Julie Perry

Cecil G. Sheps Center for Health Services Research
University of North Carolina - Chapel Hill
725 MLK Jr. BLVD, CB# 7590
Chapel Hill, NC 27599-7590

Publications - (8)

The First Year of Rural Emergency Hospitals: REHs Serve Relatively Disadvantaged Counties
Policy Brief
North Carolina Rural Health Research and Policy Analysis Center, Rapid Response to Requests for Rural Data Analysis
Date: 10/2024
This brief looks at community characteristics (socio-economic, race and ethnicity, and health status and access characteristics) of communities with a hospital that converted to a Rural Emergency Hospital (REH) in 2023—the first year of the new rural hospital payment designation.
News Media Coverage of Rural Hospital Closures and the Causes
Policy Brief
North Carolina Rural Health Research and Policy Analysis Center, Rapid Response to Requests for Rural Data Analysis
Date: 10/2024
This study augments previous research with findings from a structured framework of attributed causes of rural hospital closures through the analysis of news media reports.

Rural Emergency Hospital Map and Data
North Carolina Rural Health Research and Policy Analysis Center, Rapid Response to Requests for Rural Data Analysis
Date: 10/2023
This interactive map tracks hospitals that have converted to Rural Emergency Hospitals since January 2023.
Rural Population Health in the United States: A Chartbook
Chartbook
North Carolina Rural Health Research and Policy Analysis Center
Date: 02/2023
This chartbook uses a range of indicators to describe population health in rural America and document health disparities between rural and urban areas. This report includes 33 measures of population health, organized into five domains: Access to Care, Health Outcomes and Risks, Mortality, Social Determinants of Health, and Socioeconomics.

Since 1990, Rural Hospital Closures Have Increasingly Occurred in Counties That Are More Urbanized, Diverse, and Economically Unequal
Policy Brief
North Carolina Rural Health Research and Policy Analysis Center
Date: 03/2022
The brief describes the socio‐economic, demographic, and health system characteristics for rural counties with and without hospital closures between 1990 and 2020. We analyzed potential differences among counties that experienced rural hospital closures from 2010‐2020 compared to counties with rural hospital closures from 1990‐2009.

The Rising Rate of Rural Hospital Closures
Journal Article
North Carolina Rural Health Research and Policy Analysis Center
Date: 07/2015
Discusses the increase in rural hospital closure rates, including the causes of closures and its impact on rural communities.
A Comparison of Closed Rural Hospitals and Perceived Impact
Policy Brief
North Carolina Rural Health Research and Policy Analysis Center
Date: 04/2015
This policy brief compares selected characteristics of abandoned rural hospitals and their markets to those of converted rural hospitals.

Best Practices for Health Insurance Marketplace Outreach and Enrollment in Rural Areas
Fact Sheet
North Carolina Rural Health Research and Policy Analysis Center
Date: 12/2014
Research suggests enrollment rates for those in rural areas was less than urban areas during the first Health Insurance Marketplace enrollment period. Interviews of navigators, health centers, and others in rural counties with high enrollment rates were conducted to uncover best practices for marketing, outreach/education, in-reach, and enrollment.