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Perspective: The Tailgate Medicine Model: A Proposed Integrative Method of Care Delivery for Rural Populations
Michael P McShane1, Jennifer A Kowalkowski2, Kristina Brant3,4
1Department of General Internal Medicine Penn State College of Medicine, Penn State University State College Pennsylvania USA.
Health Science Reports
|April 23, 2026
Summary
The Tailgate Medicine Model (TMM) addresses social determinants of health (SDOH) in rural areas. This innovative model improves healthcare access and reduces disparities for underserved rural populations.
Area of Science:
- Rural health disparities
- Social determinants of health (SDOH)
- Innovative healthcare delivery models
Background:
- Social, environmental, economic, and cultural factors (SDOH) create barriers to healthcare access, disproportionately affecting rural populations.
- Existing healthcare models inadequately address structural inequities driving poor health outcomes in rural communities.
Purpose of the Study:
- To propose and describe the Tailgate Medicine Model (TMM), an innovative healthcare delivery model.
- TMM is designed to assess and address the impact of SDOH on rural health outcomes.
Main Methods:
- TMM integrates mobile health and street medicine clinic strengths.
- It adapts strategies from military field medicine for rapid, on-site treatment.
- The model emphasizes adaptability to reach underserved groups and connect them with resources.
Main Results:
- The TMM is designed to be highly adaptable to diverse rural contexts.
- It aims to bridge gaps between communities, healthcare resources, and social services.
Conclusions:
- The TMM shows promise for improving healthcare access in rural settings.
- It holds potential to reduce health disparities by directly addressing SDOH.
- The model's adaptability makes it suitable for scaling to meet local needs.
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