Rural Health
Resources by Type: Document
Unpacking the Primary Care Clinician Index: Understanding How Changes in Population and Workforce Supply Affect Access to Primary Care in North Carolina
Analyzes the primary care clinician supply between 2017 and 2024 to identify how it has changed with regard to physician, population, and geographic characteristics including rurality. Discusses how the studied characteristics indicate access to care. Discusses the role of the nurse practitioner workforce in increasing access to care.
Author(s): Evan Galloway, Brianna Lombardi, Erin Fraher
Citation: North Carolina Medical Journal, 86(3)
Date: 10/2025
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Analyzes the primary care clinician supply between 2017 and 2024 to identify how it has changed with regard to physician, population, and geographic characteristics including rurality. Discusses how the studied characteristics indicate access to care. Discusses the role of the nurse practitioner workforce in increasing access to care.
Author(s): Evan Galloway, Brianna Lombardi, Erin Fraher
Citation: North Carolina Medical Journal, 86(3)
Date: 10/2025
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An Assessment of Nurse Practitioner Low-Value Care Use in Primary Care
Analyzes how patient demographics and geography are associated with the prevalence of nurse practitioner-delivered low-value lumbar X-ray, aURI antibiotic, and ECG services, utilizing 2021 Merative MarketScan Commercial and Medicare database data for Arizona, Nevada, and New Mexico. Includes metro versus nonmetro comparison data.
Author(s): Sara B. Nugent, Roberta P. Lavin, Jongwon Lee, Brady P. Horn, Barbara I. Holmes Damron
Citation: The American Journal of Managed Care, 31(1), 553-557
Date: 10/2025
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Analyzes how patient demographics and geography are associated with the prevalence of nurse practitioner-delivered low-value lumbar X-ray, aURI antibiotic, and ECG services, utilizing 2021 Merative MarketScan Commercial and Medicare database data for Arizona, Nevada, and New Mexico. Includes metro versus nonmetro comparison data.
Author(s): Sara B. Nugent, Roberta P. Lavin, Jongwon Lee, Brady P. Horn, Barbara I. Holmes Damron
Citation: The American Journal of Managed Care, 31(1), 553-557
Date: 10/2025
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2025 Nebraska Rural Poll Research Report: Well Being
Analyzes 2025 Nebraska Rural Poll results related to how rural Nebraskans perceive their current and future well-being, life satisfaction, personal finances, impact of marital status, feelings of loneliness, and more. Includes survey data and demographic information on survey respondents.
Author(s): Heather Akin, Cheryl Burkhart-Kriesel, Mary Emery, et al.
Date: 10/2025
Sponsoring organization: University of Nebraska-Lincoln
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Analyzes 2025 Nebraska Rural Poll results related to how rural Nebraskans perceive their current and future well-being, life satisfaction, personal finances, impact of marital status, feelings of loneliness, and more. Includes survey data and demographic information on survey respondents.
Author(s): Heather Akin, Cheryl Burkhart-Kriesel, Mary Emery, et al.
Date: 10/2025
Sponsoring organization: University of Nebraska-Lincoln
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Report to the Secretary of Health and Human Services: Reducing Barriers to Participation in Population-Based Total Cost of Care (PB-TCOC) Models and Supporting Primary and Specialty Care Transformation
Summarizes findings from the Physician-Focused Payment Model Technical Advisory Committee's (PTAC) review of information on reducing barriers to participation in alternative payment models (APMs). Discusses key issues relating to reducing barriers to participation in APMs and value-based care transformation, areas where additional research is needed, and potential next steps.
Date: 10/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Summarizes findings from the Physician-Focused Payment Model Technical Advisory Committee's (PTAC) review of information on reducing barriers to participation in alternative payment models (APMs). Discusses key issues relating to reducing barriers to participation in APMs and value-based care transformation, areas where additional research is needed, and potential next steps.
Date: 10/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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What Makes a Rural Community Age-Friendly?
Brief discussing key factors for making a rural community age-friendly based on interviews with 25 older adults and 36 community leaders and service providers in 4 rural Iowa towns. Discusses rural challenges, volunteer run services, and social networks. Offers policy recommendations based on findings.
Author(s): Ilona Matysiak
Date: 10/2025
Sponsoring organization: Rural Population Research Network
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Brief discussing key factors for making a rural community age-friendly based on interviews with 25 older adults and 36 community leaders and service providers in 4 rural Iowa towns. Discusses rural challenges, volunteer run services, and social networks. Offers policy recommendations based on findings.
