How will the changing climate impact North Carolina's health care systems?
A recent article in the North Carolina Medical Journal addresses this question, examinining the potential changes in disease outcomes or health risks and suggesting actions that health care providers can take in response.
To learn more, check out the September 15 highlighted article!
Health Care in a Changing North Carolina Climate
How has the COVID-19 pandemic impacted North Carolina's struggling rural hospitals?
A recent North Carolina Health News article addresses this question, discussing the different aspects of the crisis, the impact of relief payments, and what to expect going forward.
To learn more, check out the September 1 Highlighted Article!
The First COVID Surge Weakened NC's Cash-Strapped Rural Hospitals. A Second Wave May Devastate Them.
In the midst of the COVID-19 pandemic, flu vaccinations are taking on additional importance.
A recent Health Affairs blog post addresses this topic, discussing barriers that the public might encounter to getting vaccinated and possible ways to overcome them.
To learn more, check out the 8/15 highlighted article!
How To Increase Flu Vaccination During The COVID-19 Pandemic
How can health care professionals work to avoid their own biases when caring for patients?
A recent blog post from the American Academy of Family Physicians addresses this question, explaining the idea of implicit bias and providing tips to address it.
To learn more, check of the August 1 Highlighted Article!
How to Avoid Bias in Patient Care
What do serious illness issues look like in North Carolina?
The most recent issue of the NC Medical Journal addresses this question, with a collection of articles on delivering different aspects of serious illness care.
The issue brief provides an introduction to the topic and summaries of the other articles in the journal.
To learn more, check out the July 15 highlighted article:
Leaning In to Serious Illness Care Through Stories and Science
What are the health risks related to social isolation and loneliness?
A recent Health Policy Brief from Health Affairs discusses this question, including the impact of isolation on premature morbidity and various biomarkers of health.
To learn more, check out the July 1 highlighted article!
Isolation and Health
What does racial bias look like inside the health care system?
A Health Affairs blog article discusess this question, addressing both how the problem manifests and what individuals and organizations can do to counteract it.
To learn more, check out the June 15 highlighted article:
It’s Time To Address The Role Of Implicit Bias Within Health Care Delivery
How can health care providers care for their own wellness in stressful circumstances?
An article in American Nurse Today addresses this question by breaking down "wellness" into nine dimensions, including everything from physical to environmental to spiritual.
To learn more, check out the June 1 highlighted article!
9 Dimensions of Wellness
How is the COVID-19 pandemic impacting small physician practices?
A recent New York Times article addresses this question, discussing both the medical and economic implications for the health care workforce.
To learn more, check out the May 15 highlighted article!
Doctors Without Patients: ‘Our Waiting Rooms Are Like Ghost Towns’
What impact is COVID-19 having on the community caregivers who look after family and friends outside of health care settings?
A recent Health Affairs blog post discusses this question, addressing the financial impact, lack of protective equipment, and emotional strain that caregivers face.
To learn more, check out the May 1 highlighted article:
Protecting Healthcare’s Family Caregivers Amidst the COVID-19 Pandemic
How can you make virtual visits more effective for you and your patients?
A recent Family Practice Medicine blog post covers 10 easy tips for communicating in virtual visits.
To learn more, check of the April 15 highlighted article!
10 Communication Tips for Physician Phone Visits During COVID-19
How does the COVID-19 pandemic impact the health and wellbeing of custodial staff?
Since many custodial staff members are designated as essential employees, they may have both greater exposure to the disease and fewer opportunities for protection, training, and care.
To learn more, read this Health Affairs blog post!
Custodial Staff Protect Us From The Novel Coronavirus, But Who Is Protecting Them?
How do you know which scientific studies to trust?
A recent article in the New York Times explains some key principles of evaluating studies, translating evidence-based concepts into simpler terms.
To learn more, check out this month's highlighted article:
Worried About That New Medical Study? Read This First.
How do stress, social factors, and physical environments work together to impact health?
A recent article in the Health Affairs blog discusses this question, examining the way that social determinants of health are connected to the role of stress in health outcomes.
To learn more, check out the March 1 Highlighted Article:
Stress Is A Key To Understanding Many Social Determinants Of Health
Please take a look at the COVID-19 guide.If you have specific questions or concerns related to coronavirus, call:
Novel Coronavirus (COVID-19): What Healthcare Providers Need to Know (webinar)
How do system-level pressures and obstacles harm health care professionals?
