Rural Health
Resources by Type: Document
Meeting Challenges of Staffing Rural Health Systems: Strategies and Actions in Eight Organizations
Summarizes key findings from conversations with health system leaders regarding workforce strategy and operations challenges. Describes initiatives used in rural healthcare settings to offset clinical, administrative, and technical support staffing constraints; accommodate evolving care needs; and address limitations unique to rural settings.
Author(s): Lauren Lavin, Alva O. Ferdinand, Mark Holmes, et al.
Date: 08/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Summarizes key findings from conversations with health system leaders regarding workforce strategy and operations challenges. Describes initiatives used in rural healthcare settings to offset clinical, administrative, and technical support staffing constraints; accommodate evolving care needs; and address limitations unique to rural settings.
Author(s): Lauren Lavin, Alva O. Ferdinand, Mark Holmes, et al.
Date: 08/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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ADDIE-Guided Development and Pilot Feasibility Evaluation of a Prototype VR Training Simulation for Suicide Prevention among Rural U.S. Veterans
Explores the feasibility of using virtual reality (VR) workforce training modules to address the lack of specialty-trained mental health professionals serving rural veterans and to improve suicide prevention efforts. Evaluates participants' engagement in the VR environment, realism of VR scenarios, and perception of usability across different workforce groups, among other measures.
Author(s): Donna L. Schuman , Micki Washburn, Regina T. Praetorius, et al.
Citation: PLoS One, 21(8), e0345819
Date: 08/2026
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Explores the feasibility of using virtual reality (VR) workforce training modules to address the lack of specialty-trained mental health professionals serving rural veterans and to improve suicide prevention efforts. Evaluates participants' engagement in the VR environment, realism of VR scenarios, and perception of usability across different workforce groups, among other measures.
Author(s): Donna L. Schuman , Micki Washburn, Regina T. Praetorius, et al.
Citation: PLoS One, 21(8), e0345819
Date: 08/2026
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Impact of Urban–Rural Residence on Treatment and Survival in Patients with Glioblastoma: A SEER-Based Study with External Validation
Analyzes how treatment and cancer-specific survival vary by rural or urban adults diagnosed with glioblastoma between 2000 and 2019. Utilizes National Cancer Institute SEER data.
Author(s): Changping Chen, Chang Liu, Xiaoyue Li, Chenbo Ouyang
Citation: Medicine, 105(34), e50325
Date: 08/2026
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Analyzes how treatment and cancer-specific survival vary by rural or urban adults diagnosed with glioblastoma between 2000 and 2019. Utilizes National Cancer Institute SEER data.
Author(s): Changping Chen, Chang Liu, Xiaoyue Li, Chenbo Ouyang
Citation: Medicine, 105(34), e50325
Date: 08/2026
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Evaluating the Impact of the Ripe for Revival Mobile Market with Vouchers on Food and Nutrition Security, Fruit and Vegetable Intake, and Blood Pressure in Rural Eastern North Carolina: A Quasi-Experimental Trial Design Study Protocol
Outlines a study protocol that focuses on the impact of produce vouchers to improve fruit and vegetable intake and health status in rural North Carolina residents. Discusses participant eligibility and recruitment, data collection, and study measures and assessments.
Author(s): Basheerah Enahora, Stephanie Jilcott Pitts, Qiang Wu, et al.
Citation: BMJ Open, 16(8), e114071
Date: 08/2026
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Outlines a study protocol that focuses on the impact of produce vouchers to improve fruit and vegetable intake and health status in rural North Carolina residents. Discusses participant eligibility and recruitment, data collection, and study measures and assessments.
Author(s): Basheerah Enahora, Stephanie Jilcott Pitts, Qiang Wu, et al.
Citation: BMJ Open, 16(8), e114071
Date: 08/2026
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Rural–Urban Differences in Excessive Alcohol Use and Select Mental Health Conditions
Explores the differences in alcohol use by people with self-reported mental health conditions in rural and urban areas using 2021-2022 National Survey on Drug Use and Health (NSDUH) data. Breaks down data by demographic markers, such as education level, employment, and health insurance status, among others. Compares alcohol use and mental health data by large urban, small urban, and rural areas.
Author(s): Taryn Farrell, Cassie Odahowski, Emma Boswell, et al.
Citation: Journal of Rural Health, 42(3), e70209
Date: 08/2026
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Explores the differences in alcohol use by people with self-reported mental health conditions in rural and urban areas using 2021-2022 National Survey on Drug Use and Health (NSDUH) data. Breaks down data by demographic markers, such as education level, employment, and health insurance status, among others. Compares alcohol use and mental health data by large urban, small urban, and rural areas.
Author(s): Taryn Farrell, Cassie Odahowski, Emma Boswell, et al.
Citation: Journal of Rural Health, 42(3), e70209
Date: 08/2026
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Mandatory Value-Based Payment Programs and Hospital Administrative Costs
Explores the association between hospital participation in mandatory value-based payment programs and hospital administrative costs. Analyzes Medicare cost report data from 2006 to 2020 to examine hospital administrative costs before and during implementation of four mandatory programs: the Hospital Value-Based Purchasing (HVBP) program, the Hospital Readmissions Reduction Program (HRRP), the Hospital-Acquired Condition Reduction Program (HACRP), and the Comprehensive Care for Joint Replacement (CJR) model. Compares data from participating hospitals to data from nonparticipating hospitals, including general acute care hospitals in Maryland that were paid under Maryland's all-payer model, Critical Access Hospitals, and long-term care hospitals.
