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North Carolina Resources

North Carolina Rural Health: Availability, Accessibility, and Affordability
Fact sheet containing statistics on various aspects of healthcare in rural North Carolina, including numbers of rural hospital closures since 2005, counties considered Health Professional Shortage Areas, and counties lacking OB-GYNs. Features a state map showing county health rankings as of 2019.
Date: 05/2020
Type: Document
Sponsoring organization: North Carolina Rural Center
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Appalachian Regional Commission: COVID-19 Updates and Resources
Information and resources for addressing COVID-19 in the Appalachian region. Includes resources and initiatives specific to the region and information for ARC grantees.
Date: 05/2020
Type: Website
Sponsoring organization: Appalachian Regional Commission
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North Carolina Community Health Center Association - COVID-19 Resources
Provides information and resources for health centers in North Carolina related to COVID-19, including clinical guidance, reimbursement and billing, telehealth, and human resources.
Date: 05/2020
Type: Website
Sponsoring organization: North Carolina Community Health Center Association
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North Carolina Department of Health and Human Services - Coronavirus Disease 2019 (COVID-19) Response in North Carolina
Resources and information on North Carolina's response to COVID-19, including executive orders, the state call center, information for healthcare providers, and cases in the state.
Date: 05/2020
Type: Website
Sponsoring organization: North Carolina Department of Health and Human Services
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Selected Rural Healthcare Facilities in North Carolina
Shows the state's Critical Access Hospitals (CAHs) and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites located outside of urbanized areas.
Date: 01/2020
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Development and Early Outcomes of the Watauga Compassionate Community Initiative, North Carolina
Examines the work of a rural North Carolina community group dedicated to promoting health and resiliency on the local level, by preventing childhood trauma and helping adults who had adverse childhood experiences. Describes their organizing model, including goals of raising awareness, using data to inform actions, and creating context for health families through policies.
Author(s): Tim Marema, Erin Bouldin
Citation: Journal of Appalachian Health, 2(1), 41-46
Date: 2020
Type: Document
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Health and Occupational Injury Experienced by Latinx Child Farmworkers in North Carolina, USA
Highlights a study on occupational injuries among Latinx child farmworkers in North Carolina. Presents children by age, gender, and migrant worker classification, among other measures.
Author(s): Thomas A. Arcury, Taylor J. Arnold, Sara A. Quandt, et al.
Citation: International Journal of Environmental Research and Public Health, 17(1), 248
Date: 12/2019
Type: Document
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Food and Beverage Options at Highway Rest Areas in North Carolina: A Mixed-Methods Audit and Geospatial Approach
Results of a 2018 study to determine the accessibility and healthfulness of food and beverages available at 24 rural and 6 urban North Carolina rest areas. Features statistics on characteristics of the rest areas, including distance from limited-service restaurants or convenience stores.
Author(s): Jared T. McGuirt, Grace Huebner, Rachel Ward, Stephanie B. Jilcott Pitts
Citation: Preventing Chronic Disease, 16
Date: 10/2019
Type: Document
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The Status of Women in North Carolina: Health & Wellness
Analyzes data on women's health, access to reproductive services, and experiences of sexual assault and intimate partner violence. Includes recommendations such as increasing women's access to healthcare, particularly in rural areas. Features statistics on various diseases and health conditions and county-level North Carolina maps showing mortality rates for breast cancer and heart disease.
Author(s): Elyse Shaw, Adiam Tesfaselassie
Date: 06/2019
Type: Document
Sponsoring organization: North Carolina Council for Women and Youth Involvement
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The Appalachian Region: A Data Overview from the 2013-2017 American Community Survey Chartbook
Presents data form the American Community Survey for Appalachia from 2013-2017. Details data pertaining to health insurance coverage, transportation, and internet access, among other measures.
Author(s): Kelvin Pollard, Linda A. Jacobsen
Date: 05/2019
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Spotlight on North Carolina: Best Practices and Next Steps in the Opioid Epidemic
Discusses the best practices for addressing the opioid epidemic in North Carolina. Details methods for increasing access to naloxone, medication-assisted treatment (MAT), and non-opioid comprehensive pain care.
Date: 05/2019
Type: Document
Sponsoring organizations: American Medical Association, Manatt Health, North Carolina Medical Society
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A Pilot Project to Increase Health Literacy among Youth from Seasonal Farmworker Families in Rural Eastern North Carolina: A Qualitative Exploration of Implementation and Impact
Details a project to improve health literacy among young people from seasonal farmworker families in North Carolina. Evaluates the intervention's implementation and outcomes. Presents participants by age, gender, and year in school, as well as home internet access.
