Focus Areas for Rural Community Health Programs - RHIhub Toolkit (2024)

Rural community health programs may address multiple factors that affect health and well-being, from individual health behaviors to broader environmental policies and practices. Rural programs can also consider how community characteristics like the accessibility of healthcare services and the availability of local services affect the health of potential rural program participants.

The issues faced by residents of rural communities are very different than those in urban areas. Rural residents may face disparities due to:

  • A disproportionate burden of chronic disease relative to the general public
  • Restricted access to quality healthcare
  • Insufficient or lack of health insurance coverage
  • Geographic isolation
  • Lack of public transportation
  • Poor infrastructure
  • Poverty and unemployment
  • A smaller healthcare workforce and a lack of specialty care
  • Limited availability of bilingual providers and interpreter services
  • Cultural or social differences, stigma, and norms

These issues contribute to additional barriers to attaining the best possible level of health, including lower educational attainment and health literacy, and are influenced by the root causes of health disparities.

This toolkit offers general information about designing, implementing, evaluating, and reporting about community health programs. Based on community needs and priorities, rural communities may choose to focus their community health programs on one or more specific topics. Examples of topics for rural community health programs include:

The Rural Health Information Hub's Topic Guides also focus on the most current and relevant information on various rural topics.

Resources to Learn More

About Rural Health Care
Website
Provides statistics and data on the differences between rural and urban healthcare issues: workforce shortages, socioeconomic factors, and health inequity.
Organization(s): National Rural Health Association

Healthy People 2030
Website
Provides science-based objectives focused on high-priority public health issues for improving the health of Americans. Objectives cover topics on health conditions, health behaviors, populations, setting and systems, and social determinants of health. Includes a subset of leading health indicators (LHIs) to address factors impacting death and disease, and assist states, organizations, and communities to direct their resources to improve health and well-being of all people.
Organization(s): Office of Disease Prevention and Health Promotion

Rural Healthy People 2030: Common Challenges, Rural Nuances
Document
Discusses priority areas identified by rural stakeholders how these views vary by demographic or economic factors, including stakeholder census region, gender, age, race, field of employment, and state Medicaid expansion status.
Author(s): Kassabian, M, Shrestha, A, Callaghan, TH., Johnson, N, Helduser, J., Horel, S., Bolin, J, & Ferdinand, AO.
Organization(s): Southwest Rural Health Research Center, Texas A&M Health Science Center, School of Public Health
Date: 2023

Focus Areas for Rural Community Health Programs - RHIhub Toolkit (2024)

FAQs

What is the main health care problem in rural areas? ›

Some rural areas have characteristics that put residents at higher risk of death, such as long travel distances to specialty and emergency care or exposures to specific environmental hazards. Rural Americans tend to have higher rates of cigarette smoking, high blood pressure, and obesity.

What are the rural health priorities? ›

Health policy issues of interest for rural stakeholders include: Ensuring availability and financial viability of rural healthcare facilities, such as Critical Access Hospitals, Rural Emergency Hospitals, Federally Qualified Health Centers, and Rural Health Clinics.

What is a rural health information hub? ›

The RHIhub is the nation's rural health information source. The website offers a library of resources, coverage of rural issues, state guides, evidence-based toolkits, program models and more. Customized assistance is available by phone or email.

How do you attract healthcare workers to rural areas? ›

Rural health care facilities often struggle to find and keep talent
  1. 1RURAL UPBRINGING. Some physicians and health care professionals desire a return to their community roots. ...
  2. 2Networking. ...
  3. 3Résumé File. ...
  4. 4Train Your Own. ...
  5. 5Consider Other Skilled Workers for Associated Tasks. ...
  6. 6Automate. ...
  7. 7Social Media. ...
  8. 8Benefits.
Dec 27, 2023

What are the top 3 rural health priorities? ›

Table 1
Ranked OrderPriorityTotal Points
1Health Care Access and Quality1,063
2Mental Health and Mental Disorders978
3Addiction631
4Overweight and Obesity378
6 more rows
Mar 21, 2023

What are the problems with rural communities? ›

Lack of public transportation. Poor infrastructure. Poverty and unemployment. A smaller healthcare workforce and a lack of specialty care.

What are the benefits of rural healthcare? ›

Why is primary care access important for rural residents?
  • Preventive services, including early disease detection.
  • Care coordination.
  • Lower all-cause, cancer, and heart disease mortality rates.
  • Reduction in low birth weight.
  • Improved health behaviors.
  • Improved overall health.
  • Lower healthcare costs.

What is the primary barrier for rural populations in seeking health care? ›

Factors such as access to transportation, travel distance, and the supply of primary care providers can also limit people's ability to get primary care. For example, rural residents may need to travel long distances to get primary care and thus may be less likely to seek preventive care such as vaccinations.

What are considerations for defining rural places in health policies and programs? ›

Definitions of rural are often specific to particular policies and programs, but in general they must be data-driven, based on a relevant framework, align with a heuristic sense of what is rural, use consistent methodology over time, and be timely.

What defines rural healthcare? ›

Rural health is the health of people living in rural areas, who generally are located farther from health care facilities and other services than people living in urban areas.

How is rural healthcare different? ›

Rural residents are also more likely to be uninsured for longer periods of time, and are less likely than urban residents to receive some types of health care, including tests for various chronic conditions.

What does rural area mean? ›

A rural area is an open swath of land that has few homes or other buildings, and not very many people. A rural areas population density is very low. Many people live in a city, or urban area. Their homes and businesses are located very close to one another.

How do you promote rural areas? ›

Innovative marketing and communication

Instead, brands should use alternate means to raise awareness, such as partnering with local communities at community events, collaborating with local governments and important opinion leaders at rural fairs, and increasing awareness through local media channels.

How rural healthcare faces numerous challenges? ›

Delaying Care

Rural patients must often travel farther for their care and are reluctant to take time off from work. As a result, rural patients often delay seeking care, which can lead to a more complex illness and a sicker patient.

Why do healthcare providers not want to work in rural areas? ›

Rural areas offer fewer opportunities for working spouses, and schools in rural communities may have fewer resources. Young doctors also may worry that they will earn less, which is a serious concern for those with major student debt.

What is the main health care problem in rural areas with respect to equity? ›

The shortage of health care providers in rural areas exacerbates rural health disparities. Only 12% of physicians practice in rural communities, and the majority of areas deemed “health professional shortage areas” by the federal government—61 percent—are located in rural areas.

Why is there a lack of healthcare in rural areas? ›

Health Professions Workforce Shortage

Primary care physicians in rural areas often do not have the support of sub-specialists, hospitalists, or emergency physicians, and thus treat a wider range of conditions with limited access to sophisticated technology.

What issue makes seeking medical care more difficult in rural communities? ›

Often rural residents lack insurance coverage, which is associated with less access to care and increased risk of poor health outcomes.

Is healthcare worse in rural areas? ›

In the U.S., people living in rural communities have higher rates of chronic disease and suicide, worse maternal health, and limited access to care compared to adults in cities.

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