Rural Health
Resources by Type: Document
The Protective Role of Community Cohesion Across Rural and Urban Contexts: Implications for Youth Mental Health
Examines the impact of community cohesion on youth resilience during adverse experiences and socioeconomic issues. Utilizes longitudinal data from the Adolescent Brain Cognitive Development (ABCD) Study and compares rural and urban youth across categories such as neighborhood characteristics, negative life events, community cohesion, and internalizing and externalizing mental health symptoms.
Author(s): Alexis Brieant, Keith B. Burt
Citation: Child and Adolescent Mental Health, 30(2), 140-148
Date: 05/2025
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Examines the impact of community cohesion on youth resilience during adverse experiences and socioeconomic issues. Utilizes longitudinal data from the Adolescent Brain Cognitive Development (ABCD) Study and compares rural and urban youth across categories such as neighborhood characteristics, negative life events, community cohesion, and internalizing and externalizing mental health symptoms.
Author(s): Alexis Brieant, Keith B. Burt
Citation: Child and Adolescent Mental Health, 30(2), 140-148
Date: 05/2025
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Characteristics and Trends of Critical Access Hospitals That Own or Operate Ambulance Services
Explores trends in the number of Critical Access Hospital (CAH)-based ambulance services between 2017 and 2022. Analyzes Medicare Cost Report data to compare the characteristics of of CAHs that own and operate ambulance services to CAHs that do not. Presents findings from interviews with eight CAH-based ambulance services regarding the challenges of operating these services, including workforce recruitment and retention issues, the role of partnerships and community involvement, and lessons learned.
Author(s): John Gale, Karen Pearson, Rebecca Stearns, Zachariah Croll
Date: 05/2025
Sponsoring organization: Flex Monitoring Team
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Explores trends in the number of Critical Access Hospital (CAH)-based ambulance services between 2017 and 2022. Analyzes Medicare Cost Report data to compare the characteristics of of CAHs that own and operate ambulance services to CAHs that do not. Presents findings from interviews with eight CAH-based ambulance services regarding the challenges of operating these services, including workforce recruitment and retention issues, the role of partnerships and community involvement, and lessons learned.
Author(s): John Gale, Karen Pearson, Rebecca Stearns, Zachariah Croll
Date: 05/2025
Sponsoring organization: Flex Monitoring Team
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The State of Medicare Supplement Coverage: Trends in Enrollment and Demographics
Provides an overview of Medicare Supplement, or Medigap, coverage and coverage options. Examines the demographics of Medicare enrollees with Medicare Supplement policies in 2023 and enrollment trends. Includes demographic data on rural Medicare Supplement policyholders.
Date: 05/2025
Sponsoring organization: AHIP
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Provides an overview of Medicare Supplement, or Medigap, coverage and coverage options. Examines the demographics of Medicare enrollees with Medicare Supplement policies in 2023 and enrollment trends. Includes demographic data on rural Medicare Supplement policyholders.
Date: 05/2025
Sponsoring organization: AHIP
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Medicaid Plays A Key Role for Maternal and Infant Health in Rural Communities
Explores the role of Medicaid in covering women of childbearing age - 19 through 44 years old - living in small towns and rural areas. Presents data from the 2023 U.S. Census Bureau's American Community Survey (ACS) Public Use Microdata Sample (PUMS) on the percentage of women of childbearing age in small towns and rural areas who have Medicaid coverage by state and compares the share of Medicaid coverage to similar women in metropolitan counties. Describes the percentage of women of childbearing age with Medicaid coverage as a share of non-elderly adults with Medicaid across Medicaid expansion states and non-expansion states. Highlights the 20 small towns and rural areas with the highest share of women of childbearing age covered by Medicaid.
Date: 05/2025
Sponsoring organization: Georgetown University Health Policy Institute
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Explores the role of Medicaid in covering women of childbearing age - 19 through 44 years old - living in small towns and rural areas. Presents data from the 2023 U.S. Census Bureau's American Community Survey (ACS) Public Use Microdata Sample (PUMS) on the percentage of women of childbearing age in small towns and rural areas who have Medicaid coverage by state and compares the share of Medicaid coverage to similar women in metropolitan counties. Describes the percentage of women of childbearing age with Medicaid coverage as a share of non-elderly adults with Medicaid across Medicaid expansion states and non-expansion states. Highlights the 20 small towns and rural areas with the highest share of women of childbearing age covered by Medicaid.
Date: 05/2025
Sponsoring organization: Georgetown University Health Policy Institute
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Map the Meal Gap 2025: A Report on Local Food Insecurity and Food Costs in the United States in 2023
Provides information on food insecurity in the United States, with a focus on impacts for variable demographic populations, food spending and prices, and policy and program implications. Includes data breakdowns according to geographical region and rural versus urban location.
Additional links: Technical Appendix
Author(s): A. Dewey, J. Hilvers, S. Dawes, et al.
