Rural-Urban Differences in Roles and Support for Community Health Workers in the Midwest

Kate E. Trout, Virginia Chaidez, Angela L. Palmer-Wackerly

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


The Patient Protection and Affordable Care Act supports the integration of community health workers (CHWs) into the health care workforce, but little is known about integration and current roles of CHWs among employers in community settings. This analysis of 97 employers described the roles of CHWs in Nebraska and found significant differences between CHWs practicing in rural and urban areas in organization types employing CHWs, funding sources, and minority populations served. The findings suggest that the utility of CHWs is widely recognized among employers, but deliberate support will be needed to better define the roles of CHWs to meet the needs of the increasingly diverse demographic.

Original languageEnglish (US)
Pages (from-to)141-149
Number of pages9
JournalFamily and Community Health
Issue number2
StatePublished - Apr 1 2020


  • community health workers
  • prevention
  • rurality
  • workforce development

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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