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North Carolina Resources

Improving Rural Oral Health: Six States’ Response to the United States Department of Health and Human Services Oral Health Strategic Framework
Findings brief describing how Colorado, Iowa, New Mexico, North Carolina, Pennsylvania, and South Carolina have responded to the Department of Health and Human Services' 2014-2017 goals for advancing oral health in America, with emphasis on programs available to children. Features statistics including number of dental insurance companies, number of public health dental clinics or Federally Qualified Health Centers providing oral health services, and number of full-time and part-time dentists and dental hygienists at these facilities in each of the six states.
Author(s): Amy B. Martin, Janice C. Probst, Karen M. Jones
Date: 08/2017
Type: Document
Sponsoring organization: South Carolina Rural Health Research Center
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The Appalachian Region: A Data Overview from the 2011-2015 American Community Survey
Provides state and county-level data 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. Includes breakdowns by five levels of urban or rural county types.
Author(s): Kelvin Pollard, Linda A. Jacobsen
Date: 03/2017
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Network Spotlight: Foothills Health Network
Provides an overview of the Foothills Health Network in Polk County, North Carolina, through an interview with network coordinator, Michele Trofatter. The Foothills Health Network works to improve the health of people living in Polk County, particularly within the low-income and uninsured populations, by increasing access to care. Interview covers challenges faced, successes, lessons learned, network characteristics, recommendations, and more.
Date: 01/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Selected Rural Healthcare Facilities in North Carolina
Shows the state’s Critical Access Hospitals and Rural Health Clinics, as well as rural Federally Qualified Health Centers and Skilled Nursing Facilities.
Date: 12/2016
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Colonoscopy Access and Utilization - Rural Disparities in the Carolinas, 2001-2010
Describes the geographic distribution of colonoscopy providers, the utilization rate for colonoscopies in urban and rural populations, and the influence of the availability of colonoscopy providers on patients when seeking care in their local area for North and South Carolina using ambulatory surgery discharge data for colonoscopies from 2001-2010.
Additional links: Fact Sheet
Author(s): Jan M. Eberth, Michele Josey, Tushar Trivedi, et al.
Date: 07/2016
Type: Document
Sponsoring organization: South Carolina Rural Health Research Center
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The Reverend’s Revolution: A Kid-First Approach to Community Health
Features the work of Reverend Richard Joyner and the Conetoe Family Life Center, a North Carolina nonprofit focused on youth development and improving community health.
Author(s): Jenn Lukens
Location: Rural Monitor
Date: 06/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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State Variations in the Rural Obstetric Workforce
Illustrates the challenges affecting the obstetric workforce in Critical Access Hospitals and other rural hospitals having at least 10 births in 2010 using data derived from a telephone survey conducted in 9 states.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Carrie Henning-Smith, Shailendra Prasad
Date: 05/2016
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Characteristics of Medicaid Beneficiaries Who Use Rural Health Clinics
Describes the population of Rural Health Clinic (RHC) users from North Carolina, Georgia, California, and Texas to assist in policy making and in research, using CMS Medicaid claim data from RHCs, or from healthcare providers practicing under the RHC program.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, et al.
Date: 05/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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10 Strategies for Rural North Carolina's Future
Includes strategies for stabilizing and transforming healthcare in rural North Carolina, by facilitating transition to accountable care communities, strengthening efforts to reduce drug addiction, stabilizing health system revenue, and supporting establishment of a state chapter of the National Rural Health Association.
Date: 04/2016
Type: Document
Sponsoring organization: North Carolina Rural Center
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Heat Illness Among North Carolina Latino Farmworkers
An analysis describing the prevalence of heat illness and other factors associated with heat illness resulting from a survey of North Carolina Latino male farmworkers.
Author(s): Thomas A. Arcury, Phillip Summers, Jennifer W. Talton, et al.
Location: Journal of Occupational and Environmental Medicine, 57(12), 1299-1304
Date: 12/2015
Type: Document
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Foundation’s Place-Based Initiative Focuses on Community Needs
Highlights Healthy Places NC, a Kate B. Reynolds Charitable Trust program which awards place-based grants to financially-disadvantaged counties in North Carolina to help improve health outcomes.
Author(s): Kate Menzies
Location: Rural Monitor
Date: 11/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Longitudinal Assessment of Blood Cholinesterase Activities Over 2 Consecutive Years Among Latino Nonfarmworkers and Pesticide-Exposed Farmworkers in North Carolina
A pesticide exposure study comparing the total cholinesterase, butyrylcholinesterase, and acetylcholinesterase of blood samples taken from Latino male farmworkers and Latino male workers with no agricultural pesticide exposure. Compares the differences between farmworkers and non-farmworkers probability of cholinesterase depression.
