Rural Health
More than a third of Veterans enrolled in VA care live in rural areas, and a small but significant percentage of them are “highly rural”: from counties with fewer than seven people per square mile. While they typically live a considerable distance from available healthcare resources, rural Veterans are also more likely to need these resources: they’re slightly older than urban Veterans overall, and 15 years older, on average, than other rural Americans. They also tend to be medically complex, with higher rates of chronic conditions requiring frequent, ongoing care and services.
VA has identified rural Veterans as an underserved population, and established the explicit goal of increasing healthcare access for rural Veterans. HSR researchers work to better understand the healthcare needs of rural Veterans, and the most effective ways to address them. Areas of research focus include the development and evaluation of solutions such as virtual care, mobile medical units, social work outreach, transportation, and collaborative or community care programs.
Each section below is populated by a search of the HSR website. Search results are generated based on the search term "Rural" . Results are updated as new data are available.
VIEW: Citations | Publication Briefs | Studies | HSR Briefs, Reports, Newsletters | Cyberseminars | Videos | Podcasts | Other Resources
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Citations
(recent RURAL publications)
- Ranney RM, Cohen BE, Shen H, Hoggatt KJ, Maguen S. Social determinants of health associated with receipt of psychotherapy for veterans with posttraumatic stress disorder. Journal of psychiatric research. 2026 Jan 3; 194:188-195, DOI: 10.1016/j.jpsychires.2026.01.003.
- Bay KG, Eck CS, Knox MK, Mehta P, Petersen LA. Predictors of Inpatient RN Turnover in Rural and Urban VHA Hospitals. Medical care. 2026 Jan 1; 64(1S Suppl 1):S9-S17, DOI: 10.1097/MLR.0000000000002213.
- Masucci E, Lafferty MJ, Cerra N, Maxim L, O'Neill AS, Carlson KF. "I'm not here to take anyone's guns away:" Provider Perspectives and Strategies for Addressing the Fear of Firearm Seizure among Rural-Residing Veterans. SSM. Qualitative research in health. 2025 Dec 1; 8(1):1-9, DOI: 10.1016/j.ssmqr.2025.100639.
- Pham NV, Singh R, Leng M, Han SB, May FP, Singh J, Benhammou JN. Mental health diseases are associated with active hepatitis C and partly drive HCC trends in Veterans. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association. 2025 Nov 29 DOI: 10.1016/j.cgh.2025.11.026.
- Shetty NH, Nassereldine H, Rudd KE, Liang NL, Tzeng E, Reitz KM. Prioritizing high-volume repair hospitals with ruptured abdominal aortic aneurysms, for rural and nonrural patients. Journal of Vascular Surgery. 2025 Nov 17 DOI: 10.1016/j.jvs.2025.11.010.
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Publication Briefs
(recent RURAL Publication Briefs )
- Veterans Using VA Benefits Experience High Rates of Adverse Pregnancy Events and Pregnancy-Associated Death, with Black Veterans Most at Risk
This study aimed to assess the prevalence of adverse events during pregnancy and up to 42 days after pregnancy, and pregnancy-associated death (death from any cause while pregnant or within 1 year of the end of pregnancy), and to compare prevalence of adverse events by Veteran race/ethnicity. Findings showed that nearly 3% of pregnancies recorded an adverse event. Pregnancies among Black Veterans ...
Date: September 20, 2024
- Post-MISSION Act Racial/Ethnic Disparities in Use and Wait Times for VA and Community Care Primary Care
This study used VA and Community Care (CC) outpatient and consult data for FY2021–FY2022 to examine whether utilization of and wait times for primary care differed between Black and Hispanic Veterans compared to White Veterans in rural and urban areas post-MISSION. Findings showed that Black and Hispanic Veterans waited significantly longer for primary care in CC, but Hispanic Veterans in urban ar...
Date: June 21, 2024
- Veterans with a Racial/Ethnic Minority Background, Rural Residence, or Mental Health Disability History Were Less Likely to Complete Preoperative Goals of Care Documentation
This study assessed factors – including race, ethnicity, rurality, history of mental health disability, and VA facility type – that are known or hypothesized to be linked with disparities in preoperative life-sustaining treatment (LST) documentation. The study also described the COVID-19 pandemic’s effect on completion of preoperative LST. Findings showed that Veterans with a racial or ethnic mino...
Date: December 19, 2023
- Despite Equal Access and Use of VA Care, Black Veterans are More Likely to Experience Postpartum Rehospitalization and Low-Birthweight Infants
This study sought to determine whether Black/white racial disparities in access, use, and outcomes are present among pregnant and postpartum Veterans and their infants using VA maternity care. Findings showed no statistically significant racial disparities in access or use of care during the perinatal period; nevertheless, Black Veterans were more likely than white Veterans to experience postpartu...
Date: July 1, 2023
- Thirty-Day Mortality Higher for Older Veterans Hospitalized with COVID-19 in Community vs. VA Hospitals
This study compared outcomes among Veterans ages 65+ admitted for COVID-19 in VA and community hospitals. Findings showed that admission to community hospitals was associated with higher unadjusted (27% vs. 18%) and risk adjusted 30-day mortality compared to admission to VA hospitals. Readmission within 30 days was less common following admission to community compared to VA hospitals (13% vs. 14%)...
Date: May 30, 2023
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Studies
| Project No. |
Title |
PI |
Funding End |
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RCS 24-265
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HSR&D Senior Research Career Scientist Award |
Damush, Teresa |
2031-03-31 |
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CDA 22-197
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VA''s virtual care initiatives and suicide prevention |
Gujral, Kritee |
2029-09-30 |
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CDA 23-010
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Enhancing function for Veterans post-stroke at the system and individual level |
Waddell, Kimberly |
2029-09-30 |
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RCS 17-153
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RCS |
Fortney, John |
2029-09-30 |
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IIR 23-025
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Evaluating Veterans' Reproductive Healthcare Access, Quality and Outcomes in a Changing Landscape (EVOLVE) |
Callegari, Lisa |
2029-06-30 |
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HSR Briefs, Reports, Newsletters
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Cyberseminars
The most recent "Rural" seminars are displayed.
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| Date |
Title |
Presenter(s) |
| 10/16/2024 |
Integrating Revealed and Stated Preference Analysis to Improve Maternal Healthcare Access in Rural Areas
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Nunez, Adriana
Brown, Paul
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| 6/13/2024 |
Using Multiple Qualitative Methods in a Multi-Year Enterprise-Wide Initiative Evaluation of the VA Medical Foster Home Program
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Haverhals, Leah
Manheim, Chelsea
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| 3/21/2024 |
Telehealth Delivery of Yoga for Wellness Groups: Findings from a Multi-Site TeleYoga Program Evaluation
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Nicosia, Francesca
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| 3/12/2024 |
What is Rural?
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Burningham, Zach
Kaboli, Peter
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| 1/9/2024 |
Reaching Rural Veterans: Applying Mind-Body Skills for Pain Using a Whole Health Telehealth Intervention (RAMP). Protocol for a Hybrid 2 Effectiveness-Implementation Trial
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Evans, Roni
Hadlandsmyth, Katherine
Burgess, Diana
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Videos
There are currently no videos for this topic. |
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Podcasts
There are currently no podcasts for this topic. |
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