North Carolina Resources
Community Voices from North Carolina's Healthy Opportunities Pilots Program: Implications for Designing and Evaluating Programs to Address Upstream Drivers of Health
Describes experiences of participants in North Carolina's Healthy Opportunities Pilots program, including enrollees, care managers, and staff at community-based organizations. The program tested impacts of providing services to eligible Medicaid members to address upstream drivers of health in 3 predominantly rural regions of the state.
Author(s): Alida Austin, Katie Huber, Brianna Van Stekelenburg, Kody Kinsley, Rebecca Whitaker
Date: 07/2026
Sponsoring organizations: Duke-Margolis Institute for Health Policy, Milbank Memorial Fund
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Describes experiences of participants in North Carolina's Healthy Opportunities Pilots program, including enrollees, care managers, and staff at community-based organizations. The program tested impacts of providing services to eligible Medicaid members to address upstream drivers of health in 3 predominantly rural regions of the state.
Author(s): Alida Austin, Katie Huber, Brianna Van Stekelenburg, Kody Kinsley, Rebecca Whitaker
Date: 07/2026
Sponsoring organizations: Duke-Margolis Institute for Health Policy, Milbank Memorial Fund
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Putting the Roadmap to a Comprehensive State Graduate Medical Education Strategy into Practice: State Perspectives
Explores ways in which Missouri, North Carolina, and Wisconsin are planning and implementing aspects of their state graduate medical education strategies. Offers insights for other states investigating ways to sustain a rural healthcare workforce and considering a "grow your own" approach to expanded residency training.
Author(s): Lori Rodefeld, Raquel Davis, Erin P. Fraher, et al.
Date: 07/2026
Sponsoring organization: Milbank Memorial Fund
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Explores ways in which Missouri, North Carolina, and Wisconsin are planning and implementing aspects of their state graduate medical education strategies. Offers insights for other states investigating ways to sustain a rural healthcare workforce and considering a "grow your own" approach to expanded residency training.
Author(s): Lori Rodefeld, Raquel Davis, Erin P. Fraher, et al.
Date: 07/2026
Sponsoring organization: Milbank Memorial Fund
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Is Access to Primary Care Clinicians Improving in North Carolina? A 2025 Update
Blog post providing updated information on the ratio of North Carolina population to primary care clinicians. Provides county-level maps with shadings showing better or worse access to primary care as of 2025 and percentage change in access from 2017-2025.
Author(s): Evan Galloway
Date: 06/2026
Sponsoring organizations: Sheps Health Workforce NC, The Cecil G. Sheps Center for Health Services Research
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Blog post providing updated information on the ratio of North Carolina population to primary care clinicians. Provides county-level maps with shadings showing better or worse access to primary care as of 2025 and percentage change in access from 2017-2025.
Author(s): Evan Galloway
Date: 06/2026
Sponsoring organizations: Sheps Health Workforce NC, The Cecil G. Sheps Center for Health Services Research
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The Economic Impact of North Carolina's Hospitals
Reports on the statewide and regional economic contributions of 113 hospitals across North Carolina. Features statistics including number of hospitals by county designation and number of beds, with breakdowns by nonmetropolitan, micropolitan, and metropolitan areas.
Additional links: Infographic, Technical Documentation
Author(s): Sara Nienow, Carly Dotson
Date: 05/2026
Sponsoring organization: North Carolina Healthcare Association
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Reports on the statewide and regional economic contributions of 113 hospitals across North Carolina. Features statistics including number of hospitals by county designation and number of beds, with breakdowns by nonmetropolitan, micropolitan, and metropolitan areas.
Additional links: Infographic, Technical Documentation
Author(s): Sara Nienow, Carly Dotson
Date: 05/2026
Sponsoring organization: North Carolina Healthcare Association
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North Carolina Mental Health & Substance Use Services Workforce Data 2024 Snapshot: Addiction Counselors
Offers statistics on number of addiction counselors in North Carolina, with breakdowns by type; demographics; county-level maps showing number of licensed clinical addiction specialists and certified drug and alcohol counselors per 10,000 population; and metro and nonmetro rate to 10,000 population by credential type, as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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Offers statistics on number of addiction counselors in North Carolina, with breakdowns by type; demographics; county-level maps showing number of licensed clinical addiction specialists and certified drug and alcohol counselors per 10,000 population; and metro and nonmetro rate to 10,000 population by credential type, as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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North Carolina Mental Health & Substance Use Services Workforce Data 2024 Snapshot: Certified Community Health Workers
Presents statistics on numbers of community health workers (CHWs) in North Carolina with breakdowns by metro and nonmetro areas, statistics on certification level, and a county-level map showing numbers of CHWs per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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Presents statistics on numbers of community health workers (CHWs) in North Carolina with breakdowns by metro and nonmetro areas, statistics on certification level, and a county-level map showing numbers of CHWs per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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North Carolina Mental Health & Substance Use Services Workforce Data 2024 Snapshot: Certified Peer Support Specialists
Presents statistics on North Carolina peer support specialists, including demographics, rate per 10,000 population with breakdowns by metro and nonmetro areas, and a county-level map showing rate per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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Presents statistics on North Carolina peer support specialists, including demographics, rate per 10,000 population with breakdowns by metro and nonmetro areas, and a county-level map showing rate per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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Access to Phones and Use of International Numbers Among Farmworkers in North Carolina, 2023–2024
Explores access to and use of phones among migrant and seasonal farmworkers in North Carolina to identify barriers to managing healthcare and reporting emergencies. Discusses how international phone numbers impact participation with the healthcare system.
Author(s): Abdul G. Zahra, Leslie E. Cofie, Catherine E. LePrevost, et al.
Citation: Journal of Agromedicine, 2026
Date: 04/2026
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Explores access to and use of phones among migrant and seasonal farmworkers in North Carolina to identify barriers to managing healthcare and reporting emergencies. Discusses how international phone numbers impact participation with the healthcare system.
Author(s): Abdul G. Zahra, Leslie E. Cofie, Catherine E. LePrevost, et al.
Citation: Journal of Agromedicine, 2026
Date: 04/2026
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Impact of Food Literacy Education on Rural, Uninsured Patients With Diabetes
Examines changes in food literacy among 140 diabetic or prediabetic adults without insurance participating in the Fresh Start Food is Medicine (FIM) + Food Literacy intervention, which provided group classes on food literacy, direct provision of produce, and health coaching in rural, eastern North Carolina. Provides data on racial and ethnic disparities in food literacy before and after participation.
Author(s): Raven Breinholt, Brandon J. Stroud, Lauren R. Sastre
Citation: Journal of Nutrition and Behavior, 58, 379-393
Date: 04/2026
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Examines changes in food literacy among 140 diabetic or prediabetic adults without insurance participating in the Fresh Start Food is Medicine (FIM) + Food Literacy intervention, which provided group classes on food literacy, direct provision of produce, and health coaching in rural, eastern North Carolina. Provides data on racial and ethnic disparities in food literacy before and after participation.
Author(s): Raven Breinholt, Brandon J. Stroud, Lauren R. Sastre
Citation: Journal of Nutrition and Behavior, 58, 379-393
Date: 04/2026
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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.
Additional links: North Carolina Rural Health Facility Table
Date: 04/2026
Sponsoring organization: Rural Health Information Hub
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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.
Additional links: North Carolina Rural Health Facility Table
Date: 04/2026
Sponsoring organization: Rural Health Information Hub
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Additional resources are available. See a full list of North Carolina Resources.