Rural Health
Resources by State: North Carolina
Using Telehealth to Identify and Manage Mental Health and Substance Use Disorder Conditions in Rural Areas
Reports on an environmental scan, discussions with providers and stakeholders, and site visits regarding how telehealth supports behavioral health and substance use disorder treatment. Addresses how telehealth is used, implementation, services offered, financing and sustainability. Focuses on the implications for treating opioid use disorders in rural areas, in particular, using medication-assisted treatment (MAT) with support from telehealth. Appendix B includes site briefs from the 9 states included in the study.
Date: 09/2017
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reports on an environmental scan, discussions with providers and stakeholders, and site visits regarding how telehealth supports behavioral health and substance use disorder treatment. Addresses how telehealth is used, implementation, services offered, financing and sustainability. Focuses on the implications for treating opioid use disorders in rural areas, in particular, using medication-assisted treatment (MAT) with support from telehealth. Appendix B includes site briefs from the 9 states included in the study.
Date: 09/2017
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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A Prospective Study of Cancer Risk among Agricultural Health Study Farm Spouses Associated with Personal Use of Organochlorine Insecticides
Highlights an investigation into the health effects of exposure to organochlorine pesticides for farmers and their spouses. Draws data from the Agricultural Health Study, which surveys agricultural workers in Iowa and North Carolina.
Author(s): Lydia M. Louis, Catherine C. Lerro, Melissa C. Friesen, et al.
Citation: Environmental Health, 16(1), 95
Date: 09/2017
Type: Document
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Highlights an investigation into the health effects of exposure to organochlorine pesticides for farmers and their spouses. Draws data from the Agricultural Health Study, which surveys agricultural workers in Iowa and North Carolina.
Author(s): Lydia M. Louis, Catherine C. Lerro, Melissa C. Friesen, et al.
Citation: Environmental Health, 16(1), 95
Date: 09/2017
Type: Document
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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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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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Responding to Health and Social Needs of Aging Latinos in New-growth Communities: A Qualitative Study
A study examining the health and social needs of elderly Latinos in rural eastern North Carolina conducted by an interprofessional team - the Aging Latino Research Team (ALRT) - composed of health and social service providers, Latino leaders, and university faculty.
Author(s): Kim Larson, Holly F. Mathews, Essie Torres, C. Suzanne Lea
Citation: BMC Health Services Research, 17, 601
Date: 08/2017
Type: Document
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A study examining the health and social needs of elderly Latinos in rural eastern North Carolina conducted by an interprofessional team - the Aging Latino Research Team (ALRT) - composed of health and social service providers, Latino leaders, and university faculty.
Author(s): Kim Larson, Holly F. Mathews, Essie Torres, C. Suzanne Lea
Citation: BMC Health Services Research, 17, 601
Date: 08/2017
Type: Document
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Trends in the Development of the Dental Service Organization Model: Implications for the Oral Health Workforce and Access to Services
Results of a 2017 survey of dental service organizations, which often build new practices in underserved and rural areas, and case studies of 6 dental support organizations providing general or specialty dentistry in North Carolina, Georgia, Texas, Florida, and Massachusetts.
Author(s): Margaret Langelier, Shen Wang, Simona Surdu, Elizabeth Mertz, Cynthia Wides
Date: 08/2017
Type: Document
Sponsoring organizations: Center for Health Workforce Studies, Oral Health Workforce Research Center
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Results of a 2017 survey of dental service organizations, which often build new practices in underserved and rural areas, and case studies of 6 dental support organizations providing general or specialty dentistry in North Carolina, Georgia, Texas, Florida, and Massachusetts.
Author(s): Margaret Langelier, Shen Wang, Simona Surdu, Elizabeth Mertz, Cynthia Wides
Date: 08/2017
Type: Document
Sponsoring organizations: Center for Health Workforce Studies, Oral Health Workforce Research Center
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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). Highlights how addressing non-medical factors can affect health outcomes.
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Value
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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). Highlights how addressing non-medical factors can affect health outcomes.
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Value
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Aging in Place in Small Urban and Rural Communities
Examines the current state of aging in place, including cost benefits of rural residents living independently and using home health services and public transportation, rather than relocating to assisted living facilities. Includes statistics on costs of various types of senior living situations in North Carolina, Pennsylvania, Missouri, Wisconsin, Mississippi, Maine, New Mexico, and Montana, and aging in place cost savings forecasts for these states.
Additional links: Executive Summary
Author(s): Del Peterson, Ted Rieck
Date: 08/2017
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Examines the current state of aging in place, including cost benefits of rural residents living independently and using home health services and public transportation, rather than relocating to assisted living facilities. Includes statistics on costs of various types of senior living situations in North Carolina, Pennsylvania, Missouri, Wisconsin, Mississippi, Maine, New Mexico, and Montana, and aging in place cost savings forecasts for these states.
Additional links: Executive Summary
Author(s): Del Peterson, Ted Rieck
Date: 08/2017
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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An Assessment of Mobile and Portable Dentistry Programs to Improve Population Oral Health
Describes configurations of portable and mobile dental programs including models and applications, discusses targeted populations, details variations in regulations by state, and examines outcomes of preventive interventions in underserved areas. Includes case studies of 7 programs initiated to improve access in underserved populations or in rural areas.
Additional links: Policy Brief
Author(s): Margaret Langelier, Jean Moore, Rachel Carter, et al.
Date: 08/2017
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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Describes configurations of portable and mobile dental programs including models and applications, discusses targeted populations, details variations in regulations by state, and examines outcomes of preventive interventions in underserved areas. Includes case studies of 7 programs initiated to improve access in underserved populations or in rural areas.
Additional links: Policy Brief
Author(s): Margaret Langelier, Jean Moore, Rachel Carter, et al.
Date: 08/2017
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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Hospital-Community Partnerships to Build a Culture of Health: A Compendium of Case Studies
Presents insights from nine communities across the U.S. that have successful hospital-community partnerships. Each case study provides a description of the community, background information on the partner organizations, and an overview of the impacts and lessons learned. Several case studies include rural communities, rural populations, and/or rural partner organizations.
Date: 08/2017
Type: Document
Sponsoring organization: Health Research & Educational Trust
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Presents insights from nine communities across the U.S. that have successful hospital-community partnerships. Each case study provides a description of the community, background information on the partner organizations, and an overview of the impacts and lessons learned. Several case studies include rural communities, rural populations, and/or rural partner organizations.
Date: 08/2017
Type: Document
Sponsoring organization: Health Research & Educational Trust
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Health Disparities in Appalachia
Measures population health in Appalachia and explores disparities within the region and between Appalachia and the country as a whole. Features statistics on mortality, morbidity, behavioral health, child health, community characteristics, lifestyle, healthcare systems, quality of care, and social determinants, with breakdowns between urban and rural areas.
Author(s): Julie L. Marshall, Logan Thomas, Nancy M. Lane, et al.
Date: 08/2017
Type: Document
Sponsoring organizations: Appalachian Regional Commission, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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Measures population health in Appalachia and explores disparities within the region and between Appalachia and the country as a whole. Features statistics on mortality, morbidity, behavioral health, child health, community characteristics, lifestyle, healthcare systems, quality of care, and social determinants, with breakdowns between urban and rural areas.
Author(s): Julie L. Marshall, Logan Thomas, Nancy M. Lane, et al.
Date: 08/2017
Type: Document
Sponsoring organizations: Appalachian Regional Commission, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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