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Rural Health Information Hub

Healthcare Access in Rural Communities – Resources

Selected recent or important resources focusing on Healthcare Access in Rural Communities.

Nowhere to Go: Maternity Care Deserts Across the U.S. 2024
Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals that offer obstetric (OB) care, distribution of OB providers, travel time to maternity care, chronic conditions of birthing people, social drivers of health, and more. Includes rural versus urban characteristics of the maternal health workforce as well as access and policy discussions specific to rural areas.
Date: 09/2024
Sponsoring organization: March of Dimes
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Is Access to Optimal Concussion Care for Pediatric Athletes Limited by Geography?
Examines access to optimal concussion care for pediatric patients in metro and rural areas of the United States. Analyzes internet searches written as "concussion care near me" originating from one rural area and one metro area in each state to observe distance to care, if available clinic treats pediatric patients, and if care allows for self-referral and/or is multidisciplinary. Includes data from select states and representative regions across the country.
Author(s): Ryan Powers, Robert Trevino, Holly Erpenbach, Danny Thomas
Citation: Clinical Journal of Sport Medicine 34(5), 425-429
Date: 09/2024
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Use of Telehealth to Improve Healthcare Access and Outcomes in Surgical Oncology
Explores the role of telehealth in improving healthcare access and outcomes in surgical oncology. Discusses geographic barriers to surgical oncology interventions how telehealth can help mitigate barriers to access. Highlights strategies to improve telehealth access and adoption.
Author(s): Elliot A. Asare, Lauren Cowan, Tracy Onega
Citation: Journal of Surgical Oncology
Date: 08/2024
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Sociodemographic Differences in Nonfinancial Access Barriers to Health Care Among Adults: United States, 2022
Examines nonfinancial reasons adults delay medical care, such as work or other time commitments, lack of available appointments, not having access to clinic or provider hours, difficulty finding provider match for insurance, and length of time to get to provider's office. Utilizes 2022 National Health Interview Survey to break down healthcare access barriers according to sex, age, race/ethnicity, family income, education, employment, insurance status, and urbanization level, including large central metropolitan, large fringe metropolitan, medium and small metropolitan, or nonmetropolitan.
Author(s): Amanda E. Ng, Dzifa Adjaye-Gbewonyo, James M. Dahlhamer
Date: 08/2024
Sponsoring organization: National Center for Health Statistics
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Geographic Variation in Shortfalls of Dementia Specialists in the United States
Reports on distribution of dementia specialists to identify potential dementia care shortage areas for the older adult population. Discusses the impact on rural residents.
Author(s): Jodi L. Liu, Lawrence Baker, Annie Yu-An Chen, Jue (Jessie) Wang
Citation: Health Affairs Scholar, 2(7)
Date: 07/2024
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Disruptors, Essential Services, and Reflections on a Career in Rural Health, with John Supplitt
An episode of the Exploring Rural Health podcast featuring John Supplitt, Senior Director of Rural Health Services for the American Hospital Association. Focuses on the importance of maintaining rural essential services, along with insights from Supplitt's long career in rural health.
Date: 07/2024
Sponsoring organization: Rural Health Information Hub
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National Advisory Council on the National Health Service Corps Meeting Agenda, June 25-26, 2024
Agenda and meeting materials for the June 25-26, 2024 meeting, including workgroup reports and presentations on school mental health resource and training centers, school-based health centers in greater Cincinnati, and integration of behavioral health services in school-based primary care clinics.
Additional links: Integration of Behavioral Health Services in School-Based Primary Care Clinics, Meet Your School Mental Health Resource & Training Center, School-Based Health Centers In Greater Cincinnati
Date: 06/2024
Sponsoring organization: National Advisory Council on the National Health Service Corps
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Distance as an Obstacle to Clinical Trial Access: Who Is Affected and Why It Matters
Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more. Requires the creation of a free account to view.
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Sponsoring organization: The Milken Institute
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Racial and Ethnic and Rural Variations in Access to Primary Care for Veterans Following the MISSION Act
Examines the impact of the 2018 Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks (VA MISSION) Act to provide veterans with access to primary care. Analyzes VA and community care (CC) outpatient data to observe primary care utilization and wait times across different veteran populations, as well as by rural versus urban location. Discusses how policy can address healthcare access disparities experienced by U.S. veterans.
Author(s): Amy K. Rosen, Erin Beilstein-Wedel, Michael Shwartz, Heather Davila, Deborah Gurewich
Citation: JAMA Health Forum, 5(6)
Date: 06/2024
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Updated Analysis: Using Population-Based Outcome Measures to Assess the Impact of Telehealth Expansion on Medicare Beneficiaries' Access to Care and Quality of Care
Explores the association between telehealth use, quality of care, and access to care when both telehealth and in-person visits are available to fee-for-service (FFS) Medicare beneficiaries. Compares data from the second half of 2018 and 2019 to the second half of 2022 by the level of telehealth utilization in Hospital Service Areas (HSAs). Describes the effects of telehealth for urban and rural beneficiaries and differentiates between telehealth utilization for behavioral and non-behavioral health services. Updates a June 2023 report that analyzed data from 2021.
Author(s): Tanvi Rao, Angshuman Gooptu, Karin Johnson, Guido Cataife, Steven Susana-Castillo
Date: 06/2024
Sponsoring organizations: American Institutes for Research, Medicare Payment Advisory Commission
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Last Updated: 10/8/2025