Author(s): Zehui Zhou, Jason D. Buxbaum, Andrew M. Ryan
Citation: JAMA Health Forum, 7(8), e262503
Date: 08/2026
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Explores the association between hospital participation in mandatory value-based payment programs and hospital administrative costs. Analyzes Medicare cost report data from 2006 to 2020 to examine hospital administrative costs before and during implementation of four mandatory programs: the Hospital Value-Based Purchasing (HVBP) program, the Hospital Readmissions Reduction Program (HRRP), the Hospital-Acquired Condition Reduction Program (HACRP), and the Comprehensive Care for Joint Replacement (CJR) model. Compares data from participating hospitals to data from nonparticipating hospitals, including general acute care hospitals in Maryland that were paid under Maryland's all-payer model, Critical Access Hospitals, and long-term care hospitals.
Author(s): Zehui Zhou, Jason D. Buxbaum, Andrew M. Ryan
Citation: JAMA Health Forum, 7(8), e262503
Date: 08/2026
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Lung Cancer Screening Access and Cancer Stage at Diagnosis Among American Indian and White Patients
Examines the association between geographic access to low-dose computed tomography (LDCT) lung cancer screening facilities and stage at diagnosis among American Indians and Alaska Natives (AI/AN) and non-Hispanic White (NHW) adults in North Carolina. Utilizes 2016-2020 cancer registry and health insurance claims data to analyze 18,154 lung cancer patients according to distance to nearest LDCT, sociodemographic variables, and geography.
Author(s): Bradford E. Jackson, Madison Uhrin, Stephanie B. Wheeler, et al.
Citation: Journal of Rural Health, 42(3), e70207
Date: 08/2026
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Examines the association between geographic access to low-dose computed tomography (LDCT) lung cancer screening facilities and stage at diagnosis among American Indians and Alaska Natives (AI/AN) and non-Hispanic White (NHW) adults in North Carolina. Utilizes 2016-2020 cancer registry and health insurance claims data to analyze 18,154 lung cancer patients according to distance to nearest LDCT, sociodemographic variables, and geography.
Author(s): Bradford E. Jackson, Madison Uhrin, Stephanie B. Wheeler, et al.
Citation: Journal of Rural Health, 42(3), e70207
Date: 08/2026
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State of Oral Health in America: Key Findings from 2026
Details the findings of a survey that aims to identify gaps in dental coverage, barriers to care, and areas that have worse overall oral health outcomes across the country. Compares metro and nonmetro areas by dental insurance coverage, adult dental visits, and overall oral health.
Date: 08/2026
Sponsoring organization: CareQuest Institute for Oral Health
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Details the findings of a survey that aims to identify gaps in dental coverage, barriers to care, and areas that have worse overall oral health outcomes across the country. Compares metro and nonmetro areas by dental insurance coverage, adult dental visits, and overall oral health.
Date: 08/2026
Sponsoring organization: CareQuest Institute for Oral Health
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Critical Access Hospital (CAH) Evaluation of Compliance with the Rural and Distance Requirements
Provides guidance regarding the evaluation of Critical Access Hospital (CAH) status and location requirements for current CAHs and initial CAH determinations. Covers the circumstances that trigger a CAH eligibility review, the evaluation of whether a proposed provider-based location will impact a CAH's status, and procedures for decennial reviews of existing CAHs.
Date: 08/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides guidance regarding the evaluation of Critical Access Hospital (CAH) status and location requirements for current CAHs and initial CAH determinations. Covers the circumstances that trigger a CAH eligibility review, the evaluation of whether a proposed provider-based location will impact a CAH's status, and procedures for decennial reviews of existing CAHs.
Date: 08/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Measuring the Association of Medicaid Accountable Care Organizations on Total Cost of Care Across the Perinatal Period
Evaluates the impact of Medicaid Accountable Care Organizations (ACOs) on the cost of healthcare in prenatal, delivery, and postpartum periods. Compares 150,879 Medicaid-covered live deliveries in Massachusetts practices that both did and did not participate in an ACO implementation between January 2016 and March 2023. Includes the rural ZIP code residence percentage for deliveries included in the study.
Author(s): Kathleen Carey, Megan B. Cole
Citation: Health Affairs Scholar, 4(8)
Date: 08/2026
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Evaluates the impact of Medicaid Accountable Care Organizations (ACOs) on the cost of healthcare in prenatal, delivery, and postpartum periods. Compares 150,879 Medicaid-covered live deliveries in Massachusetts practices that both did and did not participate in an ACO implementation between January 2016 and March 2023. Includes the rural ZIP code residence percentage for deliveries included in the study.
Author(s): Kathleen Carey, Megan B. Cole
Citation: Health Affairs Scholar, 4(8)
Date: 08/2026
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