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Rural Health
Resources by State: North Carolina

The Workforce Outcomes of Physicians Completing Residency Programs in North Carolina
Describes the identity, location, and number of graduate medical education (GME) training programs in North Carolina, identifies the numbers of GME program graduates in various medical specialty areas, and tracks outcomes of graduates 5 years after completing training. Includes statistics with breakdowns by urban or rural areas of North Carolina.
Author(s): Erin P. Fraher, Julie C. Spero, Evan Galloway, Jim Terry
Date: 01/2018
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Child Work Safety on the Farms of Local Agricultural Market Producers: Parent and Child Perspectives
Highlights a study on the safety of children who work in agricultural settings. Focuses on children age 12-17 working on family farms in Illinois and North Carolina. Details parent and child characteristics, such as age and gender, as well as the type of farm and products produced.
Author(s): Phillip Summers, Sara A. Quandt, Chaya R.Spears Johnson, Thomas A. Arcury
Citation: Journal of Agromedicine, 23(1), 52-59
Date: 2018
Type: Document
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Mental Health Disparities: Appalachian People
Breaks down the mental health disparities across Appalachia. Looks at behavioral health indicators, such as rates of depression, excessive drinking, and suicide, among others, as well as social determinants indicators, such as median household income, poverty, and education, among others.
Date: 2018
Type: Document
Sponsoring organization: American Psychiatric Association
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Cost of Practice Transformation in Primary Care: Joining an Accountable Care Organization
Examines the cost of becoming part of an Accountable Care Organization (ACO) for Rural Health Clinics (RHCs) using data from over 800 RHCs in nine states. Compares the cost per patient of RHCs that were part of the Medicare Shared Savings Program to a similar group of RHCs that were not part of the program.
Author(s): Richard Hofler, Judith Ortiz, Brian Cote
Citation: Journal of Health Care Finance, 44(3), 1-16
Date: 2018
Type: Document
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Benefits for African American and White Low-Income 7–10-year-old Children and Their Parents Taught Together in a Community-Based Weight Management Program in the Rural Southeastern United States
Examines if African American and White children and adults from two rural North Carolina counties benefited equally from a community-based weight management intervention. Covers statistics by demographic characteristics, race and marital status, employment, occupation, income, and more.
Author(s): Diane C. Berry, Robert G. McMurray, Todd A. Schwartz, Reuben Adatorwovor
Citation: BMC Public Health, 18, 1107
Date: 2018
Type: Document
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Evaluation of a Potential New Health Sciences School at The University of North Carolina at Pembroke to Meet the Needs of the Region and State
Results of a study exploring the feasibility of establishing a School of Health Sciences and Health Care in Robeson County, a rural high-poverty area ranked among the worst for health outcomes in North Carolina in 2016. Features statistics on the North Carolina workforce and education programs in optometry, occupational therapy, nutrition and dietetics, as well as physician assistants and nurse practitioners.
Author(s): Julie C. Spero, Thomas J. Bacon, Evan M. Galloway, et al.
Date: 12/2017
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Newly Licensed RN Retention: Hospital and Nurse Characteristics
Study of retention rates for newly licensed RNs (NLRNs) within 1 year of hire in Illinois, North Carolina, and Ohio. Analyzes retention data based on hospital characteristics including rural and urban location, hospital size, type of ownership, Magnet status, and university affiliation. Discusses implications of characteristics data and NLRN retention trends.
Author(s): Mary A. Blegen, Nancy Spector, Mary R. Lynn, Jane Barnsteiner, Beth T. Ulrich
Citation: The Journal of Nursing Administration, 47(10), 508-514
Date: 10/2017
Type: Document
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Direct Effects of the Home, School, and Consumer Food Environments on the Association Between Food Purchasing Patterns and Dietary Intake among Rural Adolescents in Kentucky and North Carolina, 2017
Analyzes the effects of food shopping habits and food environments in the home, school, and consumer settings on dietary intake among rural adolescents living in Kentucky and North Carolina. Discusses habit and environment as potential influences on rural-urban adolescent obesity disparities.
Author(s): Alison Gustafson, Stephanie Jilcott Pitts, Jordan McDonald, et al.
Citation: International Journal of Environmental Research and Public Health, 14(10), 1255
Date: 10/2017
Type: Document
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Using Telehealth to Identify and Manage Mental Health and Substance Use Disorder Conditions in Rural Areas
Reports on an environmental scan, discussions with providers and stakeholders, and site visits regarding how telehealth supports behavioral health and substance use disorder treatment. Addresses how telehealth is used, implementation, services offered, financing and sustainability. Focuses on the implications for treating opioid use disorders in rural areas, in particular, using medication-assisted treatment (MAT) with support from telehealth. Appendix B includes site briefs from the 9 states included in the study.
Date: 09/2017
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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A Prospective Study of Cancer Risk among Agricultural Health Study Farm Spouses Associated with Personal Use of Organochlorine Insecticides
Highlights an investigation into the health effects of exposure to organochlorine pesticides for farmers and their spouses. Draws data from the Agricultural Health Study, which surveys agricultural workers in Iowa and North Carolina.
Author(s): Lydia M. Louis, Catherine C. Lerro, Melissa C. Friesen, et al.
Citation: Environmental Health, 16(1), 95
Date: 09/2017
Type: Document
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