THE PEDIATRICIAN AND THE PUBLIC

PEDIATRICS ◽  
1948 ◽  
Vol 1 (1) ◽  
pp. 117-122
Author(s):  
EDWARDS A. PARK ◽  
ARTHUR H. LONDON
Keyword(s):  
North Carolina ◽  
Rural Areas ◽  
Medical Personnel ◽  
The State ◽  
Medical Society ◽  
Medical Attention ◽  
Unequal Distribution ◽  
Medical Needs ◽  
Hospital Beds ◽  
Organized Medicine

In the fall of 1943, a group of members of the State Medical Society began a study of medical needs of North Carolina. It was obvious that citizens of many sections were not receiving adequate medical care. While this condition was accentuated by the war, it was known to have existed for many years and that the requirements would likely increase after the war. These doctors were of the opinion that organized medicine within the state has a very definite responsibility in furnishing leadership for a movement that would bring improved medical attention to larger groups of citizens. While North Carolina has made much progress economically in the past two decades, it, nevertheless, has a comparatively low per capita income—this, of course, is true of most southern states. It ranks third from last in the nation in the ratio of doctors to the population, and is almost as low with regard to hospital beds. Thirty-four of its 100 counties have no hospital beds, and 55 counties have no beds for Negroes. Seventy-three per cent of its population lives in rural areas—towns of 2,500 or less. Roughly, 70% of its doctors live in 10 of the more populous counties. After many discussions, the group agreed that the following factors were of importance in the overall problems: 1) Shortage of medical personnel, hospitals and their unequal distribution. 2) Inability of a large number of persons to pay for good medical service. 3) Lack of information or initiative on how to use facilities

scholarly journals Qualitative perspectives of the North Carolina healthy food small retailer program among customers in participating stores located in food deserts

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lindsey Haynes-Maslow ◽  
Stephanie B. Jilcott Pitts ◽  
Kathryn A. Boys ◽  
Jared T. McGuirt ◽  
Sheila Fleischhacker ◽  
...  
Keyword(s):  
North Carolina ◽  
Low Income ◽  
Rural Areas ◽  
Food Access ◽  
Qualitative Interviews ◽  
Food Deserts ◽  
State Legislature ◽  
Healthy Food ◽  
The State ◽  
The North

Abstract Background The North Carolina Healthy Food Small Retailer Program (NC HFSRP) was established through a policy passed by the state legislature to provide funding for small food retailers located in food deserts with the goal of increasing access to and sales of healthy foods and beverages among local residents. The purpose of this study was to qualitatively examine perceptions of the NC HFSRP among store customers. Methods Qualitative interviews were conducted with 29 customers from five NC HFSRP stores in food deserts across eastern NC. Interview questions were related to shoppers’ food and beverage purchases at NC HFSRP stores, whether they had noticed any in-store efforts to promote healthier foods and beverages, their suggestions for promoting healthier foods and beverages, their familiarity with and support of the NC HFSRP, and how their shopping and consumption habits had changed since implementation of the NC HFSRP. A codebook was developed based on deductive (from the interview guide questions) and inductive (emerged from the data) codes and operational definitions. Verbatim transcripts were double-coded and a thematic analysis was conducted based on code frequency, and depth of participant responses for each code. Results Although very few participants were aware of the NC HFSRP legislation, they recognized changes within the store. Customers noted that the provision of healthier foods and beverages in the store had encouraged them to make healthier purchase and consumption choices. When a description of the NC HFSRP was provided to them, all participants were supportive of the state-funded program. Participants discussed program benefits including improving food access in low-income and/or rural areas and making healthy choices easier for youth and for those most at risk of diet-related chronic diseases. Conclusions Findings can inform future healthy corner store initiatives in terms of framing a rationale for funding or policies by focusing on increased food access among vulnerable populations.

THE PEDIATRICIAN AND THE PUBLIC

PEDIATRICS ◽  
1949 ◽  
Vol 4 (1) ◽  
pp. 127-134
Author(s):  
HUGH J. MORGAN
Keyword(s):  
North Carolina ◽  
Medical Society ◽  
The South ◽  
Self Evaluation ◽  
Southern States ◽  
Current Program ◽  
Education Medical ◽  
To Come ◽  
Organized Medicine ◽  
Self Examination

