Rural Project Examples Addressing Health workforce

Wyoming Trauma Telehealth Treatment Clinic
Updated/reviewed February 2023

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 2023

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 2022

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.

Kentucky Homeplace
Updated/reviewed September 2022

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 provide health coaching, increased access to health screenings, and other services.
Results: From July 2001 to June 2022, over 182,783 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 September 2022

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: 37% of the graduates of the rural residency program are now practicing in a rural setting. The residents remain more likely than other OHSU residents to enter general surgery practice and to serve in a community of fewer than 50,000 people.

Pharmacists for Patient Safety Network
Updated/reviewed September 2022

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.

Regional Oral Health Pathway
Updated/reviewed August 2022

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 increased oral health visits in the area and provided residents with valuable information on oral health resources and services.

Vivir Mejor! (Live Better!) System of Diabetes Prevention and Care
Updated/reviewed August 2022

Need: To address high rates of diabetes in rural Hispanic/Latino populations near the U.S.-Mexico border.
Intervention: A comprehensive, culturally competent diabetes education program was implemented in Santa Cruz County, Arizona.
Results: Since 2012, this program has helped participants better manage their diabetes and increase healthy living behaviors.

Hidalgo Medical Services – Family Support Program
Updated/reviewed April 2022

Need: To reduce health disparities in two rural/frontier counties in southwest New Mexico.
Intervention: Community health workers worked with clients to help them better manage their health and promote awareness of healthy lifestyle options in the community.
Results: Better health outcomes for patients.

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.

Rural Project Examples: Health workforce