Published in North Carolina medical journal
BACKGROUND North Carolina remains one of several states that has not expanded Medicaid eligibility criteria to cover all low-income adults, leading to the so-called Medicaid gap, a population ineligible for Medicaid and too poor for premium subsidies through the federal Health Insurance Marketplace. Our objective was to characterize the health care...
Published in North Carolina medical journal
BACKGROUND Older adults who are discharged following emergency department evaluation are at increased risk for functional decline and health care utilization, and are likely to benefit from close follow-up and additional care services. Understanding factors associated with a return emergency department visit within 30 days among older fee-for-servi...
Published in North Carolina medical journal
Newborn screening is a critical, preventive health program for early identification of disorders in newborns. Early detection, diagnosis, and treatment of certain genetic or metabolic disorders can significantly reduce death, disease, and associated disabilities. North Carolina has been instrumental in the development of innovative technologies use...
Published in North Carolina medical journal
Published in North Carolina medical journal
BACKGROUND Medicaid "lock-in" programs (MLIPs) are a widely used strategy for addressing potential misuse of prescription drugs among beneficiary populations. However, little is known about the health care needs and attributes of beneficiaries selected into these programs. Our goal was to understand the characteristics of those eligible, enrolled, ...
Published in North Carolina medical journal
BACKGROUND Adoption of HIV pre-exposure prophylaxis (PrEP) remains limited among populations at greatest risk for HIV acquisition. This study aims to assess awareness of PrEP among individuals in Durham, North Carolina, which has one of the highest rates of HIV diagnoses in the state.METHOD In 2015-2016, we administered a survey including questions...
Published in North Carolina medical journal
Newborn screening identifies infants at increased risk for 50 metabolic conditions that are treatable with early detection. Follow-up links the laboratory result with physician action. Timeliness is essential to ensure affected babies receive treatment and enjoy a healthy and productive life. The follow-up process comprises many steps, several disc...
Published in North Carolina medical journal
This commentary traces the expansion of newborn screening for inherited metabolic disorders during the past 55 years, from the first simple test for phenylketonuria to the current panel of over 35 conditions. Emphasis is placed on the role played by technology and the contributions made by researchers in North Carolina. ©2019 by the North Carolina ...
Published in North Carolina medical journal
Published in North Carolina medical journal
Newborn screening programs rely on understanding the benefits and harms of screening, but the rarity of conditions hampers generation of high-quality data. The Early Check study, a partnership between North Carolina nonprofit, academic, and state organizations, is filling this gap by screening for conditions not included in standard newborn screeni...
