North Carolina Medical Journal最新文献_第3页

Examining the Completeness of Industry and Occupation Data Among Patients Newly Diagnosed with Cancer in North Carolina. 研究北卡罗来纳州新诊断癌症患者的行业和职业数据的完整性。

North Carolina Medical Journal Pub Date : 2024-08-01 DOI: 10.18043/001c.121418

Kim Angelon-Gaetz, Osaremhen Ikhile, Howard R D Gordon, Melissa Pearson, Chandrika Rao

{"title":"Examining the Completeness of Industry and Occupation Data Among Patients Newly Diagnosed with Cancer in North Carolina.","authors":"Kim Angelon-Gaetz, Osaremhen Ikhile, Howard R D Gordon, Melissa Pearson, Chandrika Rao","doi":"10.18043/001c.121418","DOIUrl":"https://doi.org/10.18043/001c.121418","url":null,"abstract":"Background: Occupational exposure to toxic substances has been associated with cancer. Including industry and occupation (I/O) in cancer surveillance can help identify potential links between occupational exposures and cancers using data already collected to monitor statewide cancer trends. I/O reporting is required in cancer registries and recently in death records. In this study, we examined the completeness of I/O information in North Carolina cancer and death certificate data.Methods: The North Carolina Central Cancer Registry (NC CCR) is the sole repository of North Carolina cancer incidence data. NC CCR (2020-2021) and death certificate data (2020-2022) were analyzed for completeness of I/O. NC CCR incidence records for 1995-2021 diagnoses were linked to North Carolina death files (2020-2022).Results: NC CCR data had I/O in 17% to 51% of the cases, depending on cancer type. I/O was included in 41% of 2020 death certificates and increased to a 99.9% inclusion in 2021 and 2022 death certificates. In 2020, 20,018 (18%) of 109,677 total deaths matched with a cancer record during NC CCR data linkage. In 2021, 20,225 (16%) of 119,237 total deaths matched with a cancer record, and in 2022, 20,367 (17%) of 116,406 total deaths matched to a cancer record.Limitations: Data presented here only examine the completeness of 10 cancer types that the NC CCR regularly analyzes using the most recent data available (2021).Conclusion: Health care providers should routinely record I/O using the standards explained in the training for providers on I/O data collection, provided by the North Carolina Department of Health and Human Services, and should increase their frequency of reporting I/O to NC CCR. Death certificate data may provide I/O data for individuals whose information is missing from cancer registry data.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":"85 6","pages":"426-431"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing Local Public Health Governance in North Carolina Across Organizational and Governance Configurations. 评估北卡罗来纳州跨组织和治理配置的地方公共卫生治理。

North Carolina Medical Journal Pub Date : 2024-08-01 DOI: 10.18043/001c.121368

Karl Johnson, Juan Yanguela Eguizabal, Dorothy Cilenti, John Wiesman, Todd Jensen, Kristen Hassmiller Lich

{"title":"Assessing Local Public Health Governance in North Carolina Across Organizational and Governance Configurations.","authors":"Karl Johnson, Juan Yanguela Eguizabal, Dorothy Cilenti, John Wiesman, Todd Jensen, Kristen Hassmiller Lich","doi":"10.18043/001c.121368","DOIUrl":"https://doi.org/10.18043/001c.121368","url":null,"abstract":"Background: Every county in North Carolina must include a board of health (BOH) with specific prescribed duties and powers. It is unclear how BOHs in North Carolina are currently exercising their governance ability. In 2012, the North Carolina General Assembly provided coun-ties with additional flexibility to select among different configurations for their local health department (LHD). The impact of this flexibility on the governance and service delivery of LHDs is yet to be explored.Methods: We conducted semi-structured interviews with LHD directors and BOH members to assess the strengths and weaknesses of BOHs within different local public health configurations across North Carolina. We employed conventional content analysis to derive themes from the interview transcripts.Results: BOHs were largely described as an underutilized institution, with few BOHs noted to be active beyond satisfying their required legal duties. Strong BOHs were noted to fulfill three identities on behalf of the LHD: an advocate, a bridge, and an advisor. The majority of interviewees desired to work in a standalone county health department (as opposed to a consolidated human services agency) with an appointed (versus elected) board of health. This configuration was preferred because, according to participants, it is more likely to enable a structural focus on public health initiatives.Limitations: Our sample frame did not control for the length of time an interviewee had been in the office nor the professional background of each BOH member.Conclusions: Wide variations exist in the exercise of BOHs across the state, partially due to how different LHD configurations structurally focus resources and attention on public health.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":"85 5","pages":"350-357"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of Local Health Departments in Addressing the Opioid Crisis and Deploying Opioid Settlement Funds. 地方卫生部门在应对阿片类药物危机和部署阿片类药物和解基金中的作用。

