Rural Health
Resources by State: North Carolina
A Demonstration Project: Assessing the Significance and Impact of Utilizing a Novel Telemedicine Application in the Delivery of Community Based Palliative Care in a Rural Seriously Ill Population
Describes a project that evaluated the integration of virtual pharmacy into a palliative care telehealth model in rural western North Carolina. Addresses the feasibility, usability, and acceptability of using a virtual pharmacist, the common drug-drug interactions in that setting, recommendations from a virtual pharmacist related to medication management, and patient-reported outcomes.
Author(s): Janet H. Bull
Date: 2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Describes a project that evaluated the integration of virtual pharmacy into a palliative care telehealth model in rural western North Carolina. Addresses the feasibility, usability, and acceptability of using a virtual pharmacist, the common drug-drug interactions in that setting, recommendations from a virtual pharmacist related to medication management, and patient-reported outcomes.
Author(s): Janet H. Bull
Date: 2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Using State Licensure Data to Assess North Carolina's Health Workforce COVID-19 Response Capacity
Assesses the supply of healthcare providers in North Carolina who are able to respond to the COVID-19 pandemic, using licensure data merged with population data and numbers of intensive care unit (ICU) beds. Mentions rural throughout. Features county-level maps showing ratios of respiratory therapists, critical care nurses and physicians per 10,000 county population, and ratios of critical care nurses and respiratory therapists to numbers of ICU beds.
Author(s): Heather Wilson, Evan M. Galloway, Julie C. Spero, et al.
Citation: North Carolina Medical Journal, 82(1), 29-35
Date: 2021
Type: Document
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Assesses the supply of healthcare providers in North Carolina who are able to respond to the COVID-19 pandemic, using licensure data merged with population data and numbers of intensive care unit (ICU) beds. Mentions rural throughout. Features county-level maps showing ratios of respiratory therapists, critical care nurses and physicians per 10,000 county population, and ratios of critical care nurses and respiratory therapists to numbers of ICU beds.
Author(s): Heather Wilson, Evan M. Galloway, Julie C. Spero, et al.
Citation: North Carolina Medical Journal, 82(1), 29-35
Date: 2021
Type: Document
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Rural Registered Nurses: Stories of Caring for Their Communities
Features five rural registered nurses from across the country describing their path to nursing, their accomplishments, and how they provide healthcare in their rural communities.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Features five rural registered nurses from across the country describing their path to nursing, their accomplishments, and how they provide healthcare in their rural communities.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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A Non-Randomized Pilot Study to Test the Feasibility of Treating Chronic Pain and Opioid Prescription Use in Rural Areas with Acceptance and Commitment Therapy (T-PACT)
Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
Type: Document
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Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
Type: Document
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Dicamba Use and Cancer Incidence in the Agricultural Health Study: An Updated Analysis
Highlights a study on the connection between colon and lung cancers in farmers and farmworkers and use of the herbicide dicamba. Draws data from the Agricultural Health Study and breaks it down by age, crops/animals produced, and other pesticides used, among other measures.
Author(s): Catherine C Lerro, Jonathan N Hofmann, Gabriella Andreotti, et al.
Citation: International Journal of Epidemiology, 49(4), 1326-1337
Date: 08/2020
Type: Document
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Highlights a study on the connection between colon and lung cancers in farmers and farmworkers and use of the herbicide dicamba. Draws data from the Agricultural Health Study and breaks it down by age, crops/animals produced, and other pesticides used, among other measures.
Author(s): Catherine C Lerro, Jonathan N Hofmann, Gabriella Andreotti, et al.
