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Rural Health Information Hub

Rural Health
Resources by State: North Carolina

Who is at Risk Amid the H5N1 Influenza Outbreak? Characteristics and Health Coverage of Animal Production Workers
Analyzes demographic characteristics of animal production and aquaculture workers to determine risk for contracting H5N1 influenza, also known as bird flu. Discusses policy measures to address health threats.
Author(s): Josh Michaud, Drishti Pillai, Samantha Artiga, Jennifer Kates
Date: 05/2024
Sponsoring organization: KFF
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Time for Action: Securing A Strong Nursing Workforce for North Carolina
Offers 8 recommendations for developing the nursing workforce in North Carolina. Discusses the workforce pipeline, professional education, well-being and safety in the workplace, leadership, retention, advocacy, staffing standards, billing, and more. Discusses rural throughout.
Date: 05/2024
Sponsoring organization: North Carolina Institute of Medicine
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Implementation Characteristics That May Promote Sustainability of a Rural Physical Activity Initiative: Examination of Play Streets Through the Lens of Community Implementers
Discusses implementation of Play Streets, a community-based initiative to create safe physical activity areas for children and families, from interviews with program team members in rural Maryland, North Carolina, Oklahoma, and Texas. Highlights factors influencing program effectiveness and sustainability, including community engagement, partnerships, and more.
Author(s): Marilyn E. Wende, M. Renée Umstattd Meyer, Cynthia Perry, et al.
Citation: Implementation Science Communications, 5, 48
Date: 05/2024
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Check with the Intended Audience First! Content Validation as a Method for Inclusive Research for Primary Care Engagement in Rural Appalachia
Results of a study intended to develop and content validate a survey to assess engagement and burnout, referral practices, and self-efficacy and confidence in making referrals based on social determinants of health among primary care providers and clinic staff in Appalachian North Carolina. Uses data from 10 participants, collected between August and November 2022.
Author(s): Sydeena E. Isaacs, Jennifer Schroeder Tyson, Ashley Parks, Danielle Adams
Citation: Journal of Appalachian Health, 6(1):69–89
Date: 04/2024
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North Carolina Medicaid Expansion: A Rural Perspective
Reports on expanded Medicaid coverage in rural North Carolina using state-level monthly enrollment data. Compares expansion enrollment in rural, suburban, and urban counties, and evaluates whether enrollment is associated with poverty at the county level.
Author(s): Dalton Bailey
Date: 04/2024
Sponsoring organization: NC Rural Center
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Transforming Oral Health Care in North Carolina
Makes recommendations for improving oral health access, supporting oral care workforce and providers, and promoting oral health quality and equity in North Carolina. Discusses oral health in rural and underserved areas throughout, including coverage of workforce distribution, dental safety net, and access barriers.
Date: 04/2024
Sponsoring organization: North Carolina Institute of Medicine
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Health Care Coalitions: A Resource to Support Critical Access Hospital Emergency Preparedness Planning
Describes unique challenges Critical Access Hospitals (CAHs) face regarding emergency preparedness planning. Presents findings from interviews with leaders from 8 statewide or regional healthcare coalitions (HCCs) regarding strategies and resources HCCs provide to support the CAH emergency preparedness planning process. Outlines the functions and roles of HCCs by the 4 Administration for Strategic Preparedness and Response (ASPR) capability goals.
Author(s): John Gale, Karen Pearson, Rebecca Stearns
Date: 04/2024
Sponsoring organization: Flex Monitoring Team
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North Carolina Healthcare Association Critical Workforce Needs Assessment
Reports on healthcare workforce trends in North Carolina, including discussion of state demographics, policy changes, and strategies influencing workforce needs and availability. Highlights the rural aging population and a need for health workers in rural communities.
Author(s): Patrick McHugh, Alison Bean de Hernandez, Chrystall Davis, Michael Hogan, Sara Nienow
Date: 03/2024
Sponsoring organization: North Carolina Healthcare Association
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Practice Facilitation and Peer Coaching for Uncontrolled Hypertension Among Black Individuals: A Randomized Clinical Trial
Evaluated efficacy of peer coaching and practice facilitation compared to enhanced usual care on blood pressure control for 1,209 rural patients in Alabama and North Carolina. Discusses impact of age on findings.
Author(s): Monika M. Safford, Doyle M. Cummings, Jacqueline R. Halladay, et al.
Citation: JAMA Internal Medicine, 184(5), 538-546
Date: 03/2024
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North Carolina County Designations of Core Based Statistical Areas
Color-coded county-level map of metropolitan, micropolitan, and neither metropolitan nor micropolitan central and outlying counties in North Carolina. Indicates areas of high population density. Includes Office of Rural Health rural-urban designations.
Date: 03/2024
Sponsoring organization: North Carolina Department of Health and Human Services
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