Author(s): Sara Quandt, Carey Pope, Haiying, Chen, et al.
Location: Journal of Occupational & Environmental Medicine, 57(8), 851-857
Date: 08/2015
Type: Document
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A Report on Health Care Resources in North Carolina: North Carolina Health Professions 2013 Data Book
Describes the supply and distribution in 2013 of licensed individuals in nineteen health professions by county and selected regions of North Carolina. Includes statistics, data, and maps on changes in supply and changes in practitioner to population ratios.
Author(s): Matthew Minnotte, Julie Spero, Victoria McGee, et al.
Date: 04/2015
Type: Document
Sponsoring organization: Cecil G. Sheps Center for Health Services Research
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Perceptions of Housing Conditions Among Migrant Farmworkers and Their Families: Implications for Health, Safety and Social Policy
Provides insight into the housing conditions of migrant farmworkers in North Carolina and its effect on their health and safety.
Author(s): Jessica Keim-Malpass, Chaya R. Spears Johnson, Sara A. Quandt, Thomas A. Arcury
Location: Rural and Remote Health, 15, 3076
Date: 02/2015
Type: Document
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Providing Whole-Person Care: Integrating Behavioral Health Into Primary Care
Discusses how a patient-centered medical home (PCMH) in rural North Carolina is integrating primary care with mental health treatment to meet the core health needs of patients, while recognizing the need for making referrals to specialty care for more severe mental illness. The article also discusses the benefits of telebehavioral health.
Author(s): Jan Sweet Freeman
Location: North Carolina Medical Journal, 1(76), 24-28
Date: 01/2015
Type: Document
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Rural Health in North Carolina
A compilation of articles in the North Carolina Medical Journal discussing the issues that impact the well-being of residents in rural communities in North Carolina.
Location: North Carolina Medical Journal, 76(1)
Date: 01/2015
Type: Document
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Rural Health Care: Redefining Access
Discusses collaboration, recruitment and retention, providing specialty services and quality of care as methods to strengthen the health of North Carolina’s rural communities.
Author(s): Chris Collins
Location: North Carolina Medical Journal, 76(1), 20-23
Date: 01/2015
Type: Document
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Physicians Providing Leadership for Rural Communities
Identifies ways in which physicians can address unfavorable child outcomes (e.g. unplanned pregnancy, tobacco addiction, mental health disorders) by working with other groups and forming coalitions within the rural community.
Author(s): David T. Tayloe Jr
Location: North Carolina Medical Journal, 76(1), 31-32
Date: 01/2015
Type: Document
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A Cross-Sectional Study of Stressors Among Farmers in Eastern North Carolina
A study identifying stressors among farmers in North Carolina as a method in the development of targeted strategies and services to reduce stress and improve health outcomes.
Author(s): Gregory D. Kearney, Ann P. Rafferty, Lauren R. Hendricks, et al.
Location: North Carolina Medical Journal, 75(6), 384-392
Date: 11/2014
Type: Document
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Disparities in Obesity Among Rural and Urban Residents in a Health Disparate Region
Reports on a community-based study to measure and compare the current levels of obesity and associated lifestyle behaviors of physical activity and diets of fruits and vegetables among rural and urban residents in south central Virginia and north central North Carolina.
Author(s): Jennie L Hill, Wen You, Jamie M Zoellner
Location: BMC Public Health, 2014(14), 1051
Date: 10/2014
Type: Document
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Non-Hodgkin Lymphoma Risk and Insecticide, Fungicide and Fumigant Use in the Agricultural Health Study
Reports on a study to determine any linkage between the agricultural use of specific pesticides and the occurrence of non-Hodgkin lymphoma (NHL), chronic lymphocytic leukemia (CLL) and multiple myeloma (MM) on agricultural workers in Iowa and North Carolina.
Author(s): Michael C. R. Alavanja, Jonathan N. Hofmann, Charles F. Lynch, et al.
Location: PLOS ONE, 9(10)
Date: 10/2014
Type: Document
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Transforming the Workforce to Provide Better Care: The Role of Obstetric Nurse Coordinators in North Carolina
A case study describing how nurses are helping improve prenatal care for high-risk pregnant women via North Carolina's statewide Medicaid Pregnancy Medical Home (PMH) program. Includes a section on support for rural practices participating in the PMH program.
