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Rural Health Information Hub

Rural Health
Resources by State: North Carolina

Benefits, Challenges, and Strategies Related to Using Presumptive Recommendations for HPV Vaccination: A Qualitative Study with Rural and Non-Rural-Serving Primary Care Professionals
Examines the use of presumptive recommendations that assume parents will want to vaccinate, a strategy aimed at improving HPV vaccination uptake in rural and non-rural primary care clinics in North Carolina. Analyzes interview data from primary care professionals (PCPs) about the impact of presumptive recommendations, focusing on issues such as patient trust and cultural sensitivity.
Author(s): Olufeyisayo O. Odebunmi, Lisa P. Spees, Caitlin B. Biddell, et al.
Citation: Human Vaccines & Immunotherapeutics, 20(1)
Date: 05/2024
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Listening to the Community: Identifying Obesity Prevention Strategies for Rural Preschool-Aged Children
Reports results from 4 workshops on obesity prevention initiatives for preschool-aged children in 2 rural North Carolina and Indiana counties. Provides data and discussion on participants' preferred intervention strategies and community settings, with additional discussion of implementation challenges and options for immediate interventions which could be implemented with limited funding.
Author(s): Katherine Jochim Pope, Alexandra F. Lightfoot, Lisa Macon Harrison, et al.
Citation: Frontiers in Public Health, 12
Date: 05/2024
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The Rural Interprofessional Health Initiative
Provides an overview of the UNC Rural Interprofessional Health Initiative (RIPHI), a workforce initiative focused on collaboration between healthcare professionals and students in rural North Carolina. Describes the RIPHI's growth, goals, achievements, and lessons learned since the initiative's start in 2017. Discusses the value of rural experience for health professions students.
Author(s): Meg Zomorodi, Lorraine Alexander, Philip T. Rodgers
Citation: North Carolina Medical Journal, 85(3), 188-190
Date: 05/2024
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Who is at Risk Amid the H5N1 Influenza Outbreak? Characteristics and Health Coverage of Animal Production Workers
Analyzes demographic characteristics of animal production and aquaculture workers to determine risk for contracting H5N1 influenza, also known as bird flu. Discusses policy measures to address health threats.
Author(s): Josh Michaud, Drishti Pillai, Samantha Artiga, Jennifer Kates
Date: 05/2024
Sponsoring organization: KFF
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Time for Action: Securing A Strong Nursing Workforce for North Carolina
Offers 8 recommendations for developing the nursing workforce in North Carolina. Discusses the workforce pipeline, professional education, well-being and safety in the workplace, leadership, retention, advocacy, staffing standards, billing, and more. Discusses rural throughout.
Date: 05/2024
Sponsoring organization: North Carolina Institute of Medicine
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Implementation Characteristics That May Promote Sustainability of a Rural Physical Activity Initiative: Examination of Play Streets Through the Lens of Community Implementers
Discusses implementation of Play Streets, a community-based initiative to create safe physical activity areas for children and families, from interviews with program team members in rural Maryland, North Carolina, Oklahoma, and Texas. Highlights factors influencing program effectiveness and sustainability, including community engagement, partnerships, and more.
Author(s): Marilyn E. Wende, M. Renée Umstattd Meyer, Cynthia Perry, et al.
Citation: Implementation Science Communications, 5, 48
Date: 05/2024
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Check with the Intended Audience First! Content Validation as a Method for Inclusive Research for Primary Care Engagement in Rural Appalachia
Results of a study intended to develop and content validate a survey to assess engagement and burnout, referral practices, and self-efficacy and confidence in making referrals based on social determinants of health among primary care providers and clinic staff in Appalachian North Carolina. Uses data from 10 participants, collected between August and November 2022.
Author(s): Sydeena E. Isaacs, Jennifer Schroeder Tyson, Ashley Parks, Danielle Adams
Citation: Journal of Appalachian Health, 6(1):69–89
Date: 04/2024
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North Carolina Medicaid Expansion: A Rural Perspective
Reports on expanded Medicaid coverage in rural North Carolina using state-level monthly enrollment data. Compares expansion enrollment in rural, suburban, and urban counties, and evaluates whether enrollment is associated with poverty at the county level.
Author(s): Dalton Bailey
Date: 04/2024
Sponsoring organization: North Carolina Rural Center
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Transforming Oral Health Care in North Carolina
Makes recommendations for improving oral health access, supporting oral care workforce and providers, and promoting oral health quality and equity in North Carolina. Discusses oral health in rural and underserved areas throughout, including coverage of workforce distribution, dental safety net, and access barriers.
Date: 04/2024
Sponsoring organization: North Carolina Institute of Medicine
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Health Care Coalitions: A Resource to Support Critical Access Hospital Emergency Preparedness Planning
Describes unique challenges Critical Access Hospitals (CAHs) face regarding emergency preparedness planning. Presents findings from interviews with leaders from 8 statewide or regional healthcare coalitions (HCCs) regarding strategies and resources HCCs provide to support the CAH emergency preparedness planning process. Outlines the functions and roles of HCCs by the 4 Administration for Strategic Preparedness and Response (ASPR) capability goals.
Author(s): John Gale, Karen Pearson, Rebecca Stearns
Date: 04/2024
Sponsoring organization: Flex Monitoring Team
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