Rural Health
Resources by State: North Carolina
"This Is Not My Grandmother's Summer": Rural Populations Are Uniquely Vulnerable to the Health Impacts of Extreme Heat
Discusses the challenges rural areas face in helping address the impact of heat on health. Includes strategies used in rural North Carolina, Indiana, and Washington State to help inform and protect rural residents, including those exposed to heat through work outdoors.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 09/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses the challenges rural areas face in helping address the impact of heat on health. Includes strategies used in rural North Carolina, Indiana, and Washington State to help inform and protect rural residents, including those exposed to heat through work outdoors.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 09/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Addressing Social Needs through Medicaid: Lessons from Planning and Early Implementation of North Carolina's Healthy Opportunities Pilots
Results of a study to generate findings and recommendations from the planning, capacity-building, and early implementation of the Healthy Opportunities Pilots program. Focuses on the health-related social needs of North Carolina Medicaid enrollees living in three primarily rural regions of the state.
Author(s): Katie M. Huber, William K. Bleser, Rebecca G. Whiteaker, et al.
Date: 09/2023
Type: Document
Sponsoring organizations: Duke-Margolis Center for Health Policy, Milbank Memorial Fund
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Results of a study to generate findings and recommendations from the planning, capacity-building, and early implementation of the Healthy Opportunities Pilots program. Focuses on the health-related social needs of North Carolina Medicaid enrollees living in three primarily rural regions of the state.
Author(s): Katie M. Huber, William K. Bleser, Rebecca G. Whiteaker, et al.
Date: 09/2023
Type: Document
Sponsoring organizations: Duke-Margolis Center for Health Policy, Milbank Memorial Fund
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Final Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on access to care, health equity, and Medicare spending. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Type: Document
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on access to care, health equity, and Medicare spending. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Type: Document
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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A Road Map for Asset Based Investing in Central Appalachia
Report highlighting various wellbeing and community asset measures in the Appalachian region in the areas of economics, population health, infrastructure, housing, health facilities, and more. Discusses the associations between wellbeing and community assets as well as the implications for investment.
Date: 08/2023
Type: Document
Sponsoring organizations: Community and Economic Development Initiative of Kentucky, Reinvestment Fund
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Report highlighting various wellbeing and community asset measures in the Appalachian region in the areas of economics, population health, infrastructure, housing, health facilities, and more. Discusses the associations between wellbeing and community assets as well as the implications for investment.
Date: 08/2023
Type: Document
Sponsoring organizations: Community and Economic Development Initiative of Kentucky, Reinvestment Fund
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Acceptability and Readiness to Promote Human Papillomavirus Vaccination at Ages 9–10 Years: A Feasibility Study among North Carolina Clinics
Examines the recommendation of vaccinating against the human papillomavirus (HPV) in children 9-10 years old. Analyzes feedback from providers in 2 rural North Carolina primary clinics about their perceptions regarding this recommendation.
Author(s): Nadja A. Vielot, Robyn M. Lane, Kaitlyn Loefstedt, et al.
Citation: Pilot and Feasibility Studies, 9,153
Date: 08/2023
Type: Document
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Examines the recommendation of vaccinating against the human papillomavirus (HPV) in children 9-10 years old. Analyzes feedback from providers in 2 rural North Carolina primary clinics about their perceptions regarding this recommendation.
Author(s): Nadja A. Vielot, Robyn M. Lane, Kaitlyn Loefstedt, et al.
Citation: Pilot and Feasibility Studies, 9,153
Date: 08/2023
Type: Document
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North Carolina Rural and Urban Counties
North Carolina county-level map with shadings showing urban and rural counties.
Date: 07/2023
Type: Map/Mapping System
Sponsoring organization: North Carolina Department of Health and Human Services
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North Carolina county-level map with shadings showing urban and rural counties.
