workforce, research and data, clinical partnerships and digital health, community engagement and policy, financial sustainability, and provider and community readiness. Includes a 5-phase roadmap for implementation.
Author(s): Patrick C. Hardigan, Johannes Vieweg
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Lessons From Rural Communities: Five Tips for Community-Based Organizations Engaging in Research
Offers 5 considerations for community-based organizations conducting research in rural communities, discussing building networks, considering community needs, centering local knowledge and experiences, measured metrics, and sustainability.
Date: 05/2026
Sponsoring organization: NIH Community Engagement Alliance
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Offers 5 considerations for community-based organizations conducting research in rural communities, discussing building networks, considering community needs, centering local knowledge and experiences, measured metrics, and sustainability.
Date: 05/2026
Sponsoring organization: NIH Community Engagement Alliance
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Food Alliance's Mobile Food Community Kitchen and Pop-Up Pantry Model
Examines the New Hampshire Community Kitchen's Mobile Food Pantry program, aimed at reducing food insecurity in rural areas. Utilizes qualitative data from 97 participants attending mobile pantry events and discusses issues such as financial stress, transportation barriers, sustainability, and more.
Author(s): Margaret Henning, Magdalynn Graul, Kate McAvoy
Citation: International Journal of Environmental Research and Public Health, 23(5), 550
Date: 04/2026
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Examines the New Hampshire Community Kitchen's Mobile Food Pantry program, aimed at reducing food insecurity in rural areas. Utilizes qualitative data from 97 participants attending mobile pantry events and discusses issues such as financial stress, transportation barriers, sustainability, and more.
Author(s): Margaret Henning, Magdalynn Graul, Kate McAvoy
Citation: International Journal of Environmental Research and Public Health, 23(5), 550
Date: 04/2026
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Innovation and Collaboration Help Drive Access to Capital in Rural Communities
Discusses the role of nonprofits and community development financial institutions (CDFIs) in securing capital funding to support rural communities. Highlights several capital funding resources for rural communities.
Author(s): Jennie Blizzard, Surekha Carpenter
Date: 04/2026
Sponsoring organization: Fed Communities
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Discusses the role of nonprofits and community development financial institutions (CDFIs) in securing capital funding to support rural communities. Highlights several capital funding resources for rural communities.
Author(s): Jennie Blizzard, Surekha Carpenter
Date: 04/2026
Sponsoring organization: Fed Communities
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A Strategic Planning Guide for Rural Communities
Report outlines the importance of strategic planning in supporting the health of rural communities and highlights implementation challenges. Details the process of engaging community partners in the strategic planning process and explores methods for overcoming barriers.
Date: 03/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Report outlines the importance of strategic planning in supporting the health of rural communities and highlights implementation challenges. Details the process of engaging community partners in the strategic planning process and explores methods for overcoming barriers.
Date: 03/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Progress Towards Vitality: A Review of Maternal Health Financing Mechanisms in Georgia
Reports on maternal health financing in Georgia and outlines a variety of federal, state, local, and private sources of funding. Examines how funding and reimbursement influences maternal healthcare delivery, details program models, and presents recommendations for policymakers, funders, and providers. Discusses rural areas throughout.
Author(s): Elizabeth Murphy, Shalanda Henderson, Shannon Raines, Nannette Beckley, Meaghan Hunt
Date: 02/2026
Sponsoring organizations: Georgia Health Initiative, NORC at the University of Chicago
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Reports on maternal health financing in Georgia and outlines a variety of federal, state, local, and private sources of funding. Examines how funding and reimbursement influences maternal healthcare delivery, details program models, and presents recommendations for policymakers, funders, and providers. Discusses rural areas throughout.
Author(s): Elizabeth Murphy, Shalanda Henderson, Shannon Raines, Nannette Beckley, Meaghan Hunt
Date: 02/2026
Sponsoring organizations: Georgia Health Initiative, NORC at the University of Chicago
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Study of the Feasibility and Desirability of Establishing a Delinquent Billing Reimbursement Grant System for Ambulance Service Providers - Survey Results & Overview
Presents a the results of a study on the feasibility of implementing a grant-funded reimbursement system for ambulance service providers in North Dakota. Explores the financial stability of North Dakota's EMS providers under the fee-for-service model and highlights gaps and shortfalls in reimbursement. Discusses the effect of these reimbursement issues in both rural and urban areas.
