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Letter: Physician assistants and nurse practitioners can bridge the health care gap in rural areas

The recent article highlighting the health care challenges faced by rural Westerners sheds light on a critical issue that has long plagued our frontier communities. As noted in the piece, many residents in these areas are often required to travel great distances for basic medical care and vital screenings, leading to significant disparities in health outcomes compared to urban populations. However, I would like to draw attention to the pivotal role that physician assistants (PAs) and nurse practitioners (NPs) play in addressing these challenges, particularly in the area of mental health, which is often overlooked in discussions of rural healthcare.

PAs and NPs are uniquely positioned to bridge the health care gap in rural areas. They provide high-quality care that is both accessible and cost-effective, allowing them to serve as primary care providers in underserved regions. These professionals are often the first point of contact for patients, offering not only routine care but also specialized services that might otherwise be unavailable locally. This is particularly important in mental health care, where the stigma and scarcity of services can lead to untreated conditions and worsening health outcomes.

To further support this effort, I am proud to share that the University of Utah Division of Physician Assistant Education and Sciences has recently received a grant from the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services. This grant focuses specifically on training primary care PAs to address behavioral health conditions in rural areas. This initiative aims to equip PAs with the skills necessary to prevent, identify, diagnose, treat, and refer patients with mental health needs, ensuring that these communities receive comprehensive care close to home. By increasing the number of trained PAs who choose to practice in rural areas after graduation, we hope to make significant strides in reducing the barriers to mental health care and improving overall health outcomes in these regions.

The findings from the Huntsman Cancer Institute’s survey underscore the urgency of expanding access to health care in rural areas. It is clear that more needs to be done to bring care to the people who need it most. PAs and NPs are essential to this effort, and with continued support we can make meaningful progress in addressing the healthcare needs of our rural and frontier communities.

Jennifer Coombs, Salt Lake City

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