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Rural Health
Resources by Type: Document

Shifting Care Patterns: How Medicaid Policies Shape Family and Formal Care Use
Analyzes the impacts of Medicaid 1915(c) waivers on likelihood of receiving formal versus family care among adults aged 70 years and older with functional limitations, utilizing 2011-2019 National Health and Aging Trends Study (NHATS) data. Highlights the significance of waiver payments for family caregiving for population subgroups including Medicaid beneficiaries, rural residents, and people living with dementia.
Author(s): Johanna Thunell, Elise M. Parrish, Katherine E.M. Miller
Citation: Alzheimer's & Dementia, 21(9), e70715
Date: 09/2025
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Supporting Rural Health Facilities
Discusses strategies pursued by states to strengthen the financial stability of rural hospitals and expand access to primary care, behavioral healthcare, and emergency care. Describes state policies related to technical assistance, financial stabilization grants, payment models, Rural Health Clinics (RHCs), health centers, Certified Community Behavioral Health Clinics (CCBHCs), and freestanding emergency departments.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Health Insurance Coverage in Rural and Urban Areas in the U.S., 2023
Describes the health insurance status of United States residents in 2023, with breakdowns by age groups and urban or rural location. Uses data from the 2024 American Community Survey.
Author(s): Sarah Eisenstein, Xiaoyu Huang, Timothy McBride, Keith Mueller
Date: 09/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Stuck in the Middle: Internet Insecurity in Rural America
Reports on Internet insecurity and Internet use among 2,600 rural households in Michigan and Colorado, with additional data and discussion of factors influencing rural Internet access throughout the United States.
Date: 09/2025
Sponsoring organization: Connected Nation
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Variation in Extreme Risk Protection Order Use Among Urban, Suburban, and Rural ZIP Codes in Maryland: A Descriptive Study
Analyzes the use of extreme risk protection orders (ERPOs) in rural, suburban, and urban Maryland between October 2018 and June 2020. Includes rural and urban analysis of various demographic characteristics, type of threat, target of threat, type of ERPO petitioner, and court outcomes. Discusses a variety of violence types include interpersonal violence, mass shootings, and suicide as well as ERPO uptake in rural areas.
Author(s): Mia Aassar, Elise Omaki, Lisa Geller, April M. Zeoli, Shannon Frattaroli
Citation: Inquiry: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 09/2025
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Fast Facts: Rates of Chronic Conditions Consistently Higher Among Adults in Rural Areas
Compares the prevalence of chronic health conditions and associated risk factors in rural and urban areas, utilizing 2023 Behavioral Risk Factor Surveillance System (BRFSS) data. Includes data on health conditions including obesity, chronic obstructive pulmonary disease, cardiovascular disease, arthritis, diabetes, chronic kidney disease, and depression, among others. Includes state-by-state rural health data for select conditions.
Date: 09/2025
Sponsoring organization: America's Health Rankings
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Usual Source of Care Among Adults Aged 18-64 Years Post-ACA, 2010-2017
Examines self-reported usual source of care (USC) after Affordable Care Act implementation among various income groups and geographical areas. Utilizes 2010–2017 Medical Expenditure Panel Survey data to analyze USC with breakdowns according to low, middle, and high income as well as rural versus urban location.
Author(s): Sara Shahbazi, John D. Goodson
Citation: Annals of Family Medicine, 23(5), 457-459
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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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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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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