Rural Health
Resources by Type: Document
Rural–Urban Disparities in Treatment and Disease-Specific Survival for Patients with Intrahepatic Cholangiocarcinoma: A Retrospective Cohort Analysis of the 2000 to 2021 SEER Database
Examines rural-urban disparities in treatment and survival for intrahepatic cholangiocarcinoma (ICC) patients, utilizing 2000-2021 SEER data of 14,940 patients. Analyzes receipt of chemotherapy, surgical treatment, and 5- and 10-year disease-specific survival. Includes multivariable analysis of the association between demographic factors, including rurality, and mortality.
Author(s): Odelia H. Moon, Mitchell A. Taylor, Omar Hamadi, Aditya Sharma, Peter Silberstein
Citation: Medical Sciences, 13(3), 158
Date: 09/2025
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Examines rural-urban disparities in treatment and survival for intrahepatic cholangiocarcinoma (ICC) patients, utilizing 2000-2021 SEER data of 14,940 patients. Analyzes receipt of chemotherapy, surgical treatment, and 5- and 10-year disease-specific survival. Includes multivariable analysis of the association between demographic factors, including rurality, and mortality.
Author(s): Odelia H. Moon, Mitchell A. Taylor, Omar Hamadi, Aditya Sharma, Peter Silberstein
Citation: Medical Sciences, 13(3), 158
Date: 09/2025
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Best Practices for Implementing the Continuum of Crisis Services Under Medicaid and CHIP
Provides guidance for states to maintain a continuum of behavioral health crisis care for patients covered by Medicaid and CHIP. Details core elements of the continuum of crisis care and how Medicaid and CHIP function within that framework. Highlights considerations for rural communities.
Date: 09/2025
Sponsoring organizations: Centers for Medicare & Medicaid Services, Substance Abuse and Mental Health Services Administration
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Provides guidance for states to maintain a continuum of behavioral health crisis care for patients covered by Medicaid and CHIP. Details core elements of the continuum of crisis care and how Medicaid and CHIP function within that framework. Highlights considerations for rural communities.
Date: 09/2025
Sponsoring organizations: Centers for Medicare & Medicaid Services, Substance Abuse and Mental Health Services Administration
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State Strategies for Strengthening Rural Health: Insights from NASHP's 2025 Annual Conference
Summarizes a session from the National Academy for State Health Policy (NASHP) 2025 Annual Conference regarding state strategies to improve access to care in rural communities. Highlights policies from North Dakota, Washington, and West Virginia related to workforce and capacity challenges, broadband and telehealth, behavioral health access points, and linking health and social care.
Date: 09/2025
Sponsoring organization: National Academy for State Health Policy
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Summarizes a session from the National Academy for State Health Policy (NASHP) 2025 Annual Conference regarding state strategies to improve access to care in rural communities. Highlights policies from North Dakota, Washington, and West Virginia related to workforce and capacity challenges, broadband and telehealth, behavioral health access points, and linking health and social care.
Date: 09/2025
Sponsoring organization: National Academy for State Health Policy
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Rural-Urban Comparisons of Nursing Staff Turnover among Skilled Nursing Facilities
Results of a study assessing facility-level turnover rates for nursing personnel across levels of rurality and by region, using data from 14,986 facilities. Features statistics on turnover rates in 2022, with breakdowns by total nursing staff and registered nurses only, and by rural or urban areas. Also includes a county-level map showing average nursing staff turnover rates.
Author(s): Michael D. Wirth, Nick Yell, Peiyin Hung, Elizabeth Crouch
Date: 09/2025
Sponsoring organization: University of South Carolina Rural Health Research Center
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Results of a study assessing facility-level turnover rates for nursing personnel across levels of rurality and by region, using data from 14,986 facilities. Features statistics on turnover rates in 2022, with breakdowns by total nursing staff and registered nurses only, and by rural or urban areas. Also includes a county-level map showing average nursing staff turnover rates.
Author(s): Michael D. Wirth, Nick Yell, Peiyin Hung, Elizabeth Crouch
Date: 09/2025
Sponsoring organization: University of South Carolina Rural Health Research Center
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Examining the Burden of Chronic Disease and Low SES to Identify High-Need Rural Counties
Analyzes the geographic and sociodemographic profile of rural, high-need counties in the United States. Examines chronic disease prevalence, socioeconomic status, and access to healthcare facilities by county, with additional breakdowns by demographic characteristics of low-, moderate-, and high-need counties.
Author(s): Gabriel A. Benavidez, Emma Boswell, Peiyin Hung, Elizabeth Crouch
Citation: Journal of Public Health Management & Practice, 31(5), 691-699
Date: 09/2025
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Analyzes the geographic and sociodemographic profile of rural, high-need counties in the United States. Examines chronic disease prevalence, socioeconomic status, and access to healthcare facilities by county, with additional breakdowns by demographic characteristics of low-, moderate-, and high-need counties.