Author(s): Mary Takach, Rachel Yalowich
Date: 09/2014
Type: Document
Sponsoring organizations: AARP Public Policy Institute, National Academy for State Health Policy
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North Carolina Rural Health Action Plan: A Report of the NCIOM Task Force on Rural Health
Contains the North Carolina rural health action plan to improve rural health outcomes and identifies six key strategies at the state and local levels to address rural health disparities.
Date: 08/2014
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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Pharmacists in North Carolina: Steady Numbers, Changing Roles
Presents a study on the pharmacy workforce in North Carolina. Studies the number of pharmacists vs. the demand for pharmaceutical services, pharmacists nearing retirement age, demographics of the pharmacy workforce, and workforce supply and distribution. Includes graphs and maps.
Author(s): Julie C. Spero, Christopher Del Grosso, Erin P. Fraher
Date: 02/2014
Type: Document
Sponsoring organization: Cecil G. Sheps Center for Health Services Research
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The CHANGE Study: A Healthy-Lifestyles Intervention to Improve Rural Children’s Diet Quality
Describes the Creating Healthy, Active and Nurturing Growing-Up Environments (CHANGE) study. CHANGE is a community- and school-based intervention used to assess the quality of students' diets with the goal of preventing unhealthy weight gain among rural school-aged children.
Author(s): Juliana F. W. Cohen, Vivica I. Kraak, Silvina F. Choumenkovitch, Raymond R. Hyatt, Christina D. Economos
Location: Journal of the Academy of Nutrition and Dietetics, 114(1)
Date: 01/2014
Type: Document
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Running the Numbers: The Maldistribution of Health Care Providers in Rural and Underserved Areas in North Carolina
Discusses the maldistribution of health care professionals related to population needs in rural North Carolina. Highlights physician workforce shortages in primary care, general surgery, psychiatry, licensed nurse practitioners, and physician assistants.
Author(s): Julie C. Spero, Erin P. Fraher
Location: North Carolina Medical Journal, 75(1), 74-79
Date: 01/2014
Type: Document
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Improving the Physical Activity and Nutrition Environment Through Self-Assessment (NAP SACC) in Rural Area Child Care Centers in North Carolina
Presents results from a study designed to determine if rural child care centers in western North Carolina meet recommendations for nutrition and physical activity. Also examines whether focusing on nutrition and physical activity is effective in improving the center environment, and if differences exist between school-affiliated and unaffiliated care centers.
Author(s): Rebecca A. Battista, Hillary Oakley, Melissa S. Weddell, et al.
Location: Preventive Medicine, 67, S10-S16
Date: 2014
Type: Document
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Farmers’ Market Use is Associated with Fruit and Vegetable Consumption in Diverse Southern Rural Communities
Examines the socio-demographic characteristics of farmers market participants, the barriers and facilitators to farmers market shopping in southern rural communities, and the associations between farmers market use with fruit and vegetable consumption and body mass index (BMI). Seeks to assess the potential for using farmers markets to increase access to and the consumption of fruits and vegetables in rural areas.
Author(s): Stephanie B. Jilcott Pitts, Alison Gustafson, Qiang Wu, et al.
Location: Nutrition Journal, 13(1)
Date: 2014
Type: Document
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Case Studies of Regional Extension Centers Serving Rural Practices: North Carolina
Presents a case study focusing on the North Carolina HIT Regional Extension Center (REC) and its experience working with rural physician practices in the state.
Author(s): Michelle Casey, Ira Moscovice, Alex McEllistrem-Evenson
Date: 11/2013
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Care Management for Medicaid Enrollees Through Community Health Teams
Presents data from a 2011–2012 review of state Medicaid medical home programs in eight states. Identifies community health team programs including FQHCs and RHCs that provide an array of services, including care coordination to self-management coaching. Includes small or rural practices.
Author(s): Mary Takach, Jason Buxbaum
Date: 05/2013
Type: Document
Sponsoring organization: Commonwealth Fund
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Trends in Graduate Medical Education in North Carolina: Challenges and Next Steps
Analyzes whether physicians remain in-state after finishing residency training and if residency training programs are producing physicians that practice in medically underserved areas. Includes state-level percentages and national averages of residents who are International Medical Graduates, percent of physicians retained in state, plus other data specific to North Carolina.
Author(s): Erin Fraher, Julie Spero, Jessica Lyons, Helen Newton
Date: 03/2013
Type: Document
Sponsoring organization: Cecil G. Sheps Center for Health Services Research
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Examining the Impact of the Patient Protection and Affordable Care Act in North Carolina: Final Report
Reports on the issues related to the Patient Protection and Affordable Care Act including chapters focused on: the state Health Benefits Exchange; Medicaid; the safety net; health professional workforce; prevention; quality; new models of care; and fraud, abuse and overutilization. Discusses rural and underserved communities in North Carolina.
