North Carolina Resources
Addressing Behavioral Health Needs in Rural North Carolina: A Community Paramedicine Approach
Profiles a mobile integrated healthcare-community paramedicine (MIH-CP) model in rural western North Carolina that supports rural residents with complex medical, behavioral health, and social needs. Discusses the MIH-CP's behavioral healthcare staffing, funding, and services, providing implementation strategies for rural areas interested in expanding sustainable community paramedicine services.
Author(s): Ashley Jasko
Date: 10/2026
Sponsoring organization: Center for Health Care Strategies
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Profiles a mobile integrated healthcare-community paramedicine (MIH-CP) model in rural western North Carolina that supports rural residents with complex medical, behavioral health, and social needs. Discusses the MIH-CP's behavioral healthcare staffing, funding, and services, providing implementation strategies for rural areas interested in expanding sustainable community paramedicine services.
Author(s): Ashley Jasko
Date: 10/2026
Sponsoring organization: Center for Health Care Strategies
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Physician Transitions out of Clinical Practice: Age, Sex, Generational, and Specialty Effects
Analyzes licensure data to identify demographic, specialty, and geographic associations with retirement or temporary exit from clinical practice among 74,271 North Carolina physicians between 2005 and 2024.
Author(s): Erin Fraher
Citation: Health Affairs Scholar, 4(10)
Date: 09/2026
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Analyzes licensure data to identify demographic, specialty, and geographic associations with retirement or temporary exit from clinical practice among 74,271 North Carolina physicians between 2005 and 2024.
Author(s): Erin Fraher
Citation: Health Affairs Scholar, 4(10)
Date: 09/2026
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North Carolina Rural Health and Opportunities for Transformation
Issue of the North Carolina Medical Journal, containing articles describing successes in North Carolina rural health and ways in which obstacles are being addressed. Topics include data collection, graduate medical education, emergency care, affordability, the Rural Health Transformation Program, AI, and more.
Citation: North Carolina Medical Journal, 87(3)
Date: 09/2026
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Issue of the North Carolina Medical Journal, containing articles describing successes in North Carolina rural health and ways in which obstacles are being addressed. Topics include data collection, graduate medical education, emergency care, affordability, the Rural Health Transformation Program, AI, and more.
Citation: North Carolina Medical Journal, 87(3)
Date: 09/2026
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Closer to Home: Strengthening Rural Emergency Care Through EMS, Trauma Systems, and Mobile Integrated Health
Describes ways in which North Carolina is improving rural healthcare by connecting emergency medical services, mobile integrated health, and trauma systems. Discusses the state's Rural Health Transformation Program (RHTP) investment and offers suggestions for ensuring sustainable funding, workforce investment, and regional partnerships.
Author(s): Kimberly Clement
Citation: North Carolina Medical Journal, 87(3)
Date: 09/2026
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Describes ways in which North Carolina is improving rural healthcare by connecting emergency medical services, mobile integrated health, and trauma systems. Discusses the state's Rural Health Transformation Program (RHTP) investment and offers suggestions for ensuring sustainable funding, workforce investment, and regional partnerships.
Author(s): Kimberly Clement
Citation: North Carolina Medical Journal, 87(3)
Date: 09/2026
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A Community-Focused Rural Academic Health Department Model in North Carolina: Elevating Community Engagement, Rural Public Health Practice and Research
Examines the collaboration among a rural district health department, the local community in north-central North Carolina, and academic partnerships. Discusses the development of a rural academic health department (RAHD) and its work related to public health research and interventions in rural areas.
Author(s): Carmen D. Samuel-Hodge, Lisa Macon Harrison, Wendy Smith, et al.
Citation: Frontiers in Public Health, 14
Date: 09/2026
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Examines the collaboration among a rural district health department, the local community in north-central North Carolina, and academic partnerships. Discusses the development of a rural academic health department (RAHD) and its work related to public health research and interventions in rural areas.
