{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T10:30:26Z","timestamp":1786962626028,"version":"build-2736575974"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"American Electric Power Grant"},{"name":"Impact Multiplier Grant"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Rural communities face persistent barriers to healthcare access, including workforce shortages, limited specialty services, and medication access constraints. Innovative Readiness Training (IRT), a Department of Defense program, partners with local communities to provide healthcare services while supporting military medical training. In Nueces County, Texas, the program evolved into a community-led initiative, Operation Health and Wellness (OHW).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This project was approved by the IRB, and a descriptive observational analysis was conducted using program data from 2021\u20132025. Data sources included patient registration logs, clinical service documentation, pharmacy dispensing records, and site activity reports. Outcomes included patient volume, service intensity, and pharmacy utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 2021\u20132025, 6,248 patients received care. Patient volume declined following the transition from military-supported IRT (2021\u20132023) to community-led OHW (2024\u20132025). However, services per patient increased from 2.63 (2021) to 4.56 (2024), indicating deeper clinical engagement. Pharmacy integration persisted despite formulary and funding changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The IRT\/OHW initiative demonstrates a sustainable, interprofessional rural healthcare delivery model integrating pharmacists, nurse practitioners, military clinicians, and academic partners. The model offers a scalable framework for rural primary care access and experiential education. This study further examines the role of interprofessional primary care teams in enhancing care delivery, pharmacy integration, and sustainability within rural healthcare systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319261478979","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T21:48:30Z","timestamp":1786744110000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Collaborative Rural Healthcare Delivery Through Innovative Readiness Training and Operation Health and Wellness: An Interprofessional Primary Care Model"],"prefix":"10.1177","volume":"17","author":[{"given":"Elizabeth","family":"Loika","sequence":"first","affiliation":[{"name":"Texas A&M University \u2013 Corpus Christi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Texas A&M University \u2013 Corpus Christi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Anderson","sequence":"additional","affiliation":[{"name":"Texas A&M University \u2013 Corpus Christi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Dominguez","sequence":"additional","affiliation":[{"name":"Texas A&M University \u2013 Corpus Christi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Soliz","sequence":"additional","affiliation":[{"name":"Texas A & M University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angel","family":"Alaniz","sequence":"additional","affiliation":[{"name":"Texas A & M University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"North","sequence":"additional","affiliation":[{"name":"Texas A & M University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1184-9460","authenticated-orcid":false,"given":"Chioma","family":"Ogbodo","sequence":"additional","affiliation":[{"name":"Texas A&M University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Udeani","sequence":"additional","affiliation":[{"name":"Irma Lerma Rangel College of Pharmacy"},{"name":"Texas A & M University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"e_1_3_4_2_2","volume-title":"Rules and regulations relating to nurse education, licensure, and practice","author":"Texas Board of Nursing","unstructured":"Texas Board of Nursing. Rules and regulations relating to nurse education, licensure, and practice. Texas Board of Nursing. https:\/\/www.bon.texas.gov\/pdfs\/law_rules_pdfs\/rules_regulations_pdfs\/March_2024_Rules_and_Regulations_Rev_2.pdf.Accessed September 5, 2025."},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-0361.2002.tb00911.x"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd17.200350"},{"key":"e_1_3_4_5_2","volume-title":"Quality through collaboration: The future of rural health","author":"Committee on the Future of Rural Health Care","year":"2005","unstructured":"Committee on the Future of Rural Health Care. Quality through collaboration: The future of rural health. Washington DC: National Academies Press; 2005."},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2012.02.033"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/08971900221116684"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.3390\/pharmacy12040107"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.3402\/meo.v16i0.6035"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2015.02.007"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.2147\/IPRP.S108047"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/acm.0000000000004794"},{"key":"e_1_3_4_13_2","first-page":"1192","volume-title":"Crossing the quality chasm: a new health system for the 21st century","author":"Baker A","year":"2001","unstructured":"Baker A. Crossing the quality chasm: a new health system for the 21st century. British Medical Journal Publishing Group; 2001, Vol. 323:1192."}],"container-title":["Journal of Primary Care &amp; Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319261478979","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501319261478979","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319261478979","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T10:20:28Z","timestamp":1786962028000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501319261478979"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":12,"alternative-id":["10.1177\/21501319261478979"],"URL":"https:\/\/doi.org\/10.1177\/21501319261478979","relation":{},"ISSN":["2150-1319","2150-1327"],"issn-type":[{"value":"2150-1319","type":"print"},{"value":"2150-1327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"article-number":"21501319261478979"}}