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Geographic and Sociodemographic Patterns in Prevalence of Diagnosed Diabetes, US, 2021–2024 Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion. PCD provides an open exchange of informat...

Sam the rural health advoCATe observes one common pattern: diabetes is more prevalent in rural.

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www.cdc.gov/pcd/issues/2...

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The changing landscape of primary care: an analysis of payer-primary care integration AbstractIntroduction. Insurer ownership of primary care practices has expanded rapidly in recent years, but its magnitude, geographic distribution, and mar

Sam the rural health advoCATe suggests rural > giving up. Rural counties slant poor, to they don’t attract the “money only”
crowd, and they slant old, so they need geriatricians. Just a thought.

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academic.oup.com/healthaffair...?

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Overcoming Challenges With Rural-Related Health Data: Lessons Learned From Published Studies Research Alert from the Rural Health Research Gateway for: Overcoming Challenges With Rural-Related Health Data: Lessons Learned From Published Studies

A new rural health research resource, shared by Sam the rural health advoCATe, who recognizes the need for methodologically sound rural research.

#PowerOfRuralCats

www.ruralhealthresearch.org/alerts/710

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Getting a Loan for Grad School Is About to Get More Complicated

Yet another broadly designed policy likely to disproportionately affect rural students, and ultimately reduce rural practitioners, hisses Sam the rural health advoCATe.

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www.nytimes.com/2026/04/15/u...?

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Closeup of a grey tabby cat with his head pensively resting on his cat tree. Gorgeous white whiskers.

Closeup of a grey tabby cat with his head pensively resting on his cat tree. Gorgeous white whiskers.

Sometimes it feels hard to focus on rural health research, or any public health research, when one is unsure that anyone is listening or that any policy changes will be made, muses Sam the rural health advoCATe. Even gorgeous whiskers might not be enough.

#PowerOfRuralCats

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A Roadmap for Building and Implementing a Comprehensive State Graduate Medical Education Strategy: Actionable Steps to Align Investments with Workforce Needs | Milbank Memorial Fund This evidence-based framework organizes a GME growth strategy into five iterative stages: exploration, strategy development, strategy design, technical assistance, and optimization.

Shared by Sam the rural health advoCATe.

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www.milbank.org/publications...

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NRHA Rural Community Health Initiative | National Rural Health Association - NRHA | NRHA The National Rural Health Association has been serving rural communities by advancing and publicizing issues related to rural community health workers and seeking to solve rural health care challenges...

Opportunity shared by Sam the rural health advoCATe. Sometimes folks need a little advice; NRHA can link communities to long term consults.

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www.ruralhealth.us/programs/cen...

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Identification and Characteristics of Under-Resourced and High-Need Rural Counties Research Alert from the Rural Health Research Gateway for: Identification and Characteristics of Under-Resourced and High-Need Rural Counties

New research, shared by Sam the rural health advoCATe. Sadly, "Nearly two-thirds ... of rural counties nationwide were classified as high-need in at least one domain."
Sam suspects that those counties will be neglected in RHAP funding.

#PowerOfRuralCats

www.ruralhealthresearch.org/alerts/708

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An important learning opportunity, shared by Sam the rural health advoCATe. Sam wants rural moms and kittens to thrive.

@ruralhealth.bsky.social

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Sam the rural health advoCATe thinks sponsoring journalists who explore rural health issues would be purrrrfect, JS.

@chjreportinghealth.bsky.social

#PowerOfRuralCats

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Ambulance Deserts (ADs) and Health Care Deserts (HCDs)
Across 41 states in 2020-2021, 4.5m people live in ADs. In rural areas, 3.7m live in ADs, 2.7m live in HCDs and 1.5m live in AD & HCDs.

Ambulance Deserts (ADs) and Health Care Deserts (HCDs) Across 41 states in 2020-2021, 4.5m people live in ADs. In rural areas, 3.7m live in ADs, 2.7m live in HCDs and 1.5m live in AD & HCDs.

Sam the rural health advoCATe shares a new graphic depiction of health care shortages, from the Northeast Rural Health Research Center at the University of Maine. Ambulance gaps make other gaps even worse.

#PowerOfRuralCats

storymaps.arcgis.com/stories/57e4...

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NRHA National Rural Age-Friendly Initiative | National Rural Health Association - NRHA | NRHA The National Rural Health Association has been serving rural communities by advancing and publicizing age-friendly rural health issues and seeking to solve rural health care challenges through program...

A learning opportunity shared by Sam the rural health advoCATe, who loves CHWs.

#PowerOfRuralCats

www.ruralhealth.us/programs/cen...

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New Research on Alcohol Use Disorder and Marijuana Use Disorder, Depression and Suicidal Thoughts, and Receipt of Mental Health Services Among Adolescents Research Alert from the Rural Health Research Gateway for: New Research on Alcohol Use Disorder and Marijuana Use Disorder, Depression and Suicidal Thoughts, and Receipt of Mental Health Services Amon...

Three newly released studies on alcohol and substance abuse among rural & teens, shared by Sam the rural health advoCATe. Bottom line: few differences in problem prevalence.

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www.ruralhealthresearch.org/alerts/706

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Concerns Over Nebraska Hospital Show How a $50B Rural Health Fund Is Coming Up Short Hundreds of rural hospitals across the country are facing closure

A story likely to be repeated throughout rural America, hisses Sam the rural health advoCATe. A “transformation fund” (transform into what?) doesn’t replace massive Medicaid cuts.

#PowerOfRuralCats

www.medpagetoday.com/publichealth...

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Barriers, Innovations & Pathways to Boosting Wisconsin’s Rural Teacher Pipeline | NORC at the University of Chicago A new NORC study finds that to meet school workforce needs, Wisconsin teacher training programs need to offer more rural-specific preparation.

