North Carolina Resources

The Economic Contributions of North Carolina's Health Systems and Hospitals
Presents information for 137 hospital facilities in North Carolina, including number of jobs, wage income, total value added, taxes that result from health system and hospital operations, and community benefits such as reduced cost care. Features statistics including numbers of hospitals and beds, with breakdowns by rural, suburban, and urban areas.
Additional links: Two-Page Summary
Author(s): Sara Nienow, Rizwaan Lakhani, Michael Hogan, Chrystall Davis, Jared Woollacott,
Date: 12/2022
Sponsoring organization: North Carolina Healthcare Association
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Responding to One Rural Community's Primary Care Needs: Investing in Workforce and Broad Community Stakeholder Engagement
Commentary describing a model in which an academic health system in Rockingham County, North Carolina made targeted primary care investments to address rural health disparities while working to ensure sustainability within the health workforce. Examines challenges to improving rural health outcomes and offers suggestions for health systems seeking to replicate the Rockingham model.
Author(s): Sherry Hay, Emily M. Hawes, Alyssa Zamierowski, Stokes Ann Hunt, Cristen P. Page
Citation: North Carolina Medical Journal, 83(6), 435-439
Date: 11/2022
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Determining Trends and Factors Associated with Self-Reported Physical Activity among Adolescents in Rural North Carolina
Uses data from a school-based wellness intervention to evaluate demographic, environmental, and school-level factors that may impact self-reported physical activity (PA) in 7th grade students in rural, eastern North Carolina during the 2018–2019 school year. Includes statistics on self-reported days of 60 min. PA per week with breakdowns by sex, race, and weight category.
Author(s): Sina Kazemzadeh, Chloe E. Opper, Xiangming, Suzanne Lazorick
Citation: International Journal of Environmental Research and Public Health, 19(18), 11417
Date: 09/2022
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County-Level Sociodemographic Factors Associated with COVID-19 Incidence and Mortality in North and South Carolina
Explores associations of county-level characteristics with COVID-19 outcomes within North Carolina and South Carolina during the first 7 months of the pandemic. Features statistics including incidence and mortality rates, with breakdowns by rural and nonrural areas.
Author(s): Nicole Kniep, Thelma Achidi, Christy Flynn, et al.
Citation: North Carolina Medical Journal, 83(5), 366-374
Date: 09/2022
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Consumer Finances in Rural Appalachia
Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Sponsoring organization: Consumer Financial Protection Bureau
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North Carolina State Designated Rural Health Centers: SFY 2023
North Carolina map showing Rural Health Center site county coverage and locations of the 18 state designated Rural Health Center sites.
Date: 07/2022
Sponsoring organization: North Carolina Department of Health and Human Services
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Farm Dinner Theater: Farmers Helping Farmers
Video highlighting a Cooperative Extension-led program where community members take part in dinner theater productions that focus on issues related to farm health.
Date: 07/2022
Sponsoring organization: Rural Health Information Hub
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Temporal Changes in Treatment Patterns for Rural and Urban Patients With Early-Stage Non-Small Cell Lung Cancer
Examines treatment modalities in rural and urban populations in North Carolina for patients who have Stage I non-small cell lung cancer (NSCLC). Identifies the treatment patterns of 5,504 patients such as surgery, radiation, or no treatment. Provides patient demographics broken down by age, sex, race, insurance, comorbidity index, history of lung disease, and urban, suburban, or rural location.
Author(s): Joshua Herb, Tzy-Mey Kuo, Vaibhav Kumar, et al.
Citation: North Carolina Medical Journal, 83(4), 294-303
Date: 07/2022
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Co-located Critical Access & Behavioral Health Hospital: Charles A. Cannon Jr. Memorial Hospital and Appalachian Regional Behavioral Hospital
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Sponsoring organization: American Hospital Association
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A Hybrid Implementation-Effectiveness Study of a Community Health Worker-Delivered Intervention to Reduce Cardiovascular Disease Risk in a Rural, Underserved Non-Hispanic Black Population: The CHANGE Study
Examines a sample of 255 Black participants on the effectiveness of the Carolina Heart Alliance Networking for Greater Equity (CHANGE) Program delivered by Community Health Workers (CHW) to rural adults in North Carolina. Provides information on program content, participant characteristics, implementation variables, and overall program effectiveness on blood pressure, nutritious eating, and physical activity.
Author(s): Carmen D. Samuel-Hodge, Ziya Gizlice, Sallie D. Allgood, et al.
Citation: American Journal of Health Promotion, 36(6), 948-958
Date: 07/2022
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