Date: 02/2026
Sponsoring organizations: North Dakota Department of Health and Human Services, North Dakota EMS Association, North Dakota Legislative Council
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Presents a the results of a study on the feasibility of implementing a grant-funded reimbursement system for ambulance service providers in North Dakota. Explores the financial stability of North Dakota's EMS providers under the fee-for-service model and highlights gaps and shortfalls in reimbursement. Discusses the effect of these reimbursement issues in both rural and urban areas.
Date: 02/2026
Sponsoring organizations: North Dakota Department of Health and Human Services, North Dakota EMS Association, North Dakota Legislative Council
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From Expansion to Expiration: Federal Policy Waivers and Telehealth Utilization in US Primary Care (2016–2024)
Examines the impact of COVID-19 federal policy waivers on the long-term sustainability of telehealth access. Provides a scoping review of 2016-2024 articles focused on telehealth utilization for primary care, the removal of geographic restrictions in telehealth policy, and the subsequent impact on healthcare access for rural areas.
Author(s): Abhilasha Bellapu, John Geracitano, Jamie Conklin, Saif Khairat
Citation: Advances in Health Information Science and Practice, 2(1), eRCTG8117
Date: 02/2026
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Examines the impact of COVID-19 federal policy waivers on the long-term sustainability of telehealth access. Provides a scoping review of 2016-2024 articles focused on telehealth utilization for primary care, the removal of geographic restrictions in telehealth policy, and the subsequent impact on healthcare access for rural areas.
Author(s): Abhilasha Bellapu, John Geracitano, Jamie Conklin, Saif Khairat
Citation: Advances in Health Information Science and Practice, 2(1), eRCTG8117
Date: 02/2026
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Community Schools in Rural California: Leveraging Shared Resources in West Kern County
Discusses access challenges related to academic, social, and mental health supports in rural schools and provides a case study of a community school approach in California. Provides findings, lessons, collaborative strategies, and sustainability efforts from the West Kern Consortium for Full-Service Community Schools.
Author(s): Laura E. Hernández Emily Germain
Date: 02/2026
Sponsoring organization: Learning Policy Institute
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Discusses access challenges related to academic, social, and mental health supports in rural schools and provides a case study of a community school approach in California. Provides findings, lessons, collaborative strategies, and sustainability efforts from the West Kern Consortium for Full-Service Community Schools.
Author(s): Laura E. Hernández Emily Germain
Date: 02/2026
Sponsoring organization: Learning Policy Institute
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Transforming Rural Hospitals Through Telehealth Partnerships: Strategic Playbook
Provides hospital leaders with strategies to foster telehealth partnerships within health systems to improve rural hospital financial sustainability, clinical capacity, and long-term viability. Discusses rural hospital strain as well as the economic, community, and population health value of rural hospitals and how telehealth partnerships can mitigate financial issues and create sustainability. Includes a telehealth partnership maturity model, practical framework, and rural hospital implementation considerations.
Author(s): E. Warr, B. Buquez, R. Kruis, J. Augenstein, J. McElligott
Date: 01/2026
Sponsoring organization: Medical University of South Carolina (MUSC) - Telehealth Center of Excellence
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Provides hospital leaders with strategies to foster telehealth partnerships within health systems to improve rural hospital financial sustainability, clinical capacity, and long-term viability. Discusses rural hospital strain as well as the economic, community, and population health value of rural hospitals and how telehealth partnerships can mitigate financial issues and create sustainability. Includes a telehealth partnership maturity model, practical framework, and rural hospital implementation considerations.
Author(s): E. Warr, B. Buquez, R. Kruis, J. Augenstein, J. McElligott
Date: 01/2026
Sponsoring organization: Medical University of South Carolina (MUSC) - Telehealth Center of Excellence
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