Rural Health Disparities – Resources

Advancing Diagnostic Excellence in Rural Areas: Proceedings of a Workshop—in Brief
Summarizes proceedings from an October 2025 workshop discussing current diagnostic challenges in rural areas and identifying strategies for improvement. Covers topics including access to diagnosis, diagnosis-related health disparities, new technologies and innovations, workforce training, education, and support, and other innovations in diagnosis and patient-centered care.
Additional links: Read Online
Date: 01/2026
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Stroke Technology Diffusion in Rural Settings: Differential Exposure to Certification Levels by Community Income Levels
Analyzes how access to certified stroke center services has varied over time among rural communities by median family income level, using 2009-2019 Medicare Provider and Analysis Review (MedPAR) data. Compares access to Acute Stroke Ready Hospitals, Primary Stroke Centers, Thrombectomy-Capable Stroke Centers, or Comprehensive Stroke Centers among low, medium, and high-income communities.
Author(s): Yu-Chu Shen, Maya Spencer, Renee Y. Hsia
Citation: Neurology, 106(4), e214644
Date: 01/2026
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Access to Health Care by Rurality and Disability Status
Report explores barriers to access to care by rurality and disability status. Highlights the compounding barriers to access for rural people with disabilities. Discusses barriers due to financial reasons, lack of transportation, and workforce shortages, among other factors.
Author(s): Alexis Swendener, Ingrid Jacobson, Andrew Abram, et al.
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Geographic and Demographic Differences in Studies of the Five Leading Causes of Death in the U.S.: Evidence from Peer-Reviewed Literature
Literature review examining the extent to which studies on mortality related to heart disease, cancer, unintentional injuries, chronic lower respiratory disease, and stroke included individual measures of rurality, race, and ethnicity, and analyzes the findings of these studies. Discusses differences in research on a condition-by-condition basis and suggests directions for future health disparities research.
Author(s): Alva O. Ferdinand, Timothy Callaghan, Gogoal Falia, et al.
Date: 12/2025
Sponsoring organization: Southwest Rural Health Research Center
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Early Estimates of Motor Vehicle Traffic Fatalities and Fatality Rate by Sub-Categories For the First Half (January-June) of 2025
Presents projections of traffic fatalities and the fatality rate per 100 million vehicle miles traveled in the first half of 2025. Includes data for rural versus urban roads, among other measures. Compares 2024 fatality data to 2025 rates by month for a number of indicators, including rural areas.
Date: 11/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Association of Injury-Related Mortality with Unique Domains of Social Determinants of Health Across the Urban-Rural Continuum
Examines whether social determinants of health associated with injury-related mortality vary by geography, utilizing 2000-2017 Pennsylvania Trauma Study Outcomes data. Compares rural and urban populations, with further data breakdowns by race, place of birth, income, and other demographic factors.
Author(s): Tamara Byrd, Nicholas Kass, Liling Lu, et al.
Citation: Surgery, 187, 109607
Date: 11/2025
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Greater Physician Supply Associated with Lower Mortality in Rural Counties: A 23-Year County-Level Longitudinal Observational Study
Examines the relationship between increasing the primary care physician supply in rural areas and corresponding mortality rates. Provides data from a study conducted between 1992-2014 and analyzes rural versus urban trends in mortality rates and physician supply. Discusses rural healthcare practitioner workforce needs, rural versus urban healthcare disparities, and access to care.
Author(s): Nasim B. Ferdows, Cyrus Kosar, Orestis Panagiotou, Momotazur Rahman
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 10/2025
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Trends in Firearm Death among Middle and High-School Aged Rural and Urban Adolescents from 2001 to 2022
Examines changes over time in firearm mortality among middle and high school-aged adolescents in metropolitan and non-metropolitan settings, utilizing 2001-2022 CDC Web-based Injury Statistics Query and Reporting System (WISQARS) data. Includes breakdowns of firearm-related homicides, suicides, and unintentional deaths by year, with comparisons to other leading non-firearm related causes of death.
Author(s): Elizabeth H. Weybright, Heather F. Terral, Kelsey M. Conrick, Patrick M. Carter, Ali Rowhani-Rahbar
Citation: Injury Epidemiology, 12, 53
Date: 09/2025
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Comparison of Discharge Disposition and AHA Prehospital Stroke Compliance among Urban, Suburban, and Rural EMS Agencies
Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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Examining the Burden of Chronic Disease and Low SES to Identify High-Need Rural Counties
Analyzes the geographic and sociodemographic profile of rural, high-need counties in the United States. Examines chronic disease prevalence, socioeconomic status, and access to healthcare facilities by county, with additional breakdowns by demographic characteristics of low-, moderate-, and high-need counties.
Author(s): Gabriel A. Benavidez, Emma Boswell, Peiyin Hung, Elizabeth Crouch
Citation: Journal of Public Health Management & Practice, 31(5), 691-699
Date: 09/2025
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