Rural Health
Resources by Type: Document
The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Significant Mediation by Sadness and Self-Injury Is Observed in Associations Between County-Level Cyberbullying Victimization and Youth Suicidality in Rural New York State
Explores the relationship between cyberbullying, traditional bullying, and suicidality in rural counties in New York State. Highlights rates of bullying and cyberbullying, self-harm, recreational screen time, and other measures by demographic characteristic data.
Author(s): Laura E. Jones, Riya Nadkarni, Nicole Krupa
Citation: Journal of Affective Disorders, 401(15), 121270
Date: 05/2026
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Explores the relationship between cyberbullying, traditional bullying, and suicidality in rural counties in New York State. Highlights rates of bullying and cyberbullying, self-harm, recreational screen time, and other measures by demographic characteristic data.
Author(s): Laura E. Jones, Riya Nadkarni, Nicole Krupa
Citation: Journal of Affective Disorders, 401(15), 121270
Date: 05/2026
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Mapping Spatial and Social Inequities of Long COVID Across the United States: A Retrospective Cohort Study
Examines spatiotemporal variables and social determinants as correlated with the Omicron variant and long COVID health risk. Analyzes 5,652,474 COVID-19 cases and 41,694 long COVID cases according to year, location, U.S. region, risk level of county, and social determinants, including rural versus urban location.
Author(s): Zhetao Chen, Bingnan Lib, Yewen Chen, et al.
Citation: The Lancet Regional Health – Americas, 56, 101401
Date: 04/2026
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Examines spatiotemporal variables and social determinants as correlated with the Omicron variant and long COVID health risk. Analyzes 5,652,474 COVID-19 cases and 41,694 long COVID cases according to year, location, U.S. region, risk level of county, and social determinants, including rural versus urban location.
Author(s): Zhetao Chen, Bingnan Lib, Yewen Chen, et al.
Citation: The Lancet Regional Health – Americas, 56, 101401
Date: 04/2026
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Assessing and Sustaining Competence in Rural Practice
Opinion piece exploring competency-based approaches to physician education and training. Examines the concept of competence in terms of performance at the time of graduation and habit in life.
Author(s): Randall Longenecker
Citation: Family Medicine, 58(3), 175-177
Date: 03/2026
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Opinion piece exploring competency-based approaches to physician education and training. Examines the concept of competence in terms of performance at the time of graduation and habit in life.
Author(s): Randall Longenecker
Citation: Family Medicine, 58(3), 175-177
Date: 03/2026
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Training Needs for Rural Primary Care Practice: A Scoping Review of Resident Physician Preparation
Results of a scoping review exploring what graduate medical education competencies and training primary care residents will need in order to practice effectively in rural areas of the United States. Study was limited to peer-reviewed English language articles published from 2013-2023.
Author(s): David F. Schmitz, Annie Koempel, Campbell Cook, Andrew W. Bazemore
Citation: Family Medicine, 58(3), 199-207
Date: 03/2026
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Results of a scoping review exploring what graduate medical education competencies and training primary care residents will need in order to practice effectively in rural areas of the United States. Study was limited to peer-reviewed English language articles published from 2013-2023.
Author(s): David F. Schmitz, Annie Koempel, Campbell Cook, Andrew W. Bazemore
Citation: Family Medicine, 58(3), 199-207
Date: 03/2026
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Assessment of Rebound in Cancer Diagnoses in California in 2022, by Stage, Sociodemographic Factors, and Rurality
Examines how cancer diagnoses differed in California in 2022 by sociodemographic and geographic group, using 2001-2022 NCI SEER data. See Supplementary Tables for data breakdowns by cancer type and level of rurality.
Author(s): Erin L. Van Blarigan, Alison J. Canchola, Li Zhu, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention, 35(3), 415-419
Date: 03/2026
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Examines how cancer diagnoses differed in California in 2022 by sociodemographic and geographic group, using 2001-2022 NCI SEER data. See Supplementary Tables for data breakdowns by cancer type and level of rurality.
Author(s): Erin L. Van Blarigan, Alison J. Canchola, Li Zhu, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention, 35(3), 415-419
Date: 03/2026
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The Impact of Nurse Practitioner Full Practice Authority on Pediatric Care Experiences: A National Secondary Data Analysis
Examines the impact of full practice authority (FPA) for pediatric nurse practitioners (NPs) on pediatric primary healthcare access. Utilizes 2010–2019 Medical Expenditure Panel Survey data to analyze policy changes related to FPA implementation according to patient access, experiences, and rurality.
