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Rural Health Information Hub

Rural Health
Resources by State: North Carolina

Hidden Crisis: Pediatric Oral Health In Rural America
Highlights barriers to rural pediatric oral health, along with proposed solutions. Examines Dental Health Professional Shortage Areas, oral health literacy, and needed Medicaid reforms. Features model oral health programs in Washington, Montana, North Dakota, Arizona, Colorado, Nebraska, Louisiana, North Carolina, Virginia, and Maryland, and includes profiles of several rural providers.
Author(s): Michael A. Ignelzi, Tegwyn Brickhouse, Erica Caffrey, et al.
Date: 2023
Type: Document
Sponsoring organization: American Academy of Pediatric Dentistry
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North Carolina SFY 2023 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: 2023
Type: Map/Mapping System
Sponsoring organization: North Carolina Department of Health and Human Services
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The Economic Contributions of North Carolina's Health Systems and Hospitals
Presents information for 137 hospital facilities in North Carolina, including number of jobs, wage income, total value added, taxes that result from health system and hospital operations, and community benefits such as reduced cost care. Features statistics including numbers of hospitals and beds, with breakdowns by rural, suburban, and urban areas.
Additional links: Two-Page Summary
Author(s): Sara Nienow, Rizwaan Lakhani, Michael Hogan, Chrystall Davis, Jared Woollacott,
Date: 12/2022
Type: Document
Sponsoring organization: North Carolina Healthcare Association
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Responding to One Rural Community's Primary Care Needs: Investing in Workforce and Broad Community Stakeholder Engagement
Commentary describing a model in which an academic health system in Rockingham County, North Carolina made targeted primary care investments to address rural health disparities while working to ensure sustainability within the health workforce. Examines challenges to improving rural health outcomes and offers suggestions for health systems seeking to replicate the Rockingham model.
Author(s): Sherry Hay, Emily M. Hawes, Alyssa Zamierowski, Stokes Ann Hunt, Cristen P. Page
Citation: North Carolina Medical Journal, 83(6), 435-439
Date: 11/2022
Type: Document
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Physical Activity Among Adults in Rural Western North Carolina During the COVID-19 Pandemic
Examines physical activity among adults in a rural area of North Carolina during the COVID-19 pandemic. Analyzes 297 survey responses from August 3, 2020 through September 15, 2020 and reports on demographic characteristics of respondents, type of and reason for physical activity, and perceived barriers and benefits of physical activity.
Author(s): Wade L. Creech, Brooke C. Towner, Rebecca A. Battista
Citation: Preventing Chronic Disease, 19
Date: 11/2022
Type: Document
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National Rural Health Day 2022: Dr. Roxie Wells Talks Hospital Resilience in the Face of Change
Conversation with Dr. Roxie Wells, president of Cape Fear Valley Hoke Hospital, on rural hospital resiliency. Describes the most pressing needs of the Hoke County, North Carolina, community; Cape Fear Valley Hoke Hospital's primary areas of action to address those needs; and the most significant threats the hospital faces to improve community health. Discusses how AHA has helped the hospital successfully confront these challenges.
Date: 11/2022
Type: Video/Multimedia
Sponsoring organization: American Hospital Association
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Determining Trends and Factors Associated with Self-Reported Physical Activity among Adolescents in Rural North Carolina
Uses data from a school-based wellness intervention to evaluate demographic, environmental, and school-level factors that may impact self-reported physical activity (PA) in 7th grade students in rural, eastern North Carolina during the 2018–2019 school year. Includes statistics on self-reported days of 60 min. PA per week with breakdowns by sex, race, and weight category.
Author(s): Sina Kazemzadeh, Chloe E. Opper, Xiangming, Suzanne Lazorick
Citation: International Journal of Environmental Research and Public Health, 19(18), 11417
Date: 09/2022
Type: Document
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County-Level Sociodemographic Factors Associated with COVID-19 Incidence and Mortality in North and South Carolina
Explores associations of county-level characteristics with COVID-19 outcomes within North Carolina and South Carolina during the first 7 months of the pandemic. Features statistics including incidence and mortality rates, with breakdowns by rural and nonrural areas.
Author(s): Nicole Kniep, Thelma Achidi, Christy Flynn, et al.
Citation: North Carolina Medical Journal, 83(5), 366-374
Date: 09/2022
Type: Document
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Consumer Finances in Rural Appalachia
Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Type: Document
Sponsoring organization: Consumer Financial Protection Bureau
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The Rural Opioid Initiative Consortium Description: Providing Evidence to Understand the Fourth Wave of the Opioid Crisis
Highlights an initiative aimed at developing interventions to address rural opioid use. Collects data from rural areas in 10 states via surveys of people who use drugs and explores overlapping issues, such as other drug use, homelessness, and lack of access to treatment, among others.
Author(s): Richard A. Jenkins, Bridget M. Whitney, Robin M. Nance, et al.
Citation: Addiction Science and Clinical Practice, 17, 38
Date: 07/2022
Type: Document
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