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Rural Project Examples: Health occupations

Effective Examples

MU AHEC Summer Community Program
Updated/reviewed March 2021
  • Need: Lack of healthcare providers, specifically physicians, in rural Missouri.
  • Intervention: Rising second-year medical students at University of Missouri's School of Medicine are given the opportunity to participate in a clinical program in a rural community setting.
  • Results: Almost half of the participants from 1996-2010 chose to practice in rural locations upon graduation.
Wyoming Trauma Telehealth Treatment Clinic
Updated/reviewed February 2021
  • Need: To provide psychotherapy to survivors of domestic violence and sexual assault.
  • Intervention: University of Wyoming psychology doctoral students provide psychotherapy via videoconferencing to crisis center clients in two rural locations.
  • Results: Clients, student therapists, and crisis center staff were satisfied with the quality of services, and clients reported reduced symptoms of depression and PTSD.
Salud es Vida Cervical Cancer Education
Updated/reviewed January 2021
  • Need: Hispanic women have the highest incidence rates of cervical cancer among any ethnicity in the United States.
  • Intervention: The development of a lay health worker (promotora) curriculum that provided information on cervical cancer, HPV, and the HPV vaccine to Hispanic farmworker women living in rural southern Georgia and South Carolina.
  • Results: Significant increases in post-test scores relating to cervical cancer knowledge and increases in positive self-efficacy among promotoras.
Montana "Team Up. Pressure Down." Blood Pressure Medication Adherence Project
Updated/reviewed November 2020
  • Need: To help rural Montana patients manage their blood pressure levels.
  • Intervention: Pharmacists distributed "Team Up. Pressure Down." materials from the Million Hearts Initiative and provided consultations.
  • Results: 89% of patients were able to adhere to their blood pressure medication, compared to 73% before the intervention.
funded by the Federal Office of Rural Health Policy Regional Oral Health Pathway
Updated/reviewed November 2020
  • Need: To address the oral health needs of low-income uninsured and underinsured residents in rural Appalachia.
  • Intervention: An oral health education program was implemented in Appalachian Maryland, Pennsylvania, and West Virginia.
  • Results: This program has increased oral health visits in the area and has provided residents with valuable information on oral health resources and services.
Pharmacists for Patient Safety Network
Updated/reviewed September 2020
  • Need: Pharmacists in rural Nebraska are often isolated and find it difficult to communicate with others about safety concerns.
  • Intervention: The Pharmacists for Patient Safety Network was a communication network in which pharmacists identified safety concerns and shared solutions.
  • Results: After one year of implementation, 30 of the 38 participating pharmacies reported that the network encouraged new safety practices and reinforced existing safety strategies.
HEALTH-COP Obesity Prevention
Updated/reviewed August 2020
  • Need: Many physicians want to help rural children who are overweight or obese develop healthy lifestyles, and these physicians would benefit from receiving training on specific ways to instruct, motivate, and manage the healthcare of these children.
  • Intervention: A virtual learning network called Healthy Eating Active Living TeleHealth Community of Practice (HEALTH-COP) was created to educate rural physicians and provide peer support.
  • Results: Studies showed an increase in health and wellness topics covered by physicians during children's clinic visits. This likely contributed to healthier eating habits and more active lifestyles that were found when these children were reassessed 3 months later.
Kentucky Homeplace
Updated/reviewed June 2020
  • Need: Rural Appalachian Kentucky residents have deficits in health resources and health status, including high levels of cancer, heart disease, hypertension, asthma, and diabetes.
  • Intervention: Kentucky Homeplace was created as a community health worker initiative to address the lifestyle choices, inadequate health insurance, and environmental factors that are believed to contribute to these diseases.
  • Results: From July 2001 to June 2019, over 166,464 rural residents were served. Preventive health strategies, screenings, educational services, and referrals are all offered at no charge to clients.
OHSU Rural Surgery Training
Updated/reviewed June 2020
  • Need: General surgeons are needed in rural communities.
  • Intervention: Oregon Health & Science University (OHSU) is sending residents to complete a general surgery rotation in rural southern Oregon.
  • Results: Almost 40% of the graduates of the rural residency program are now practicing in a rural setting, and the residents are more likely than other OHSU residents to enter general surgery practice and serve in a community of fewer than 50,000 people.
Community Health Worker-based Chronic Care Management Program
Added May 2020
  • Need: Improve healthcare access and decrease chronic disease disparities in rural Appalachia.
  • Intervention: A community health worker-based Chronic Care Management program demonstrated such a level of success in a single West Virginia county that it was further scaled for implementation in a multi-center, 3-state area of Appalachia.
  • Results: When analysis of the disseminated program's results also demonstrated improved health outcomes and decreased healthcare costs, sustainability became possible due to innovative financial reimbursement models.