A recent article in Kaiser Health News explains what it means to call these struggles a 'moral injury,' describing the cumulative impact of a financially-driven system on the people involved.
To learn more, check out the February 15 highlighted article:
Beyond Burnout: Docs Decry 'Moral Injury' From Financial Pressures Of Health Care
For more reading about burnout in health care, please see our collection on Behavioral Health Among Clinical Staff.
What do health care providers need to know about the outbreak of 2019 Novel Coronavirus?
The CDC answered this question by providing guidance on screening, reporting, and treating patients who may be infected.
To learn more about this developing situation, check out the highlighted article of the month:
2019 Novel Coronavirus Interim Guidance for Healthcare Professionals
The latest issue of the NC Medical Journal addresses the complex problem of mother and infant health in North Carolina.
The issue brief provides an overview of the current state of perinatal health, as well as explaining where the journal's other articles fit into the framework.
To learn more, check out this month's highlighted article!
The State of North Carolina's Perinatal Health
Kimple, K.S. (2020). The state of North Carolina's perinatal health. North Carolina Medical Journal January-February 2020 vol. 81 no. 1 24-27.
In celebration of the WHO declaring 2020 the Year of the Nurse, this month's highlighted article showcases nurse and blogger Danielle LeVeck addressing new members of the profession.
LeVeck's letter welcomes new nurses welcomes to the profession, highlighting both the challenges and the rewards of a nurse's role and offering advice for the future.
A recent FierceHealthcare article named LeVeck one of the 2020 social media influencers in healthcare, citing this post as one of her best.
To learn more, check out the January 1 highlighted article of the month!
LeVeck, D. (2017, August 22). To a new nurse - you'll be okay. Nurse Abnormalities.
Renfrow, J. (2019, November 19). Danielle LeVeck: nursing storyteller. Fierce Healthcare.
Enjoy two mid-month highlighted articles this December.
The CDC's interim guidance on suspected vaping-associated lung injuries provide a starting point for treating patients who use e-cigarettes.
And for a brighter moment, a Physicians Practice article shares a collection of holiday-themed ICD-10 codes.
To learn more, check out our highlighted articles!
Jatlaoui TC, Wiltz JL, Kabbani S, et al. Update: Interim Guidance for Health Care Providers for Managing Patients with Suspected E-cigarette, or Vaping, Product Use–Associated Lung Injury — United States, November 2019. MMWR Morb Mortal Wkly Rep 2019;68:1081-1086.
Shryock, T. (2019, November 25). 15 icd-10 codes for the holidays. Physicians Practice.
What kinds of experiences do transgender adolescents encounter in primary care?
A recent article in the Journal of Adolescent Health asked this question in a qualitative study, investigating the challenges and barriers to primary care, concluding with recommendations to provide better experiences with primary care for transgender adolescents.
To learn more, read the December 1 highlighted article!
Guss, C. E., Woolverton, G. A., Borus, J., Austin, S. B., Reisner, S. L., & Katz-Wise, S. L. (2019). Transgender adolescents' experiences in primary care: A qualitative study. Journal of Adolescent Health, 65(3), 344-349. doi:10.1016/j.jadohealth.2019.03.009
Supporting a healthy rural community takes more than great health care.
To celebrate National Rural Health Day on November 21, the ADL is highlighting an article that describes the economic, technological, and insurance challenges that face rural areas striving for health.
To learn more about this important topic, check out the November 15 highlighted article:
Woodie, P. (2018). What's economic development got to do with it? the economic impact of healthy rural communities. North Carolina Medical Journal, 79(6), 382-385. doi:10.18043/ncm.79.6.382
When facing problems related to burnout and wellness, healthcare providers from all disciplines can turn to the AHEC Digital Library's guide about Behavioral Health Among Clinical Staff.
This collection will help you learn about different aspects of the problem, from coping with burnout to building resiliency.
The latest update to the guide features the National Academy of Medicine's report, "Taking Action Against Clinician Burnout," highlighting its focus on burnout as a system-level issue.
To learn more, check out the ADL's Behavioral Health Among Clinical Staff guide!
What is the best method to help patients decrease their use of opioids?
The US Department of Health and Human Services has produced a guide to help health care providers answer this complex question.
The guide includes considerations prior to the decision to taper, recommendations on how to individualize plans according to unique patient needs, a decision-making flowchart, and information on additional options regarding withdrawal or behavioral health.
