ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2025
Revisiting the rural and urban divide in hospital health information technology adoption: Evidence from 2023.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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Who cites it
3 citing papers in PubMed.
- An exploratory survey of barriers and enablers of AI adoption in rural and urban dental practices in Mecklenburg-Western Pomerania, Germany.Scientific reports · 2026Article
- Guiding principles for clinical research on substance use disorders in rural communities.Journal of substance use and addiction treatment · 2026Article
- Revisiting the rural and urban divide in hospital health information technology adoption: Evidence from 2023.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
purposeWe assessed the adoption of telehealth, patient engagement (PE), and health information exchange (HIE) functionalities among hospitals in 2023, comparing adoption rates between rural and urban hospitals.
methodsWe used the linked 2023 American Hospital Association Annual Survey and Information Technology Survey data. We examined average adoption rates of eight telehealth, eight PE, and three HIE functionalities across metropolitan, micropolitan, and rural acute care hospitals. Multivariate regression models were used to assess differences in adoption, adjusting for hospital characteristics.
findingsRural and urban disparities in hospital health information technology (HIT) adoption persist in 2023. After adjusting for hospital characteristics, rural and urban differences in the likelihood of adopting any treatment-stage (e.g., psychiatric treatment and stroke care) or post-discharge (e.g., remote patient monitoring for chronic care) telehealth were not significant. However, overall, rural hospitals adopted an average of 0.24 fewer telehealth services (p < 0.05) and 0.25 fewer PE capabilities (p < 0.05). They were also less likely to have any HIE capabilities, relative to their urban peers.
conclusionsAlthough overall adoption of hospital HIT has increased since 2018 and some rural and urban gaps have narrowed, disparities remain in 2023. Rural hospitals continue to lag behind in the adoption of telehealth, PE, and HIE functionalities. Future research should explore barriers to adoption among under-resourced hospitals. Policy efforts must prioritize tailored strategies to support rural hospitals and promote broader access to HIT adoption nationwide.
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