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Rural Health Information Hub

Rural Health
Resources by State: North Carolina

Understanding Infant and Toddler Child Care Deserts
Examines the availability of licensed infant-toddler child care in 9 states and the District of Columbia, with a focus on how rural communities are disproportionately affected by a limited or complete lack of access to childcare services. Features discussion on consequences of childcare deserts and offers policy recommendations to increase the supply of licensed child care.
Author(s): Steven Jessen-Howard, Rasheed Malik, Simon Workman, Katie Hamm
Date: 10/2018
Type: Document
Sponsoring organization: Center for American Progress
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Utilization and Adherence in Medical Homes: An Assessment of Rural-Urban Differences for People with Severe Mental Illness
Discusses whether enrollment in medical homes improves care in rural versus urban settings for people with severe mental illness (SMI). Examines utilization measures of primary care, mental health, emergency department, inpatient hospitalizations, and medication adherence using data derived from North Carolina Medicaid claims from 2004–2007.
Author(s): Mona Kilany, Joseph P. Morrissey, Marisa Elena Domino, et al.
Citation: Medical Care, 56(10), 870-876
Date: 10/2018
Type: Document
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Migrant Farmworker Nutritional Strategies: Implications for Diabetes Management
Presents findings of interviews with 200 Latino migrant farmworkers in North Carolina on food security and means of obtaining, preparing, and consuming food. Identifies common supports and barriers of dietary self-management and provides data on population characteristics. Highlights implications for migrant farmworkers with diabetes, and identifies strategies for improving access to suitable food.
Author(s): Sara A. Quandt, Augusta Groeschel-Johnson, Hannah Kinzer, et al.
Citation: Journal of Agromedicine, 23(4), 347-354
Date: 09/2018
Type: Document
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Working Together: A Guide to Collaboration in Rural Revitalization
Discusses three critical components for developing an effective rural revitalization collaboration among stakeholders working toward a shared goal - coming together, staying together, and growing together. Offers examples demonstrating their utility in practice.
Author(s): Ann Savage, Sara Brune, Meredith Hovis, et al.
Date: 09/2018
Type: Document
Sponsoring organization: North Carolina State Cooperative Extension
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Telestroke Adoption among Community Hospitals in North Carolina: A Cross-sectional Study
Discusses the advantages of implementing telestroke in rural acute care hospitals, including Critical Access Hospitals (CAHs), where stroke mortality is higher than in urban settings. Identifies the community and hospital characteristics associated with the adoption of the telestroke approach in acute care hospitals in North Carolina.
Author(s): Christopher M. Shea, Amir Alishahi Tabriz, Kea Turner, Steve North, Kristin L. Reiter
Citation: Journal of Stroke and Cerebrovascular Diseases, 27(9), 2411-2417
Date: 09/2018
Type: Document
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Pesticide Use and Incident Hypothyroidism in Pesticide Applicators in the Agricultural Health Study
Highlights a study of self-reported hypothyroidism in pesticide applicators in North Carolina and Iowa. Data is drawn from the Agricultural Health Study and is broken down by age, gender, and state of residence, among other factors.
Author(s): Srishti Shrestha, Christine G. Parks, Whitney S. Goldner, et al.
Citation: Environmental Health Perspectives, 126(9)
Date: 09/2018
Type: Document
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National Advisory Committee on Rural Health and Human Services Meeting Minutes, Charlotte, North Carolina, September 10-12, 2018
Summarizes the 84th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Charlotte, North Carolina, and focused on rural Chronic Obstructive Pulmonary Disease (COPD) and oral healthcare access. Offers perspectives from a national level and from North and South Carolina, including the work of the Duke Endowment, and summarizes potential policy recommendations.
Date: 09/2018
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Making the EHR Work: Rural Healthcare Organizations Use Data Extraction to Improve Patient Care
Discusses how rural organizations can use their electronic health record (EHR) data to address population health. Features data analytics programs at the White House Clinics in rural Appalachian Kentucky and Harris Regional Hospital in western North Carolina. Also discusses preparation of the rural health information technology (HIT) workforce.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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2018 Update on Priority Strategies: North Carolina Rural Health Action Plan
Details the progress North Carolina has made in 6 priority areas outlined in the 2014 Rural Health Action Plan. These include investment in local industries, ensuring that childhood settings promote educational success, encouraging healthy eating and active living, screening for and treating substance abuse and mental health issues, educating people about insurance and safety net options, and creating incentives to support recruitment and retention of providers to underserved areas.
Date: 08/2018
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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Heart Matters: A Study Protocol for a Community Based Randomized Trial Aimed at Reducing Cardiovascular Risk in a Rural, African American Community
Presents a study evaluating an intervention aimed at addressing cardiovascular disease among African Americans in rural North Carolina. Evaluates program data collection, implementation, and outcomes.
Author(s): Giselle Corbie-Smith, Crystal Wiley-Cene, Kiana Bess, et al.
Citation: BMC Public Health, 18, 938
Date: 07/2018
Type: Document
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