Rural Health
Resources by State: North Carolina
Rural Hospital Closures and the Fifth District
Discusses reasons for rural hospital closures as well as the resulting consequences on communities, including decreased healthcare access, loss of jobs, and more. Emphasizes hospital closures in the Fifth Federal Reserve District and provides recommendations to policymakers and government leaders.
Author(s): Emily Wavering Corcoran, Sonya Ravindranath Waddell
Date: 2019
Sponsoring organization: Federal Reserve Bank of Richmond
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Discusses reasons for rural hospital closures as well as the resulting consequences on communities, including decreased healthcare access, loss of jobs, and more. Emphasizes hospital closures in the Fifth Federal Reserve District and provides recommendations to policymakers and government leaders.
Author(s): Emily Wavering Corcoran, Sonya Ravindranath Waddell
Date: 2019
Sponsoring organization: Federal Reserve Bank of Richmond
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Perceived Benefits of Peer Support Groups for Stroke Survivors and Caregivers in Rural North Carolina
Describes the experiences of stroke survivors and caregivers in four rural North Carolina counties who participated in peer support groups. Findings based on four focus groups with 32 participants, who were predominantly non-Hispanic, White, and female, with an average age of 67.
Author(s): Erin R. Christensen, Shannon L. Golden, Sabina B. Gesell
Citation: North Carolina Medical Journal, 80(3), 143-148
Date: 2019
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Describes the experiences of stroke survivors and caregivers in four rural North Carolina counties who participated in peer support groups. Findings based on four focus groups with 32 participants, who were predominantly non-Hispanic, White, and female, with an average age of 67.
Author(s): Erin R. Christensen, Shannon L. Golden, Sabina B. Gesell
Citation: North Carolina Medical Journal, 80(3), 143-148
Date: 2019
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Identifying Priority and "Bright-Spot" Counties for Diabetes Preventive Care in Appalachia: An Exploratory Analysis
Details a study of type 2 diabetes prevalence and mortality in rural Appalachian counties and compares rates with non-Appalachian counties.
Author(s): Peter J. Mallow, Michael Topmiller, Jennifer Rankin, Jene Grandmont, David Grolling
Citation: Journal of Appalachian Health, 1(1), 27-33
Date: 2019
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Details a study of type 2 diabetes prevalence and mortality in rural Appalachian counties and compares rates with non-Appalachian counties.
Author(s): Peter J. Mallow, Michael Topmiller, Jennifer Rankin, Jene Grandmont, David Grolling
Citation: Journal of Appalachian Health, 1(1), 27-33
Date: 2019
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The Social Determinants of Health and the Decline in U.S. Life Expectancy: Implications for Appalachia
Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
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Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
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The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
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Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
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New SASI Analysis: In the Deep South, Significant Percentages of People Most Impacted by HIV Live Outside Large Urban Areas Demonstrating a Need for Increased Federal Resources
Examines HIV data in the Deep South to help identify targets for federal funding, focusing on underserved groups in rural areas and small cities. Analyzes Black and Latino populations, drug injection users, men who have sex with men, women, and people aged 13-24 living with HIV. Identifies 6 states where a higher proportion of these groups live outside large, urban areas. See additional links for state-specific reports.
Additional links: Alabama Report, Georgia Report, Louisiana Report, Mississippi Report, North Carolina Report, South Carolina Report
Author(s): Carolyn McAllaster, Gabrielle Goodrow
Date: 12/2018
Sponsoring organizations: Duke University, Southern HIV/AIDS Strategy Initiative
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Examines HIV data in the Deep South to help identify targets for federal funding, focusing on underserved groups in rural areas and small cities. Analyzes Black and Latino populations, drug injection users, men who have sex with men, women, and people aged 13-24 living with HIV. Identifies 6 states where a higher proportion of these groups live outside large, urban areas. See additional links for state-specific reports.
Additional links: Alabama Report, Georgia Report, Louisiana Report, Mississippi Report, North Carolina Report, South Carolina Report
Author(s): Carolyn McAllaster, Gabrielle Goodrow
Date: 12/2018
Sponsoring organizations: Duke University, Southern HIV/AIDS Strategy Initiative
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A Rural Hospital Gets A Second Chance
Describes efforts undertaken in 2016 and 2017 to save an independent rural North Carolina hospital from closure, by affiliating with a larger healthcare system.
Author(s): Dana M. Weston
Citation: North Carolina Medical Journal, 79(6), 373-374
Date: 11/2018
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Describes efforts undertaken in 2016 and 2017 to save an independent rural North Carolina hospital from closure, by affiliating with a larger healthcare system.
Author(s): Dana M. Weston
Citation: North Carolina Medical Journal, 79(6), 373-374
Date: 11/2018
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Looking Back But Leaning Forward: New Opportunities and Challenges for North Carolina's Rural Communities
Issue brief describing efforts among local and state leaders to promote community engagement in rural North Carolina and to address shortages of physicians and advanced practitioners. Also examines challenges faced by rural North Carolina hospitals, uses of telemedicine, plans to promote quality care for children and families, and recommendations for the future.
Author(s): Thomas G. Irons, Margaret L. Sauer
Citation: North Carolina Medical Journal, 79(6), 366-371
Date: 11/2018
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Issue brief describing efforts among local and state leaders to promote community engagement in rural North Carolina and to address shortages of physicians and advanced practitioners. Also examines challenges faced by rural North Carolina hospitals, uses of telemedicine, plans to promote quality care for children and families, and recommendations for the future.
Author(s): Thomas G. Irons, Margaret L. Sauer
Citation: North Carolina Medical Journal, 79(6), 366-371
Date: 11/2018
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Association of Childhood Trauma Exposure With Adult Psychiatric Disorders and Functional Outcomes
Results of a study examining associations between childhood trauma and adult outcomes among 1,420 participants from 11 predominantly rural North Carolina counties, with interviews taking place between 1999-2015.
Author(s): William E. Copeland, Lilly Shanahan, Jennifer Hinesley, et al.
Citation: JAMA Network Open 1(7)
Date: 11/2018
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Results of a study examining associations between childhood trauma and adult outcomes among 1,420 participants from 11 predominantly rural North Carolina counties, with interviews taking place between 1999-2015.
Author(s): William E. Copeland, Lilly Shanahan, Jennifer Hinesley, et al.
Citation: JAMA Network Open 1(7)
Date: 11/2018
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Ensuring Access to Healthy Food in Beaufort County
Describes a collaborative community effort establishing a city market to increase access to healthy food in rural Beaufort County, North Carolina. The Washington City Market provides a venue for local growers to sell their products and matches restaurants in the region with local growers and their products.
Date: 10/2018
Sponsoring organization: Kate B. Reynolds Charitable Trust
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Describes a collaborative community effort establishing a city market to increase access to healthy food in rural Beaufort County, North Carolina. The Washington City Market provides a venue for local growers to sell their products and matches restaurants in the region with local growers and their products.
Date: 10/2018
Sponsoring organization: Kate B. Reynolds Charitable Trust
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