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Rural Health
Resources by State: North Carolina

Substance Use, the Opioid Epidemic, and Child Welfare Caseloads: Methodological Details from a Mixed Methods Study
Discusses a study on the relationship between substance use, specifically opioid misuse, and child welfare caseloads. Explores reports of child abuse and foster care entries along with drug mortality rates and retail opioid sales. Features county-level data in 11 different states.
Date: 06/2018
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Access to Syringe Services Programs — Kentucky, North Carolina, and West Virginia, 2013–2017
Overview of the role of syringe services programs (SSPs) in reducing hepatitis C transmission related to injection drug use. Describes the expansion of SSPs in Kentucky, North Carolina, and West Virginia from 2013 through August 1, 2017. Discusses the opportunity to improve access to care through SSPs, including access to related services such as medication-assisted treatment, which can be included in comprehensive SSPs.
Author(s): Danae Bixler, Greg Corby-Lee, Scott Proescholdbell, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(18), 529-532
Date: 05/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Social Determinants of Health: Transforming the Buzz Phrase to a Rural Action Item
Discusses how rural healthcare organizations can use social risk assessments as a tool to improve population health. Highlights the work of two rural organizations, CommWell Health in North Carolina and Tift Regional Health System in Georgia, to assess social risks and address patients' social determinants of health (SDOH).
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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What’s MAT Got to Do with It? Medication-Assisted Treatment for Opioid Use Disorder in Rural America
Provides an overview of medication-assisted treatment (MAT), an evidence-based treatment for opioid use disorder, with information on the science behind the disorder and how three MAT medications work. Highlights rural health organizations providing MAT treatment.
Author(s): Kay Miller Temple
Date: 03/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Workforce Outcomes of North Carolina Medical School Graduates: A Report to the Joint Legislative Oversight Committee on Health and Human Services and the Joint Legislative Education Oversight Committee
Describes the identity, location, and number of positions for medical school in North Carolina, identifies the numbers of graduates of medical education in various specialty areas, and tracks outcomes of graduates in primary care, obstetrics and gynecology, and psychiatry 5 years after completing training. Features statistics including percent of graduates in training or practice in rural areas 2008-2011, with breakdowns by four North Carolina medical schools.
Author(s): Julie C. Spero, Erin P. Fraher
Date: 01/2018
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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The Workforce Outcomes of Physicians Completing Residency Programs in North Carolina
Describes the identity, location, and number of graduate medical education (GME) training programs in North Carolina, identifies the numbers of GME program graduates in various medical specialty areas, and tracks outcomes of graduates 5 years after completing training. Includes statistics with breakdowns by urban or rural areas of North Carolina.
Author(s): Erin P. Fraher, Julie C. Spero, Evan Galloway, Jim Terry
Date: 01/2018
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Evaluation of a Potential New Health Sciences School at The University of North Carolina at Pembroke to Meet the Needs of the Region and State
Results of a study exploring the feasibility of establishing a School of Health Sciences and Health Care in Robeson County, a rural high-poverty area ranked among the worst for health outcomes in North Carolina in 2016. Features statistics on the North Carolina workforce and education programs in optometry, occupational therapy, nutrition and dietetics, as well as physician assistants and nurse practitioners.
Author(s): Julie C. Spero, Thomas J. Bacon, Evan M. Galloway, et al.
Date: 12/2017
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Direct Effects of the Home, School, and Consumer Food Environments on the Association Between Food Purchasing Patterns and Dietary Intake among Rural Adolescents in Kentucky and North Carolina, 2017
Analyzes the effects of food shopping habits and food environments in the home, school, and consumer settings on on dietary intake among rural adolescents living in Kentucky and North Carolina. Examines the association, if any, with the rural versus urban adolescent obesity disparity.
Author(s): Alison Gustafson, Stephanie Jilcott Pitts, Jordan McDonald, et al.
Citation: International Journal of Environmental Research and Public Health, 14(10), 1255
Date: 10/2017
Type: Document
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Rural Innovation Profile: Medical-Legal Partnership Addresses Social Determinants of Health
Explores how FirstHealth of the Carolinas, a private, nonprofit healthcare network based in Pinehurst, North Carolina, reduced emergency department utilization and hospital readmission rates systemwide through the use of transitional care clinics (TCCs) and medical-legal partnerships (MLPs).
Date: 09/2017
Type: Document
Sponsoring organization: Rural Health Value
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Confronting Adverse Childhood Experiences to Improve Rural Kids’ Lifelong Health
Highlights a western North Carolina school district and a Native American tribe in Wisconsin that are working to address adverse childhood experiences (ACEs). Provides an overview of the impact ACEs have on health and provides data on ACE exposure among rural adults.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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