Rural U.S. healthcare struggles with tech updates as budgets tighten

TEXAS, UNITED STATES — A new Black Book Research study shows small-town and countryside medical facilities across America can’t keep up with technology advances because they simply lack money.
The February 21 report, “2025 Black Book of Rural and Critical Access Healthcare IT Solutions,” gathered insights from 972 rural healthcare leaders, including executives and IT staff.
Money problems block digital progress
The financial squeeze hits hard — 81% of rural healthcare providers point to budget limitations as their biggest hurdle when trying to adopt new technologies. This money gap has created a technological divide between rural clinics and city hospitals that continues to widen.
The technology lag shows up most clearly in basic systems. About 67% of rural providers struggle with making different computer systems talk to each other, largely because their existing systems are outdated and lack technical support. This prevents smooth information flow between different care settings.
Uneven tech adoption across U.S. healthcare
Not all rural facilities face identical challenges. While 71% of federally qualified health centers connect to broader health information networks, just 42% of critical access hospitals manage to do so. Government incentives that favor certain facilities explain much of this difference.
Virtual healthcare presents another challenge area. Though 58% of independent rural doctor practices have started using telehealth, 34% report poor internet infrastructure blocks full implementation. This connectivity problem limits virtual care exactly where patients might need it most.
Looking toward next year, only 29% of rural clinics and independent practices plan to upgrade their patient record systems. By comparison, 54% of larger rural community hospitals will make upgrades, thanks to better access to grants and funding programs.
Perhaps most telling is how few rural facilities use cutting-edge tools. The report discovered that merely 8% of critical access and rural community hospitals have implemented AI-driven analytics for predictive healthcare, leaving countryside providers without access to technologies that could improve patient outcomes.
Outsourcing as a strategic solution
For rural healthcare providers facing these technological hurdles, outsourcing IT services emerges as a viable strategy, as it allows smaller facilities to access advanced technologies without the capital investment of purchasing systems outright.
By partnering with specialized healthcare IT vendors, rural hospitals can implement modern solutions through subscription-based models that fit within operational budgets rather than requiring large capital expenditures. This approach enables access to expertise and technologies otherwise out of reach.
Managed services providers specializing in healthcare can help bridge the digital divide by offering scalable solutions tailored to rural facilities’ specific needs and budgets.
As these small-town healthcare providers face ongoing challenges, fixing the funding gap through strategic partnerships and outsourcing arrangements offers a pathway to ensure fair access to modern healthcare technology regardless of location.