Author(s): Joyce J. Fitzpatrick, Maxwell Mehlman, Alicia Plemmons, et al.
Citation: Journal of Pediatric Health Care, 40(2), 251-257
Date: 03/2026
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Examines the impact of full practice authority (FPA) for pediatric nurse practitioners (NPs) on pediatric primary healthcare access. Utilizes 2010–2019 Medical Expenditure Panel Survey data to analyze policy changes related to FPA implementation according to patient access, experiences, and rurality.
Author(s): Joyce J. Fitzpatrick, Maxwell Mehlman, Alicia Plemmons, et al.
Citation: Journal of Pediatric Health Care, 40(2), 251-257
Date: 03/2026
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Mental Health Specialist Telemedicine Uptake and Patient Location
Analyzes 17,742 Medicare fee-for-service claims for mental health specialists between 2018 and 2023 to identify the proportion of telemedicine visits that are with rural, low-access-to-care, or other distant communities. Includes analysis of new and established patients. Discusses study findings as part of larger discussions regarding telehealth increasing access to healthcare for rural and other hard to reach populations.
Author(s): Jacob Jorem, Andrew D. Wilcock, Alisa B. Busch, Haiden A. Huskamp, Ateev Mehrotra
Citation: JAMA Network Open, 9(3)
Date: 03/2026
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Analyzes 17,742 Medicare fee-for-service claims for mental health specialists between 2018 and 2023 to identify the proportion of telemedicine visits that are with rural, low-access-to-care, or other distant communities. Includes analysis of new and established patients. Discusses study findings as part of larger discussions regarding telehealth increasing access to healthcare for rural and other hard to reach populations.
Author(s): Jacob Jorem, Andrew D. Wilcock, Alisa B. Busch, Haiden A. Huskamp, Ateev Mehrotra
Citation: JAMA Network Open, 9(3)
Date: 03/2026
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Digital Health Assessment of the Michigan Department of Health and Human Services
Examines the progress of digitally-enabled public health services and operations capacity across 38 local public health departments (LPHDs) and nine tribal health department teams in Michigan. Covers four key domains of digital health ecosystems: interoperability, governance and workforce capacity, predictive analytics, and person-enabled health. Offers recommendations for advancing digital health ecosystems across the state. Includes rural data and considerations throughout.
Author(s): Anne Snowdon, Alexandra Wright, Abdul Hussein, Tim Story
Date: 03/2026
Sponsoring organizations: Healthcare Information and Management Systems Society, Michigan Department of Health and Human Services
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Examines the progress of digitally-enabled public health services and operations capacity across 38 local public health departments (LPHDs) and nine tribal health department teams in Michigan. Covers four key domains of digital health ecosystems: interoperability, governance and workforce capacity, predictive analytics, and person-enabled health. Offers recommendations for advancing digital health ecosystems across the state. Includes rural data and considerations throughout.
Author(s): Anne Snowdon, Alexandra Wright, Abdul Hussein, Tim Story
Date: 03/2026
Sponsoring organizations: Healthcare Information and Management Systems Society, Michigan Department of Health and Human Services
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A Stubborn Problem: Unaffordable Health Costs Continue to Strain Californians' Finances
Examines healthcare affordability in California from 2019 to 2024, comparing pre-COVID-19 pandemic experiences to after the pandemic had subsided, alongside the implementation of related state and federal policy impacting affordability. Provides percentages of Californians who have trouble paying medical bills, who use credit cards to pay medical bills, who have private insurance with deductibles above $2,000, and more, according to coverage type, demographics, region, and rural versus urban location.
Date: 03/2026
Sponsoring organization: State Health Access Data Assistance Center
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Examines healthcare affordability in California from 2019 to 2024, comparing pre-COVID-19 pandemic experiences to after the pandemic had subsided, alongside the implementation of related state and federal policy impacting affordability. Provides percentages of Californians who have trouble paying medical bills, who use credit cards to pay medical bills, who have private insurance with deductibles above $2,000, and more, according to coverage type, demographics, region, and rural versus urban location.
Date: 03/2026
Sponsoring organization: State Health Access Data Assistance Center
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