IT IS a pleasure and a great honor to come to the Old North State from a daughter state, Tennessee, to speak to you on the occasion of the 150th anniversary of the foundation of your Medical Society. The conventional address for such an occasion would be a historical one. Certainly, old records of this Society provide extraordinarily rich and attractive material for the historian. Your current program of medical education, medical research and medical administration in relation to the improvement and extension of medical care, both preventive and curative, is a source of pride and stimulation for all of the southern states. North Carolina is leading the way in the South. But I do not plan to review in detail the past or current accomplishments of the profession in North Carolina. This has just been done for us in a scholarly and inspiring address by Dr. Hubert A. Royster. Suffice it to say that the membership of your Society has exhibited a capacity, unusual in organized medicine, for self examination and self evaluation and has been alert to change. Your membership has been judged courageous and progressive, and the country in general and the South in particular has become accustomed to look to North Carolina for guidance and example. Perhaps some of you hardly recognize yourselves as I talk! Maybe there are a few of you like the thieving, prowling, lying and intemperate colored man on judgment day who read, as he arose from his grave at the sound of the trump, the inscription on a tombstone—provided by the faithful, generous wife who survived him—"Here lies an honest man, a faithful husband, a truthful citizen and a temperate, devoted churchman." "Scuze me, Lord," said our friend, "I done come up outer the wrong grave!"

scholarly journals Role of Pharmacists in Hormonal Contraceptive Access: A Survey of North Carolina Pharmacists

Pharmacy ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 191
Author(s):  
Gwen J Seamon ◽  
Allison Burke ◽  
Casey R Tak ◽  
Amy Lenell ◽  
Macary Weck Marciniak ◽  
...  
Keyword(s):  
North Carolina ◽  
Rural Areas ◽  
Hormonal Contraception ◽  
Community Pharmacists ◽  
The United States ◽  
The State ◽  
Public Health Issue ◽  
Future Research ◽  
Potential Barriers

The role of pharmacy in healthcare continues to evolve as pharmacists gain increased clinical responsibilities in the United States, such as the opportunity to prescribe hormonal contraception. Currently, North Carolina (NC) pharmacists do not have this ability. While previous research focused on the perceptions of community pharmacists surrounding this practice, no previous research surveyed all pharmacists in a state. This cross-sectional, web-based survey was distributed to all actively licensed pharmacists residing in the state of NC in November 2018. The primary objective was to determine the likelihood of NC community pharmacists to prescribe hormonal contraception. Secondary outcomes included: evaluation of all respondent support and perceptions of this practice as advocacy occurs on the state organization level and unified support is critical; opinions regarding over-the-counter (OTC) status of contraception; and potential barriers to prescribing. Overall, 83% of community pharmacists were likely to prescribe hormonal contraception. No differences in likelihood to prescribe were detected between geographic settings. Community pharmacists reported that the most common barriers to impact prescribing were added responsibility and liability (69.8%) and time constraints (67.2%). Fewer than 10% of respondents felt that hormonal contraception should be classified as OTC (7.9%). Noncommunity pharmacists were significantly more likely to agree that prescribing hormonal contraception allows pharmacists to practice at a higher level, that increased access to hormonal contraception is an important public health issue, and that rural areas would benefit from pharmacist-prescribed hormonal contraception. Overall, this study found a willingness to prescribe and support from the majority of both community and noncommunity pharmacists. Limitations of the study included a low response rate and potential nonresponse bias. Future research is needed to address solutions to potential barriers and uptake of this practice, if implemented.

THE PEDIATRICIAN AND THE PUBLIC

PEDIATRICS ◽  
1954 ◽  
Vol 13 (1) ◽  
pp. 89-100
Keyword(s):  
North Carolina ◽  
Medical Care ◽  
Adult Population ◽  
Medical Personnel ◽  
Child Health Services ◽  
Medical Society ◽  
Careful Study ◽  
The North ◽  
The People ◽  
President Elect

A few months ago, there was dedicated at the University of North Carolina a multipurpose Health Center, culminating a decade of planning and building by the people of that state. I believe the readers of Pediatrics would be interested in knowing the background of this development, since it was in part stimulated by information such as that which became available as a result of the report of the Committee for the Study of Child Health Services of the American Academy of Pediatrics. That report revealed the fact that North Carolina had fewer physicians per total adult population and also per total child population than any other state. By 1943 it had become apparent that there was a critical shortage of both doctors and hospital beds in North Carolina, especially in most rural counties. Early in 1944 five prominent physicians representing the North Carolina Medical Society (its President, President-elect, and three former Presidents) presented an appeal to Governor J. Melville Broughton to create a Hospital and Medical Care Commission to study the critical shortage of general hospital facilities and trained medical personnel in North Carolina and to recommend remedies. In February of 1944 Governor Broughton named a State Hospital and Medical Care Commission of 50 representative citizens, headed by Mr. Clarence Poe, editor of The Progressive Farmer. The Poe Commission, after a careful study, recommended that a state-wide, well-balanced attack on the inadequacies of medical care be made.