To learn more, check out October's highlighted article of the month!
The U.S. Department of Health and Human Services Working Group on Patient-Centered Reduction or Discontinuation of Long-term Opioid Analgesics. (2019). HHS guide for clinicians on the appropriate dosage reduction or discontinuation of long-term opioid analgesics. U.S. Department of Health and Human Services.
For a summary of the guide and context about its release, you can also read this FierceHealthcare article:
Finnegan, J. (2019, October 10). HHS offers guide to help clinicians taper patients off opioids. FierceHealthcare.
How much of the burden of postacute care in the US has been taken on by the family and friends who provide patients with informal in-home support?
A recent Health Affairs blog post asks this question, discussing the impact that health policy efforts to reduce the cost of postacute care have had on the nation's informal caregivers.
The article also suggests alternative options that healthcare professionals and others can use to improve care and reduce costs without requiring families to take on the burden of postacute care.
To learn more, check out this month's highlighted article!
Chatterjee, P., Hoffman, A.K., & Werner, R.M. (2019, September 5). Shifting the burden? consequences of postacute care payment reform on informal caregivers. Health Affairs Blog.
What do the people who work in North Carolina's local health departments look like?
This recent report from UNC's Gillings School of Public Health, in partnership with NC AHEC, addresses that question, sharing the results from their survey of the NC public health workforce.
The report describes the demographics, skills, and training needs of people currently working in public health in NC, as well as identifying possible next steps for the future.
To learn more, check out this month's highlighted article!
Gillings School of Global Public Health. (July 2019). Driving the future: assessment of the North Carolina local public health workforce. University of North Carolina.
How can the healthcare profession return to the roots of why people chose to practice medicine?
In a recent talk, Health Director Anna Roth proposes a moral recovery that would allow the profession to reform its belief systems.
The three pivots described in the video and accompanying article ask people to listen, question beliefs, and trust people.
To learn more, check out the September Article of the Month!
Roth, A. (2019). Returning to the meaning of medicine: three pivots. NEJM Catalyst.
As large drug companies begin to make settlement payments in relation to the opioid crisis, how should that money be spent?
A recent NC Health News article discusses questions occurring in states that have been awarded settlements, such as how much money should be required to go towards opioid-related efforts.
By comparing the current opioid crisis to past settlements from tobacco companies regarding smoking, the article highlights the problems governments may face when spending this money.
To learn more, check out our highlighted article!
Vestal, C. (2019, August 19). Opioid settlements spark debate on how to spend the money. North Carolina Health News.
A recent blog post from the Institute of Healthcare Improvement (IHI) shares an interview with IHI President Emerita and Senior Fellow Maureen Bisognano addressing healthcare leadership by women and by nurses.
This interview discusses the changes happening to bring nurses and women into more healthcare leadership roles, including both the benefits and challenges of this shift.
To learn more, check out the highlighted article of the month!
Bisognano, M. (2019, August 6). Why healthcare needs more women and nurse leaders. Improvement Blog. Institute for Healthcare Improvement.
What influences opioid-free workers to develop long-term opioid use after injuries?
A recent JAMA Network Open takes on this question, studying a cohort of injured workers to determine which factors carried the highest risk of long-term use.
The study identifies the number of days' supply in the initial opioid prescription as one of the key risk factors.
To learn more, check out the August Opioid Article of the Month!
Durand Z, Nechuta S, Krishnaswami S, Hurwitz EL, McPheeters M. Prevalence and Risk Factors Associated With Long-term Opioid Use After Injury Among Previously Opioid-Free Workers. JAMA Netw Open. Published online July 17, 20192(7):e197222. doi:10.1001/jamanetworkopen.2019.7222
What do healthcare providers need to know in order to offer appropriate and culturally competent care to the transgender population?
A recent article in the Annals of Internal Medicine answers this question, discussing the health disparities faced by transgender persons, defining key terminology, and suggesting approaches and treatment options that healthcare providers can use when providing care to transgender patients.
To learn more, check out the highlighted article of the month!
Safer JD, Tangpricha V. Care of the Transgender Patient. Ann Intern Med. 2019;171:ITC1–ITC16. doi: 10.7326/AITC201907020!
Request the article via the ADL
Freely available FierceHealthcare summary of the article:
Finnegan, J. (2019, July 2). ACP issues guide to help primary care doctors care for transgender patients. FierceHealthcare.