Author(s): Israel M. Mendez, Mary Lisa Pories, Leah Cordova, et al.
Citation: Journal of the Medical Library Association, 107(2), 179-186
Date: 04/2019
Type: Document
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Controlled Substance Use Among Psychiatric Patients in a Rural North Carolina Emergency Department
Features a study on common substances used by patients entering rural emergency departments (EDs) seeking mental health treatment. Focuses on a single ED in North Carolina and presents data by race, gender, and substance used.
Author(s): Elizabeth Gignac, Godwin Y. Dogbey, Gregory Capece, et al.
Citation: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 20(2), 419-425
Date: 03/2019
Type: Document
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Latinx Child Farmworkers in North Carolina: Study Design and Participant Baseline Characteristics
Details a study on the health and wellness of Latinx children from ages 10 to 17 employed as agricultural workers in North Carolina. Bases conclusions on survey interviews of 202 children and presents data by year in school, years as a farm worker, and type of crops farmed, among other measures.
Author(s): Thomas A. Arcury, Taylor J. Arnold, Joanne C. Sandberg
Citation: American Journal of Industrial Medicine, 62(2), 156-167
Date: 02/2019
Type: Document
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Promising Practice: NC Office of Rural Health Helps Rural Providers Get Connected to HIT
Highlights the North Carolina Office of Rural Health Information Technology (ORH HIT) program. ORH HIT is working to connect behavioral health and other healthcare providers through a state health information exchange (HIE).
Author(s): Beth Blevins
Date: 02/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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North Carolina Mental Health - Health Professional Shortage Areas (HPSA)
North Carolina map showing counties with a population or geographic Mental Health HPSA and counties with at least one facility HPSA.
Date: 01/2019
Type: Map/Mapping System
Sponsoring organization: North Carolina Department of Health and Human Services
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North Carolina Dental Health - Health Professional Shortage Areas (HPSA)
North Carolina map showing counties with a population or geographic Dental Health HPSA and counties with at least one facility HPSA.
Date: 01/2019
Type: Map/Mapping System
Sponsoring organization: North Carolina Department of Health and Human Services
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North Carolina Primary Care - Health Professional Shortage Areas (HPSA)
North Carolina map showing counties with a population or geographic Primary Care HPSA and counties with at least one facility HPSA.
Date: 01/2019
Type: Map/Mapping System
Sponsoring organization: North Carolina Department of Health and Human Services
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North Carolina Counties Designated Health Professional Shortage Areas SFY 2019
County-level map showing Health Professional Shortage Areas for primary care, dental health, and/or mental health.
Date: 01/2019
Type: Map/Mapping System
Sponsoring organization: North Carolina Department of Health and Human Services
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Perceived Benefits of Peer Support Groups for Stroke Survivors and Caregivers in Rural North Carolina
Describes the experiences of stroke survivors and caregivers in four rural North Carolina counties who participated in peer support groups. Findings based on four focus groups with 32 participants, who were predominantly non-Hispanic, white, and female, with an average age of 67.
Author(s): Erin R. Christensen, Shannon L. Golden, Sabina B. Gesell
Citation: North Carolina Medical Journal, 80(3), 143-148
Date: 2019
Type: Document
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Identifying Priority and "Bright-Spot" Counties for Diabetes Preventive Care in Appalachia: An Exploratory Analysis
Details a study of type 2 diabetes prevalence and mortality in rural Appalachian counties and compares rates with non-Appalachian counties.
Author(s): Peter J. Mallow, Michael Topmiller, Jennifer Rankin, Jene Grandmont, David Grolling
Citation: Journal of Appalachian Health, 1(1), 27-33
Date: 2019
Type: Document
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Serum Cotinine Versus Parent Reported Measures of Secondhand Smoke Exposure in Rural Appalachian Children
Highlights a study of secondhand smoke exposure in Appalachian children. Features data collected from children aged 7-9 and compares rates to national and Appalachian-state rates.
