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Rural Health Information Hub

Rural Health
Resources by State: North Carolina

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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North Carolina Healthcare Association Critical Workforce Needs Assessment
Reports on healthcare workforce trends in North Carolina, including discussion of state demographics, policy changes, and strategies influencing workforce needs and availability. Highlights the rural aging population and a need for health workers in rural communities.
Author(s): Patrick McHugh, Alison Bean de Hernandez, Chrystall Davis, Michael Hogan, Sara Nienow
Date: 03/2024
Sponsoring organization: North Carolina Healthcare Association
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Practice Facilitation and Peer Coaching for Uncontrolled Hypertension Among Black Individuals: A Randomized Clinical Trial
Evaluated efficacy of peer coaching and practice facilitation compared to enhanced usual care on blood pressure control for 1,209 rural patients in Alabama and North Carolina. Discusses impact of age on findings.
Author(s): Monika M. Safford, Doyle M. Cummings, Jacqueline R. Halladay, et al.
Citation: JAMA Internal Medicine, 184(5), 538-546
Date: 03/2024
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Southern Rural Development Center 2023 Annual Report: Empowering Partnerships for Community Development
Offers an overview of activities and accomplishments of the Southern Rural Development Center in 2023. Discusses organization infrastructure updates, training, regional collaborations, community development, research, and healthcare
Date: 03/2024
Sponsoring organization: Southern Rural Development Center
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North Carolina County Designations of Core Based Statistical Areas
Color-coded county-level map of metropolitan, micropolitan, and neither metropolitan nor micropolitan central and outlying counties in North Carolina. Indicates areas of high population density. Includes Office of Rural Health rural-urban designations.
Date: 03/2024
Sponsoring organization: North Carolina Department of Health and Human Services
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Ten-Year Outcomes: Community Health Center/Academic Medicine Partnership for Rural Family Medicine Training
Examines practice characteristics for 25 North Carolina rural pathway graduates from 2012-2022, using data from internal registries and public sources. Identifies rates of postgraduation placement in rural and federally-designated Health Professional Shortage Areas, and assesses current placements for graduates one year and three years from program completion. Features demographics with breakdowns including rural or nonrural background.
Author(s): Maria Gabriela Castro, Caroline Roberts, Emily M. Hawes, Evan Ashkin, Cristen P. Page
Citation: Family Medicine, 56(3), 185-189
Date: 03/2024
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Factors Associated With Myocardial Infarction in a Rural Population With Peripheral Arterial Diseases
Examines the association between sociodemographic and clinical risk factors and myocardial infarction (MI) in patients with peripheral arterial diseases (PAD) in Central Appalachia. Uses data from 5,574 patients in 230 counties across Kentucky, North Carolina, Ohio, Tennessee, Virginia, and West Virginia. Features statistics on characteristics of patients with PAD based on presence or absence of MI.
Author(s): Adeola O. Awujoola, Moboni T. Mokikan, Olufeyisayo O. Odebunmi, et al.
Citation: Angiology, 0(0)
Date: 02/2024
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Integrated Care for Kids (InCK) Model: Evaluation Report 2
Presents findings from the first year of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, approach to assessing beneficiary needs, and alternative payment model design. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 02/2024
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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