Citation: International Journal of Epidemiology, 49(4), 1326-1337
Date: 08/2020
Type: Document
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COVID-19 Testing - What RHCs Are Doing For Their Communities
Recording of an August 27, 2020, webinar discussing the efforts of three rural health clinics (RHCs) to provide COVID-19 testing services using COVID-19 funding in rural communities of South-Central Idaho, Michigan's Upper Peninsula and Northern Wisconsin, and Eastern North Carolina. Covers the challenges related to the availability of COVID-18 testing instruments and test kits, testing capacity and turnaround time, the provision of treatment for patients with COVID-19, and the RHC data collection requirement. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 08/2020
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recording of an August 27, 2020, webinar discussing the efforts of three rural health clinics (RHCs) to provide COVID-19 testing services using COVID-19 funding in rural communities of South-Central Idaho, Michigan's Upper Peninsula and Northern Wisconsin, and Eastern North Carolina. Covers the challenges related to the availability of COVID-18 testing instruments and test kits, testing capacity and turnaround time, the provision of treatment for patients with COVID-19, and the RHC data collection requirement. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 08/2020
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Effective Community-Based Initiatives Are Needed to Curb the Opioid Crisis
Describes 6 community-research collaboratives to address the opioid crisis at the local level, including programs in St. Louis, MO, Olympia, WA, Ithaca, NY, and rural programs in Rio Arriba County, NM, western North Carolina, and tribal communities in the Midwest and the Northern Plains.
Author(s): Beth Connolly, Leslie Paulson
Date: 07/2020
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Describes 6 community-research collaboratives to address the opioid crisis at the local level, including programs in St. Louis, MO, Olympia, WA, Ithaca, NY, and rural programs in Rio Arriba County, NM, western North Carolina, and tribal communities in the Midwest and the Northern Plains.
Author(s): Beth Connolly, Leslie Paulson
Date: 07/2020
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Employment Changes Following Breast Cancer Diagnosis: The Effects of Race and Place
Explores financial burdens for women across racial categories associated with cancer diagnosis and treatment, including out-of-pocket costs, time away from work, and difficulty coordinating clinical care. Examines data from the Carolina Breast Cancer Study in 44 North Carolina counties to analyze financial implications when comparing rural-urban and racial categories.
Author(s): Jennifer C Spencer, Jason S Rotter, Jan M Eberth, et al.
Citation: Journal of the National Cancer Institute, 112(6), 647-650
Date: 06/2020
Type: Document
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Explores financial burdens for women across racial categories associated with cancer diagnosis and treatment, including out-of-pocket costs, time away from work, and difficulty coordinating clinical care. Examines data from the Carolina Breast Cancer Study in 44 North Carolina counties to analyze financial implications when comparing rural-urban and racial categories.
Author(s): Jennifer C Spencer, Jason S Rotter, Jan M Eberth, et al.
Citation: Journal of the National Cancer Institute, 112(6), 647-650
Date: 06/2020
Type: Document
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North Carolina Small Rural Hospitals and Critical Access Hospitals: SFY 2020
County-level map showing locations of 20 Critical Access Hospitals and 11 small rural hospitals. Shadings indicate rural counties and urban counties.
Date: 06/2020
Type: Map/Mapping System
Sponsoring organization: North Carolina Department of Health and Human Services
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County-level map showing locations of 20 Critical Access Hospitals and 11 small rural hospitals. Shadings indicate rural counties and urban counties.
Date: 06/2020
Type: Map/Mapping System
Sponsoring organization: North Carolina Department of Health and Human Services
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A Cohort Comparison of Differences Between Regional and Buncombe County Patients of a Comprehensive Perinatal Substance Use Disorders Program in Western North Carolina
Presents a study on access to perinatal substance use disorder care in rural counties in western North Carolina compared to the more urban Buncombe County. Analyzes a hub-and-spoke model that aims to provide perinatal substance use disorder care across the state and discusses the barriers to care in rural areas.
Author(s): Shelley L. Galvin, Melinda Ramage, Catherine Leiner, et al.
Citation: North Carolina Medical Journal, 81(3), 157-165
Date: 05/2020
Type: Document
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Presents a study on access to perinatal substance use disorder care in rural counties in western North Carolina compared to the more urban Buncombe County. Analyzes a hub-and-spoke model that aims to provide perinatal substance use disorder care across the state and discusses the barriers to care in rural areas.
Author(s): Shelley L. Galvin, Melinda Ramage, Catherine Leiner, et al.
Citation: North Carolina Medical Journal, 81(3), 157-165
Date: 05/2020
Type: Document
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