Rural Health
Resources by State: North Carolina
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
Type: Document
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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
Type: Document
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Primary Care Clinicians in Low-Access Counties
Evaluates the weighted contribution of advanced practice providers to the primary care workforce in well-served and underserved counties in North Carolina. Features statistics on population per primary care clinician by North Carolina county and composition of the North Carolina primary care workforce from 2017-2019, and a county-level map with shadings showing percentages of nurse practitioners, physician assistants, and certified nurse-midwives in 2017-2019.
Author(s): Adam J. Zolotor, Evan Galloway, Margaret Beal, Erin P. Fraher
Citation: North Carolina Medical Journal, 83(3), 163-168
Date: 05/2022
Type: Document
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Evaluates the weighted contribution of advanced practice providers to the primary care workforce in well-served and underserved counties in North Carolina. Features statistics on population per primary care clinician by North Carolina county and composition of the North Carolina primary care workforce from 2017-2019, and a county-level map with shadings showing percentages of nurse practitioners, physician assistants, and certified nurse-midwives in 2017-2019.
Author(s): Adam J. Zolotor, Evan Galloway, Margaret Beal, Erin P. Fraher
Citation: North Carolina Medical Journal, 83(3), 163-168
Date: 05/2022
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Fifth Annual Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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
Type: Document
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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
Type: Document
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What We Know (and Don't Know) About Caregiving in Rural America
Webinar offering an overview of informal caregiving for rural residents. Describes the tasks associated with caregiving, rural caregiving data and available research, mental health, cancer related caregiving, and rural and urban comparisons. Includes North Carolina-based caregiving projects. Transcript available in the video description.
Date: 02/2022
Type: Video/Multimedia
Sponsoring organization: North Carolina Rural Health Research Program
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Webinar offering an overview of informal caregiving for rural residents. Describes the tasks associated with caregiving, rural caregiving data and available research, mental health, cancer related caregiving, and rural and urban comparisons. Includes North Carolina-based caregiving projects. Transcript available in the video description.
Date: 02/2022
Type: Video/Multimedia
Sponsoring organization: North Carolina Rural Health Research Program
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Telemedicine Access and Utilization among Adult Medicaid Beneficiaries with Behavioral and Musculoskeletal Health Conditions
Examines access to care and telemedicine use by adult Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019 to March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in addition to other characteristics in the appendix tables.
Date: 01/2022
Type: Document
Sponsoring organization: Margolis Center for Health Policy
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Examines access to care and telemedicine use by adult Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019 to March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in addition to other characteristics in the appendix tables.
Date: 01/2022
Type: Document
Sponsoring organization: Margolis Center for Health Policy
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Telemedicine Access and Utilization among Pediatric Medicaid Beneficiaries with Behavioral Health and Musculoskeletal Conditions
Data brief examining access to care and telemedicine use by pediatric Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019-March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in the appendix tables.
Date: 01/2022
Type: Document
Sponsoring organization: Margolis Center for Health Policy
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Data brief examining access to care and telemedicine use by pediatric Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019-March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in the appendix tables.
Date: 01/2022
Type: Document
Sponsoring organization: Margolis Center for Health Policy
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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 the population with culturally and linguistically accessible care.
Date: 01/2022
Type: Document
Sponsoring organization: American Hospital Association
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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 the population with culturally and linguistically accessible care.
Date: 01/2022
Type: Document
Sponsoring organization: American Hospital Association
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