Using Social Network Mapping and Assemblage Theory to Strengthen Rural Health Communications

Rural healthcare communication networks are geographically dispersed, historically layered, and technologically uneven, sustained through evolving interpersonal and improvised ties that resist bounded frameworks like actor-network theory. This study shows how social network mapping, informed by assemblage theory, reveals coverage gaps, fragile hubs, referral chokepoints, and uneven service distribution. These loosely coupled, resource-constrained systems rely on regional patient travel, nonphysician providers, and aging infrastructure amid workforce, demographic, and funding pressures. Using concepts such as emergence and deterritorialization, we interpret these networks as adaptive yet unstable. Mapping indicates low density, centralization, weak reciprocity, and long-distance referrals, supporting artificial intelligence–enabled coordination, telehealth expansion, and improved continuity of care.