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Rural Health Information Hub

North Carolina Resources

Co-located Critical Access & Behavioral Health Hospital: Charles A. Cannon Jr. Memorial Hospital and Appalachian Regional Behavioral Hospital
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Type: Document
Sponsoring organization: American Hospital Association
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After Two Years of Covid, Economic and Health Woes Persist in Diverse North Carolina Counties
Compares urban Mecklenburg County with rural Anson County and the differing impacts of COVID-19 on the areas. Discusses income, employment, housing, residential segregation, and the availability of hospital beds for COVID-19 treatment in the North Carolina counties.
Author(s): Ari Pinkus, Dante Chinni
Date: 05/2022
Type: Document
Sponsoring organization: American Communities Project
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Supporting Community-Based Family Medicine Residency Training Programs in North Carolina and their Potential Impact on Healthy NC 2030
Examines ways in which training family medicine residents in rural North Carolina communities can address disparities in healthcare access and improve rural population health metrics for all subsets of the population. Describes Healthy NC 2030, a public health initiative that seeks to bridge healthcare disparities in North Carolina. Features a county-level map showing locations of training programs in rural settings and urban settings, and statistics on the distribution of family medicine residency positions in North Carolina, with breakdowns by rural or urban setting.
Author(s): Audy G. Whitman, Geniene Jones, Danny Pate, et al.
Citation: North Carolina Medical Journal, 83(3), 173-177
Date: 05/2022
Type: Document
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Primary Care Clinicians in Low-Access Counties
Evaluates the weighted contribution of advanced practice providers to the primary care workforce in well-served and underserved counties in North Carolina. Features statistics on population per primary care clinician by North Carolina county and composition of the North Carolina primary care workforce from 2017-2019, and a county-level map with shadings showing percentages of nurse practitioners, physician assistants, and certified nurse-midwives in 2017-2019.
Author(s): Adam J. Zolotor, Evan Galloway, Margaret Beal, Erin P. Fraher
Citation: North Carolina Medical Journal, 83(3), 163-168
Date: 05/2022
Type: Document
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A Hybrid Implementation-Effectiveness Study of a Community Health Worker-Delivered Intervention to Reduce Cardiovascular Disease Risk in a Rural, Underserved Non-Hispanic Black Population: The CHANGE Study
Examines a sample of 255 Black participants on the effectiveness of the Carolina Heart Alliance Networking for Greater Equity (CHANGE) Program delivered by Community Health Workers (CHW) to rural adults in North Carolina. Provides information on program content, participant characteristics, implementation variables, and overall program effectiveness on blood pressure, nutritious eating, and physical activity.
Author(s): Carmen D. Samuel-Hodge, Ziya Gizlice, Sallie D. Allgood, et al.
Citation: American Journal of Health Promotion
Date: 04/2022
Type: Document
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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 and short term/PPS hospitals located outside of urbanized areas.
Date: 04/2022
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Bridging the Urban-Rural Divide in Chronic Disease Through Community Engagement in Health Program Delivery
Discusses health disparities in rural versus urban communities in North Carolina and possible solutions for community-centered change. Includes charts and maps that detail rural-urban differences in mortality, heart disease, and housing problems.
Author(s): Lori Carter-Edwards, Monica M. Taylor
Citation: North Carolina Medical Journal, 83(2), 103-106
Date: 03/2022
Type: Document
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Uncaring Landscapes and HIV Peer Support in the Rural Southern United States
Presents oral histories of an HIV peer support group and interviews with queer-identified Black men in a rural southern area. Discusses the impact of social determinants such as racism, stigma, and social disconnection specific to this population and their related health disparities.
Author(s): Darius Scott
Citation: Social Science & Medicine, 292
Date: 01/2022
Type: Document
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The Clinical and Business Cases for Opening a Maternity Care Unit in a CAH
A case study of a rural North Carolina partnership that worked together to add a new wing for a maternity unit at a 25-bed Critical Access Hospital. Explains how the service was planned to be financially viable. Describes maternal and infant health disparities in the region and discusses how this new service will meet the needs of the population with culturally and linguistically accessible care.
Date: 01/2022
Type: Document
Sponsoring organization: American Hospital Association
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Online Pilot Grocery Intervention Among Rural and Urban Residents Aimed to Improve Purchasing Habits
Results of a study comparing food purchase choices of 129 rural and urban adults in 7 counties in Kentucky, Maryland, and North Carolina who shopped at online or brick-and-mortar stores during an 8-week-long intervention in the fall of 2021. Features statistics including intervention effect of fruit and vegetable purchases during the study, and demographics with breakdowns by urban or rural location.
Author(s): Alison Gustafson, Rachel Gillespie, Emily DeWitt, et al.
Citation: International Journal of Environmental Research and Public Health, 19(2), 871
Date: 01/2022
Type: Document
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Additional resources are available. See a full list of North Carolina Resources.


Last Updated: 7/5/2022