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North Carolina Medical Journal最新文献

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Interprofessional Education at the University Level: Evidence, Models, and Future Directions 大学层面的跨专业教育：证据、模式和未来方向
North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117088
Gary H. McCullough, Kelly Powers, Jaimee Watts-Isley, Paige Brown, Susan Smith, Jacqueline T. Vaughn
{"title":"Interprofessional Education at the University Level: Evidence, Models, and Future Directions","authors":"Gary H. McCullough, Kelly Powers, Jaimee Watts-Isley, Paige Brown, Susan Smith, Jacqueline T. Vaughn","doi":"10.18043/001c.117088","DOIUrl":"https://doi.org/10.18043/001c.117088","url":null,"abstract":"Interprofessional education (IPE) continues to evolve as a critical component of providing quality health care. Emerging evidence suggests IPE is most effective if it exists across the continuum of academia to clinical practice. This article provides current evidence and models for IPE deliv­ery to students beginning in their academic programs.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004445","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: 1
Conquering Health Care Complexity as a Team: Evolution of Interprofessional Education in North Carolina 作为一个团队征服复杂的医疗保健问题：北卡罗来纳州跨专业教育的演变
North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117085
Peter J. Morris
{"title":"Conquering Health Care Complexity as a Team: Evolution of Interprofessional Education in North Carolina","authors":"Peter J. Morris","doi":"10.18043/001c.117085","DOIUrl":"https://doi.org/10.18043/001c.117085","url":null,"abstract":"","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005544","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
Factors Associated with Substance Use Disorder among High-Need Adolescents and Young Adults in North Carolina 北卡罗来纳州高需求青少年和年轻成人中与药物使用障碍有关的因素
North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117077
Phillip M. Hughes, I. Annis, Neal A deJong, Robert B. Christian, Scott A. Davis, Kathleen C. Thomas
{"title":"Factors Associated with Substance Use Disorder among High-Need Adolescents and Young Adults in North Carolina","authors":"Phillip M. Hughes, I. Annis, Neal A deJong, Robert B. Christian, Scott A. Davis, Kathleen C. Thomas","doi":"10.18043/001c.117077","DOIUrl":"https://doi.org/10.18043/001c.117077","url":null,"abstract":"Prevalence of substance use disorders (SUD) is high among adolescents and young adults (AYAs) with complex medical needs. Little is known about risk factors for SUD in this population. This retrospective cohort study used electronic health record data from a large academic hospital system (2015–2019) to identify adolescents (aged 10–17) and young adults (aged 18–27) with intellectual/developmental disorders, psychiatric conditions, or complex medical conditions. Logistic regression was used to identify demographic, clinical, and neighborhood-level risk factors associated with SUD in this population. A total of 149 adolescents and 536 young adults had a SUD diagnosis (6.7% and 20.6%, respectively). Among adolescents, notable risk factors for SUD included age (adjusted odds ratio [aOR] = 1.42, 95% confidence interval [CI] = [1.31, 1.54]), Hispanic ethnicity (aOR = 2.10, 95% CI = [1.10, 3.99]), additional psychoactive medication classes (aOR = 1.27, 95% CI = [1.11, 1.46]), and living in a “high” child opportunity index (COI) (aOR = 2.06, 95% CI [1.02, 4.14]) or a “very high” COI (aOR = 3.04, 95% CI [1.56,5.95]) area. Among young adults, notable risk factors included being male (aOR = 2.41, 95% CI [1.91, 3.05]), being Black (aOR = 1.64, 95% CI [1.28, 2.09]), and additional non-psychoactive (aOR = 1.07, 95% CI [1.03, 1.11]) or psychoactive medication classes (aOR = 1.17, 95% CI [1.07, 1.28]). These descriptive analyses are limited to one large academic hospital system in North Carolina and may not be representative of all high-need AYAs in the state. Several demographic, clinical, and neighborhood risk factors are associated with SUD in high-need AYAs.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003673","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
Building an Interprofessional Health Workforce through Pathways, Training, and Retention 通过途径、培训和留用，建设一支跨专业的医疗卫生队伍
North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117221
Jaimee Watts-Isley, Mitchell T. Heflin, Lori Byrd, Maria P. Turnley
{"title":"Building an Interprofessional Health Workforce through Pathways, Training, and Retention","authors":"Jaimee Watts-Isley, Mitchell T. Heflin, Lori Byrd, Maria P. Turnley","doi":"10.18043/001c.117221","DOIUrl":"https://doi.org/10.18043/001c.117221","url":null,"abstract":"Population growth in North Carolina is contributing to health care workforce shortages, particularly in rural and underserved areas. Professions affected most include pub­lic health, nursing, behavioral health, and direct care. We describe efforts to grow this workforce by promoting health professions careers, aligning training with current trends, and improving job satisfaction and retention.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141002222","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: 1
