Rural Health
Resources by Type: Document
An Enhanced Method for Identifying Hospital-Based Obstetric Unit Status, Version 2 with Addendum
Results of a study using data from American Hospital Association annual surveys from 2010-2018 to conduct single- and multi-year assessments of obstetric unit status and to identify closures of obstetric units. Compares results obtained through the enhanced method with results of a survey sample of rural hospitals with obstetric units open at the time of the assessment and those with recently closed units. Addendum describes methodology updates since a previously published January 2022 report as well as additional findings using 2010-2023 data.
Additional links: An Enhanced Method for Identifying Hospital-Based Obstetric Unit Status (Version 1, 2022)
Author(s): Julia D. Interrante, Caitlin Carroll, Emily C. Sheffield, et al.
Date: 10/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Results of a study using data from American Hospital Association annual surveys from 2010-2018 to conduct single- and multi-year assessments of obstetric unit status and to identify closures of obstetric units. Compares results obtained through the enhanced method with results of a survey sample of rural hospitals with obstetric units open at the time of the assessment and those with recently closed units. Addendum describes methodology updates since a previously published January 2022 report as well as additional findings using 2010-2023 data.
Additional links: An Enhanced Method for Identifying Hospital-Based Obstetric Unit Status (Version 1, 2022)
Author(s): Julia D. Interrante, Caitlin Carroll, Emily C. Sheffield, et al.
Date: 10/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Calendar Year (CY) 2026 Medicare Physician Fee Schedule Final Rule (CMS-1832-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2026. Summarizes provisions related to telehealth services; improving care for chronic illness and behavioral health needs; Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) care coordination services, services requiring direct supervision, and telecommunication services; and more.
Date: 10/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2026. Summarizes provisions related to telehealth services; improving care for chronic illness and behavioral health needs; Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) care coordination services, services requiring direct supervision, and telecommunication services; and more.
Date: 10/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Lost Opportunity: Afterschool in Demand, But Out of Reach for Many
Provides information about afterschool programs and their demand, affordability, accessibility, and availability. Discusses benefits of afterschool programs and policy to support them. Includes rural, suburban, and urban comparisons related to program enrollment and perceived benefits.
Date: 10/2025
Sponsoring organization: Afterschool Alliance
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Provides information about afterschool programs and their demand, affordability, accessibility, and availability. Discusses benefits of afterschool programs and policy to support them. Includes rural, suburban, and urban comparisons related to program enrollment and perceived benefits.
Date: 10/2025
Sponsoring organization: Afterschool Alliance
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South Dakota American Indian Mortality Data, 2008-2024
Highlights the leading causes of death in American Indian communities in South Dakota from 2008 to 2024. Ranks causes, such as cancer, heart disease, and stroke, among others, by year.
Date: 10/2025
Sponsoring organization: South Dakota Department of Health
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Highlights the leading causes of death in American Indian communities in South Dakota from 2008 to 2024. Ranks causes, such as cancer, heart disease, and stroke, among others, by year.
Date: 10/2025
Sponsoring organization: South Dakota Department of Health
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Greater Physician Supply Associated with Lower Mortality in Rural Counties: A 23-Year County-Level Longitudinal Observational Study
Examines the relationship between increasing the primary care physician supply in rural areas and corresponding mortality rates. Provides data from a study conducted between 1992-2014 and analyzes rural versus urban trends in mortality rates and physician supply. Discusses rural healthcare practitioner workforce needs, rural versus urban healthcare disparities, and access to care.
Author(s): Nasim B. Ferdows, Cyrus Kosar, Orestis Panagiotou, Momotazur Rahman
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 10/2025
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Examines the relationship between increasing the primary care physician supply in rural areas and corresponding mortality rates. Provides data from a study conducted between 1992-2014 and analyzes rural versus urban trends in mortality rates and physician supply. Discusses rural healthcare practitioner workforce needs, rural versus urban healthcare disparities, and access to care.
Author(s): Nasim B. Ferdows, Cyrus Kosar, Orestis Panagiotou, Momotazur Rahman
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 10/2025
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Caregiving in the US 2025: Caring Across States
Offers data on caregivers including demographics, tasks performed, finances and employment, and wellness. Includes rural, suburban, and urban breakdown for caregivers in 32 states.
Additional links: State-Specific Findings
Date: 10/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
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Offers data on caregivers including demographics, tasks performed, finances and employment, and wellness. Includes rural, suburban, and urban breakdown for caregivers in 32 states.