North Carolina Medical Journal Pub Date : 2024-08-01 DOI: 10.18043/001c.123266

Katie Varnadoe

引用次数: 0

Teledentistry as a Tool for Health Care Transformation. 远程齿科是医疗保健转型的工具。

North Carolina Medical Journal Pub Date : 2024-08-01 DOI: 10.18043/001c.125137

Christine Kanan, Carolina McLeod, Rebekah Mathews

引用次数: 0

A Conversation with ECU School of Dental Medicine Dean Greg Chadwick. 与 ECU 牙医学院院长 Greg Chadwick 对话。

North Carolina Medical Journal Pub Date : 2024-08-01 DOI: 10.18043/001c.125718

Crystal Adams, Steven Cline

引用次数: 0

How North Carolina's New Center on the Workforce for Health Can Contribute to Oral Health Improvements. 北卡罗来纳州新成立的健康劳动力中心如何为改善口腔健康做出贡献。

North Carolina Medical Journal Pub Date : 2024-08-01 DOI: 10.18043/001c.125710

Andy MacCracken

引用次数: 0

Postpartum Access to Health Care and Opioid Use Treatment: An Evaluation of a Medicaid Population. 产后获得医疗保健和阿片类药物使用治疗：对医疗补助人群的评估。

North Carolina Medical Journal Pub Date : 2024-08-01 DOI: 10.18043/001c.125106

Casey Tak, Bayla Ostrach, Melinda Ramage

{"title":"Postpartum Access to Health Care and Opioid Use Treatment: An Evaluation of a Medicaid Population.","authors":"Casey Tak, Bayla Ostrach, Melinda Ramage","doi":"10.18043/001c.125106","DOIUrl":"https://doi.org/10.18043/001c.125106","url":null,"abstract":"Background: In this study, we aimed to examine postpartum health care utilization and identify gaps in care among a postpartum Medicaid population of patients diagnosed with opioid use disorder (OUD) during pregnancy.Methods: We queried North Carolina Medicaid medical and pharmacy claims to identify individuals with a live delivery and evidence of OUD during pregnancy from 2015 to 2019. We examined any evidence of postpartum health care utilization and evidence of medications for OUD (MOUD) during postpartum. We also determined the impact that 4 factors may have had on these outcomes: type of Medicaid coverage (Medicaid for Pregnant Women as compared to other types of Medicaid coverage), rurality, race, and the prenatal use of MOUD. Descriptive statistics, Kaplan-Meier curves with log-rank tests, and negative binomial regression were used.Results: Of the 6,186 individuals in the study, 84.5% were White, 29.6% lived in rural areas, and 35.0% had MPW coverage. Of the sample, 77.4% sought health care services during the postpartum period. In the multiple negative binomial regression model, individuals who were MPW beneficiaries, non-White, lived in rural areas, and had no evidence of prenatal MOUD all had significantly lower rates of postpartum health care utilization. Of the sample, 53.6% had evidence of MOUD utilization during the postpartum period. We found that patients with MPW continued MOUD at much lower rates compared to patients with other forms of Medicaid (86% versus 93% at 60 days; 57% versus 78% at 180 days, respectively).Limitations: Limitations to this analysis are inherent to administrative claims data, such as misclassification of outcomes and covariates, as well as loss to follow-up.Conclusions: Significant gaps in health care use remain across type of Medicaid coverage, race, geographic setting, and prenatal care access.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":"85 6","pages":"462-470"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prioritizing Oral Health: Oral Health IS Health! 优先考虑口腔健康：口腔健康 IS 健康！

North Carolina Medical Journal Pub Date : 2024-08-01 DOI: 10.18043/001c.125109

J Steven Cline

引用次数: 0

Creating Recovery-Ready Communities. 创建康复就绪社区。

North Carolina Medical Journal Pub Date : 2024-08-01 DOI: 10.18043/001c.123265

Devin Lyall

引用次数: 0

Behavioral Health Trends Among Perinatal North Carolina Medicaid Beneficiaries. 北卡罗来纳州围产期医疗补助受益人的行为健康趋势。

North Carolina Medical Journal Pub Date : 2024-08-01 DOI: 10.18043/001c.123264

Alexis French, Kelly A Jones, Naomi O Davis, Karen Burns, Tara Owens Shuler, Andi Davis, Gary Maslow, Mary Kimmel

引用次数: 0