Rural Health
Resources by State: North Carolina
Hyperlocal Covid-19 Testing and Vaccination Strategies to Reach Communities with Low Vaccine Uptake
Describes promising state and local strategies to promote equitable and accessible COVID-19 testing and vaccination programs among communities with low vaccination rates. Presents examples of how states and communities use existing infrastructure and modify strategies to meet community needs. Includes rural examples and highlights rural-focused strategies for vaccinations.
Author(s): Andrea Thoumi, Kamaria Kaalund, Christina Silcox, et al.
Date: 09/2021
Type: Document
Sponsoring organization: Duke-Margolis Center for Health Policy
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Describes promising state and local strategies to promote equitable and accessible COVID-19 testing and vaccination programs among communities with low vaccination rates. Presents examples of how states and communities use existing infrastructure and modify strategies to meet community needs. Includes rural examples and highlights rural-focused strategies for vaccinations.
Author(s): Andrea Thoumi, Kamaria Kaalund, Christina Silcox, et al.
Date: 09/2021
Type: Document
Sponsoring organization: Duke-Margolis Center for Health Policy
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Assessing the Impact of COVID-19 on Low-Income Households and Communities in North Carolina
Discusses impacts of the COVID-19 pandemic on efforts to combat poverty and promote self-sufficiency in low-income communities across North Carolina. Presents excerpts from interviews with community leaders, and identifies takeaways related to the pandemic's impact on individuals, organizational strategies, partnerships and collaboration, and public health. Highlights rural communities and Black North Carolinians throughout, and covers topics including vaccination, internet access, mental health, and more. Provides recommendations for community action agencies.
Author(s): James H. Johnson Jr., Jeanne Milliken Bonds, Allan M. Parnell
Date: 08/2021
Type: Document
Sponsoring organizations: North Carolina Community Action Association, Urban Investment Strategies Center
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Discusses impacts of the COVID-19 pandemic on efforts to combat poverty and promote self-sufficiency in low-income communities across North Carolina. Presents excerpts from interviews with community leaders, and identifies takeaways related to the pandemic's impact on individuals, organizational strategies, partnerships and collaboration, and public health. Highlights rural communities and Black North Carolinians throughout, and covers topics including vaccination, internet access, mental health, and more. Provides recommendations for community action agencies.
Author(s): James H. Johnson Jr., Jeanne Milliken Bonds, Allan M. Parnell
Date: 08/2021
Type: Document
Sponsoring organizations: North Carolina Community Action Association, Urban Investment Strategies Center
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Disparities in Emergency Medical Services Time Intervals for Patients with Suspected Acute Coronary Syndrome: Findings from the North Carolina Prehospital Medical Information System
Study of EMS response, scene, and transport times for suspected acute coronary syndrome (ACS) patients in North Carolina using North Carolina Prehospital Medical Information System data from 2011 to 2017. Examines patient demographics, including age, sex, race, and ethnicity, and breaks down response, scene, and transport times by urban, suburban, and rural location.
Author(s): Eric R. Cui, Antonio R. Fernandez, Jessica K. Zegre-Hemsey, et al.
Citation: Journal of the American Heart Association, 10(15), e019305
Date: 08/2021
Type: Document
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Study of EMS response, scene, and transport times for suspected acute coronary syndrome (ACS) patients in North Carolina using North Carolina Prehospital Medical Information System data from 2011 to 2017. Examines patient demographics, including age, sex, race, and ethnicity, and breaks down response, scene, and transport times by urban, suburban, and rural location.
Author(s): Eric R. Cui, Antonio R. Fernandez, Jessica K. Zegre-Hemsey, et al.
Citation: Journal of the American Heart Association, 10(15), e019305
Date: 08/2021
Type: Document
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Federal Agencies' Investment in Rural Cancer Control Fosters Partnerships between Researchers and Rural Communities
Highlights how researchers and rural communities are working together to address rural cancer prevention and control, with support from federal funding. Discusses projects that address health behaviors, cancer screening, vaccination, and rural participation in clinical trials.
Author(s): Mary Charlton, Whitney Zahnd, Jennifer Patterson, Kimberly Merchant
Citation: Rural Monitor
Date: 07/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Highlights how researchers and rural communities are working together to address rural cancer prevention and control, with support from federal funding. Discusses projects that address health behaviors, cancer screening, vaccination, and rural participation in clinical trials.
Author(s): Mary Charlton, Whitney Zahnd, Jennifer Patterson, Kimberly Merchant
Citation: Rural Monitor
Date: 07/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Medicaid and Housing Partnerships: A Resource for Local Health Departments
Explores how local health departments (LHDs) in rural areas can utilize Medicaid managed care levers to address homelessness and housing security issues. Summarizes results from a gap analysis and readiness assessment which identified key opportunities to help prepare three LHDs in rural North Carolina counties for the transition to Medicaid-managed care. Identifies action steps for these counties to strengthen housing supports that can also inform similar initiatives in other states.