Date: 01/2013
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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North Carolina Institute of Medicine 2007 Task Force on Primary Care and Specialty Supply: Updates to Recommendations Implementation
Provides an update on the North Carolina Primary Care and Specialty Supply Task Force, which focuses on new models of primary care to ensure access to healthcare and expanding the supply of physicians, nurse practitioners, physician assistants and certified nurse midwives.
Date: 2013
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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North Carolina Rural Health Research and Policy Analysis Cartographic Archive
A list of maps in PDF that define rural and characterize rural America. Thematic maps cover demographics, frontier counties, health status, critical access hospitals, rural hospitals, skilled nursing facilities, and health workforce supply.
Date: 2013
Type: Map/Mapping System
Sponsoring organization: North Carolina Rural Health Research Program
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Employment Instability and Food Insecurity of Rural North Carolinians during the Recession
Explains results from a study based on information from the Family Life Project revealing resources that rural North Carolina residents used throughout the recession of 2007-2009.
Author(s): Allison De Marco, Lynne Vernon-Feagans, Martha Cox, et al.
Date: 12/2012
Type: Document
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Trends in Medical Education in North Carolina
Provides trends in the supply, specialty mix and distribution of physicians in North Carolina. Authors report that North Carolina retains about 40% of medical students educated in-state; 21% go into primary care and only 2% go into primary care in North Carolina's rural counties.
Author(s): Erin Fraher, Helen Newton, Jessica Lyons
Date: 09/2012
Type: Document
Sponsoring organization: Cecil G. Sheps Center for Health Services Research
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North Carolina’s ABCD Program: Using Community Care Networks to Improve the Delivery of Childhood Developmental Screening and Referral to Early Intervention Services
Describes the key elements of North Carolina’s Assuring Better Child Health and Development (ABCD) program that works to identify young children at risk for developmental disabilities and delays. Elements include identifying standardized screening tools and physician training, building knowledge of referral agencies, developing processes for tracking cases, and improving communication to bridge gaps in understanding.
Author(s): Sarah Klein, Douglas McCarthy
Date: 08/2009
Type: Document
Sponsoring organization: Commonwealth Fund
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Community Care of North Carolina: Building Community Systems of Care Through State and Local Partnerships
Highlights Community Care of North Carolina (CCNC), a public-private partnership of local providers forming a medical home for low-income adults and children. Includes references to rural.
Author(s): Douglas McCarthy, Kimberly Mueller
Date: 06/2009
Type: Document
Sponsoring organization: Commonwealth Fund
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Medical Homes Offer Comprehensive Care Approach
Describes the successes experienced by two health care centers that offer medical home services to their patients. Advocates in the Community Care of North Carolina and the Lakewood Health System in Staples, Minnesota describe their programs.
Author(s): Candi Helseth
Location: Rural Monitor, 2009(Spring)
Date: 05/2009
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Trauma in North Carolina
Provides an overview of rural trauma care in the state.
Type: Website
Sponsoring organization: North Carolina Department of Health and Human Services
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North Carolina Health Centers Research & Data
Provides maps of FQHC locations and communities experiencing shortages of primary care physicians. Also includes information on the populations served by health centers, services provided, staff, patient visits, costs of care, and use of electronic health information.
Type: Website
Sponsoring organization: National Association of Community Health Centers
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North Carolina Health Professions Data System (HPDS)
Collects and disseminates timely and reliable data on selected licensed health professionals in North Carolina.
Type: Website
Sponsoring organization: Cecil G. Sheps Center for Health Services Research
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ERS State Fact Sheet: North Carolina
Lists statistics on population, educational attainment, employment, income, farm characteristics, and farm financial indicators for the state.
Type: Website
Sponsoring organization: USDA Economic Research Service
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North Carolina KIDS COUNT Data Center (KCDC)
Provides data on child well-being for the state.
Type: Website
Sponsoring organization: Annie E. Casey Foundation
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North Carolina QuickFacts
Basic demographic and economic statistics for the state, with links to county-level data.
Type: Website
Sponsoring organization: U.S. Census Bureau
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North Carolina State Health Facts
The latest state-level data on demographics, health, and health policy, including health coverage, access, financing, and state legislation. Individual state profiles and 50-state comparisons.
Type: Database
Sponsoring organization: Kaiser Family Foundation
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Additional resources are available. See a full list of North Carolina Resources.


Last Updated: 12/5/2017