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Rural Health
Resources by Type: Document

Academic Detailing to Advance Naloxone Prescribing in Rural Primary Care: A 2-Year Pilot Study
Presents a study exploring the feasibility of implementing an intervention to improve primary care providers' (PCPs) knowledge, confidence, and adoption of naloxone-related practices in rural Federally Qualified Health Centers. Study involves 30 PCPs in rural Arkansas, with 15 receiving a 30-minute virtual training on naloxone. Breaks down data by PCP profession type as well as Health Professional Shortage Area status and score.
Author(s): Leah Tobey-Moore, Meghan N. Breckling, Teresa J. Hudson, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 11/2025
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The State of Rural Provider Compensation in 2025: Rural Physician & Advanced Practice Provider Compensation Survey Results
Results of a survey of over 4,697 rural providers, conducted in February and March of 2025 to provide insight into rural healthcare organizations and promote evidence-based, informed decisions when considering physician and advanced practice provider compensation. Features statistics with breakdowns by type of provider, specialty area, health system status, and more. Email address required to access report.
Date: 11/2025
Sponsoring organization: Stroudwater Associates
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Unlocking Local Leadership: Why Rural People Step Forward to Help Their Communities
Reports on attitudes toward and experiences of community engagement and formal leadership among people in rural areas via a poll conducted in June and July of 2025. Provides data on rural quality of life, community cohesion, community involvement, and facilitators and obstacles to leadership, with urban data comparisons for select topics.
Date: 11/2025
Sponsoring organizations: Gallup, LOR Foundation
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Barriers and Facilitators to Implementing Electronic Patient Reported Outcome Screening for Mental Illness and Substance Use Disorders at HIV Clinics in Alabama: A Qualitative Study
Examines barriers and facilitators related to implementation of electronic patient reported outcome measures (ePROs) to address mental health (MH) issues and substance use disorders (SUD) in people with HIV. Utilizes interview feedback from 15 staff at Ryan White HIV/AIDS Program (RWHP) clinics in Alabama regarding their experiences with the ePRO intervention, focusing on its impact in rural areas with an increased HIV burden.
Author(s): Ellen Eaton, C. Greer McCollum, Kelly W. Gagnon, Anna-Julia Enid Kutsch, Kaylee Burgan
Citation: BMC Health Services Research, 25, 1462
Date: 11/2025
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Closing the Distance in Rural Primary Care: Evidence, Stories and Solutions
Explores the state of rural primary care in the United States. Describes recent federal legislation that may impact rural primary care, healthcare access, and health outcomes. Discusses trends in rural primary care, including comparisons between rural and urban primary care spending relative to all total spending, primary care workforce availability, and comprehensiveness of primary care. Presents five case studies highlighting rural primary care practices and practice models.
Date: 11/2025
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Final CY 2026 Medicare Physician Fee Schedule: Fact Sheet
Fact sheet covering the Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2026 as outlined in the final calendar year (CY) 2026 Physician Fee Schedule. Covers the process for determining which services can be delivered by telehealth; frequency limitations for inpatient visits, nursing facilities, and critical care consults; direct supervision through the use of live video; payment to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs); and more.
Date: 11/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Creating Rural Physician Training Sites: Not Easy, Not Simple, But Happening With Federal Support
Features insights from Rural Residency Planning and Development grantees in Georgia, Oregon, and Missouri. Focuses on the challenges, successes, and community impact of their new rural residency startup work.
Author(s): Kay Miller Temple
Date: 11/2025
Sponsoring organization: Rural Health Information Hub
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Paying Family Caregivers: Self-direction in Medicaid Personal Care
Compares characteristics of dually eligible older adults receiving caregiving through either self-direction and non-self-direction, including personal demographics, health conditions, healthcare utilization, and rurality. Discusses rural findings in light of workforce shortages in rural communities. Includes analysis of Medicaid data from 6 states with reliable self-direction data as well as analysis of characteristics for 41 states and Washington, D.C.
Author(s): Yiqing Kuang, Katherine E.M. Miller
Citation: Health Affairs Scholar, 3(11)
Date: 11/2025
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Rural Perspectives on Digital Health in Cardiovascular Care: Qualitative Study of Interviews With Rural and Rural-Serving Primary Care Providers and Cardiologists
Explores the perspectives of 17 rural and rural-serving healthcare providers in Alaska, Idaho, and Washington, on the use of digital health to deliver rural cardiovascular care. Discusses five factors that influence adoption outlined by the Diffusion of Innovations (DOI) theory: relative advantage, compatibility, complexity, trialability, and observability. Identifies themes that emerged from semi-structured interviews with these providers, including advantages and disadvantages of using digital health in their practice.
Author(s): Signe Burchim, Susan Miller, Kristin Beima-Sofie, et al.
Citation: Journal of Medical Internet Research, 27, e77234
Date: 11/2025
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Referrals and Utilization of Diabetes Self-Management Education and Support (DSMES) among Patients with Type 1 and Type 2 Diabetes at a Regional Medical Center in Kentucky
Analyzes demographic and clinical factors associated with diabetes self-management education and support (DSMES) among patients. Utilizes electronic health records of 10,587 diabetes patients receiving care at a regional medical center in Kentucky to examine DSMES attendance and referrals according to patient demographics, insurance type, clinical variables, and rural versus urban location.
Author(s): Omer Atac, George C. Bryant, William B. Burrows, et al.
Citation: BMC Public Health, 25, 3880
Date: 11/2025
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