Strategies: Rural Health

Evidence-informed programs, policies, and system changes to support rural communities in addressing their priorities and ensuring health and well-being for every community member. These solutions focus on strengthening current infrastructure, as well as employment, education, housing, and access to care.

45 Strategies

Allied dental professional scope of practice

Expand the role of allied dental professionals (e.g., hygienists, therapists, etc.) via changes to statute, dentist supervision requirements, etc.
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care

Societal Rules

  • Laws and policies

Community health workers

Engage professional or lay health workers to provide education, referral and follow-up, case management, home visiting, etc. for those who experience barriers in accessing health care; also called promotoras(es) de salud or community health representatives
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care

Federally qualified health centers (FQHCs)

Increase support for non-profit health care organizations and deliver comprehensive care to uninsured, underinsured, and vulnerable patients regardless of ability to pay; often called community health centers (CHCs)
Evidence Rating:
Scientifically Supported

Community Conditions

  • Clinical care

Societal Rules

  • Laws and policies

Telemedicine

Deliver consultative, diagnostic, and treatment services remotely, especially for patients who live in areas with limited access to care or who experience transportation or mobility barriers; sometimes called telehealth
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care
  • Climate

Societal Rules

  • Institutional practices

Multi-component groundwater management programs

Protect underground water resources via regular groundwater monitoring, education about risks to groundwater, water quotas and taxes, and other efforts
Evidence Rating:
Some Evidence

Community Conditions

  • Air, water and land

Financial incentives for health professionals serving underserved areas

Expand incentives such as scholarships and loans with service requirements and loan repayment or forgiveness programs for health care providers who practice in rural or other underserved areas
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care

Societal Rules

  • Budgets

Bicycle & pedestrian master plans

Establish a framework to increase walking and biking trails and improve connectivity of non-auto paths and trails in a particular area
Evidence Rating:
Some Evidence

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Climate

Societal Rules

  • Institutional practices
  • Governance

Farmers markets

Support multiple vendor markets where producers sell goods such as fresh fruit and vegetables, meat, dairy items, and prepared foods directly to consumers
Evidence Rating:
Some Evidence

Community Conditions

  • Diet and exercise
  • Climate
  • Civic and community resources

Water availability & promotion interventions

Make water readily available in various settings via regular placement of drinking fountains, water coolers, bottled water in vending machines, etc.
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise

Preschool education programs

Provide center-based programs that support cognitive and social-emotional growth among children who are not old enough to enter formal schooling
Evidence Rating:
Scientifically Supported

Community Conditions

  • Education