This issue focuses on the American Academy of Pediatrics’ Bright Futures guidelines for well-child care. Articles explore child health topics including healthy weight, immunizations, and behavioral health, as well as practice-related topics such as anticipatory guidance, behavioral kernels, and routine screening for risks and strengths. Original articles examine asthma-related emergency department visits and a community-based obesity intervention. The 2012 North Carolina Child Health Report Card and the North Carolina Institute of Medicine issue brief on young children’s social-emotional and mental health complete the issue.
This special supplement provides an overview and history of North Carolina’s Medicaid program, including information on how it is financed, who is eligible, and what services are covered. The issue brief and invited commentaries address the challenges the state faces in financing Medicaid; how North Carolina’s patient-centered medical home model, Community Care of North Carolina, has led to improved health outcomes for Medicaid recipients; and future challenges the state will face with a growing population of older adults.
This issue focuses on current efforts to improve the quality of health care in North Carolina, including the work of the NC Quality Center, Community Care of North Carolina, and The Carolinas Center for Medical Excellence. Commentaries also discuss local quality improvement initiatives and provide insight from public health departments, hospital administrators, physicians, and insurers. Original articles examine the state’s Silver Alert program and factors affecting the density of tanning facilities in North Carolina.
This issue focuses on the challenge of managing chronic pain. Commentaries present various treatment options, including opioids, nonopioid medications, surgery, and alternative therapies. Authors also address the problems of opioid misuse and abuse and discuss ways to lessen these risks. Original articles examine health professionals’ communication with adolescents about smoking, as well as children's immunization status as verified by practice records and by the North Carolina Immunization Registry.
This issue focuses on how the Affordable Care Act will change health care in North Carolina. Commentaries discuss the effect of this legislation on consumers, insurers, employers, hospitals, and others. Original articles examine injuries in Eastern North Carolina following Hurricane Irene, the use of family health history for assessment of chronic disease risk, and the development and validation of a family health history and decision support program.
Commentaries in this issue cover a range of respiratory diseases—including asthma, lung cancer, chronic obstructive pulmonary disease (COPD), tuberculosis, pertussis, influenza, and pneumonia—as well as treatment and prevention strategies such as smoking cessation and vaccination. Original articles include a descriptive review of asbestosis and silicosis hospitalization trends in North Carolina during the period 2002–2011, and an analysis of the prevalence, characteristics, and impact of COPD.
This issue addresses pharmacogenomics, epigenetics, direct-to-consumer genomic testing, gene therapy, prenatal and newborn screening, and other medical applications of genetics. Commentaries also discuss the social, policy, and ethical issues associated with this technology and the need for health professional education in this area. Original articles describe community perceptions of genomic research and the relation of race and health insurance to long-term risk of mortality among lung cancer patients.