The July Opioid Article of the Month looks at the different strategies states across the US have used in their efforts to reduce opioid use.
This Health Affairs blog post looks at the many aspects of reducing opioid use, looking beyond initial prescribing limits to describe support for medication-assisted treatment, methods of integrating treatment with payment structures, and clinic-level changes to make opioid treatment more accessible.
The article also reviews successful strategies to reduce opioid use in states that have transitioned to Medicaid Managed Care, combining the two initiatives for increased effectiveness.
To learn more, check out the July Opioid Article of the Month!
How can healthcare providers communicate with patients about important information without understanding a patient’s comprehension?
This CDC online course takes on question, offering three CE-accredited modules on health literacy, cultural compentency, and patients with limited English proficiency.
To learn more about these topics, check out this CDC course!
Centers for Disease Control and Prevention. (2019). Effective Communication for Healthcare Teams. TRAIN.
Note: to access the course, registration for a free TRAIN account is required.
A recent article in the New York Times considers the possibilities offered by some non-opioid methods for treating pain.
The article describes how virtual reality therapies, in combination with other nonpharmacological treatments, are being tested with patients who have chronic pain.
To learn more, check out the June Opioid Article of the Month!
The May Opioid Article of the Month delves into the question of how the US news media has presented stories about opioid use disorder (OUD) treatments.
This study from Health Affairs analyzes local news reporting about OUD treatments, tracking changes in news coverage against the geographic rate of high opioid overdoses and comparing positive versus negative perspectives.
To learn more, check out the May Opioid Article of the Month!
Kennedy-Hendricks, A., Levin, J., Stone, E., McGinty, E. E., Gollust, S. E., & Barry, C. L. (2019). News Media Reporting On Medication Treatment For Opioid Use Disorder Amid The Opioid Epidemic. Health Affairs, 38(4), 643-651.
If you would like to request a copy of this article, please contact your librarian.
Rural emergency departments have faced increasing utilization over the last decade, according to a recent article in JAMA Network Open.
This article analyzes visits in rural and urban areas, concluding that in spite of the US’s average decrease in ED visits, rural regions of the country have become more dependent on EDs as a source of healthcare.
To learn more about this trend, check out this JAMA article.
Please explore -Effective Communication for Healthcare Teams."This interactive training course, aims to raise the quality of interactions between health care professionals and patients by providing an interactive guide to understanding health literacy, cultural competency and limited English proficiency." You will need to create a free account
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A recent report from the National Academy of Sciences tackles the problem of treatments for opioid use disorder.
This report explains both the value of the evidence-based treatments and the barriers people frequently encounter in accessing those treatments.
A news article about the report puts it into the current context of the opioid crisis.
To learn more, check out the April Opioid Articles of the Month!
A recent article from the JAMA Forum highlights the way transportation challenges and mobility barriers affect healthcare.
The article describes the different approaches being taken to reduce these problems at the federal, state, and community levels.
To learn more, check out this JAMA article:
Several new articles in JAMA Internal Medicine examine the impact that physicians’ prescribing habits can have on the opioid crisis.
The first study looks at prescribing patterns across the demographic groups most affected by the opioid crisis, while the second study examines recent changes in opioid prescribing since 2015.
Both articles are highlighted in the a JAMA Internal Medicine commentary that describes how the data is connected in the opioid landscape.
Adams, J. M., & Giroir, B. P. Opioid Prescribing Trends and the Physician’s Role in Responding to the Public Health Crisis. JAMA Internal Medicine.See past Opioid Articles of the Month here.
A recent NEJM Catalyst article takes on the question of improving healthcare by asking patients directly.
The article reports the results of a survey of high-need, high-cost patients, sharing their views on how systems could keep them healthier and out of the ER.
To learn more, check out the NEJM article!
Das, L.T., Abranson, E.L., & Kaushal, R. (2019). High-need, high-cost patients offer solutions for improving their care and reducing costs. NEJM Catalyst.
With the expansion of opioid research, policies, and work, there have been many recent strong publications on the topic.
For a one-time event, your ADL librarians have expanded the Opioid Article of the month to include five articles for February.
These articles cover work being done in the Charlotte and Mountain regions, the validity of evidence used to determine opioid policy, differing trends in intentional and unintentional poisoning deaths, and treatments for opioid use in substance use treatment facilities.
To learn more, check out all five of February’s Opioid Articles of the Month!
