North Carolina Resources
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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Evaluation of the 2021–2024 Implementation of the Fresh Start Enhanced Food Is Medicine Intervention Among Rural, Underinsured People With Type 2 Diabetes
Examines the impact of the Fresh Start produce prescription (FSPRx) intervention in rural North Carolina among a medically underinsured population with type 2 diabetes. Utilizes program, survey, and interview data from FSPRx participants to analyze feasibility and acceptability of the program, with pre- and post-intervention data breakdowns according to dietary patterns, food literacy, health outcomes, and more.
Author(s): Lauren R. Sastre, Brandon Stroud, Raven Breinholt, et al.
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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Examines the impact of the Fresh Start produce prescription (FSPRx) intervention in rural North Carolina among a medically underinsured population with type 2 diabetes. Utilizes program, survey, and interview data from FSPRx participants to analyze feasibility and acceptability of the program, with pre- and post-intervention data breakdowns according to dietary patterns, food literacy, health outcomes, and more.
Author(s): Lauren R. Sastre, Brandon Stroud, Raven Breinholt, et al.
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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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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North Carolina SFY 2026 Safety Net Sites
County-level map showing locations of various healthcare facilities, including Rural Health Clinics, Critical Access Hospitals, small rural hospitals, and Federally Qualified Health Centers.
Date: 07/2026
Sponsoring organization: North Carolina Department of Health and Human Services
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County-level map showing locations of various healthcare facilities, including Rural Health Clinics, Critical Access Hospitals, small rural hospitals, and Federally Qualified Health Centers.
Date: 07/2026
Sponsoring organization: North Carolina Department of Health and Human Services
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Sex Differences in Rural Prehospital ST-Segment Elevation Myocardial Infarction Care
Compares prehospital treatment for ST-elevation myocardial infarction (STEMI) by sex in rural populations using 2016-2020 STEMI registry data from a rural cohort in North Carolina. Includes data breakdowns by clinical characteristics.
Author(s): Michael W. Supples, Randy S. Carpenter, Nicklaus P. Ashburn, et al.
Citation: Emergency Medicine Journal, 43(8), 486-492
Date: 06/2026
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Compares prehospital treatment for ST-elevation myocardial infarction (STEMI) by sex in rural populations using 2016-2020 STEMI registry data from a rural cohort in North Carolina. Includes data breakdowns by clinical characteristics.
Author(s): Michael W. Supples, Randy S. Carpenter, Nicklaus P. Ashburn, et al.
Citation: Emergency Medicine Journal, 43(8), 486-492
Date: 06/2026
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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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Additional resources are available. See a full list of North Carolina Resources.