Rural vs Urban: Impact of Healthcare Access on Health-Related Outcomes of Chronic Conditions

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Authors

Arroyo, Aura
Peck, Daria

Date of Issue

2025-04-25

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en_US

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Abstract

Rural populations have continuously been subjected to limited access to healthcare services when compared to urban populations. This disparity is thought to contribute to inferior health-related outcomes in the population of rural adults who have a chronic disease. A chronic disease affects physical/mental health, leads to functional restrictions, and requires continuous treatment/monitoring. Thus, prompting the need to address rural health inequities that are essential for improving outcomes, reducing preventable deaths, and advancing healthcare access across all populations. The purpose of this evidence-based practice (EBP) review is to examine whether, adults with chronic disease, living in a rural area compared to an urban area impacts access to healthcare services and influences health outcomes. This review synthesizes data from peer-reviewed studies and national health statistics to explore how location affects chronic disease management. Findings consistently demonstrate that rural residents are more likely to face barriers such as fewer providers, limited screening, and delayed diagnoses. Nurses and healthcare professionals can use the findings of this EBP review to identify and proactively address the unique challenges faced by patients in rural settings. By recognizing that geographic location significantly impacts access to care and chronic disease outcomes, clinicians can tailor interventions that are more equitable and accessible.

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