Evidence map›Paper›PMID 41285144›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2026

Gaps in artificial intelligence research for rural health in the United States: a scoping review.

Katherine E Brown, Sharon E Davis

Abstract readScoping Review
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Explainability in context: calibrating appropriate trust and reliance in artificial intelligence.Journal of the American Medical Informatics Association : JAMIA · 2026
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Katherine E BrownDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, United States.ORCID 0000-0003-4443-8541
Sharon E DavisDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, United States.ORCID 0000-0003-0792-8867

Funding

Vanderbilt Biomedical Informatics Training ProgramT15LM007450 · NLM · VANDERBILT UNIVERSITY · PI Jessica S. Ancker, Bradley A. Malin · 2002 to 2026
$19.7M
Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Jeffrey L Neul · 2020 to 2026
$10.3M
NICHD NIH HHS P50 HD103537NIH HHS T15LM007450NLM NIH HHS T15 LM007450
6 · The paper itself

Abstract

objectiveArtificial intelligence (AI) has impacted healthcare at urban and academic medical centers in the US. There are concerns, however, that the promise of AI may not be realized in rural communities. This scoping review aims to determine the extent of AI research in the rural US. MATERIALS AND

methodsWe conducted a scoping review following the PRISMA guidelines. We included peer-reviewed, original research studies indexed in PubMed, Embase, and WebOfScience after January 1, 2010 and through April 29, 2025. Studies were required to discuss the development, implementation, or evaluation of AI tools in rural US healthcare, including frameworks that help facilitate AI development (eg, data warehouses).

resultsOur search strategy found 26 studies meeting inclusion criteria after full text screening with 14 papers discussing predictive AI models and 12 papers discussing data or research infrastructure. AI models most often targeted resource allocation and distribution. Few studies explored model deployment and impact. Half noted the lack of data and analytic resources as a limitation. None of the studies discussed examples of generative AI being trained, evaluated, or deployed in a rural setting. DISCUSSION: Practical limitations may be influencing and limiting the types of AI models evaluated in the rural US. Validation of tools in the rural US was underwhelming.

conclusionWith few studies moving beyond AI model design and development stages, there are clear gaps in our understanding of how to reliably validate, deploy, and sustain AI models in rural settings to advance health in all communities.

Indexed as

Artificial IntelligenceRural HealthRural Health ServicesHumansUnited Statesartificial intelligencelarge language modelsmachine learningrural healthcareUS healthcare

Identifiers

PMID41285144
PMCPMC12844595

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.