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Rural Health
Resources by State: North Carolina

Goal Setting for Health Behavior Change: Evidence from an Obesity Intervention for Rural Low-Income Women
Analyzes whether an obesity intervention, HOPE (Health, Opportunity, Partnerships, Empowerment) Works, targeted to low-income women living in rural North Carolina resulted in goal setting and goal setting strategies that affected health behavior outcomes. Covers differences by racial and ethnic populations and identifies racial difference to help tailor intervention strategies.
Author(s): Amy Ries, Loneke T. Blackman, Rachel A. Page, et al.
Citation: Rural and Remote Health, 14(2), 2682
Date: 05/2014
Type: Document
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Realizing Rural Care Coordination: Considerations and Action Steps for State Policy-Makers
Identifies action steps and policy considerations for coordinating care in rural areas based on the experiences of six states: Colorado, Alabama, New Mexico, Montana, Vermont, and North Carolina.
Author(s): Michael Stanek, Carrie Hanlon, Tess Shiras
Date: 03/2014
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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Pharmacists in North Carolina: Steady Numbers, Changing Roles
Presents a study on the pharmacy workforce in North Carolina. Studies the number of pharmacists vs. the demand for pharmaceutical services, pharmacists nearing retirement age, demographics of the pharmacy workforce, and workforce supply and distribution. Includes graphs and maps.
Author(s): Julie C. Spero, Christopher Del Grosso, Erin P. Fraher
Date: 02/2014
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Clinical, Sociodemographic and Service Provider Determinants of Guideline Concordant Colorectal Cancer Care for Appalachian Residents
Presents a study of Appalachian colorectal cancer patients diagnosed between 2006-2008 regarding their adherence to treatment guidelines by measuring rates of chemotherapy, lymph node assessment, and radiation treatments. Breaks down results by participants' age, race, and type and severity of comorbidity, as well as several treatment facility factors, such as bed size and surgical volume, among others.
Author(s): Steven T. Fleming, Heath B. Mackley, Fabian Camacho, et al.
Citation: Journal of Rural Health, 30(1), 27-39
Date: 01/2014
Type: Document
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Running the Numbers: The Maldistribution of Health Care Providers in Rural and Underserved Areas in North Carolina
Discusses the maldistribution of health care professionals related to population needs in rural North Carolina. Highlights physician workforce shortages in primary care, general surgery, psychiatry, licensed nurse practitioners, and physician assistants.
Author(s): Julie C. Spero, Erin P. Fraher
Citation: North Carolina Medical Journal, 75(1), 74-79
Date: 01/2014
Type: Document
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Assessing the Feasibility of a Virtual Tumor Board Program: A Case Study
Examines the feasibility of a Virtual Tumor Board (VTB) program connecting rural community clinicians to the University of North Carolina Lineberger Comprehensive Cancer Center (UNC LCCC) tumor board. Analyzes the individual clinical participants to explore their experiences with the VTB. Includes a summary of data collection methods, coding of interview data, and UNC tumor board participant survey results.
Author(s): Christopher M. Shea, Randall Teal, Lindsey Haynes-Maslow, et al.
Citation: Journal of Healthcare Management, 59(3), 177-193
Date: 2014
Type: Document
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Improving the Physical Activity and Nutrition Environment Through Self-Assessment (NAP SACC) in Rural Area Child Care Centers in North Carolina
Presents results from a study designed to determine if rural child care centers in western North Carolina meet recommendations for nutrition and physical activity. Also examines whether focusing on nutrition and physical activity is effective in improving the center environment, and if differences exist between school-affiliated and unaffiliated care centers.
Author(s): Rebecca A. Battista, Hillary Oakley, Melissa S. Weddell, et al.
Citation: Preventive Medicine, 67(S1), S10-S16
Date: 2014
Type: Document
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Farmers' Market Use Is Associated with Fruit and Vegetable Consumption in Diverse Southern Rural Communities
Examines the socio-demographic characteristics of farmers market participants, the barriers and facilitators to farmers market shopping in southern rural communities, and the associations between farmers market use with fruit and vegetable consumption and body mass index (BMI). Seeks to assess the potential for using farmers markets to increase access to and the consumption of fruits and vegetables in rural areas.
Author(s): Stephanie B. Jilcott Pitts, Alison Gustafson, Qiang Wu, et al.
Citation: Nutrition Journal, 13(1)
Date: 2014
Type: Document
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Odors from Sewage Sludge and Livestock: Associations with Self-Reported Health
Results of a June 2010 survey of adults in two North Carolina counties where liquid or cake treated sewage sludge had been applied to agricultural land within the previous six months, identifying associations between environmental odors and acute respiratory, gastrointestinal, and dermatological symptoms. Includes statistics with breakdowns such as age, sex, race, education-level, smoking status, type and intensity of odor, and type of symptom.
Author(s): Steve Wing, Amy Lowman, Alex Keil, Stephen W. Marshall
Citation: Public Health Reports, 129(6), 505-515
Date: 2014
Type: Document
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Effects of Distance to Care and Rural or Urban Residence on Receipt of Radiation Therapy among North Carolina Medicare Enrollees with Breast Cancer
Discusses the effect of distance on quality of care for Medicare-insured patients with breast cancer living in rural and urban areas of North Carolina.
Author(s): Stephanie B. Wheeler, Tzy-Mey Kuo, Danielle Durham, et al.
Citation: North Carolina Medical Journal, 75(4), 239-246
Date: 2014
Type: Document
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