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Rural Health Information Hub

North Carolina Resources

After Two Years of Covid, Economic and Health Woes Persist in Diverse North Carolina Counties
Compares urban Mecklenburg County with rural Anson County and the differing impacts of COVID-19 on the areas. Discusses income, employment, housing, residential segregation, and the availability of hospital beds for COVID-19 treatment in the North Carolina counties.
Author(s): Ari Pinkus, Dante Chinni
Date: 05/2022
Sponsoring organization: American Communities Project
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Supporting Community-Based Family Medicine Residency Training Programs in North Carolina and their Potential Impact on Healthy NC 2030
Examines ways in which training family medicine residents in rural North Carolina communities can address disparities in healthcare access and improve rural population health metrics for all subsets of the population. Describes Healthy NC 2030, a public health initiative that seeks to bridge healthcare disparities in North Carolina. Features a county-level map showing locations of training programs in rural settings and urban settings, and statistics on the distribution of family medicine residency positions in North Carolina, with breakdowns by rural or urban setting.
Author(s): Audy G. Whitman, Geniene Jones, Danny Pate, et al.
Citation: North Carolina Medical Journal, 83(3), 173-177
Date: 05/2022
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Evaluating Access to Pediatric Dental Care in the Southeast States
Analyzed 2019 American Community Survey data to evaluate dental care access for children in 10 southeastern states. Considers insurance type and rurality. Makes recommendations for policymakers considering interventions. Note the abstract to the publisher's final edited version of this article.
Author(s): Nicoleta Serban, Simin Ma, Katrine Pospichel, Lisha Yang
Citation: The Journal of the American Dental Association, 153(4), 330-341
Date: 04/2022
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Key Stakeholder Perspectives on Challenges and Opportunities for Rural HPV Vaccination in North and South Carolina
Results of a study to identify challenges or opportunities for increasing adolescent vaccination, including Human Papillomavirus (HPV) vaccination, in rural communities in the southern United States. Uses data from interviews with 14 stakeholders from public health agencies or schools in North Carolina and South Carolina from November 2019 through January 2020.
Author(s): Laura J. Fish, Sayward E Harrison, Jodi-Ann McDonald, et al.
Citation: Human Vaccines & Immunotherapeutics, 18(5)
Date: 04/2022
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Bridging the Urban-Rural Divide in Chronic Disease Through Community Engagement in Health Program Delivery
Discusses health disparities in rural versus urban communities in North Carolina and possible solutions for community-centered change. Includes charts and maps that detail rural-urban differences in mortality, heart disease, and housing problems.
Author(s): Lori Carter-Edwards, Monica M. Taylor
Citation: North Carolina Medical Journal, 83(2), 103-106
Date: 03/2022
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The Clinical and Business Cases for Opening a Maternity Care Unit in a CAH
A case study of a rural North Carolina partnership that worked together to add a new wing for a maternity unit at a 25-bed Critical Access Hospital. Explains how the service was planned to be financially viable. Describes maternal and infant health disparities in the region and discusses how this new service will meet the needs of patients.
Date: 01/2022
Sponsoring organization: American Hospital Association
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The Effects of Play Streets on Social and Community Connectedness in Rural Communities
Reports the results of a study examining the impacts of the Play Streets program that seeks to increase physical activity among children in rural communities located in North Carolina, Maryland, Oklahoma, and Texas. Shares information from focus groups and interviews to further understand the added social and community benefits from the program.
Author(s): M. Renée Umstattd Meyer, Tyler Prochnow, Andrew C. Pickett, et al.
Citation: International Journal of Environmental Research and Public Health, 18(19), 9976
Date: 09/2021
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Disparities in Emergency Medical Services Time Intervals for Patients with Suspected Acute Coronary Syndrome: Findings from the North Carolina Prehospital Medical Information System
Study of EMS response, scene, and transport times for suspected acute coronary syndrome (ACS) patients in North Carolina using North Carolina Prehospital Medical Information System data from 2011 to 2017. Examines patient demographics and breaks down response, scene, and transport times by urban, suburban, and rural location.
Author(s): Eric R. Cui, Antonio R. Fernandez, Jessica K. Zegre-Hemsey, et al.
Citation: Journal of the American Heart Association, 10(15), e019305
Date: 08/2021
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Medicaid and Housing Partnerships: A Resource for Local Health Departments
Explores how local health departments (LHDs) in rural areas can utilize Medicaid managed care levers to address homelessness and housing security issues. Summarizes results from a gap analysis and readiness assessment which identified key opportunities to help prepare 3 LHDs in rural North Carolina counties for the transition to Medicaid-managed care. Identifies action steps for these counties to strengthen housing supports that can also inform similar initiatives in other states.
Author(s): Matthew Ralls, Kathy Moses, Rob Houston
Date: 07/2021
Sponsoring organization: Center for Health Care Strategies
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Geographic Access to Health Care for Rural Medicare Beneficiaries in Five States: An Update
Describes the provider mix caring for rural and urban Medicare beneficiaries in Alaska, Idaho, North Carolina, South Carolina, and Washington, using 2014 data. Examines the quality of care, number of annual visits, and the distances traveled for treatment of several conditions. Compares 2014 data with estimates from 1998, to assess the changes in geographical access to care. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural locations.
Date: 04/2021
Sponsoring organization: WWAMI Rural Health Research Center
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Additional resources are available. See a full list of North Carolina Resources.


Last Updated: 10/31/2025