Rural Health
Resources by State: North Carolina
Exploring Systemic Challenges in the Western North Carolina Dental Safety Net: A Qualitative Analysis
Describes experiences of individuals working within the western North Carolina dental safety net, to identify barriers and strategies required to strengthen delivery of oral health care in high-need rural areas. Based on interviews with 17 oral health stakeholders between June-August 2024.
Author(s): Blaire Mirmow, Bill Milner, Nadia Laniado
Citation: Journal of Appalachian Health, 8(1), 42-59.
Date: 04/2026
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Describes experiences of individuals working within the western North Carolina dental safety net, to identify barriers and strategies required to strengthen delivery of oral health care in high-need rural areas. Based on interviews with 17 oral health stakeholders between June-August 2024.
Author(s): Blaire Mirmow, Bill Milner, Nadia Laniado
Citation: Journal of Appalachian Health, 8(1), 42-59.
Date: 04/2026
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Rural Community Perspectives on Hurricane Helene in Western North Carolina
Assesses community perspectives of long-term recovery in two rural western North Carolina counties severely affected by Hurricane Helene. Focuses on housing, communication, transportation, mental health, and food insecurity.
Author(s): Jennifer A. Horney, Lilly Moreau
Citation: Journal of Appalachian Health, 8(1), 60-68
Date: 04/2026
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Assesses community perspectives of long-term recovery in two rural western North Carolina counties severely affected by Hurricane Helene. Focuses on housing, communication, transportation, mental health, and food insecurity.
Author(s): Jennifer A. Horney, Lilly Moreau
Citation: Journal of Appalachian Health, 8(1), 60-68
Date: 04/2026
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Impact of Food Literacy Education on Rural, Uninsured Patients With Diabetes
Examines changes in food literacy among 140 diabetic or prediabetic adults without insurance participating in the Fresh Start Food is Medicine (FIM) + Food Literacy intervention, which provided group classes on food literacy, direct provision of produce, and health coaching in rural, eastern North Carolina. Provides data on racial and ethnic disparities in food literacy before and after participation.
Author(s): Raven Breinholt, Brandon J. Stroud, Lauren R. Sastre
Citation: Journal of Nutrition and Behavior, 58, 379-393
Date: 04/2026
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Examines changes in food literacy among 140 diabetic or prediabetic adults without insurance participating in the Fresh Start Food is Medicine (FIM) + Food Literacy intervention, which provided group classes on food literacy, direct provision of produce, and health coaching in rural, eastern North Carolina. Provides data on racial and ethnic disparities in food literacy before and after participation.
Author(s): Raven Breinholt, Brandon J. Stroud, Lauren R. Sastre
Citation: Journal of Nutrition and Behavior, 58, 379-393
Date: 04/2026
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State of North Carolina's Mental Health and Substance Use Services Workforce: Need, Supply, and Distribution Landscape Assessment
Provides an overview on need, supply, and distribution of behavioral health professionals in North Carolina. Includes county-level maps and data on workforce and behavioral health issues.
Author(s): Brianna Lombardi, Jennifer Headley, Monica P. Jimenez, et al.
Date: 03/2026
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Provides an overview on need, supply, and distribution of behavioral health professionals in North Carolina. Includes county-level maps and data on workforce and behavioral health issues.
Author(s): Brianna Lombardi, Jennifer Headley, Monica P. Jimenez, et al.
Date: 03/2026
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Delivering Quality: Maternity Care Innovation in Critical Access Hospitals
Presents case studies of six Critical Access Hospitals (CAHs) that are high performers on maternity care quality measures. Summarizes interviews with leaders from each CAH regarding the benefits of their Perinatal Quality Collaboratives, use of safety bundles, training activities, and other successes in providing maternity care.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr, Mikayla Reinke
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Presents case studies of six Critical Access Hospitals (CAHs) that are high performers on maternity care quality measures. Summarizes interviews with leaders from each CAH regarding the benefits of their Perinatal Quality Collaboratives, use of safety bundles, training activities, and other successes in providing maternity care.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr, Mikayla Reinke
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Bypass of Local Surgical Care in North Carolina: Patient-Directed Care Destination and Utilization
Examines patient bypass of nearest surgical hospital (NSH) in North Carolina. Utilizes 2016-2019 patient data to analyze bypassing of local surgery care according to rurality of NSH and facility characteristics, general surgery workforce density by county, and patient characteristics, including residence of metro, micro, small town, or rural area.
