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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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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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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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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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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Additional resources are available. See a full list of North Carolina Resources.