Syndemic Approaches Are Needed to Address Maternal Substance Use and Syphilis in North Carolina 解决北卡罗来纳州孕产妇药物使用和梅毒问题需要采取综合方法
North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.94880
Ingrid L. Tablazon, Avinash Shetty, Candice J. McNeil
{"title":"Syndemic Approaches Are Needed to Address Maternal Substance Use and Syphilis in North Carolina","authors":"Ingrid L. Tablazon, Avinash Shetty, Candice J. McNeil","doi":"10.18043/001c.94880","DOIUrl":"https://doi.org/10.18043/001c.94880","url":null,"abstract":"","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004902","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 Rural Interprofessional Health Initiative 农村跨专业保健倡议
North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117214
M. Zomorodi, Lorraine Alexander, Philip T. Rodgers
{"title":"The Rural Interprofessional Health Initiative","authors":"M. Zomorodi, Lorraine Alexander, Philip T. Rodgers","doi":"10.18043/001c.117214","DOIUrl":"https://doi.org/10.18043/001c.117214","url":null,"abstract":"Innovative models that prepare students for careers in rural health are of increasing interest. The UNC Rural Interprofessional Health Initiative (RIPHI) is an intentional interprofessional model that has been in existence since 2017. This article provides an overview of this work, lessons learned, and opportunities for future partnerships.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003477","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: 1
Developing IPEC Competencies for an Evolving Professional Landscape: Q&A with Jeffery Stewart, DDS 为不断发展的专业领域开发 IPEC 能力：牙科医生杰弗里-斯图尔特问答
North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117092
M. Zomorodi
{"title":"Developing IPEC Competencies for an Evolving Professional Landscape: Q&A with Jeffery Stewart, DDS","authors":"M. Zomorodi","doi":"10.18043/001c.117092","DOIUrl":"https://doi.org/10.18043/001c.117092","url":null,"abstract":"Jeffery Stewart, DDS, MS, a consultant to the American Dental Education Association, met with Meg Zomorodi, PhD, RN, ANEF, FAAN, of UNC-Chapel Hill, to discuss the latest revisions to the IPEC Core Competencies for Interprofessional Collaborative Practice. Released in November 2023, these updated competencies build on previous versions from 2011 and 2016 to incorporate the perspectives of seven new IPEC member organizations and reflect the continuously evolving research, policy, education, and practice landscape.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005230","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: 1
In Search of Shared Language: Professional Associations and Interprofessional Practice in North Carolina 寻找共同语言：北卡罗来纳州的专业协会和跨专业实践
North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117226
Hugh H. Tilson, A. Zolotor
{"title":"In Search of Shared Language: Professional Associations and Interprofessional Practice in North Carolina","authors":"Hugh H. Tilson, A. Zolotor","doi":"10.18043/001c.117226","DOIUrl":"https://doi.org/10.18043/001c.117226","url":null,"abstract":"","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005276","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: 1
Building and Supporting Interprofessional Teams to Support Population Health 建立和支持跨专业团队，支持全民健康
North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117213
Kae Rivers Livsey, Sofia Aliaga, Jennifer Wells
{"title":"Building and Supporting Interprofessional Teams to Support Population Health","authors":"Kae Rivers Livsey, Sofia Aliaga, Jennifer Wells","doi":"10.18043/001c.117213","DOIUrl":"https://doi.org/10.18043/001c.117213","url":null,"abstract":"High-functioning teams can positively impact health care delivery and support population health. The authors discuss enabling and interfering factors that impact team-based care delivery and how the AHEC system can promote inter­professional education and practice across North Carolina.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003154","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
Fostering Psychological Safety: Building Team-Based Care Communication Skills 促进心理安全：培养团队护理沟通技能
North Carolina Medical Journal Pub Date : 2024-05-07 DOI: 10.18043/001c.117225
Lisa de Saxe Zerden, M. Zomorodi
{"title":"Fostering Psychological Safety: Building Team-Based Care Communication Skills","authors":"Lisa de Saxe Zerden, M. Zomorodi","doi":"10.18043/001c.117225","DOIUrl":"https://doi.org/10.18043/001c.117225","url":null,"abstract":"As health systems continue to advance integrated models of care, communication remains a central facet of how interprofessional team members can concurrently address physical health, behavioral health, and social needs.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003069","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: 1
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