Rural Health
Resources by State: North Carolina
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 3 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
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 3 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
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
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
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
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
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
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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
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Understanding Declining Rates of Drug Overdose Mortality in Eastern Kentucky
Identifies 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
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
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Identifies 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
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
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Geographic Access to Health Care for Rural Medicare Beneficiaries in Five States: An Update
Describes the provider mix caring for rural and urban Medicare beneficiaries in Alaska, Idaho, North Carolina, South Carolina, and Washington, using 2014 data. Examines the quality of care, number of annual visits, and the distances traveled for treatment of several conditions. Compares 2014 data with estimates from 1998, to assess the changes in geographical access to care. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural locations.
Date: 04/2021
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the provider mix caring for rural and urban Medicare beneficiaries in Alaska, Idaho, North Carolina, South Carolina, and Washington, using 2014 data. Examines the quality of care, number of annual visits, and the distances traveled for treatment of several conditions. Compares 2014 data with estimates from 1998, to assess the changes in geographical access to care. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural locations.
Date: 04/2021
Sponsoring organization: WWAMI Rural Health Research Center
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Measuring Neighborhood Deprivation for Childhood Health and Development: Scale Implications in Rural and Urban Context
Examines administrative neighborhood definitions such as census tract, block group, and school district as well as egocentric GIS neighborhood definitions in relationship to socioeconomic deprivation and their impact on childhood health and development. Utilizes the Family Life Project sample of families in North Carolina and Pennsylvania to evaluate neighborhood deprivation along the urban-rural continuum.
Author(s): Alexandra Ursache, Seann Regan, Allison De Marco, Dustin T. Duncan
Citation: Geospatial Health, 16(1)
Date: 03/2021
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Examines administrative neighborhood definitions such as census tract, block group, and school district as well as egocentric GIS neighborhood definitions in relationship to socioeconomic deprivation and their impact on childhood health and development. Utilizes the Family Life Project sample of families in North Carolina and Pennsylvania to evaluate neighborhood deprivation along the urban-rural continuum.
Author(s): Alexandra Ursache, Seann Regan, Allison De Marco, Dustin T. Duncan
Citation: Geospatial Health, 16(1)
Date: 03/2021
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An Examination of Telehealth Policy Impacts on Initial Rural Opioid Use Disorder Treatment Patterns During the COVID‐19 Pandemic
Explores changes in the patterns of medication for opioid use disorder (MOUD) in western North Carolina during the COVID-19 pandemic. Examines the impact of telehealth policy changes during the pandemic on the patient population seen for MOUD, access to MOUD services for rural patients, overall MOUD clinic volume, and changes to the provision of MOUD.
Author(s): Phillip M. Hughes, Genevieve Verrastro, Carriedelle Wilson Fusco, Courtenay Gilmore Wilson, Bayla Ostrach
Citation: Journal of Rural Health, 37(3), 467-472
Date: 03/2021
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Explores changes in the patterns of medication for opioid use disorder (MOUD) in western North Carolina during the COVID-19 pandemic. Examines the impact of telehealth policy changes during the pandemic on the patient population seen for MOUD, access to MOUD services for rural patients, overall MOUD clinic volume, and changes to the provision of MOUD.
Author(s): Phillip M. Hughes, Genevieve Verrastro, Carriedelle Wilson Fusco, Courtenay Gilmore Wilson, Bayla Ostrach
Citation: Journal of Rural Health, 37(3), 467-472
Date: 03/2021
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Traffic Safety in Appalachia: Final Report
Defines the traffic safety culture in Appalachia and discusses causes of common safety problems in the region, including drug- and alcohol-impaired driving. Explores environmental concerns of Appalachian drivers, such as expansive rural regions, mountainous and curved terrain, and dense forests exposed to extreme weather elements. Includes analysis of Appalachian traffic fatalities, fatal crash data statistics, and an evaluation of the Appalachian Development Highway System as a possible intervention measure for treating traffic safety problems. Also includes a case study of severe crashes in Appalachian North Carolina, featuring statistics with breakdowns by rural and urban areas.
Additional links: Research Brief
Author(s): Wesley Kumfer, Katherine Harmon, Bo Lan, et al.
Date: 02/2021
Sponsoring organization: Appalachian Regional Commission
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Defines the traffic safety culture in Appalachia and discusses causes of common safety problems in the region, including drug- and alcohol-impaired driving. Explores environmental concerns of Appalachian drivers, such as expansive rural regions, mountainous and curved terrain, and dense forests exposed to extreme weather elements. Includes analysis of Appalachian traffic fatalities, fatal crash data statistics, and an evaluation of the Appalachian Development Highway System as a possible intervention measure for treating traffic safety problems. Also includes a case study of severe crashes in Appalachian North Carolina, featuring statistics with breakdowns by rural and urban areas.
Additional links: Research Brief
Author(s): Wesley Kumfer, Katherine Harmon, Bo Lan, et al.
Date: 02/2021
Sponsoring organization: Appalachian Regional Commission
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Rural, Suburban, and Urban Differences in Chronic Pain and Coping Among Adults in North Carolina: 2018 Behavioral Risk Factor Surveillance System
Uses data from the Behavioral Risk Factor Surveillance System to assess rural, suburban, and urban differences in chronic pain severity, causes, and coping mechanisms used by adults in North Carolina. Provides data and statistics on chronic pain by rurality, age, sex, race/ethnicity, and other characteristics.
Author(s): Ann P. Rafferty, Huabin Luo, Kathleen L. Egan, et al.
Citation: Preventing Chronic Disease, 18
Date: 02/2021
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Uses data from the Behavioral Risk Factor Surveillance System to assess rural, suburban, and urban differences in chronic pain severity, causes, and coping mechanisms used by adults in North Carolina. Provides data and statistics on chronic pain by rurality, age, sex, race/ethnicity, and other characteristics.
Author(s): Ann P. Rafferty, Huabin Luo, Kathleen L. Egan, et al.
Citation: Preventing Chronic Disease, 18
Date: 02/2021
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