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.

12 Strategies
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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

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

Health insurance enrollment outreach & support

Provide outreach and support to assist those whose employers do not offer affordable coverage, who are self-employed, or who are unemployed
Evidence Rating:
Scientifically Supported

Community Conditions

  • Clinical care

Societal Rules

  • Institutional practices
  • Laws and policies

Mobile reproductive health clinics

Offer reproductive health services (e.g., pregnancy tests, prenatal and postpartum care, gynecological exams, STI screenings, etc.), health education, and social service referrals via medically equipped vans
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care

Societal Rules

  • Institutional practices

Rural training in medical education

Expand medical school training and learning experiences focused on the skills necessary to practice successfully in rural areas
Evidence Rating:
Scientifically Supported

Community Conditions

  • Clinical care

Societal Rules

  • Institutional practices

Rural transportation services

Establish transportation services for areas with low population densities using publicly funded buses and vans on a set schedule, dial-a-ride transit, volunteer ridesharing, etc.
Evidence Rating:
Expert Opinion

Community Conditions

  • Income, employment and wealth
  • Clinical care
  • Housing and transportation
  • Civic and community resources

Societal Rules

  • Budgets
  • Worldviews, culture and norms

School-based health centers

Provide health care services on school premises to attending elementary, middle, and high school students; physical and mental health services provided by teams of nurses, nurse practitioners, and physicians
Evidence Rating:
Scientifically Supported

Community Conditions

  • Education
  • Clinical care

Societal Rules

  • Institutional practices