Date: 05/2025
Sponsoring organization: Feeding America
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Provides information on food insecurity in the United States, with a focus on impacts for variable demographic populations, food spending and prices, and policy and program implications. Includes data breakdowns according to geographical region and rural versus urban location.
Additional links: Technical Appendix
Author(s): A. Dewey, J. Hilvers, S. Dawes, et al.
Date: 05/2025
Sponsoring organization: Feeding America
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Reflections of Rural Primary Care Physicians on the Impact of the COVID-19 Pandemic: A Qualitative Study
Describes the impact of the COVID-19 pandemic on rural primary care physicians' relationships with patients, other physicians, clinic staff, and their communities via interviews conducted between Oct 2022 and April 2023 with 12 Wisconsin physicians. Discusses elements including challenges in implementing new clinical practices, impacts of beliefs about the pandemic, strategies and coping mechanisms, and availability of staff and other resources.
Author(s): Mary F. Henningfield, Keelin McHugh, Sarina Schrager
Citation: BMC Primary Care, 26, 160
Date: 05/2025
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Describes the impact of the COVID-19 pandemic on rural primary care physicians' relationships with patients, other physicians, clinic staff, and their communities via interviews conducted between Oct 2022 and April 2023 with 12 Wisconsin physicians. Discusses elements including challenges in implementing new clinical practices, impacts of beliefs about the pandemic, strategies and coping mechanisms, and availability of staff and other resources.
Author(s): Mary F. Henningfield, Keelin McHugh, Sarina Schrager
Citation: BMC Primary Care, 26, 160
Date: 05/2025
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School-Based Health Centers and School Attendance in Rural Areas
Examines the relationship between the availability of School-Based Health Centers (SBHCs) and student absenteeism in rural areas. Analyzes 66,303 students from kindergarten to 12th grade for absenteeism in districts with a SBHC and those without a SBHC.
Author(s): Chris Kjolhede, Wendy M. Brunner, John W. Sipple
Citation: JAMA Network Open, 8(5)
Date: 05/2025
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Examines the relationship between the availability of School-Based Health Centers (SBHCs) and student absenteeism in rural areas. Analyzes 66,303 students from kindergarten to 12th grade for absenteeism in districts with a SBHC and those without a SBHC.
Author(s): Chris Kjolhede, Wendy M. Brunner, John W. Sipple
Citation: JAMA Network Open, 8(5)
Date: 05/2025
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3RNET Annual Report 2023-2024
Includes information on accomplishments from October 1, 2023 through September 30, 2024. Features statistics on referrals, placements, job postings, and technical assistance.
Date: 05/2025
Sponsoring organization: 3RNET
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Includes information on accomplishments from October 1, 2023 through September 30, 2024. Features statistics on referrals, placements, job postings, and technical assistance.
Date: 05/2025
Sponsoring organization: 3RNET
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Nonfatal Injury Emergency Department Visits and Inpatient Hospitalizations Among Persons Under Age 65 With an Intellectual and Developmental Disability or Deaf or Hard of Hearing Disability
Analyzes disparities in emergency department and inpatient hospitalization among people with intellectual and developmental disabilities (IDD), people who are deaf or hard of hearing (DHH), and those without IDD or DHH. Utilizes Kentucky ED and inpatient discharge data from 2019 to 2023. Breaks down data by demographic category, including metropolitan or nonmetropolitan dwelling.
Author(s): Terry L. Bunn, Jacqueline Seals, Dana Quesinberry, Alaina Murphy, Julia F. Costich
Citation: Injury Epidemiology, 12, 27
Date: 05/2025
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Analyzes disparities in emergency department and inpatient hospitalization among people with intellectual and developmental disabilities (IDD), people who are deaf or hard of hearing (DHH), and those without IDD or DHH. Utilizes Kentucky ED and inpatient discharge data from 2019 to 2023. Breaks down data by demographic category, including metropolitan or nonmetropolitan dwelling.
Author(s): Terry L. Bunn, Jacqueline Seals, Dana Quesinberry, Alaina Murphy, Julia F. Costich
Citation: Injury Epidemiology, 12, 27
Date: 05/2025
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Community Health Centers Are Increasingly Important to Medicare Beneficiaries
Presents data on health center Medicare patient characteristics, service utilization, and revenue between 2019-2023. Compares sociodemographic and health characteristics of health center patients with those of the general Medicare population. Discusses the impact of managed care plans on health center finances.
Author(s): Elizabeth Dutta, Marsha Regenstein, Feygele Jacobs
Date: 05/2025
Sponsoring organization: Geiger Gibson Program in Community Health
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Presents data on health center Medicare patient characteristics, service utilization, and revenue between 2019-2023. Compares sociodemographic and health characteristics of health center patients with those of the general Medicare population. Discusses the impact of managed care plans on health center finances.
Author(s): Elizabeth Dutta, Marsha Regenstein, Feygele Jacobs
Date: 05/2025
Sponsoring organization: Geiger Gibson Program in Community Health
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