Evidence map›Paper›PMID 34817755›Full record

SynthesisJournal of community health2022

Impact of Community Health Workers on Access to Care for Rural Populations in the United States: A Systematic Review.

Carole R Berini, Heather S Bonilha, Annie N Simpson

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of community health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
10.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Advancing equity and value in United States healthcare: an umbrella review.International journal for equity in health · 2026
    Pooled it
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  8. Kidney Care for Haitian Immigrants in the United States.Journal of immigrant and minority health · 2026
    Article
  9. Integrating Community Health Workers Into Clinical Settings.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Carole R BeriniDepartment of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, SC, 29425, USA. berini@musc.edu.ORCID 0000-0003-1772-7970
Heather S BonilhaDepartment of Rehabilitation Sciences, Medical University of South Carolina, Charleston, SC, 29425, USA.
Annie N SimpsonDepartment of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, SC, 29425, USA.
Medical University of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Community Health Worker (CHW) interventions have shown potential to reduce inequities for underserved populations. However, there is a lack of support for CHW integration in the delivery of health care. This may be of particular importance in rural areas in the Unites States where access to care remains problematic. This review aims to describe CHW interventions and their outcomes in rural populations in the US. Peer reviewed literature was searched in PubMed and PsycINFO for articles published in English from 2015 to February 2021. Title and abstract screening was performed followed by full text screening. Quality of the included studies was assessed using the Downs and Black score. A total of 26 studies met inclusion criteria. The largest proportion were pre-post program evaluation or cohort studies (46.2%). Many described CHW training (69%). Almost a third (30%) indicated the CHW was integrated within the health care team. Interventions aimed to provide health education (46%), links to community resources (27%), or both (27%). Chronic conditions were the concern for most interventions (38.5%) followed by women's health (34.6%). Nearly all studies reported positive improvement in measured outcomes. In addition, studies examining cost reported positive return on investment. This review offers a broad overview of CHW interventions in rural settings in the United States. It provides evidence that CHW can improve access to care in rural settings and may represent a cost-effective investment for the healthcare system.

Indexed as

Community Health WorkersRural PopulationChronic DiseaseFemaleHealth Services AccessibilityHumansUnited StatesVulnerable PopulationsAccess to Health CareCommunity Health WorkerRural HealthUnderserved Populations

Identifiers

PMID34817755
OpenAlexW3217410846

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.