Heart Health NOW! Advancing Heart Health in NC Primary Care

  EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to accelerate the dissemination and implementation of patient-centered outcomes research findings into primary care. AHRQ has awarded seven implementation grants that use a variety of interventions to help small and medium-sized primary care practices build… Read more »

Rapid Response to Requests from NCHWA

Investigators: CHWRC investigators and staff as appropriate for each request Part of the CHWRC’s role is to provide rapid response to time-sensitive requests from the National Center for Health Workforce Analysis (NCHWA) and other key constituents. Our rapid response activities allow NCHWA and HRSA to access the wide array of data resources housed at the… Read more »

Tough choices: Autism, private health insurance and family out-of-pocket spending

Emerging patterns in our current work suggest that insurance choices of families raising children with autism are influenced by out-of-pocket expenditures without regard to the breadth and depth of services covered. This is troubling from a policy perspective since low deductible and co-payment plans are expensive and reduce resources thereby constraining use of uncovered services…. Read more »

Adequate Health Insurance for Children with Autism

Evidence and Implications for Defining Essential Benefits – Families raising children with autism contribute significant amounts out-of-pocket to the cost of care and that this pay-as-you-go strategy is associated with disparities in use for vulnerable families (Thomas, Williams et al, 2013; Parish, Thomas, Williams et al, 2013). As a result, in comparison to other children… Read more »

Pathways in Nursing Careers: Transitions from the Role of Licensed Practical Nurse to Registered Nurse in North Carolina (2014-15)

Investigators:  Cheryl Jones, PhD, RN, FAAN; George Knafl, PhD; Mark Toles, PhD, RN; Anna Beeber, PhD, RN Background: In a reforming health care system, nursing personnel, including licensed practical nurses (LPNs) and registered nurses (RNs), are viewed as flexible health care workers because they are readily deployed in diverse health care settings, reduce workforce shortages,… Read more »

Diffusion of Physicians and Access to Primary Care: The Role of Person, Program, and Place (2014-15)

  Author: Thomas C. Ricketts, PhD, MPH Background: Federal and state policies try to influence physician location choices using a combination of programmatic or extrinsic factors (e.g. bonus payments, subsidized loans) and personal or intrinsic factors (e.g. promoting volunteerism, orienting trainees to underserved populations and selecting motivated students) to encourage physicians to practice in communities where the… Read more »

Understanding How the Diffusion of Physicians Creates Areas of Underservice (2014-15)

Investigators: Thomas Ricketts, PhD; Erin Fraher, PhD, MPP; Andy Knapton, MSc Background: States and the federal government devote substantial resources to influence physicians to practice in underserved areas.  Like the general population, the physician workforce is mobile.  About 20% of the active employed physician workforce will relocate to another county within a five-year period. Federal… Read more »

Making Use of Workforce Projections to Inform the Graduate Medical Education Policy Debate in the United States (2014-15)

Investigators: Erin P. Fraher PhD MPP, Andy Knapton MSc Background: There is intense policy debate over whether the nation should expand graduate medical education (GME) or redistribute existing slots to high-need specialties and geographies.  The recently released Institute of Medicine (IOM) report recommends creating a GME Policy Council to use data and workforce projections to… Read more »

Communication and Dissemination Strategies to Facilitate the Use of Health Related Evidence

This review sought to provide evidence for how to best communicate and disseminate evidence, including uncertain evidence to inform health care decisions. A secondary objective was to examine how the effectiveness of communication and dissemination strategies varies across target audiences, namely patients and clinicians. Principal Investigator: Stacey Sheridan, M.D. Funding: AHRQ