The January Opioid Article of the Month highlights a newly published study investigating the impact of the opioid crisis on cases of infective endocarditis in North Carolina.
This serious heart condition can be caused by drug injections, and the article shows the connection between the spike in drug-use associated infective endocarditis and the opioid epidemic.
To learn more, check out the January Opioid Article of the Month!
Ward, A. (2018, December 4). Consequences of the opioid epidemic: decade of research shows spike in drug use-associated infective endocarditis. Contagion Live. Retrieved from https://www.contagionlive.com/news/consequences-of-the-opioid-epidemic-decade-of-research-shows-spike-in-drug-useassociated-infective-endocarditis
December’s opioid article of the month discusses the connection between the opioid crisis and childhood trauma.
Written by Dr. Betsey Tilson, the State Health Director of North Carolina, this article uses local data about Adverse Childhood Experiences (ACEs) and opioid addiction to identify both risk factors for substance abuse and points when intervention could be effective.
To learn more, check out the new opioid article of the month!
Tilson, E. C. (05/2018). Adverse childhood experiences (ACEs): An important element of a comprehensive approach to the opioid crisis.
North Carolina Medical Society http://www.ncmedicaljournal.com/content/79/3/166.full
In October 2018 the American Board of Psychiatry and Neurology released the reading list for the MOC III pilot project. This project will require the ABPN diplomates to read articles from a set list and answer questions.
We are pleased to announce that we are making these articles easily available through the AHEC Digital Library. American Board of Psychiatry and Neurology Pilot Project Articles
The November opioid article of the month puts the issue of hospital opioid use into the broader context of the addiction epidemic.
This blog post from Health Affairs uses research articles, statistics, and anecdotes to make the case for why hospital opioid use is a critical factor to consider.
To learn more, check out the new opioid article of the month!
October’s opioid article of the month highlights an attempt to figure out how people who fatally overdose on opioids are combining prescription and illegal drugs. This report from the Centers for Disease Control and Prevention (CDC) uses medical examiner and coroner data to analyze specific drugs and other substances used by people who died of opioid overdoses. To learn more about the patterns shown in this data, check out the ADL’s opioid article of the month!Opportunities to Prevent Overdose Deaths Involving Prescription and Illicit Opioids, 11 States, July 2016–June2017.
The September opioid article of the month highlights a New York Times news article about recently released opioid statistics. The article discusses the increase in deaths shown in the CDC’s data on opioid use and overdoses, pointing to potential reasons for the increase and showing the points for future success.
To learn more, check out the September opioid article of the month:
Sanger-Katz, M. (2018, August 15). Bleak new estimates in drug epidemic: a record 72,000 overdose deaths in 2017 https://www.nytimes.com/2018/08/15/upshot/opioids-overdose-deaths-rising-fentanyl.html.
The August opioid article of the month addresses an issue of particular interest to rural communities – the question of why some physicians who are authorized to prescribe opioid addiction treatments still aren’t doing so.
The article describes a research study surveying this unique population of providers, discussing the barriers that these physicians report facing that make it difficult for them to prescribe addiction treatments.
To learn why these rural physicians aren’t prescribing addiction treatments, check out this month’s article:
Andrilla, C. H. A., Coulthard, C., & Larson, E. H. (2017). Barriers rural physicians face prescribing buprenorphine for opioid use disorder. The Annals of Family Medicine, 15(4), 359-362.
Retrieved from: http://www.annfammed.org/content/15/4/359.long
If you are experiencing problems accessing resources due to the recent storm, please contact us.
This blog post draws attention to one of the most often overlooked aspects of the opioid crisis – the issue of suicide via deliberate overdose. The article explains why this is an important question that should not be ignored, discussing both the relevant statistics and the gaps in the research.
To learn more about how suicide and opioid addiction are interrelated, read the July opioid article of the month.Oquendo, M.A. & Volkow, N.D. (2018, April 26). Suicide: a silent contributor to opioid-overdose deaths. New England Journal of Medicine 2018; 378:1567-1569.
In the March Opioid Article of the Month, a SAMHSA guide explains some simple ways to reduce substance abuse stigma by language choices. The words that healthcare providers use to discuss this condition with patients can have a significant impact on the patient-provider relationship and the patient’s health outcomes. Check out the full article to learn why words matter.
Please check out our guide for much important information about this virus and North Carolina's readiness