Rural Health
Resources by State: North Carolina
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
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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
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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
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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
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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
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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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
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
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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
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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
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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
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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
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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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
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
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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
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Confronting Adverse Childhood Experiences to Improve Rural Kids' Lifelong Health
Highlights a western North Carolina school district and a Native American tribe in Wisconsin that are working to address adverse childhood experiences (ACEs). Provides an overview of the impact ACEs have on health and provides data on ACE exposure among rural adults.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2017
Sponsoring organization: Rural Health Information Hub
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Highlights a western North Carolina school district and a Native American tribe in Wisconsin that are working to address adverse childhood experiences (ACEs). Provides an overview of the impact ACEs have on health and provides data on ACE exposure among rural adults.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2017
Sponsoring organization: Rural Health Information Hub
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Responding to Health and Social Needs of Aging Latinos in New-growth Communities: A Qualitative Study
A study examining the health and social needs of elderly Latinos in rural eastern North Carolina conducted by an interprofessional team - the Aging Latino Research Team (ALRT) - composed of health and social service providers, Latino leaders, and university faculty.
Author(s): Kim Larson, Holly F. Mathews, Essie Torres, C. Suzanne Lea
Citation: BMC Health Services Research, 17, 601
Date: 08/2017
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A study examining the health and social needs of elderly Latinos in rural eastern North Carolina conducted by an interprofessional team - the Aging Latino Research Team (ALRT) - composed of health and social service providers, Latino leaders, and university faculty.
Author(s): Kim Larson, Holly F. Mathews, Essie Torres, C. Suzanne Lea
Citation: BMC Health Services Research, 17, 601
Date: 08/2017
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Trends in the Development of the Dental Service Organization Model: Implications for the Oral Health Workforce and Access to Services
Results of a 2017 survey of dental service organizations, which often build new practices in underserved and rural areas, and case studies of 6 dental support organizations providing general or specialty dentistry in North Carolina, Georgia, Texas, Florida, and Massachusetts.
Author(s): Margaret Langelier, Shen Wang, Simona Surdu, Elizabeth Mertz, Cynthia Wides
Date: 08/2017
Sponsoring organizations: Center for Health Workforce Studies, Oral Health Workforce Research Center
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Results of a 2017 survey of dental service organizations, which often build new practices in underserved and rural areas, and case studies of 6 dental support organizations providing general or specialty dentistry in North Carolina, Georgia, Texas, Florida, and Massachusetts.
Author(s): Margaret Langelier, Shen Wang, Simona Surdu, Elizabeth Mertz, Cynthia Wides
Date: 08/2017
Sponsoring organizations: Center for Health Workforce Studies, Oral Health Workforce Research Center
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