Traumatic Brain Injury in North Carolina

Traumatic brain injury (TBI) can range from mild concussions to life-threatening trauma. This issue of the NCMJ discusses various issues related to TBI, including the impact of North Carolina’s motorcycle helmet law, prevention and management of sports-related concussions, the need for behavioral health care for TBI survivors, the effect of TBI among North Carolina’s veterans, management of TBI among older adults, and advances in prehospital care for TBI. TABLE OF CONTENTS | FULL ISSUE (pdf) »

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Financially Fragile Rural Hospitals: Mergers and Closures

INVITED COMMENTARY Rural hospitals serve as major sources of health care and employment for their communities, but recently they have been under increased financial stress. What are the causes of this stress, and how have hospitals and their communities responded?

Finding and Keeping Health Care Providers in Rural Communities: Culture Change in Recruitment at Rural Health Group

INVITED COMMENTARY Transforming rural primary care is possible only when leadership is committed to a core set of competencies. Northeastern North Carolina, not always seen as an attractive locale for health professionals, has been developing a primary care medical home that emphasizes team-based care built upon respect, trust, and professionalism.

Project Lazarus: An Innovative Community Response to Prescription Drug Overdose

Long-Term Care in North Carolina

ISSUE BRIEF Much of long-term care is not considered health care, as it is custodial, social, and supportive. But excellent long-term care is also preventive, timely, and accessible, and it provides space for long-term care recipients to find joy and meaning in their lives. This issue of the NCMJ provides a broad overview of long-term care, practical information about programs in our state, and tips for how to make use of these programs. Commentaries and sidebars in this issue also highlight new ideas, innovation, and transformation. This issue brief sets the stage by describing major events that have shaped the current framework of long-term care services and supports. It also discusses current trends that are influencing long-term care, including the emphasis on quality improvement methods, culture change, health care reform, the influence of geriatrics in primary care, and the desire for home-based care. Although we are not yet where we want to be in North Carolina, we are moving toward a long-term care system that will serve all North Carolinians well.

  • 76(3) Patient engagement
  • 76(4) Clinical guidelines
  • 76(5) Military health