Rural Health
Resources by Type: Document
Modeling the Impact of Changing Drug Markets and Structural Determinants on HCV and/or HIV Transmission Among People Who Inject Drugs in the United States: A Rural and Urban Comparison
Details a study exploring the impact of changing patterns of drug use in rural and urban areas are affecting the rates of hepatitis C virus (HCV) and HIV incidence among people who inject drugs (PWID). Compares rates of infection and drug use in San Diego, CA and rural Central and Northern, WI.
Author(s): Natasha K. Martin, Daniela Abramovitz, William H. Eger, et al.
Citation: International Journal of Drug Policy, 143, 104925
Date: 09/2025
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Details a study exploring the impact of changing patterns of drug use in rural and urban areas are affecting the rates of hepatitis C virus (HCV) and HIV incidence among people who inject drugs (PWID). Compares rates of infection and drug use in San Diego, CA and rural Central and Northern, WI.
Author(s): Natasha K. Martin, Daniela Abramovitz, William H. Eger, et al.
Citation: International Journal of Drug Policy, 143, 104925
Date: 09/2025
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Boosting Maternity Care in Rural America
Provides a brief overview of the state of maternal healthcare in rural areas. Highlights state and federal actions taken to improve access to quality maternal care and improve birth outcomes.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Provides a brief overview of the state of maternal healthcare in rural areas. Highlights state and federal actions taken to improve access to quality maternal care and improve birth outcomes.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Implementing High-Quality Primary Care: A Policy Menu for States
Presents policy strategies utilized by states to strengthen primary care across five priority areas. Strategies cover primary care reimbursement; addressing individual, community, and market-level barriers to care; expanding and supporting the primary care workforce; and supporting practice transformation. Includes rural references throughout.
Date: 09/2025
Sponsoring organizations: Milbank Memorial Fund, National Academy for State Health Policy
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Presents policy strategies utilized by states to strengthen primary care across five priority areas. Strategies cover primary care reimbursement; addressing individual, community, and market-level barriers to care; expanding and supporting the primary care workforce; and supporting practice transformation. Includes rural references throughout.
Date: 09/2025
Sponsoring organizations: Milbank Memorial Fund, National Academy for State Health Policy
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Graduate Medical Education (GME) in Arizona Policy Brief, 2025
Provides data on the shortage of resident (GME) physicians in Arizona and discusses policies and funding to improve rural and underserved primary care GME. Includes a map of Primary Care Shortage Areas (HPSAs) at the county level.
Author(s): D. Derksen, B. Koch, A. Garn, L. Barraza, L. Erdelyi
Date: 09/2025
Sponsoring organization: Arizona Center for Rural Health
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Provides data on the shortage of resident (GME) physicians in Arizona and discusses policies and funding to improve rural and underserved primary care GME. Includes a map of Primary Care Shortage Areas (HPSAs) at the county level.
Author(s): D. Derksen, B. Koch, A. Garn, L. Barraza, L. Erdelyi
Date: 09/2025
Sponsoring organization: Arizona Center for Rural Health
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Expiring Health Provisions of the 119th Congress
Outlines the healthcare-related funding and governmental authorities that will expire during the 119th Congress, calendars year 2025-2026, if not extended through congressional action. Highlights similar provisions that expired during the 118th Congress (2023-2024). Includes rural references throughout.
Date: 09/2025
Sponsoring organization: Congressional Research Service
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Outlines the healthcare-related funding and governmental authorities that will expire during the 119th Congress, calendars year 2025-2026, if not extended through congressional action. Highlights similar provisions that expired during the 118th Congress (2023-2024). Includes rural references throughout.
Date: 09/2025
Sponsoring organization: Congressional Research Service
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Effectiveness of Nirsevimab among Infants in their First RSV Season in the United States, October 2023–March 2024: A Test-Negative Design Analysis
Analyzes the impact of the nirsevimab antibody for infants in their first respiratory syncytial virus (RSV) season. Utilizes 2023-2024 electronic health record (EHR) data from 6 healthcare systems to examine RSV-associated emergency department (ED) use and hospitalization according to patient demographics, social determinants of health, health conditions, and location on the rural-urban continuum.