Author(s): Gabriel A. Benavidez, Emma Boswell, Peiyin Hung, Elizabeth Crouch
Citation: Journal of Public Health Management & Practice, 31(5), 691-699
Date: 09/2025
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Treatment Initiations and Opioid Overdoses among Recently Incarcerated People after Adoption of the Take-Home Methadone Policy
Explores the effect flexible methadone policies implemented during the COVID-19 pandemic had on opioid overdoses and treatment initiation and uptake among incarcerated people upon release. Highlights the effect this policy had on rural areas and communities that lack access to opioid treatment.
Author(s): Benjamin A. Barsky, Shapei Yan, Meredith B. Rosenthal
Citation: Drug and Alcohol Dependence, 274, 112775
Date: 09/2025
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Explores the effect flexible methadone policies implemented during the COVID-19 pandemic had on opioid overdoses and treatment initiation and uptake among incarcerated people upon release. Highlights the effect this policy had on rural areas and communities that lack access to opioid treatment.
Author(s): Benjamin A. Barsky, Shapei Yan, Meredith B. Rosenthal
Citation: Drug and Alcohol Dependence, 274, 112775
Date: 09/2025
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Description of a Collaborative Rural Dental Scholar Program
Discusses a series of initiatives to increase Alabama's rural dental workforce through a partnership between The University of Alabama at Birmingham School of Dentistry and The University of Alabama College of Community Health Sciences. Describes the interventions designed to get rural students interested and participating in oral health training. Details a summer program for high school students, a pathway program for post-grads, and scholarships for participating students.
Author(s): Carly Timmons McKenzie, Paul Drake Lavender
Citation: Journal of Dental Education, 89(9), 1356-1361
Date: 09/2025
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Discusses a series of initiatives to increase Alabama's rural dental workforce through a partnership between The University of Alabama at Birmingham School of Dentistry and The University of Alabama College of Community Health Sciences. Describes the interventions designed to get rural students interested and participating in oral health training. Details a summer program for high school students, a pathway program for post-grads, and scholarships for participating students.
Author(s): Carly Timmons McKenzie, Paul Drake Lavender
Citation: Journal of Dental Education, 89(9), 1356-1361
Date: 09/2025
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Evaluation of the Rural Community Hospital Demonstration: CCA Extension Final Report (Covering 2016-2021)
Provides an overview of the Rural Community Hospital Demonstration (RCHD), focusing on the 26 hospitals that participated during the extension period authorized by the 21st Century Cures Act (2016-2021). Describes the characteristics of active RCHD participants before they joined the demonstration, the Medicare payments received under the program, and the impact of the RCHD on hospital financial measures.
Additional links: Appendices, At-A-Glance, Executive Summary
Date: 09/2025
Sponsoring organizations: American Institutes for Research, Centers for Medicare & Medicaid Services
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Provides an overview of the Rural Community Hospital Demonstration (RCHD), focusing on the 26 hospitals that participated during the extension period authorized by the 21st Century Cures Act (2016-2021). Describes the characteristics of active RCHD participants before they joined the demonstration, the Medicare payments received under the program, and the impact of the RCHD on hospital financial measures.
Additional links: Appendices, At-A-Glance, Executive Summary
Date: 09/2025
Sponsoring organizations: American Institutes for Research, Centers for Medicare & Medicaid Services
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Primary Care Practice-Based Research Networks and Publications, 2014– 2023: Synthesis Report: Identifying and Supporting the Needs of Primary Care Practice-Based Research Networks
Describes the research and publication work of Practice-Based Research Networks between 2014 and 2023. Discusses topic areas addressed more and less frequently as well as challenges for PBRNs that are smaller, less established, and not associated with an academic facility. Discusses recommendations for future research to close knowledge gaps including for rural research.
Author(s): Asta Sorensen, Amelia Kelly, Peter DiMilia, et al.
Date: 09/2025
Sponsoring organizations: Agency for Healthcare Research and Quality, National Center for Excellence in Primary Care Research
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Describes the research and publication work of Practice-Based Research Networks between 2014 and 2023. Discusses topic areas addressed more and less frequently as well as challenges for PBRNs that are smaller, less established, and not associated with an academic facility. Discusses recommendations for future research to close knowledge gaps including for rural research.
Author(s): Asta Sorensen, Amelia Kelly, Peter DiMilia, et al.
Date: 09/2025
Sponsoring organizations: Agency for Healthcare Research and Quality, National Center for Excellence in Primary Care Research
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Introducing Public Health Vending Machines in Rural Communities: Protocol for a Study Using a Community-Based Participatory Approach
Provides a study protocol focused on creating a community-engaged approach to implementing public health vending machines (PHVMs) that distribute naloxone in rural North Carolina. Discusses the need to engage people who have experienced substance use when developing public health interventions to prevent drug overdose.
Author(s): Meghan Guter, Lauren Harrell, Kathleen L Egan, Reese Hiatt, Lori Ann Eldridge
Citation: JMIR Research Protocols, 14
Date: 09/2025
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Provides a study protocol focused on creating a community-engaged approach to implementing public health vending machines (PHVMs) that distribute naloxone in rural North Carolina. Discusses the need to engage people who have experienced substance use when developing public health interventions to prevent drug overdose.
Author(s): Meghan Guter, Lauren Harrell, Kathleen L Egan, Reese Hiatt, Lori Ann Eldridge
Citation: JMIR Research Protocols, 14
Date: 09/2025
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