North Carolina Resources

Bypass of Local Surgical Care in North Carolina: Patient-Directed Care Destination and Utilization
Examines patient bypass of nearest surgical hospital (NSH) in North Carolina. Utilizes 2016-2019 patient data to analyze bypassing of local surgery care according to rurality of NSH and facility characteristics, general surgery workforce density by county, and patient characteristics, including residence of metro, micro, small town, or rural area.
Author(s): Mustafa Abid, Tyler Malone, Mark Holmes, Anthony Charles
Citation: The American Surgeon
Date: 02/2026
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Learning Modalities During COVID-19 and Adolescent Mental Health in North Carolina
Examines virtual, hybrid, and in-person learning modalities and their impact on adolescent mental health during the COVID-19 pandemic. Analyzes mental health emergency department (ED) visits in North Carolina alongside county-level information on learning modalities used over time. Provides rural versus urban data on impacts of learning modality on mental health.
Author(s): Justin Cole Gilbert, Martie P. Thompson, Sophia Ryan, Manan Roy
Citation: Journal of School Health, 96(1), e70093
Date: 01/2026
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Trends in Non-Emergency Medical Transportation During Medicaid Transformation in North Carolina
Examines the impact of Medicaid transformation on non-emergency medical transportation (NEMT) services in North Carolina in the shift from fee-for-service (FFS) to Managed Care. Utilizes 2019-2023 Medicaid claims data to analyze NEMT service provision trends according to cost, travel mode, public versus private provider, and urban versus rural geography.
Author(s): Evan Iacobucci, Noreen McDonald
Citation: North Carolina Medical Journal, 86(4)
Date: 12/2025
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Community Healers: How Cherokee Indian Hospital Authority Leads in Health and Wellness
Discusses how the Cherokee Indian Hospital Authority (CIHA) addresses the health needs of its community, by integrating Cherokee culture and Western medical care as a way to improve community health. Documents CIHA's work in promoting relationships between federal and state entities and Native Nations.
Author(s): Hailey A. Baker, Mariana Tuttle, Katy Backes Kozhimannil
Date: 12/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Co-Creating and Disseminating Substance Use and Vaping Educational Videos, Question Prompt Lists, and Other Resources in Partnership with Community Organizations and Youth in Western North Carolina
Describes the development of and evaluates the social media reach of a youth empowerment program addressing substance use in rural North Carolina. Discusses the inclusion of youth in the development process.
Author(s): Betsy Sleath, Abena A. Adjei, Jeremy Lowery, et al.
Citation: PEC Innovation, 7
Date: 12/2025
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Selected Rural Healthcare Facilities in North Carolina
Shows the state's Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites and short term/PPS (Prospective Payment System) hospitals located in rural areas.
Date: 12/2025
Sponsoring organization: Rural Health Information Hub
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FY 2025: HRSA's Rural Health Grants – North Carolina Fact Sheet
HRSA Federal Office of Rural Health Policy investments in North Carolina in Fiscal Year 2025. Lists grant recipients, award amounts, award recipient locations, and congressional district.
Date: 11/2025
Sponsoring organization: Federal Office of Rural Health Policy
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Unpacking the Primary Care Clinician Index: Understanding How Changes in Population and Workforce Supply Affect Access to Primary Care in North Carolina
Analyzes the primary care clinician supply between 2017 and 2024 to identify how it has changed with regard to physician, population, and geographic characteristics including rurality. Discusses how the studied characteristics indicate access to care. Discusses the role of the nurse practitioner workforce in increasing access to care.
Author(s): Evan Galloway, Brianna Lombardi, Erin Fraher
Citation: North Carolina Medical Journal, 86(3)
Date: 10/2025
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Strength in Community: Native Youth Leading HPV Cancer Prevention
Discusses the Southeastern American Indian Cancer Health Equity Partnership (SAICEP), a cancer prevention initiative focused on addressing cancer burdens through partnerships with North Carolina's tribal nations and urban Indian organizations. Details SAICEP's current initiative to encourage youth cancer prevention advocacy, including strategies related to human papillomavirus (HPV) vaccination, tobacco use reduction, and sun safety.
Author(s): Ryan Dial
Date: 10/2025
Sponsoring organization: St. Jude Children's Research Hospital
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North Carolina Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in North Carolina in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 10/2025
Sponsoring organization: WWAMI Rural Health Research Center
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