Rural Health
Resources by State: North Carolina
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
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
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
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
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 rural areas. Includes case studies of 7 programs initiated to improve access in rural areas.
Additional links: Policy Brief
Author(s): Margaret Langelier, Jean Moore, Rachel Carter, et al.
Date: 08/2017
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 rural areas. Includes case studies of 7 programs initiated to improve access in rural areas.
Additional links: Policy Brief
Author(s): Margaret Langelier, Jean Moore, Rachel Carter, et al.
Date: 08/2017
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
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
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
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
Sponsoring organizations: Appalachian Regional Commission, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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Using Practice Facilitation to Increase Rates of Colorectal Cancer Screening in Community Health Centers, North Carolina, 2012–2013: Feasibility, Facilitators, and Barriers
Pilot study exploring practice facilitation in 3 Federally Qualified Health Centers as a way to promote universal colorectal cancer screening. Features statistics on clinic staffing, number of patients and average age, and number and duration of visits, with breakdowns by rural or urban location.
Author(s): Bryan J. Weiner, Catherine L. Rohweder, Jennifer E. Scott, et al.
Citation: Preventing Chronic Disease, 14
Date: 08/2017
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Pilot study exploring practice facilitation in 3 Federally Qualified Health Centers as a way to promote universal colorectal cancer screening. Features statistics on clinic staffing, number of patients and average age, and number and duration of visits, with breakdowns by rural or urban location.
Author(s): Bryan J. Weiner, Catherine L. Rohweder, Jennifer E. Scott, et al.
Citation: Preventing Chronic Disease, 14
Date: 08/2017
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Evaluation of Diabetic Retinal Screening and Factors for Ophthalmology Referral in a Telemedicine Network
Examines telemedicine retinal screening for diabetic retinopathy (DR) among type 1 or type 2 diabetics in rural and underserved communities in North Carolina. Discusses geographic and socioeconomic challenges that lead to disparities in screening and treatment for DR, exploring telehealth's potential to expand access. Analyzes data on patient characteristics, diagnoses, and referrals.
Author(s): Pooja Jani, Lauren Forbes, Arkopal Choudhury, et al.
Citation: JAMA Ophthalmology, 135(7), 706-714
Date: 07/2017
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Examines telemedicine retinal screening for diabetic retinopathy (DR) among type 1 or type 2 diabetics in rural and underserved communities in North Carolina. Discusses geographic and socioeconomic challenges that lead to disparities in screening and treatment for DR, exploring telehealth's potential to expand access. Analyzes data on patient characteristics, diagnoses, and referrals.
Author(s): Pooja Jani, Lauren Forbes, Arkopal Choudhury, et al.
Citation: JAMA Ophthalmology, 135(7), 706-714
Date: 07/2017
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A Guide to Establishing Syringe Services Programs in Rural, At-Risk Areas
Describes the basics of syringe services programs, identifies the need for them in at-risk rural communities, and provides guidance on considerations when establishing programs. Includes examples of syringe services programs in Kentucky, West Virginia, Indiana, and North Carolina. Also covers information about syringe services-related regulations and laws in select locations.
Author(s): Regina La Belle
Date: 07/2017
Sponsoring organization: Comer Family Foundation
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Describes the basics of syringe services programs, identifies the need for them in at-risk rural communities, and provides guidance on considerations when establishing programs. Includes examples of syringe services programs in Kentucky, West Virginia, Indiana, and North Carolina. Also covers information about syringe services-related regulations and laws in select locations.
Author(s): Regina La Belle
Date: 07/2017
Sponsoring organization: Comer Family Foundation
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Pesticide Use and Age-Related Macular Degeneration in the Agricultural Health Study
Highlights a study on age-related macular degeneration (AMD) and pesticide use among agricultural pesticide applicators. Analyzes self-reported data from a cohort of workers and their spouses in Iowa and North Carolina in 1993-1997.
Author(s): Martha P. Montgomery, Eric Postel, David M. Umbach, et al.
Citation: Environmental Health Perspectives, 125(7)
Date: 07/2017
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Highlights a study on age-related macular degeneration (AMD) and pesticide use among agricultural pesticide applicators. Analyzes self-reported data from a cohort of workers and their spouses in Iowa and North Carolina in 1993-1997.
Author(s): Martha P. Montgomery, Eric Postel, David M. Umbach, et al.
Citation: Environmental Health Perspectives, 125(7)
Date: 07/2017
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Track: A Randomized Controlled Trial of a Digital Health Obesity Treatment Intervention for Medically Vulnerable Primary Care Patients
Examines the effectiveness of Track, a digital health intervention, to provide obesity treatment to low-income, racial/ethnic minority adults with obesity and related comorbidities in rural North Carolina. Includes baseline characteristic data, such as gender, race/ethnicity, education, smoking status, and diagnosis.
Author(s): Perry Foley, Dori Steinberg, Erica Levine, et al.
Citation: Contemporary Clinical Trials, 48, 12-20
Date: 05/2017
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Examines the effectiveness of Track, a digital health intervention, to provide obesity treatment to low-income, racial/ethnic minority adults with obesity and related comorbidities in rural North Carolina. Includes baseline characteristic data, such as gender, race/ethnicity, education, smoking status, and diagnosis.
Author(s): Perry Foley, Dori Steinberg, Erica Levine, et al.
Citation: Contemporary Clinical Trials, 48, 12-20
Date: 05/2017
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