Author(s): Ilona Matysiak
Date: 10/2025
Sponsoring organization: Rural Population Research Network
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Targeted Nursing Interventions for Improving Stroke Care and Outcomes in the Rural Setting: A Scientific Statement From the American Heart Association
Discusses opportunities and continuing challenges in the use of service delivery models and technological innovations to support accessible and high-quality nurse-delivered stroke care in rural settings. Covers topics including telemedicine, artificial intelligence, nursing workforce education, data use, and more.
Author(s): Renee Colsch, Wendy Dusenbury, Michelle Camicia, et al.
Citation: Stroke, 57(1), e45-e57
Date: 10/2025
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Discusses opportunities and continuing challenges in the use of service delivery models and technological innovations to support accessible and high-quality nurse-delivered stroke care in rural settings. Covers topics including telemedicine, artificial intelligence, nursing workforce education, data use, and more.
Author(s): Renee Colsch, Wendy Dusenbury, Michelle Camicia, et al.
Citation: Stroke, 57(1), e45-e57
Date: 10/2025
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Gendered Motivations for E-Cigarette Use Among Native Hawaiian and Pacific Islander Youth: A Relational–Cultural Perspective
Explores differing perspectives on e-cigarette use among Native Hawaiian and Pacific Islander boys and girls, utilizing focus group discussion excerpts of 69 rural public school students on Hawai'i Island. Discusses personal motivations, cultural influences, and strategies for the avoidance of e-cigarette use.
Author(s): Sarah D. Song, Zarek K. Kon, Tea A. Stephens, et al.
Citation: Asia Pacific Journal of Public Health, 37(8), 705-711
Date: 10/2025
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Explores differing perspectives on e-cigarette use among Native Hawaiian and Pacific Islander boys and girls, utilizing focus group discussion excerpts of 69 rural public school students on Hawai'i Island. Discusses personal motivations, cultural influences, and strategies for the avoidance of e-cigarette use.
Author(s): Sarah D. Song, Zarek K. Kon, Tea A. Stephens, et al.
Citation: Asia Pacific Journal of Public Health, 37(8), 705-711
Date: 10/2025
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Benzodiazepines and Opioid Co-Use Among Rural People Who Use Drugs: Findings From the Rural Opioid Initiative
Explores the patterns of co-usage of benzodiazepines and opioids in rural areas. Highlights data related to health outcomes, demographic characteristics, interactions with law enforcement, and the co-use of other drugs, among other measures.
Author(s): L. Sarah Mixson, Arvind Venkataraman, Lydia N. Drumright, et al.
Citation: Substance Use & Addiction Journal, 46(4), 847-858
Date: 10/2025
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Explores the patterns of co-usage of benzodiazepines and opioids in rural areas. Highlights data related to health outcomes, demographic characteristics, interactions with law enforcement, and the co-use of other drugs, among other measures.
Author(s): L. Sarah Mixson, Arvind Venkataraman, Lydia N. Drumright, et al.
Citation: Substance Use & Addiction Journal, 46(4), 847-858
Date: 10/2025
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New Mexico Health Care Workforce Committee: 2025 Annual Report
Reports on New Mexico's healthcare workforce, including county-level data and comparisons to national benchmarks. Discusses rural and frontier area shortages, health workforce migration trends, potential solutions for workforce issues, and updates on previous recommendations. See Appendix C for healthcare professions gap analyses by county.
Date: 10/2025
Sponsoring organization: University of New Mexico - Health Sciences Center
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Reports on New Mexico's healthcare workforce, including county-level data and comparisons to national benchmarks. Discusses rural and frontier area shortages, health workforce migration trends, potential solutions for workforce issues, and updates on previous recommendations. See Appendix C for healthcare professions gap analyses by county.
Date: 10/2025
Sponsoring organization: University of New Mexico - Health Sciences Center
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Assessing Family Medicine Obstetrics Training Needs to Strengthen Maternal Health in Underserved and Rural US Communities
Examines the impact of the PROMOTE OB track (PRimary care Obstetrics and Maternal Outcomes Training Enhancement) to improve maternity care access from family medicine obstetricians (FMOBs) in rural and underserved areas. Examines focus group feedback from PROMOTE OB participants regarding training gaps, collaborative care, cultural components, and patient needs.
Author(s): Matthew D Kearney, Caroline S O'Brien, Melissa L Donze, et al.
Citation: Journal of Primary Care & Community Health
Date: 10/2025
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Examines the impact of the PROMOTE OB track (PRimary care Obstetrics and Maternal Outcomes Training Enhancement) to improve maternity care access from family medicine obstetricians (FMOBs) in rural and underserved areas. Examines focus group feedback from PROMOTE OB participants regarding training gaps, collaborative care, cultural components, and patient needs.
Author(s): Matthew D Kearney, Caroline S O'Brien, Melissa L Donze, et al.
Citation: Journal of Primary Care & Community Health
Date: 10/2025
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