Rural Health
Resources by Type: Document
The Uneven Impact of Medicaid Expansion on Rural and Urban Black, Latino/a, and White Mortality
Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
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Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
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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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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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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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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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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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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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A Summary of Broadband Equity, Access, and Deployment (Bead) Program Plans for the 4 Telehealth Broadband Pilot Program States
Provides a brief overview of the Broadband Equity, Access, and Deployment (BEAD) Program, which aims to expand access to broadband nationwide. Examines the BEAD Program spending plans and proposals of the four states participating in the Telehealth Broadband Pilot (TBP) Program.
Author(s): Chris Charlton, Cari A. Bogulski, Hari Eswaran
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Provides a brief overview of the Broadband Equity, Access, and Deployment (BEAD) Program, which aims to expand access to broadband nationwide. Examines the BEAD Program spending plans and proposals of the four states participating in the Telehealth Broadband Pilot (TBP) Program.
Author(s): Chris Charlton, Cari A. Bogulski, Hari Eswaran
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Publicly-Available Data Sets Containing Consumer-Generated Internet Speed Test Data May Leave Rural Communities Behind
Explores how well rural counties are represented in two publicly-available datasets of consumer-generated broadband speed tests: Measurement Labs (M-Lab) and Ookla for Good (Ookla).
Author(s): Cari A. Bogulski, Maysam Rabbani, Corey J. Hayes, Aysenur Betul Cengil, Hari Eswaran
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Explores how well rural counties are represented in two publicly-available datasets of consumer-generated broadband speed tests: Measurement Labs (M-Lab) and Ookla for Good (Ookla).
Author(s): Cari A. Bogulski, Maysam Rabbani, Corey J. Hayes, Aysenur Betul Cengil, Hari Eswaran
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Healthcare Stakeholder Perceptions of Broadband and Telehealth Influences in Telehealth Broadband Pilot Program Communities
Summarizes findings from interviews with healthcare stakeholders in Alaska, Michigan, Texas, and West Virginia communities served by the Telehealth Broadband Pilot (TBP) Program. Describes influences on clinic, providers and healthcare staff, and TBP Program community and patient broadband and telehealth utilization.
Author(s): Cari A. Bogulski, M. Kathryn Allison, Hannah C. McCoy, Rosario Silva, Hari Eswaran
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Summarizes findings from interviews with healthcare stakeholders in Alaska, Michigan, Texas, and West Virginia communities served by the Telehealth Broadband Pilot (TBP) Program. Describes influences on clinic, providers and healthcare staff, and TBP Program community and patient broadband and telehealth utilization.
Author(s): Cari A. Bogulski, M. Kathryn Allison, Hannah C. McCoy, Rosario Silva, Hari Eswaran
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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An Evaluation of the Telehealth Broadband Pilot Program (2021–2024)
Provides an overview of the Telehealth Broadband Pilot (TBP) Program, which aimed to address gaps in broadband service that limited access to telehealth services in rural and underserved communities in Alaska, Michigan, Texas, and West Virginia. Details the development and implementation of devices that measured broadband data in the communities over time and the results of those devices. Summarizes discussions with TBP Program staff regarding the implementation and effectiveness of the program, as well as interviews with healthcare stakeholders, consumers, and technical assistance providers in TBP Program communities. Offers factors for consideration in the development of future programs to measure broadband implementation in rural communities and improve user experience. Includes summary reports by state.
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Provides an overview of the Telehealth Broadband Pilot (TBP) Program, which aimed to address gaps in broadband service that limited access to telehealth services in rural and underserved communities in Alaska, Michigan, Texas, and West Virginia. Details the development and implementation of devices that measured broadband data in the communities over time and the results of those devices. Summarizes discussions with TBP Program staff regarding the implementation and effectiveness of the program, as well as interviews with healthcare stakeholders, consumers, and technical assistance providers in TBP Program communities. Offers factors for consideration in the development of future programs to measure broadband implementation in rural communities and improve user experience. Includes summary reports by state.
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Consumer Perceptions of Broadband and Telehealth Across Telehealth Broadband Pilot Program Counties
Presents findings from interviews with consumers in Alaska, Michigan, Texas, and West Virginia communities served by the Telehealth Broadband Pilot Program. Describes facilitators and barriers to home broadband and telehealth adoption identified in the interviews.
Author(s): Cari A. Bogulski, Rosario Silva, Hannah C. McCoy, M. Kathryn Allison, Hari Eswaran
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Presents findings from interviews with consumers in Alaska, Michigan, Texas, and West Virginia communities served by the Telehealth Broadband Pilot Program. Describes facilitators and barriers to home broadband and telehealth adoption identified in the interviews.
Author(s): Cari A. Bogulski, Rosario Silva, Hannah C. McCoy, M. Kathryn Allison, Hari Eswaran
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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