Two Approaches, One Goal: Delivering Heart Care to the Periphery
Two Approaches, One Goal: Delivering Heart Care to the Periphery
1- A doctor-led outreach
2-A government–university program
One shared goal: Equal access to heart care.
This article draws on two complementary sources:
– AHA News, highlighting a government–university initiative.
– Cardiovascular Medical News (June 29, 2025), reporting on a doctor-led grassroots outreach.
1. Background
In Kentucky, where many rural and low-income communities struggle to access heart care, two different—but powerful—approaches are helping save lives.
2. Model 1: Government–University Partnership (AHA Article)
Led by the American Heart Association (AHA), this model brings hospitals, public health agencies, and universities together to improve rural care.
• EMS and clinics receive training to quickly recognize heart attacks and strokes.
• Telemedicine tools and AED devices are made more available.
• Free screenings and health education campaigns raise awareness.
• Rural clinics now get better Medicaid support, making care more accessible.
Goal: Equal care for everyone—no matter where they live.
3. Model 2: HEART Initiative – Community Outreach Led by a Respected Cardiologist
In western Louisville, Dr. Kim Williams Sr., a well-known cardiologist and former ACC President, launched the HEART initiative — a grassroots outreach effort.
• Free heart screenings are held in churches and community centers.
• People are tested for blood pressure, sugar, and cholesterol.
• Those at risk are connected with urgent care or further tests.
• Some patients are found with dangerously high readings and receive immediate help.
“People come to us because we went to them.” — Dr. Williams
4. Bottom Line
These two programs show that both top-down (government-led) and bottom-up (community-led) initiatives can make a real difference in preventing heart disease. Each model offers valuable lessons for other countries looking to reach underserved patients and save lives before it’s too late.
How much we need similar initiatives in our country—driven by all levels, from government to communities and healthcare professionals—to expand heart care and reach those who need it most, before it’s too late.