Date: 07/2023
Type: Map/Mapping System
Sponsoring organization: North Carolina Department of Health and Human Services
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Racial and Rural-Urban Disparities in Maternal Cardiac Disease Care in North Carolina: A Call to Action
Analyzes cardiac-specific severe maternal morbidity of rural and urban, as well as Black and White, populations using data from the 2019 North Carolina State Inpatient Database. Provides statistics on delivery hospitalizations in North Carolina, including births with preexisting maternal cardiac disease, maternal cardiac disease outcomes, and patient characteristics. Discusses disparities in comorbidities, cardiac categories, and health outcomes.
Author(s): Julia M. Moyett, Linda M. Zambrano Guevara, Divya P. Mallampati, et al.
Citation: North Carolina Medical Journal, 84(4), 249-256
Date: 07/2023
Type: Document
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Analyzes cardiac-specific severe maternal morbidity of rural and urban, as well as Black and White, populations using data from the 2019 North Carolina State Inpatient Database. Provides statistics on delivery hospitalizations in North Carolina, including births with preexisting maternal cardiac disease, maternal cardiac disease outcomes, and patient characteristics. Discusses disparities in comorbidities, cardiac categories, and health outcomes.
Author(s): Julia M. Moyett, Linda M. Zambrano Guevara, Divya P. Mallampati, et al.
Citation: North Carolina Medical Journal, 84(4), 249-256
Date: 07/2023
Type: Document
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Leveraging Policy Changes Made in Response to COVID-19 to Advance Telehealth and Novel Treatment Approaches for People Who Use Opioids: Qualitative Perspective from Two Rural North Carolina Communities
Results of interviews with 10 providers of healthcare and supportive services for people who use opioids in rural counties in North Carolina. Discusses topics including COVID-19's influence on telehealth, models for opioid treatment delivery in rural areas, and common barriers to service access. Identifies strategies for facilitating services in rural areas, including expanded telehealth access and implementation of other service delivery models.
Author(s): Hillary Chen, Brandon A. Knettel, Lisa Macon Harrison, et al.
Citation: North Carolina Medical Journal, 84(5), 54-60
Date: 07/2023
Type: Document
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Results of interviews with 10 providers of healthcare and supportive services for people who use opioids in rural counties in North Carolina. Discusses topics including COVID-19's influence on telehealth, models for opioid treatment delivery in rural areas, and common barriers to service access. Identifies strategies for facilitating services in rural areas, including expanded telehealth access and implementation of other service delivery models.
Author(s): Hillary Chen, Brandon A. Knettel, Lisa Macon Harrison, et al.
Citation: North Carolina Medical Journal, 84(5), 54-60
Date: 07/2023
Type: Document
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North Carolina Community Health Worker Program - 2023 Profile
Fact sheet with information about the Community Health Worker (CHW) program, including responsibilities and core competencies, and ways in which CHWs in North Carolina responded to the COVID-19 pandemic. Includes a county-level map showing CHW organization supporting counties, with shadings indicating rural or urban counties.
Date: 06/2023
Type: Map/Mapping System
Sponsoring organization: North Carolina Office of Rural Health
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Fact sheet with information about the Community Health Worker (CHW) program, including responsibilities and core competencies, and ways in which CHWs in North Carolina responded to the COVID-19 pandemic. Includes a county-level map showing CHW organization supporting counties, with shadings indicating rural or urban counties.
Date: 06/2023
Type: Map/Mapping System
Sponsoring organization: North Carolina Office of Rural Health
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North Carolina Office of Rural Health Key Performance Measures Reported by Program
Offers statistics for performance measures or output for fiscal year 2023. Features breakdowns including total patient encounters and telemedicine encounters; statistics on controlled diabetes, hypertension, and early pre-natal care; and screening for tobacco use, depression, and obesity.
Date: 06/2023
Type: Document
Sponsoring organization: North Carolina Department of Health and Human Services
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Offers statistics for performance measures or output for fiscal year 2023. Features breakdowns including total patient encounters and telemedicine encounters; statistics on controlled diabetes, hypertension, and early pre-natal care; and screening for tobacco use, depression, and obesity.
Date: 06/2023
Type: Document
Sponsoring organization: North Carolina Department of Health and Human Services
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