Author(s): Samrat Yeramaneni, Kimberly Yolton, Kurunthachalam Kannan, Kim N. Dietrich, Erin N. Haynes
Citation: Journal of Appalachian Health, 1(1), 15-26
Date: 2019
Type: Document
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The Social Determinants of Health and the Decline in U.S. Life Expectancy: Implications for Appalachia
Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
Type: Document
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Looking Back But Leaning Forward: New Opportunities and Challenges for North Carolina's Rural Communities
Issue brief describing efforts among local and state leaders to promote community engagement in rural North Carolina and to address shortages of physicians and advanced practitioners. Also examines challenges faced by rural North Carolina hospitals, uses of telemedicine, plans to promote quality care for children and families, and recommendations for the future.
Author(s): Thomas G. Irons, Margaret L. Sauer
Citation: North Carolina Medical Journal, 79(6), 366-371
Date: 11/2018
Type: Document
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Telestroke Adoption among Community Hospitals in North Carolina: A Cross-sectional Study
Discusses the advantages of implementing telestroke in rural acute care hospitals, including Critical Access Hospitals (CAHs), where stroke mortality is higher than in urban settings. Identifies the community and hospital characteristics associated with the adoption of the telestroke approach in acute care hospitals in North Carolina.
Author(s): Christopher M. Shea, Amir Alishahi Tabriz, Kea Turner, Steve North, Kristin L. Reiter
Citation: Journal of Stroke and Cerebrovascular Diseases, 27(9), 2411-2417
Date: 09/2018
Type: Document
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Making the EHR Work: Rural Healthcare Organizations Use Data Extraction to Improve Patient Care
Discusses how rural organizations can use their electronic health record (EHR) data to address population health. Features data analytics programs at the White House Clinics in rural Appalachian Kentucky and Harris Regional Hospital in western North Carolina. Also discusses preparation of the rural health information technology (HIT) workforce.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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2018 Update on Priority Strategies: North Carolina Rural Health Action Plan
Details the progress North Carolina has made in 6 priority areas outlined in the 2014 Rural Health Action Plan. These include investment in local industries, ensuring that childhood settings promote educational success, encouraging healthy eating and active living, screening for and treating substance abuse and mental health issues, educating people about insurance and safety net options, and creating incentives to support recruitment and retention of providers to underserved areas.
Date: 08/2018
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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Running the Numbers: County Level Dynamics of Heroin Mortality in North Carolina
Presents a study on opioid overdose mortality in North Carolina. Compares counties that have higher rates of overdose mortality with those with lower rates and aims to identify the factors that contribute to those rates.
Author(s): Alexander H Gunn, Bryce Bartlett, Grace Feng, et al.
Citation: North Carolina Medical Journal, 79(3), 195-200
Date: 05/2018
Type: Document
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The Appalachian Region: A Data Overview from the 2012-2016 American Community Survey
Provides 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 states with Appalachian regions. Includes breakdowns by five levels of urban or rural county types.
Author(s): Kelvin Pollard, Linda A. Jacobsen
Date: 03/2018
Type: Document
Sponsoring organization: Appalachian Regional Commission
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The Physician Assistant Workforce In North Carolina
Describes the current supply of physician assistants (PAs) in North Carolina, examining demographic trends, practice locations, demand for services, and trends in education. Includes a county-level map showing concentrations of PAs as of 2016, statistics on growth of the PA workforce in North Carolina from 2000-2016, and diversity of the North Carolina population and PA workforce as of 2016, with breakdowns by ethnic or racial groups. Also includes a county-level map showing locations of PA programs in North Carolina, with shadings for urban and non-urban counties, and statistics on enrollments in PA programs, 2015-2017.
Author(s): Julie C. Spero, Zahabiya Petiwala
Date: 01/2018
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Workforce Outcomes of North Carolina Medical School Graduates: A Report to the Joint Legislative Oversight Committee on Health and Human Services and the Joint Legislative Education Oversight Committee
Describes the identity, location, and number of positions for medical school in North Carolina, identifies the numbers of graduates of medical education in various specialty areas, and tracks outcomes of graduates in primary care, obstetrics and gynecology, and psychiatry 5 years after completing training. Features statistics including percent of graduates in training or practice in rural areas 2008-2011, with breakdowns by four North Carolina medical schools.
Author(s): Julie C. Spero, Erin P. Fraher
Date: 01/2018
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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The Workforce Outcomes of Physicians Completing Residency Programs in North Carolina
Describes the identity, location, and number of graduate medical education (GME) training programs in North Carolina, identifies the numbers of GME program graduates in various medical specialty areas, and tracks outcomes of graduates 5 years after completing training. Includes statistics with breakdowns by urban or rural areas of North Carolina.
