Nutrition and Health Sciences, Department of


Document Type


Date of this Version



Family and Community Health 43:2 (April/June 2020), pp. 141–149.

doi: 10.1097/FCH.0000000000000255


Copyright © 2020 Wolters Kluwer Health, Inc. Used by permission.


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.