Author(s): Mustafa Abid, Tyler Malone, Mark Holmes, Anthony Charles
Citation: The American Surgeon
Date: 02/2026
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Examines patient bypass of nearest surgical hospital (NSH) in North Carolina. Utilizes 2016-2019 patient data to analyze bypassing of local surgery care according to rurality of NSH and facility characteristics, general surgery workforce density by county, and patient characteristics, including residence of metro, micro, small town, or rural area.
Author(s): Mustafa Abid, Tyler Malone, Mark Holmes, Anthony Charles
Citation: The American Surgeon
Date: 02/2026
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Evaluation of the Making Care Primary Model
Provides an overview of the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model. Explores model participation, participants' early implementation experiences, and the model's chances for meeting model expansion criteria related to cost and quality.
Additional links: Findings at a Glance
Date: 02/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model. Explores model participation, participants' early implementation experiences, and the model's chances for meeting model expansion criteria related to cost and quality.
Additional links: Findings at a Glance
Date: 02/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Expanding Access to Harm Reduction in Rural Communities Through Community-Informed Public Health Vending Machines
Examines the role of public health vending machines (PHVMs) to address the opioid epidemic in rural counties in North Carolina. Utilizes a community-based participatory research (CBPR) approach to gather qualitative feedback among people with substance use experience regarding issues such as naloxone access, stigma, preferred PHVM locations and distribution models, and more.
Author(s): Lori Ann Eldridge, Christian Dotson, Lauren Harrell, et al.
Citation: Harm Reduction Journal, 23, 26
Date: 01/2026
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Examines the role of public health vending machines (PHVMs) to address the opioid epidemic in rural counties in North Carolina. Utilizes a community-based participatory research (CBPR) approach to gather qualitative feedback among people with substance use experience regarding issues such as naloxone access, stigma, preferred PHVM locations and distribution models, and more.
Author(s): Lori Ann Eldridge, Christian Dotson, Lauren Harrell, et al.
Citation: Harm Reduction Journal, 23, 26
Date: 01/2026
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Molecular and Socioeconomic Characteristics of Inflammatory Breast Cancer in the Carolina Breast Cancer Study
Examines associations between the incidence of inflammatory breast cancer (IBC) and demographic and clinical factors, including rurality, utilizing Carolina Breast Cancer Study data of 153 cases of IBC.
Author(s): Qichen Wang, Sarah C. Van Alsten, Xiaojia Ji, et al.
Citation: Breast Cancer Research and Treatment, 215(2), 61
Date: 01/2026
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Examines associations between the incidence of inflammatory breast cancer (IBC) and demographic and clinical factors, including rurality, utilizing Carolina Breast Cancer Study data of 153 cases of IBC.
Author(s): Qichen Wang, Sarah C. Van Alsten, Xiaojia Ji, et al.
Citation: Breast Cancer Research and Treatment, 215(2), 61
Date: 01/2026
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Learning Modalities During COVID-19 and Adolescent Mental Health in North Carolina
Examines virtual, hybrid, and in-person learning modalities and their impact on adolescent mental health during the COVID-19 pandemic. Analyzes mental health emergency department (ED) visits in North Carolina alongside county-level information on learning modalities used over time. Provides rural versus urban data on impacts of learning modality on mental health.
Author(s): Justin Cole Gilbert, Martie P. Thompson, Sophia Ryan, Manan Roy
Citation: Journal of School Health, 96(1), e70093
Date: 01/2026
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Examines virtual, hybrid, and in-person learning modalities and their impact on adolescent mental health during the COVID-19 pandemic. Analyzes mental health emergency department (ED) visits in North Carolina alongside county-level information on learning modalities used over time. Provides rural versus urban data on impacts of learning modality on mental health.
Author(s): Justin Cole Gilbert, Martie P. Thompson, Sophia Ryan, Manan Roy
Citation: Journal of School Health, 96(1), e70093
Date: 01/2026
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