Author(s): Erin P. Fraher, Julie C. Spero, Evan Galloway, Jim Terry
Date: 01/2018
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Mental Health Disparities: Appalachian People
Breaks down the mental health disparities across Appalachia. Looks at behavioral health indicators, such as rates of depression, excessive drinking, and suicide, among others, as well as social determinants indicators, such as median household income, poverty, and education, among others.
Date: 2018
Type: Document
Sponsoring organization: American Psychiatric Association
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Benefits for African American and White Low-Income 7–10-year-old Children and Their Parents Taught Together in a Community-Based Weight Management Program in the Rural Southeastern United States
Examines if African American and white children and adults from two rural North Carolina counties benefited equally from a community-based weight management intervention. Covers statistics by demographic characteristics, race and marital status, employment, occupation, income, and more.
Author(s): Diane C. Berry, Robert G. McMurray, Todd A. Schwartz, Reuben Adatorwovor
Citation: BMC Public Health, 18, 1107
Date: 2018
Type: Document
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Evaluation of a Potential New Health Sciences School at The University of North Carolina at Pembroke to Meet the Needs of the Region and State
Results of a study exploring the feasibility of establishing a School of Health Sciences and Health Care in Robeson County, a rural high-poverty area ranked among the worst for health outcomes in North Carolina in 2016. Features statistics on the North Carolina workforce and education programs in optometry, occupational therapy, nutrition and dietetics, as well as physician assistants and nurse practitioners.
Author(s): Julie C. Spero, Thomas J. Bacon, Evan M. Galloway, et al.
Date: 12/2017
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Direct Effects of the Home, School, and Consumer Food Environments on the Association Between Food Purchasing Patterns and Dietary Intake among Rural Adolescents in Kentucky and North Carolina, 2017
Analyzes the effects of food shopping habits and food environments in the home, school, and consumer settings on dietary intake among rural adolescents living in Kentucky and North Carolina. Examines the association, if any, with the rural versus urban adolescent obesity disparity.
Author(s): Alison Gustafson, Stephanie Jilcott Pitts, Jordan McDonald, et al.
Citation: International Journal of Environmental Research and Public Health, 14(10), 1255
Date: 10/2017
Type: Document
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Responding to Health and Social Needs of Aging Latinos in New-growth Communities: A Qualitative Study
A study examining the health and social needs of elderly Latinos in rural eastern North Carolina conducted by an interprofessional team - the Aging Latino Research Team (ALRT) - composed of health and social service providers, Latino leaders, and university faculty.
Author(s): Kim Larson, Holly F. Mathews, Essie Torres, C. Suzanne Lea
Citation: BMC Health Services Research, 17, 601
Date: 08/2017
Type: Document
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Medical-Legal Partnership Addresses Social Determinants of Health
Explores how FirstHealth of the Carolinas, a private, nonprofit healthcare network based in Pinehurst, North Carolina, reduced emergency department utilization and hospital readmission rates systemwide through the use of transitional care clinics (TCCs) and medical-legal partnerships (MLPs). Highlights how addressing non-medical factors can affect health outcomes.
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Value
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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: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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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 by increasing access to care, particularly within the low-income and uninsured populations. Interview covers challenges faced, successes, lessons learned, network characteristics, recommendations for other networks, and more.
Date: 01/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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North Carolina State Designated Rural Health Centers: SFY 2017
North Carolina map showing Rural Health Center site county coverage and locations of the 17 state designated Rural Health Center sites.
Date: 2017
Type: Map/Mapping System
Sponsoring organization: North Carolina Department of Health and Human Services
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Farmers' Market Challenges in a Rural Setting: A Case Study of the Elaney Wood Heritage Farmers Market
Highlights challenges experienced by a farmers market in Snow Hill, North Carolina. Describes efforts to build both a customer base and a vendor base.
Date: 12/2016
Type: Document
Sponsoring organization: Rural Advancement Foundation International
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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, James Hibbert, Janice C. Probst
Date: 07/2016
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the 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
Citation: 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 (CAHs) and other rural hospitals having at least ten births in 2010 by analyzing data derived from a telephone survey conducted in 9 states. Includes data for each state on hospital and provider characteristics, and services provided for labor and delivery.
