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Rural Health
Resources by Type: Document

Associations Between COVID-19 Therapies and Outcomes in Rural and Urban America: A Multisite, Temporal Analysis from the Alpha to Omicron SARS-CoV-2 Variants
Examines COVID-19 treatment, health outcomes, and mortality disparities in rural and urban areas of the United States. Analyzes 2021-2023 National COVID Cohort Collaborative (N3C) data from 3,018,646 patients to break down COVID-19 disparities according to patient demographics, vaccine status, comorbidities, U.S. Census region, and adverse inpatient events, as well as urban, urban-adjacent, or nonurban-adjacent location.
Author(s): A. Jerrod Anzalone, William H. Beasley, Kimberly Murray, et al.
Citation: Journal of Rural Health, 41(1), e12857
Date: 2025
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Trends in and Factors Associated with Family Physician-Performed Screening Colonoscopies in the United States: 2016-2021
Examines factors and trends related to family physician (FP)-performed colonoscopy screenings. Analyzes 2016-2021 insurance claims data from 2,943,900 qualified colonoscopies, with data breakdowns according to patient demographics, accrued charges, region, and urban-rural classification, including large central metro, large fringe metro, medium metro, small metro, micropolitan, and noncore. Discusses the impact of FP-performed colonoscopy screenings for certain populations, including rural.
Author(s): Nicholas Edwardson, David van der Goes, V. Shane Pankratz, et al.
Citation: Journal of Rural Health, 41(1)
Date: 2025
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Provider-to-Provider Telemedicine for Sepsis Is Used Less Frequently in Communities with High Social Vulnerability
Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health, 41(1), e12861
Date: 2025
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Health Care Access Barriers Among Metropolitan and Nonmetropolitan Populations of Eight Geographically Diverse States, 2018
Reports on healthcare access and demographic differences in metro and nonmetro populations. Utilizes Behavioral Risk Factor Surveillance System (BRFSS) data to observe differences in noncore, micropolitan, and metropolitan sociodemographics and access barriers such as insurance, cost, non-financial delays in care, and more.
Author(s): Whitney E. Zahnd, Peiyin Hung, Elizabeth L. Crouch, Radhika Ranganathan, Jan M. Eberth
Citation: Journal of Rural Health, 41(1), e12855
Date: 2025
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Barriers to Participation in Clinical Trials of Rural Older Adult Cancer Survivors: A Qualitative Study
Explores barriers to clinical trial participation for older cancer survivors living in rural areas. Utilizes semi-structured interviews to discuss challenges such as lack of transportation, limited communication with providers, age, and more.
Author(s): Evelyn Arana-Chicas, Laura M. Hincapie Prisco, Saloni Sharma, et al.
Citation: Journal of Rural Health, 41(1), e12852
Date: 2025
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The Implementation Climate for Integrating Buprenorphine Prescribing into Rural Primary Care
Examines the climate in rural primary care settings to expand buprenorphine access for opioid use disorder (OUD). Analyzes interview feedback from primary care practitioners in rural Ohio regarding issues such as OUD treatment prioritization, compatibility of buprenorphine prescriptions in primary care settings, and buprenorphine access shortages.
Author(s): Cheyenne Fenstemaker, Elizabeth A. Abrams, Katherine King, et al.
Citation: Journal of General Internal Medicine, 40, 2879-2889
Date: 12/2024
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Where the Road Ends: Emergency Care Sensitive Conditions Drive Excess Mortality in Medevac-Dependent Rural Alaska
Research letter detailing how poor access to emergency care and sociodemographic conditions contribute to disparities in mortality outcomes in rural Alaska, utilizing CDC WONDER 1999-2020 mortality data. Compares age-adjusted mortality rates for injuries, emergency care-sensitive conditions, and non-emergency care sensitive conditions in off road and on road communities.
Author(s): Brian Rice, Carla Britton, Stacy Rasmus, Tina Hernandez-Boussard
Citation: Emergency Medicine Journal, 2024, 214444
Date: 12/2024
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South Dakota Department of Health 2024 Annual Report
Describes activities and accomplishments of the South Dakota Department of Health in 2024. Includes sections on public health preparedness and response, rural health, emergency medical services, health information technology, family and community health, and licensure and accreditation.
Date: 12/2024
Sponsoring organization: South Dakota Department of Health
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Obstetric Care Access at Rural and Urban Hospitals in the United States
Offers data showing losses and gains of obstetric care for 4,964 short-term acute care hospitals between 2010 and 2022. Offers comparisons of rural and urban hospitals.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Caitlin Carroll, et al.
Date: 12/2024
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Cervical Cancer Incidence and Trends among Women Aged 15-29 Years by County-Level Economic Status and Rurality - United States, 2007-2020
Examines economic and geographic variations and trends in cervical cancer incidence, utilizing US Cancer Statistics data for women aged 15-29 during 2007-2020. Data on disparities in incidence by county-level economic status by rurality, among other demographic factors.
Author(s): Radhika Agarwal, Jessica B. King, Sameer V. Gopalani, Virginia Senkomago
Citation: Cancer Epidemiology, 94, 102730
Date: 12/2024
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