Author(s): Carmen D. Samuel-Hodge, Lisa Macon Harrison, Wendy Smith, et al.
Citation: Frontiers in Public Health, 14
Date: 09/2026
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North Carolina RHT Program Annual Report - Year 1
Reports on the first year of the Rural Health Transformation Program (RHTP) in North Carolina. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each initiative funded by RHTP.
Date: 08/2026
Sponsoring organization: North Carolina Department of Health and Human Services
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Reports on the first year of the Rural Health Transformation Program (RHTP) in North Carolina. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each initiative funded by RHTP.
Date: 08/2026
Sponsoring organization: North Carolina Department of Health and Human Services
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Factors Associated With COVID-19 Vaccine Hesitancy and Preferred Sources of Health Information Among Medically Underserved Populations in North Carolina
Results of a study of vaccine hesitancy in North Carolina, using data from 918 participants in 40 rural counties with high Primary Care Health Professional Shortage Area scores, who completed a survey in the summer of 2021. Features demographics and other statistics.
Author(s): Celeste R. Gracey, Godwin Y. Dogbey, David R. Tillman, Amy N. Hinkelman
Citation: North Carolina Medical Journal
Date: 08/2026
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Results of a study of vaccine hesitancy in North Carolina, using data from 918 participants in 40 rural counties with high Primary Care Health Professional Shortage Area scores, who completed a survey in the summer of 2021. Features demographics and other statistics.
Author(s): Celeste R. Gracey, Godwin Y. Dogbey, David R. Tillman, Amy N. Hinkelman
Citation: North Carolina Medical Journal
Date: 08/2026
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Lung Cancer Screening Access and Cancer Stage at Diagnosis Among American Indian and White Patients
Examines the association between geographic access to low-dose computed tomography (LDCT) lung cancer screening facilities and stage at diagnosis among American Indians and Alaska Natives (AI/AN) and non-Hispanic White (NHW) adults in North Carolina. Utilizes 2016-2020 cancer registry and health insurance claims data to analyze 18,154 lung cancer patients according to distance to nearest LDCT, sociodemographic variables, and geography.
Author(s): Bradford E. Jackson, Madison Uhrin, Stephanie B. Wheeler, et al.
Citation: Journal of Rural Health, 42(3), e70207
Date: 08/2026
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Examines the association between geographic access to low-dose computed tomography (LDCT) lung cancer screening facilities and stage at diagnosis among American Indians and Alaska Natives (AI/AN) and non-Hispanic White (NHW) adults in North Carolina. Utilizes 2016-2020 cancer registry and health insurance claims data to analyze 18,154 lung cancer patients according to distance to nearest LDCT, sociodemographic variables, and geography.
Author(s): Bradford E. Jackson, Madison Uhrin, Stephanie B. Wheeler, et al.
Citation: Journal of Rural Health, 42(3), e70207
Date: 08/2026
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The Appalachian Region: A Data Overview from the 2020-2024 American Community Survey Chartbook
Provides state- and county-level information on population, age, household characteristics, housing occupancy, education, labor force, employment, transportation, income, health insurance coverage, disability, and veteran status for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Sara Srygley, Nurfadila Khairunnisa, Diana Elliott
Date: 08/2026
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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Provides state- and county-level information on population, age, household characteristics, housing occupancy, education, labor force, employment, transportation, income, health insurance coverage, disability, and veteran status for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Sara Srygley, Nurfadila Khairunnisa, Diana Elliott
Date: 08/2026
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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Reimagining Rural Maternal and Child Health
Describes Rural Health Transformation Program efforts in 6 states addressing maternal and child health through workforce recruitment and retention, technology and regional hubs, and integrated care models.
Date: 08/2026
Sponsoring organization: National Governors Association
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Describes Rural Health Transformation Program efforts in 6 states addressing maternal and child health through workforce recruitment and retention, technology and regional hubs, and integrated care models.
Date: 08/2026
Sponsoring organization: National Governors Association
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Additional resources are available. See a full list of North Carolina Resources.