Rural Health
Resources by State: North Carolina
Rural Relocators: COVID-19 and Rural Population Growth
Compares population growth in rural and urban North Carolina in context of COVID-19 using U.S. Census and NC Office of State Budget and Management data. Identifies trends before the COVID-19 public health emergency and during its first and second years, and discusses contributing factors. Presents county-level maps of population change as well as graphs comparing data of rural, suburban, and urban counties, and also provides a table of county-level population data.
Date: 06/2023
Type: Document
Sponsoring organization: North Carolina Rural Center
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Compares population growth in rural and urban North Carolina in context of COVID-19 using U.S. Census and NC Office of State Budget and Management data. Identifies trends before the COVID-19 public health emergency and during its first and second years, and discusses contributing factors. Presents county-level maps of population change as well as graphs comparing data of rural, suburban, and urban counties, and also provides a table of county-level population data.
Date: 06/2023
Type: Document
Sponsoring organization: North Carolina Rural Center
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Development and Evaluation of the Delivery-Based HEALED Produce Rx Program for Uninsured Patients With Diabetes in Rural Eastern North Carolina
A program evaluation brief that provides an overview of the Healthy Eating and Active Lifestyle to Enhance Diabetes management (HEALED) program that surveyed patients in 2019 and then delivered plant-based foods to 40 participants as a part of a produce prescription (PRx) program in 2021. Reports on how PRx programs and related resources such as cooking instructions can positively impact diabetes patients. Discusses the importance of performing a needs assessment, pilot programming, and a formative evaluation in rural and underserved programs to remove food access barriers such as lack of transportation and involve participants in their own wellness journeys.
Author(s): Lauren R. Sastre, Brandon Stroud, Elisa Smith, Khadijah Hendrix, Olivia McBride
Citation: Preventing Chronic Disease, 20
Date: 06/2023
Type: Document
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A program evaluation brief that provides an overview of the Healthy Eating and Active Lifestyle to Enhance Diabetes management (HEALED) program that surveyed patients in 2019 and then delivered plant-based foods to 40 participants as a part of a produce prescription (PRx) program in 2021. Reports on how PRx programs and related resources such as cooking instructions can positively impact diabetes patients. Discusses the importance of performing a needs assessment, pilot programming, and a formative evaluation in rural and underserved programs to remove food access barriers such as lack of transportation and involve participants in their own wellness journeys.
Author(s): Lauren R. Sastre, Brandon Stroud, Elisa Smith, Khadijah Hendrix, Olivia McBride
Citation: Preventing Chronic Disease, 20
Date: 06/2023
Type: Document
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The Appalachian Region: A Data Overview from the 2017-2021 American Community Survey Chartbook
State- and county-level information on population, age, race and ethnicity, housing occupancy, education, labor force, employment, income, health insurance coverage, disability, and veteran status, for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Kelvin Pollard, Sara Srygley, Linda A. Jacobsen
Date: 06/2023
Type: Website
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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State- and county-level information on population, age, race and ethnicity, housing occupancy, education, labor force, employment, income, health insurance coverage, disability, and veteran status, for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Kelvin Pollard, Sara Srygley, Linda A. Jacobsen
Date: 06/2023
Type: Website
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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Training the Primary Care Workforce to Deliver Team-Based Care in Underserved Areas: The Teaching Health Center Program
Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Rural NC at a Glance
Fact sheet on North Carolina's rural counties. Provides statistics on topics including population and age, race and ethnicity, poverty, income, education, health workforce, uninsured population, employment and economy, and agriculture.
Date: 05/2023
Type: Document
Sponsoring organization: North Carolina Rural Center
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Fact sheet on North Carolina's rural counties. Provides statistics on topics including population and age, race and ethnicity, poverty, income, education, health workforce, uninsured population, employment and economy, and agriculture.