Author(s): Amanda B. Payne, Steph Battan-Wraith, Elizabeth A.K. Rowley, et al.
Citation: The Lancet Regional Health - Americas, 49, 101196
Date: 09/2025
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Analyzes the impact of the nirsevimab antibody for infants in their first respiratory syncytial virus (RSV) season. Utilizes 2023-2024 electronic health record (EHR) data from 6 healthcare systems to examine RSV-associated emergency department (ED) use and hospitalization according to patient demographics, social determinants of health, health conditions, and location on the rural-urban continuum.
Author(s): Amanda B. Payne, Steph Battan-Wraith, Elizabeth A.K. Rowley, et al.
Citation: The Lancet Regional Health - Americas, 49, 101196
Date: 09/2025
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Stress, Health, and Injury Among Illinois Farmers
Highlights a study identifying and looking for correlations between work-related injuries, chronic health conditions, stress, and mental health conditions among agricultural producers in Illinois. Bases findings on a cross-sectional survey and breaks down data by demographics, farm characteristics, and physical and mental health issues, among other measures.
Author(s): Josie M. Rudolphi, Salah Issa, Courtney Cuthbertson, Kaleigh Barnett
Citation: American Journal of Industrial Medicine, 68(9), 761-771
Date: 09/2025
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Highlights a study identifying and looking for correlations between work-related injuries, chronic health conditions, stress, and mental health conditions among agricultural producers in Illinois. Bases findings on a cross-sectional survey and breaks down data by demographics, farm characteristics, and physical and mental health issues, among other measures.
Author(s): Josie M. Rudolphi, Salah Issa, Courtney Cuthbertson, Kaleigh Barnett
Citation: American Journal of Industrial Medicine, 68(9), 761-771
Date: 09/2025
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The 340B Drug Discount Program: Litigation Topics and Trends
Provides an overview of the 340B Drug Discount Program. Discusses litigation surrounding the 340B program, including lawsuits against 340B-covered entities over their use of contract pharmacies to distribute 340B drugs to patients and lawsuits against states that have enacted laws to protect contract pharmacies and covered entities inside their state. Describes courts' interpretation of the 340B statute. Offers considerations for the 119th Congress in light of the litigation and describes several legislative changes that Congress could make to the program if it chose to do so.
Date: 09/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of the 340B Drug Discount Program. Discusses litigation surrounding the 340B program, including lawsuits against 340B-covered entities over their use of contract pharmacies to distribute 340B drugs to patients and lawsuits against states that have enacted laws to protect contract pharmacies and covered entities inside their state. Describes courts' interpretation of the 340B statute. Offers considerations for the 119th Congress in light of the litigation and describes several legislative changes that Congress could make to the program if it chose to do so.
Date: 09/2025
Sponsoring organization: Congressional Research Service
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Rural Resource: Availability of Obstetric Simulation Training by State
Explores the availability of simulation training and continuing medical education (CME)/distance learning opportunities for both rural hospitals with obstetric units and those without obstetric units. Presents findings of an environmental scan of national, regional, and state-level obstetric training resources. Offers recommendations for ways State Flex Programs and Critical Access Hospitals can use this resource to identify applicable simulation trainings.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr
Date: 09/2025
Sponsoring organization: Flex Monitoring Team
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Explores the availability of simulation training and continuing medical education (CME)/distance learning opportunities for both rural hospitals with obstetric units and those without obstetric units. Presents findings of an environmental scan of national, regional, and state-level obstetric training resources. Offers recommendations for ways State Flex Programs and Critical Access Hospitals can use this resource to identify applicable simulation trainings.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr
Date: 09/2025
Sponsoring organization: Flex Monitoring Team
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Comparison of Discharge Disposition and AHA Prehospital Stroke Compliance among Urban, Suburban, and Rural EMS Agencies
Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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