Additional links: State-Specific Findings
Date: 10/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
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What Drives Advanced Practice Nurses to Stay in Rural America? Insights From the 2022 National Survey of Registered Nurses
Presents a study on the factors influencing rural advanced practice registered nurses (APRNs) to leave their jobs or stay working in rural communities. Draws data from the 2022 National Sample Survey of Registered Nurses. Explores factors such as burnout, proximity to family, and cost of living, among others, that can contribute to whether or not APRNs stay in rural communities.
Author(s): Esita Patel, Chris Gillette, Jan Ostermann, et al.
Citation: Journal of Rural Health, 41(4), e70088
Date: 10/2025
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Presents a study on the factors influencing rural advanced practice registered nurses (APRNs) to leave their jobs or stay working in rural communities. Draws data from the 2022 National Sample Survey of Registered Nurses. Explores factors such as burnout, proximity to family, and cost of living, among others, that can contribute to whether or not APRNs stay in rural communities.
Author(s): Esita Patel, Chris Gillette, Jan Ostermann, et al.
Citation: Journal of Rural Health, 41(4), e70088
Date: 10/2025
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Older Americans Act: Greatest Economic and Social Needs of Rural Older Adults
Policy brief discussing the economic and social needs for rural older adults. Offers policy and action recommendations for the reauthorization of the Older Americans Act, discussing rural aging programs, affordable housing, access to nutrition, social isolation, healthcare workforce shortages, and caregiver support.
Author(s): Kathy Greenlee, Abby Cox, L. Carter Florence, Josh Protas, and Rebecca Yeboah
Date: 10/2025
Sponsoring organization: National Rural Health Association
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Policy brief discussing the economic and social needs for rural older adults. Offers policy and action recommendations for the reauthorization of the Older Americans Act, discussing rural aging programs, affordable housing, access to nutrition, social isolation, healthcare workforce shortages, and caregiver support.
Author(s): Kathy Greenlee, Abby Cox, L. Carter Florence, Josh Protas, and Rebecca Yeboah
Date: 10/2025
Sponsoring organization: National Rural Health Association
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Sociodemographic Predictors of County-Level Mammography Screening Rates in the United States
Examines the relationship between mammography screening rates and county-level sociodemographic variables. Utilizes 2024 data to analyze screening engagement by demographic breakdowns, rurality, and county. Includes county-level U.S. map showing percentage of the population engaging in recommended screenings.
Author(s): Randy C. Miles, Caroline J. Walsh, Nhat-Tuan Tran, et al.
Citation: Radiology: Imaging Cancer, 7(6)
Date: 10/2025
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Examines the relationship between mammography screening rates and county-level sociodemographic variables. Utilizes 2024 data to analyze screening engagement by demographic breakdowns, rurality, and county. Includes county-level U.S. map showing percentage of the population engaging in recommended screenings.
Author(s): Randy C. Miles, Caroline J. Walsh, Nhat-Tuan Tran, et al.
Citation: Radiology: Imaging Cancer, 7(6)
Date: 10/2025
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"Gives Us Peace of Mind for Keeping Our Hands Clean": Targeted Handwashing Intervention Increases Water Use and Hand Hygiene in Rural Alaska
Highlights a study on the hygiene outcomes of an intervention that installed Miniature Portable Alternative Sanitation System (Mini-PASS) handwashing stations in 14 rural Alaska Native communities. Details the lack of in-home water service in rural Alaska and the related health consequences. Evaluates the Mini-PASS intervention's outcomes in terms of handwashing station utilization and household water use.
Author(s): Amanda Hansen, Gretchen Day, Marla Wehrli, Laura Eichelberger
Citation: International Journal of Circumpolar Health, 84(1), 2569761
Date: 10/2025
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Highlights a study on the hygiene outcomes of an intervention that installed Miniature Portable Alternative Sanitation System (Mini-PASS) handwashing stations in 14 rural Alaska Native communities. Details the lack of in-home water service in rural Alaska and the related health consequences. Evaluates the Mini-PASS intervention's outcomes in terms of handwashing station utilization and household water use.
Author(s): Amanda Hansen, Gretchen Day, Marla Wehrli, Laura Eichelberger
Citation: International Journal of Circumpolar Health, 84(1), 2569761
Date: 10/2025
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