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Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Healthcare Agencies II01:17

Healthcare Agencies II

There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources, and lay...
Healthcare Agencies I01:18

Healthcare Agencies I

Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...

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Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Funding North Carolina's Rural Healthcare Workforce, Before and After OBBBA.

Monica M Taylor, Ciara Zachary, Arrianna Marie Planey

    Frontiers of Health Services Management
    |June 2, 2026
    PubMed
    Summary

    Federal assistance has historically aided North Carolina

    Area of Science:

    • Healthcare Policy
    • Rural Health Disparities
    • Workforce Development

    Background:

    • North Carolina faces significant healthcare workforce shortages, particularly in rural areas.
    • Geographic disparities in health outcomes are worsening, impacting rural residents' access to primary, specialized, and behavioral health services.
    • Health Professionals Shortage Areas (HPSAs) in NC highlight critical gaps in care availability.

    Purpose of the Study:

    • To analyze the impact of federal assistance on North Carolina's rural healthcare workforce crisis before the H.R.1 One Big Beautiful Bill Act (OBBBA) of 2025.
    • To examine the policy provisions of OBBBA and North Carolina's strategy for workforce enhancement.
    • To assess the utilization of $213 million in funding from the Rural Health Transformation Program.

    Main Methods:

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    • Review of historical federal assistance programs and their effects on NC's healthcare workforce.
    • Analysis of state budget challenges and fiscal restraints impacting provider availability.
    • Examination of OBBBA's legislative components and NC's proposed workforce improvement plans.

    Main Results:

    • Federal aid, including Medicaid expansion and provider incentives, previously helped mitigate provider gaps and improve access.
    • Despite past efforts, persistent provider differentials remain due to state budget challenges.
    • The Rural Health Transformation Program provides significant funding for NC's future workforce initiatives.

    Conclusions:

    • Federal assistance has been crucial in addressing North Carolina's rural healthcare workforce crisis.
    • Sustained efforts and strategic funding are necessary to overcome persistent provider shortages and geographic disparities.
    • The OBBBA and associated funding offer a new pathway for enhancing rural healthcare access in North Carolina.