North Carolina Resources
North Carolina Community Health Grants: 2025 Profile
Fact sheet on funding, performance measures, and economic impact of the North Carolina Community Health Grant program. Includes a county-level map showing grantee locations.
Date: 05/2026
Sponsoring organization: North Carolina Office of Rural Health
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Fact sheet on funding, performance measures, and economic impact of the North Carolina Community Health Grant program. Includes a county-level map showing grantee locations.
Date: 05/2026
Sponsoring organization: North Carolina Office of Rural Health
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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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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, 92(8), 2091-2099
Date: 02/2026
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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, 92(8), 2091-2099
Date: 02/2026
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Telehealth, Telebehavioral Health, and Patient Portal Willingness, Use, and Access Challenges among Migrant Farmworkers on H-2A Visas, North Carolina, USA, 2024
Results of a study examining use of digital healthcare platforms among 327 farmworkers arriving in North Carolina on temporary H-2A work visas. Features demographics and statistics on associations between use of digital healthcare and other variables.
Author(s): Elisabeth C. Reed, Nowrin Nusrat, Lilibeth Andres, et al.
Citation: Journal of Immigrant and Minority Health, 28, 37-41
Date: 02/2026
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Results of a study examining use of digital healthcare platforms among 327 farmworkers arriving in North Carolina on temporary H-2A work visas. Features demographics and statistics on associations between use of digital healthcare and other variables.
Author(s): Elisabeth C. Reed, Nowrin Nusrat, Lilibeth Andres, et al.
Citation: Journal of Immigrant and Minority Health, 28, 37-41
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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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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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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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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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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Additional resources are available. See a full list of North Carolina Resources.