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 and 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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A Report on Health Care Resources in North Carolina: North Carolina Health Professions 2014 Data Book
Describes the supply and distribution in 2014 of licensed individuals in 19 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): Julie C. Spero, Jim Terry, Kathryn Lavoie, et al.
Date: 04/2016
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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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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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
Citation: Rural Monitor
Date: 11/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Longitudinal Assessment of Blood Cholinesterase Activities Over Two Consecutive Years Among Latino Non-farmworkers 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 A. Quandt, Carey N. Pope, Haiying Chen, Phillip Summers, Thomas A. Arcury
Citation: Journal of Occupational & Environmental Medicine, 57(8), 851-857
Date: 08/2015
Type: Document
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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
Citation: Rural and Remote Health, 15(1), 3076
Date: 02/2015
Type: Document
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Finding and Keeping Health Care Providers in Rural Communities: Culture Change in Recruitment at Rural Health Group
Discusses the importance of developing a team-based, patient-centered care culture that emphasizes relational, interpersonal, and leadership skills as a method for the effective recruitment of healthcare providers in rural communities.
Author(s): Brian O. Harris
Citation: North Carolina Medical Journal, 76(1), 29-33
Date: 01/2015
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
Citation: 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.
Citation: 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
Citation: 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
Citation: 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.
Citation: 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
Citation: 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.
Citation: 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. See also: 2018 Update on Priority Strategies.
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: The Cecil G. Sheps Center for Health Services Research
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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
Citation: 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.
Citation: Preventive Medicine, 67(S1), 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.
Citation: 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 Health Information Technology (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 8 states. Identifies community health team programs that provide services such as care coordination and self-management coaching. Includes information on 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: The 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 issues related to the Patient Protection and Affordable Care Act (ACA), 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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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
Examines how retention in North Carolina after graduation, choice of specialty, and practice location vary between North Carolina's 4 medical schools. Seeks to provide the data and information necessary to plan for North Carolina's future physician workforce needs.
Author(s): Erin Fraher, Helen Newton, Jessica Lyons
Date: 09/2012
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Journal of Appalachian Health
Highlights issues relating to the health and wellness of rural Appalachian communities. Features peer-reviewed, open access research on health outcomes in Appalachia.
Type: Journal/Newsletter
Sponsoring organization: University of Kentucky College of Public Health
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Rural Syringe Services Program
Features links for resources related to syringe services, including recommendations and reasons for establishing a syringe service program, types of programs, and examples of successful programs. Includes information on state laws in Kentucky, North Carolina, West Virginia, Tennessee, and Virginia allowing the establishment of syringe services programs.
Type: Website
Sponsoring organization: Harm Reduction Coalition
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Creating a Culture of Health in Appalachia: Disparities and Bright Spots
An initiative focused on health outcomes in Appalachian communities. Provides access to health disparities data on health status, healthcare delivery, and social determinants of health indicators for counties within the rural Appalachian region. Also identifies and provides case studies of "Bright Spots", counties in the region with better-than-expected health outcomes.
Type: Website
Sponsoring organizations: Appalachian Regional Commission, Foundation for a Healthy Kentucky, Robert Wood Johnson Foundation
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Rural Trauma in North Carolina
Provides an overview of rural trauma care in the state, including map showing rural and urban counties.
Type: Website
Sponsoring organization: North Carolina Department of Health and Human Services
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North Carolina Health Professions Supply Data
Data system providing demographic information on active, licensed health professionals practicing in North Carolina as of October 31 of each data year. Searchable by profession and specialty.
Type: Website
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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ERS State Fact Sheet: North Carolina
State-level data on population, poverty, food security, educational attainment, employment, and income. Includes data for rural areas, urban areas, and the state as a whole.
Type: Website
Sponsoring organization: USDA Economic Research Service
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North Carolina KIDS COUNT Data Center
Provides data on child well-being for the state. Covers demographics, economic well-being, education, family and community, health, and safety and risky behaviors. Some data available by county.
Type: Website
Sponsoring organization: Annie E. Casey Foundation
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North Carolina QuickFacts
State-level data on demographics, housing, income, and other social determinants of health, with the option to add data for counties and cities and towns with a population of 5,000 or more. Includes information from multiple U.S. Census Bureau censuses, surveys, and programs.
Type: Website
Sponsoring organization: U.S. Census Bureau
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North Carolina State Health Facts
State-level data on demographics, health status, healthcare costs and access, healthcare providers, and more.
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: 6/4/2020