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Patient using a laptop in a quiet room at a public library, connecting with a remote provider

Telehealth at the Library: Bridging Rural Healthcare Gaps

In rural communities, access to healthcare remains a persistent challenge. From long drives to the nearest provider to a lack of reliable Internet for virtual appointments, the barriers are significant— and often overlooked. But an unexpected resource is stepping up to help: your local library.

The Problem: Healthcare Gaps and the Digital Divide

Only about 10% of U.S. physicians practice in rural areas, even though 1 in 5 Americans live there. As a result, roughly 70% of primary care Health Professional Shortage Areas (HPSAs) are in rural or partially rural regions. This means rural residents face long wait times and many hours of travel just to see a doctor. Telehealth could help, but only if patients have the tools and tech to use it.

But here’s the catch: according to federal data, about 17% of Americans in rural areas lack access to high-speed internet (compared to only about 1% in urban areas). Even those with Internet access may not have the privacy or digital know-how to comfortably attend a virtual medical appointment. These broadband gaps became painfully evident during the pandemic, when rural residents struggled to participate in remote schooling, telework, and even online vaccination scheduling. These barriers block the very people who stand to benefit the most from telehealth.

The Opportunity: Libraries as Telehealth Access Points

There are over 17,000 public libraries in the U.S., nearly 80% of which have served as cornerstones of rural communities. Now, many are also becoming gateways to healthcare.

With free Wi-Fi, public computers, private meeting spaces, and trusted staff who are tech-savvy, libraries are uniquely positioned to bridge the gap between patients and providers.

Libraries offer:

  • Broadband Access: Lifelines for online connectivity—often the only reliable and free option in town.
  • Equipment for Checkout: Some Arkansas libraries offer mobile Wi-Fi hotspots for checkout with instructions in Spanish and English. Others offer other devices, like iPads and laptops with webcams perfect for telehealth appointments.
  • Private Space: Meeting rooms or study pods that can be reserved for private virtual medical visits. Even a curtained-off computer station in a library provides more privacy and neutrality than, say, sitting in a loud coffee shop.
  • Confidentiality and Staff Support: Library staff discreetly help patrons with research questions and ensure patrons using telehealth can do so without an audience.
  • Tech Support: Staff who help patrons use video conferencing tools, healthcare portals, and websites for research.
  • Health and Wellness Workshops: Workshops and public events teaching patrons how to join a Zoom call, conduct research, or read self-assessment tools like blood pressure monitors, or pulse oximeters.

Patrons are very enthusiastic when it comes to attending physical fitness classes at Terry Library... The classes are presented by certified instructors from a local physical rehab center. – Fabio Delgado, Adult Programmer, CALS

In all cases, libraries emphasize that telehealth offerings should match community needs and library capacity. The common thread is meeting patrons where they are, and lowering the barriers that prevent people from getting care. As one library-focused telehealth training put it, there is no one-size-fits-all model; telehealth in libraries is about customizing services for the local context. It can be scaled up or down, but even modest efforts can make a real difference for someone in need.

A Closer Look: Arkansas Libraries Offering Telehealth Support

Arkansas’s public libraries have embraced these strategies to help connect residents with healthcare. Many Arkansas libraries tailor telehealth-friendly services to meet the needs of their communities. While not all libraries have dedicated telehealth kiosks or exam rooms, even simple changes like reserving a quiet corner or offering tech guidance can make a big impact.

Library (Location)Telehealth-Related Services
Central Arkansas Library System (CALS)
Largest system serving Little Rock (Pulaski County) and surrounding communities
  • Free internet and devices: All branches offer public computers and Wi-Fi access. The system also loans out mobile Wi-Fi hotspots (100 devices acquired for patron lending) to provide home internet connectivity. Each hotspot can be checked out for 2 weeks (renewable) by adults with a library card.
  • Private spaces: CALS branches have meeting rooms and study rooms that patrons can reserve, which can serve as private telehealth rooms.
  • Digital literacy help: The library offers tech help to patrons, so staff can assist with setting up devices or navigating telehealth websites as needed.

We’ve also had lots of food and nutrition classes... BeMighty has been teaching us about eating fresh and local.” – Fabio Delgado, Adult Programmer, CALS

Saline County Library
Benton & Bryant, AR
  • Hotspot lending program: Through a grant from the Arkansas State Library’s ARPA funds, Saline County Library makes Wi-Fi hotspots available for checkout as part of its “Health & Wellness” initiatives. This gives rural parts of Saline County internet access for telehealth and other needs.
  • Free Wi-Fi and tech: Both library branches provide public internet access and quiet nooks that patrons have used for telehealth appointments. The library’s inclusion of hotspots under a health banner underscores its view of connectivity as a health service. Staff are available to help borrowers learn to use the hotspots or library tablets for connecting to care.
Garland County Library
Hot Springs, AR
  • “Library of Things” for Health: Garland County Library loans out Wi-Fi hotspots to patrons just like books. Residents can check out a hotspot to get online at home, enabling telehealth visits or health research. The library also lends other non-traditional items that support learning and wellness – for example, microscopes and telescopes for science education (not directly telehealth, but part of boosting STEM and health literacy).
  • Internet and space: As a larger library, it offers ample computer stations and some private meeting rooms that community members use for virtual meetings, including medical appointments. The library’s outreach materials emphasize that a library card “opens worlds of opportunities,” including online services like telehealth.
Fayetteville Public Library
Fayetteville, AR
  • Device lending: Fayetteville Public Library was one of the first in the state to loan out 4G/LTE mobile hotspots (launching a program back in 2015) and continues to lend out hotspots for 2-week periods to any patron without internet at home. This allows households to connect to telehealth platforms temporarily.
  • High-tech facilities: A recent expansion of the library included new study rooms, conference rooms, and even audio/visual studios – many of which are available for private use. Patrons can reserve a small meeting room or one of the library’s Zoom-equipped rooms to have a confidential telehealth session.
  • Community partnerships: The library works with local health and social service groups; for instance, it has hosted health information fairs and could serve as a hub for virtual clinics in partnership with the University of Arkansas for Medical Sciences (UAMS) in the future.

Why This Matters to Healthcare Providers

As a provider, you may already use telehealth to expand your reach, but patients still struggle to get connected. Libraries can be your partners in solving this problem. They’re local, trusted, and equipped with reliable tech—and they’re already making efforts to close the digital divide.

Consider referring patients to their local library for help accessing and navigating virtual appointments. Partner with local libraries to offer joint health workshops or virtual consults. Encourage patients without broadband access to check out hotspots or virtual devices. When you empower patients with options, outcomes improve, and libraries are making these options more accessible than ever.

Final Thoughts

Patrons are very appreciative of all the services the library offers, but nutrition and health programs are particularly special to me because often the patrons attending them are seniors looking to learn new things and live healthy lives. – Fabio Delgado, Adult Programmer, CALS

Telehealth isn't just about technology; it’s about accessibility, too. And in Arkansas, libraries are quietly transforming into healthcare access points for rural and underserved areas. They’re not clinics, but they are breaking down barriers. And with partners like CALS leading the way, it’s easier than ever for patients to connect with the care they need.

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