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Rural Health Information Hub

Rural Health
Resources by State: North Carolina

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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Selected Rural Healthcare Facilities in North Carolina
Shows the state's Critical Access Hospitals (CAHs) and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites and short term/PPS hospitals located outside of urbanized areas.
Date: 04/2022
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Bridging the Urban-Rural Divide in Chronic Disease Through Community Engagement in Health Program Delivery
Discusses health disparities in rural versus urban communities in North Carolina and possible solutions for community-centered change. Includes charts and maps that detail rural-urban differences in mortality, heart disease, and housing problems.
Author(s): Lori Carter-Edwards, Monica M. Taylor
Citation: North Carolina Medical Journal, 83(2), 103-106
Date: 03/2022
Type: Document
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Telemedicine Access and Utilization among Adult Medicaid Beneficiaries with Behavioral and Musculoskeletal Health Conditions
Examines access to care and telemedicine use by adult Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019-March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in addition to other characteristics in the appendix tables.
Date: 01/2022
Type: Document
Sponsoring organization: Margolis Center for Health Policy
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Telemedicine Access and Utilization among Pediatric Medicaid Beneficiaries with Behavioral Health and Musculoskeletal Conditions
Data brief examining access to care and telemedicine use by pediatric Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019-March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in the appendix tables.
Date: 01/2022
Type: Document
Sponsoring organization: Margolis Center for Health Policy
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Uncaring Landscapes and HIV Peer Support in the Rural Southern United States
Presents oral histories of an HIV peer support group and interviews with queer-identified Black men in a rural southern area. Discusses the impact of social determinants such as racism, stigma, and social disconnection specific to this population and their related health disparities.
Author(s): Darius Scott
Citation: Social Science & Medicine, 292
Date: 01/2022
Type: Document
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The Clinical and Business Cases for Opening a Maternity Care Unit in a CAH
A case study of a rural North Carolina partnership that worked together to add a new wing for a maternity unit at a 25-bed Critical Access Hospital. Explains how the service was planned to be financially viable. Describes maternal and infant health disparities in the region and discusses how this new service will meet the needs of the population with culturally and linguistically accessible care.
Date: 01/2022
Type: Document
Sponsoring organization: American Hospital Association
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