From Rural Single-County to Multicounty Regional Transit Systems: Benefits of Consolidation

2003 ◽  
Vol 1841 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Thomas J. Cook ◽  
Judson J. Lawrie ◽  
Andrew J. Henry
Keyword(s):  
North Carolina ◽  
Public Transportation ◽  
Rural Areas ◽  
Transportation Systems ◽  
The State ◽  
Transit Systems ◽  
Transportation Services ◽  
State And Local ◽  
Legislative Changes ◽  
Public Transportation Systems

A research study developed recommendations for activities to consolidate single-county rural public transportation systems into regional multicounty transit systems in North Carolina. The study identified opportunities from regionalization of public transit services, examined barriers to integration and consolidation of transit systems regionally, evaluated best practices from case study sites, and made recommendations for programmatic and legislative changes to facilitate the implementation of regional transit systems in both metropolitan and rural areas of the state. Emphasis is on the rural component of the study, in summarizing regionalization issues and recommendations for the consolidation of rural single-county into multicounty transit systems. Consolidation of rural public transportation systems into regional entities is another step in further coordinating public transportation services in the state. However, there is a public transportation system now operating in all 100 North Carolina counties. Therefore, the thrust of regionalization will be to consolidate existing rural transportation systems into regional entities. There are key programmatic and legislative aspects of interest to state departments of transportation, transportation planners, and policymakers. Case studies also gathered information from associated state department of transportation staff, to include both the state and local perspectives on regional rural transportation systems.

A PROPOSED EVALUATION PLAN TO ASSESS THE IMPACT OF A YOUTH DEVELOPMENT PROGRAMME FACILITATED BY THE STATE INFORMATION TECHNOLOGY AGENCY (SITA) IN RURAL SOUTH AFRICA

2017 ◽  
Vol 14 (1) ◽  
pp. 174-181
Author(s):  
Maura Mbunyuza-deHeer Menlah
Keyword(s):  
Information Technology ◽  
Youth Development ◽  
Rural Areas ◽  
Secondary Data ◽  
The State ◽  
State Information ◽  
Evaluation Plan ◽  
Lessons Learnt ◽  
Slow Development ◽  
The Impact

This article reports on a proposed evaluation plan that has been developed to assess the work done by the State Information Technology Agency (SITA). The SITA programme was implemented in response to the South African government’s call to improve the lives of the populations in some rural areas through technology. The programme was meant to address slow development in  rural  areas  that  lack  technological  innovations  and  advances.  In  the proposed evaluation plan a review is made of secondary data, deciding how strategic priorities are to be determined, as well as analysis of the rural context environment. The researcher gives an account of how the evaluation strategies are to be piloted and rolled out thereafter. Lessons learnt are recorded and reported upon. A proposed evaluation plan will be developed, based on the lessons learnt in line with the objectives of the project.

Biochemical Markers in Patients with Readmission for Congestive Heart Failure

2018 ◽  
Vol 69 (7) ◽  
pp. 1687-1691
Author(s):  
Razan Al Namat ◽  
Mihai Constantin ◽  
Ionela Larisa Miftode ◽  
Andrei Manta ◽  
Antoniu Petris ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Rural Areas ◽  
Discharge Planning ◽  
Difficult Problem ◽  
Uncontrolled Hypertension ◽  
Medical Attention ◽  
Family Doctors ◽  
Increased Risk ◽  
Risk Patients

Repetitive or recurrent hospitalizations are a general major health issue in patients with chronic disease. Congestive heart failure, is associated with a high incidence and presence of early rehospitalization, but variables in order to identify patients at increased risk and also an analysis of potentially remediable factors contributing to readmission have not been previously reported and it remains still a difficult problem. We retrospectively assessed 100 patients aged between 48-85 years old, of which 75% were men, who had been hospitalized with documentation of congestive heart failure in St. Spiridon County Emergency Hospital. They were hospitalized between 2010-2017. Even if recurrent heart failure was the most common cause for readmission or rehospitalization, other cardiac disorders and noncardiac illnesses were also accounted for readmission. Predictive factors of an increased probability of readmission included prior patient�s medical heart failure history, heart failure decompensation precipitated or accelerated by an ischaemic episode, atrial fibrillation or uncontrolled hypertension. Factors contributing to preventable readmissions included noncompliance with medications or diet, inadequate discharge planning or follow-up, failure of both social support system and the seek of a promp medical attention when symptoms reappeared. We also identified an inappropriate colaboration with family doctors especially for the patients from rural areas. Patients were more likely to cite side effects of prescribed medications rather than nonadherence as a precipitating factor for readmission. Thus, we can appreciate that early rehospitalization in patients with congestive heart failure may be avoidable in up to 50% of cases. Identification of high risk patients is possible and also necessary shortly after admission in order to identify nonpharmacological interventions designed to decrease readmission frequency.

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