Date: 05/2023
Type: Document
Sponsoring organization: North Carolina Rural Center
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North Carolina Rural Broadband: Accessibility, Affordability, and Adoption
Fact sheet providing an overview of broadband in North Carolina. Provides statistics on internet availability and children without internet access in rural, suburban, and urban counties, and includes a county-level map showing broadband availability index score ranges. Recommends policies for rural broadband improvement.
Date: 05/2023
Type: Document
Sponsoring organization: North Carolina Rural Center
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Fact sheet providing an overview of broadband in North Carolina. Provides statistics on internet availability and children without internet access in rural, suburban, and urban counties, and includes a county-level map showing broadband availability index score ranges. Recommends policies for rural broadband improvement.
Date: 05/2023
Type: Document
Sponsoring organization: North Carolina Rural Center
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North Carolina Rural Housing: Affordability, Capacity, and Funding
Fact sheet providing an overview of housing in rural North Carolina. Discusses topics including availability and affordability, homelessness, and policies to improve accessible housing in rural areas.
Date: 05/2023
Type: Document
Sponsoring organization: North Carolina Rural Center
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Fact sheet providing an overview of housing in rural North Carolina. Discusses topics including availability and affordability, homelessness, and policies to improve accessible housing in rural areas.
Date: 05/2023
Type: Document
Sponsoring organization: North Carolina Rural Center
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North Carolina Rural Health: Availability, Accessibility, and Affordability
Fact sheet providing an overview of healthcare in rural North Carolina. Includes information on hospital closures, access to health insurance, and healthcare provider shortages. Also provides policy recommendations to address challenges in rural areas.
Date: 05/2023
Type: Document
Sponsoring organization: North Carolina Rural Center
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Fact sheet providing an overview of healthcare in rural North Carolina. Includes information on hospital closures, access to health insurance, and healthcare provider shortages. Also provides policy recommendations to address challenges in rural areas.
Date: 05/2023
Type: Document
Sponsoring organization: North Carolina Rural Center
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Characterizing Social Insecurity in a Rural North Carolina Emergency Department
Results of a study exploring, characterizing, and quantifying the social insecurity profile of emergency department patients at a rural teaching hospital in southeastern North Carolina with a large Native American population. Uses data from a survey questionnaire administered in May and June 2018, focusing on food insecurity, transportation insecurity, and exposure to violence.
Author(s): Elizabeth Gignac, Godwin Y. Dogbey, Aleksandr Pevtsov, et al.
Citation: Western Journal of Emergency Medicine, 24(3), 538–546
Date: 05/2023
Type: Document
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Results of a study exploring, characterizing, and quantifying the social insecurity profile of emergency department patients at a rural teaching hospital in southeastern North Carolina with a large Native American population. Uses data from a survey questionnaire administered in May and June 2018, focusing on food insecurity, transportation insecurity, and exposure to violence.
Author(s): Elizabeth Gignac, Godwin Y. Dogbey, Aleksandr Pevtsov, et al.
Citation: Western Journal of Emergency Medicine, 24(3), 538–546
Date: 05/2023
Type: Document
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Community Health Centers Seek to Prepare Medicaid Beneficiaries, and Themselves, for the Risks Ahead
Explores how Federally Qualified Health Centers (FQHCs), including an FQHC serving rural North Carolina, are helping Medicaid beneficiaries stay enrolled or find alternate coverage during the post-COVID-19 redetermination process. Describes how operations of these FQHCs have been changed by funding from the Coronavirus Aid, Relief, and Economic Security (CARES) Act and pandemic-related regulatory flexibilities.
Date: 05/2023
Type: Document
Sponsoring organization: Commonwealth Fund
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Explores how Federally Qualified Health Centers (FQHCs), including an FQHC serving rural North Carolina, are helping Medicaid beneficiaries stay enrolled or find alternate coverage during the post-COVID-19 redetermination process. Describes how operations of these FQHCs have been changed by funding from the Coronavirus Aid, Relief, and Economic Security (CARES) Act and pandemic-related regulatory flexibilities.
Date: 05/2023
Type: Document
Sponsoring organization: Commonwealth Fund
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