Rural teachers are a critical part of the pipeline creating rural healthcare practitioners, notes Sam the rural health advoCATe. And rural schools often suffer from the same structural barriers.

#PowerOfRuralCats

www.norc.org/research/lib...

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Prevalence of Thoughts of Shooting Others This survey study characterizes adults in the US who report thoughts of shooting others.

Interesting research, notes Am the rural health advoCATe. Rural respondents less likely to report thinking of shooting someone (adjusted analysis).

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jamanetwork.com/journals/jam...

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Distance to a Drying Saline Lake and Lung Function Development in Children This cohort study examines whether proximity to a drying saline lake in southeastern California and related dust exposure are associated with children’s lung function growth trajectories.

Sadly shared by Sam the rural health advoCATe. Sam points out that a lot of Imperial Valley is marked by dust. Effect sizes might have been larger if the comparison group had been in a greener place.

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jamanetwork.com/journals/jam...

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Trends in Medicaid Utilization and Financing for Hospitals With Psychiatric Beds This cross-sectional study assesses how Medicaid’s role in financing inpatient psychiatric care has changed geographically across US states from 2014 to 2023.

Sam the rural health advoCATe is perplexed by the flattening of Medicaid for rural but not urban hospitals post 2019. Churn?

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Trends in Medicaid Utilization and Financing for Hospitals With Psychiatric Beds url: jamanetwork.com/journals/jam...?

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The Big Ugly Threat to Safety Net Hospitals - Public Citizen

Shared by Sam the rural health advoCATe, who adds that rural communities are most affected by loss of a hospital, as there are not usually multiple providers in rural.

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www.citizen.org/article/big-...

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Sam the rural health advoCATe points out that per-person funding has systematically debilitated rural healthcare. And local health personnel education is an important community support.

#PowerOfRuralCats

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Registry Insider Episode 75 - Rural Health
Registry Insider Episode 75 - Rural Health YouTube video by National Registry of Emergency Medical Technicians

South Carolina’s own Shannon Chambers talking about community paramedics in rural!

@ruralhealth.bsky.social

#PowerOfRuralCats

youtube.com/watch?v=bYNC...

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Socioeconomic Status, Rurality, and Pediatric Care Admission This cohort study examines the association between area-level deprivation, rurality, and the incidence of critical care admission among children in British Columbia, Canada, between 2014 and 2023.

Interesting Canadian rural analysis, shared by Sam the rural health advoCATe. Structural urbanism is not unique to the US and affects access to timely care in multiple national settings. (See also, "geographic narcissism" for this phenomenon.)

#PowerOfRuralCats

jamanetwork.com/journals/jam...

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Trends in Mammography Use Among Women Aged 40 to 74 Years in the US, 2002-2022 This cross-sectional study analyzes mammography use trends in US women aged 40 to 74 years from 2002 to 2022 and assesses variation by sociodemographic, health care access, behavioral, and geographic ...

This is an interesting study, but Sam the rural health advoCATe notes that it fails to examine trends among rural women, who are generally less likely to report age appropriate mammograms. Mammograms require infrastructure rural often lacks

#PowerOfRuralCats

jamanetwork.com/journals/jam...

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Brief Prescribing Support and Buprenorphine Adoption in Rural Primary Care This cluster randomized pilot clinical trial tests the feasibility, acceptability, and appropriateness of a buprenorphine prescribing support program for rural primary care professionals and assesses ...

This is a very small proof of concept study, but Sam the rural health advoCATe believes it suggests one method for expanding SUD treatment access in rural.

#PowerOfRuralCats

jamanetwork.com/journals/jam...

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Pharmacies do more than dispense pills; pharmacists give essential advice on medication use, points out Sam the rural health advoCATe.

#PowerOfRuralCats

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A $50 billion fund to help rural hospitals could actually lead to closures and cuts States are rolling out plans for their share of a $50 billion fund established by Congress to improve rural health care. In some states, the money may provoke rural hospitals to cut services.

Grimly shared by Sam the rural health advoCATe. "Innovation" cannot replace gaps caused by decades of systematic underfunding for the basics of rural health care. And $50B does not replace $130B in Medicaid cuts.

#PowerOfRuralCats

www.gpb.org/news/2026/03...

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Metropolitan and Nonmetropolitan Medicare Advantage Enrollment 2025 Research Alert from the Rural Health Research Gateway for: Metropolitan and Nonmetropolitan Medicare Advantage Enrollment 2025

Shared by Sam the rural health advoCATe. Given that Medicare “Advantage” typically disadvantages rural hospitals, slow growth would seem a plus.

#PowerOfRuralCats

www.ruralhealthresearch.org/alerts/701

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Rural-Urban Trends in the Burden of Diabetes Among U.S. Adults Research Alert from the Rural Health Research Gateway for: Rural-Urban Trends in the Burden of Diabetes Among U.S. Adults

Grimly shared by Sam the rural health advoCATe: continuing increases in the rate of new cases of diabetes in rural America.

#PowerOfRuralCats

www.ruralhealthresearch.org/alerts/

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Insurance Churn and Diabetes Outcomes Among Patients With Low Income This case-control study assesses the association of losing insurance with diabetes outcomes among people with low income served by community health centers.

Sam the rural health advoCATe notes that diabetes, low income status & Medicaid/no insurance are all more common among rural residents.

#PowerOfRuralCats

jamanetwork.com/journals/jam...

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Sam the rural health advoCATe doesn't do politics, but this is a rural health story. Note the glib dismissal odf rural--"like 70 people live there"--which gave us bomb testing in Monument Valley in the 1940's and '50's, with lasting health consequences for the "downwinders."

#PowerOfRuralCats

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