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Rural Health Information Hub

Rural Health
Resources by State: North Carolina

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
Type: Video/Multimedia
Sponsoring organization: Healthy Places NC
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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
Type: Document
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Improving Access to Behavioral Health Crisis Services with Electronic Bed Registries
Report highlights the ways up-to-date electronic bed registries can improve crisis care treatment and access to behavioral healthcare. Features profiles of states that have received funding for electronic bed registries through the Transformation Transfer Initiative (TTI). Outlines and evaluates each state-level program.
Author(s): David Morrissette
Date: 04/2021
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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Understanding Declining Rates of Drug Overdose Mortality in Eastern Kentucky
Identifies potential 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
Type: Document
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
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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North Carolina Community Health Center Association - COVID-19 Resources
Provides information and resources for health centers in North Carolina related to COVID-19, including clinical guidance, reimbursement and billing, telehealth, and human resources.
Date: 04/2021
Type: Website
Sponsoring organization: North Carolina Community Health Center Association
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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
Type: Document
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North Carolina Rural Health Centers Operations Guidance
Provides consolidated resources to help state divisions, community partners, the community at-large, stakeholders, and other entities to understand the State Designated Rural Health Center (SDRHC) Program in North Carolina. Serves to standardize North Carolina SDRHC services and describes strategies to designate new rural health centers, provide additional resources that support effective operations, and transition currently-funded rural health centers when state designation is no longer needed.
Date: 03/2021
Type: Document
Sponsoring organization: North Carolina Office of Rural Health
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An Examination of Telehealth Policy Impacts on Initial Rural Opioid Use Disorder Treatment Patterns During the COVIDÔÇÉ19 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
Type: Document
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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
Type: Document
Sponsoring organization: Appalachian Regional Commission
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