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Rural Health Information Hub

Rural Health
Resources by State: North Carolina

Farm Dinner Theater: Farmers Helping Farmers
Video highlighting a Cooperative Extension-led program where community members take part in dinner theater productions that focus on issues related to farm health.
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Temporal Changes in Treatment Patterns for Rural and Urban Patients With Early-Stage Non-Small Cell Lung Cancer
Examines treatment modalities in rural and urban populations in North Carolina for patients who have Stage I non-small cell lung cancer (NSCLC). Identifies the treatment patterns of 5504 patients such as surgery, radiation, or no treatment. Provides patient demographics broken down by age, sex, race, insurance, comorbidity index, history of lung disease, and urban, suburban, or rural location.
Author(s): Joshua Herb, Tzy-Mey Kuo, Vaibhav Kumar, et al.
Citation: North Carolina Medical Journal, 83(4), 294-303
Date: 07/2022
Type: Document
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Co-located Critical Access & Behavioral Health Hospital: Charles A. Cannon Jr. Memorial Hospital and Appalachian Regional Behavioral Hospital
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Type: Document
Sponsoring organization: American Hospital Association
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After Two Years of Covid, Economic and Health Woes Persist in Diverse North Carolina Counties
Compares urban Mecklenburg County with rural Anson County and the differing impacts of COVID-19 on the areas. Discusses income, employment, housing, residential segregation, and the availability of hospital beds for COVID-19 treatment in the North Carolina counties.
Author(s): Ari Pinkus, Dante Chinni
Date: 05/2022
Type: Document
Sponsoring organization: American Communities Project
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Supporting Community-Based Family Medicine Residency Training Programs in North Carolina and their Potential Impact on Healthy NC 2030
Examines ways in which training family medicine residents in rural North Carolina communities can address disparities in healthcare access and improve rural population health metrics for all subsets of the population. Describes Healthy NC 2030, a public health initiative that seeks to bridge healthcare disparities in North Carolina. Features a county-level map showing locations of training programs in rural settings and urban settings, and statistics on the distribution of family medicine residency positions in North Carolina, with breakdowns by rural or urban setting.
Author(s): Audy G. Whitman, Geniene Jones, Danny Pate, et al.
Citation: North Carolina Medical Journal, 83(3), 173-177
Date: 05/2022
Type: Document
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Primary Care Clinicians in Low-Access Counties
Evaluates the weighted contribution of advanced practice providers to the primary care workforce in well-served and underserved counties in North Carolina. Features statistics on population per primary care clinician by North Carolina county and composition of the North Carolina primary care workforce from 2017-2019, and a county-level map with shadings showing percentages of nurse practitioners, physician assistants, and certified nurse-midwives in 2017-2019.
Author(s): Adam J. Zolotor, Evan Galloway, Margaret Beal, Erin P. Fraher
Citation: North Carolina Medical Journal, 83(3), 163-168
Date: 05/2022
Type: Document
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Key Stakeholder Perspectives on Challenges and Opportunities for Rural HPV Vaccination in North and South Carolina
Results of a study to identify challenges or opportunities for increasing adolescent vaccination, including Human Papillomavirus (HPV) vaccination, in rural communities in the southern United States. Uses data from interviews with 14 stakeholders from public health agencies or schools in North Carolina and South Carolina from November 2019 through January 2020.
Author(s): Laura J. Fish, Sayward E Harrison, Jodi-Ann McDonald, et al.
Citation: Human Vaccines & Immunotherapeutics, 18(5)
Date: 04/2022
Type: Document
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Fifth Annual Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Permanent Supportive Housing Tenure Among a Heterogeneous Population of Adults with Disabilities
Explores retention of low-income people with disabilities in a permanent supportive housing (PSH) program according to 2093 individuals participating in a North Carolina PSH program between 2015 and 2018. Includes participant information such as age, gender, race/ethnicity, behavioral and psychological health status, insurance status, social deprivation, and residence location such as metropolitan, micropolitan, small town, or isolated area.
Author(s): Lexie R. Grove, Seth A. Berkowitz, Gary Cuddeback, et al.
Citation: Population Health Management, 25(2)
Date: 04/2022
Type: Document
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A Hybrid Implementation-Effectiveness Study of a Community Health Worker-Delivered Intervention to Reduce Cardiovascular Disease Risk in a Rural, Underserved Non-Hispanic Black Population: The CHANGE Study
Examines a sample of 255 Black participants on the effectiveness of the Carolina Heart Alliance Networking for Greater Equity (CHANGE) Program delivered by Community Health Workers (CHW) to rural adults in North Carolina. Provides information on program content, participant characteristics, implementation variables, and overall program effectiveness on blood pressure, nutritious eating, and physical activity.
Author(s): Carmen D. Samuel-Hodge, Ziya Gizlice, Sallie D. Allgood, et al.
Citation: American Journal of Health Promotion
Date: 04/2022
Type: Document
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