Publications

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Below is a listing of recent Sheps Center journal articles.  Search PubMed to find more Sheps Center articles.

  • Sheps Center publications from PubMed

    Determining the sweet spot for rural hospital engagement in general surgery training
    - Mustafa Abid

    CONCLUSIONS: This study reveals that few rural hospitals can establish general surgery residencies that meet current eligibility for Medicare GME financing of Rural Track Programs. Hosting rural rotations and partnering with hospitals for training offer substantial potential for rural general surgery GME expansion among rural hospitals. [...]

    Community Health Worker Coaching, Food Insecurity, and Physical Activity in the Healthy Food First Trial: A Causal Mediation and Longitudinal Analysis
    - Robert E Anderson

    To evaluate whether change in food insecurity (ΔFI) mediated the effect of a community health worker (CHW) intervention on physical activity (PA) among food insecure (FI) hypertensive adults, we conducted a secondary analysis of the Healthy Food First randomized clinical trial of food insecure adults with hypertension recruited from 364 North Carolina clinical sites. Participants were randomized to CHW coaching or no coaching within a 2 × 2 × 2 factorial design. FI was measured at baseline and [...]

    Rethinking Rurality in Graduate Medical Education
    - Mukesh Adhikari

    CONCLUSIONS: FORHP's tract-level rural definition identifies a distinct group of hospitals. Expanding the definition of rural could unlock federal funding for physician training for nearly 500 additional US hospitals. [...]

    High Prevalence and Limited Perinatal Prediction of Kidney Dysfunction in Adolescents Born Extremely Preterm
    - Keia R Sanderson

    CONCLUSION: Abnormal kidney health is highly prevalent after extremely preterm birth, underscoring the importance of protocolized longitudinal kidney health surveillance throughout childhood to enable early identification of CKD and elevated BP in children born extremely preterm. The perinatal factors we examined did not meaningfully predict kidney health abnormalities and variable importance did not translate to individual-level prediction in this cohort. [...]

    Rural Versus Urban Distribution of Obstetrics and Gynecology Residency Training and Associated Rural Community Characteristics
    - Ryan Spencer

    CONCLUSION: OB/GYN residency training is highly urbanized. There are significantly less favorable health care access characteristics in rural counties without an OB/GYN residency training site compared to those with residency training sites. The findings identify rural communities without OB/GYN training sites that may represent opportunities for future rural training expansion. A comprehensive strategy to increase rural OB/GYN training experiences may increase the number of rural obstetricians. [...]