Author(s): Matthew Ralls, Kathy Moses, Rob Houston
Date: 07/2021
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Explores how local health departments (LHDs) in rural areas can utilize Medicaid managed care levers to address homelessness and housing security issues. Summarizes results from a gap analysis and readiness assessment which identified key opportunities to help prepare three LHDs in rural North Carolina counties for the transition to Medicaid-managed care. Identifies action steps for these counties to strengthen housing supports that can also inform similar initiatives in other states.
Author(s): Matthew Ralls, Kathy Moses, Rob Houston
Date: 07/2021
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Improving Mental Health in Rural North Carolina
Panel discussion of the social-emotional and health impacts of adverse childhood experiences and toxic stress in Healthy Place North Carolina communities during the COVID-19 pandemic. Three community leaders discuss what it has been like to work on these issues during the pandemic, provide an update on their work, and share lessons learned.
Date: 07/2021
Type: Video/Multimedia
Sponsoring organization: Healthy Places NC
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Panel discussion of the social-emotional and health impacts of adverse childhood experiences and toxic stress in Healthy Place North Carolina communities during the COVID-19 pandemic. Three community leaders discuss what it has been like to work on these issues during the pandemic, provide an update on their work, and share lessons learned.
Date: 07/2021
Type: Video/Multimedia
Sponsoring organization: Healthy Places NC
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North Carolina Telepsychiatry Program: 2021 Profile
Fact sheet with North Carolina telepsychiatry-related statistics on grants, performance measures, return on investment and economic impact, and total program funding, with breakdowns by state and other contributions. Includes a county-level map showing locations of telepsychiatry centers as of June 2021, with shadings indicating urban and rural counties.
Date: 06/2021
Type: Document
Sponsoring organization: North Carolina Department of Health and Human Services
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Fact sheet with North Carolina telepsychiatry-related statistics on grants, performance measures, return on investment and economic impact, and total program funding, with breakdowns by state and other contributions. Includes a county-level map showing locations of telepsychiatry centers as of June 2021, with shadings indicating urban and rural counties.
Date: 06/2021
Type: Document
Sponsoring organization: North Carolina Department of Health and Human Services
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Outreach to New Mothers Through Direct Mail and Email: Recruitment in the Early Check Research Study
Results of a study to evaluate outreach approaches implemented during phase I of a recruitment strategy for Early Check, a statewide newborn screening research study geared toward mothers from North Carolina or South Carolina who gave birth in North Carolina from September 2018 through March 2019. Features statistics with breakdowns including urban or rural residence.
Author(s): Ryan S. Paquin, Megan A. Lewis, Blake A. Harper, et al.
Citation: Clinical and Translational Science, 14(3), 880-889
Date: 05/2021
Type: Document
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Results of a study to evaluate outreach approaches implemented during phase I of a recruitment strategy for Early Check, a statewide newborn screening research study geared toward mothers from North Carolina or South Carolina who gave birth in North Carolina from September 2018 through March 2019. Features statistics with breakdowns including urban or rural residence.
Author(s): Ryan S. Paquin, Megan A. Lewis, Blake A. Harper, et al.
Citation: Clinical and Translational Science, 14(3), 880-889
Date: 05/2021
Type: Document
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Improving Access to Behavioral Health Crisis Services with Electronic Bed Registries
Report highlights the ways up-to-date electronic bed registries can improve crisis care treatment and access to behavioral healthcare. Features profiles of states that have received funding for electronic bed registries through the Transformation Transfer Initiative (TTI). Outlines and evaluates each state-level program.
Author(s): David Morrissette
Date: 04/2021
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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Report highlights the ways up-to-date electronic bed registries can improve crisis care treatment and access to behavioral healthcare. Features profiles of states that have received funding for electronic bed registries through the Transformation Transfer Initiative (TTI). Outlines and evaluates each state-level program.
Author(s): David Morrissette
Date: 04/2021
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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Understanding Declining Rates of Drug Overdose Mortality in Eastern Kentucky
Identifies potential policies and strategies that might have contributed to the decline in drug overdose mortality in the 5-year periods from 2008-2012 to 2013-2017 in 8 counties in eastern Kentucky. Offers recommendations for approaches that could be implemented in other communities. Includes statistics on overdose mortality in 8 eastern Kentucky counties; a county-level map showing changes in rates of overdose mortality in Pennsylvania, Kentucky, West Virginia, Tennessee, North Carolina, and Ohio; and a graph showing rates of overdose mortality in the Appalachian counties of Kentucky, Ohio, and West Virginia from 1999-2019.
Date: 04/2021
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
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Identifies potential policies and strategies that might have contributed to the decline in drug overdose mortality in the 5-year periods from 2008-2012 to 2013-2017 in 8 counties in eastern Kentucky. Offers recommendations for approaches that could be implemented in other communities. Includes statistics on overdose mortality in 8 eastern Kentucky counties; a county-level map showing changes in rates of overdose mortality in Pennsylvania, Kentucky, West Virginia, Tennessee, North Carolina, and Ohio; and a graph showing rates of overdose mortality in the Appalachian counties of Kentucky, Ohio, and West Virginia from 1999-2019.
Date: 04/2021
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
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