Tanya S Carey
Dados Biográficos
| ID | 94703 |
|---|---|
| NOME | Tanya S Carey |
| PRENOMES | Tanya S |
| SOBRENOME | Carey |
| ASSINATURA | CAREY T S |
| AFILIAÇÕES | University of North Carolina at Chapel Hill |
| ORCID | 0000-0001-6539-5021 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 22 |
| TOTAL DE CITAÇÕES | 55 |
| TOTAL COMO AUTOR | 22 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1987 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
County-level social determinants of health and suicide mortality trends among formerly incarcerated persons in North Carolina, 2010–2018
BACKGROUND: Suicide mortality represents a growing public health crisis in the United States, disproportionately affecting people with recent incarceration histories. The purpose of this study was to assess how county-level Social Determinants of Health—including educational attainment, unemployment, poverty, aging, racial composition, and rurality—are associated with suicide mortality among formerly incarcerated individuals in North Carolina in …
How representative are electronic health records? A record linkage study using individual-level census data
Ethno-Racial Differences in Age and Symptom Severity Among Pre-Menopausal Women Commencing Treatment for Benign Gynecological Conditions with a Levonorgestrel-Releasing Intrauterine Device
Introduction: Levonorgestrel-releasing intrauterine devices (LNG-IUDs) can be effective treatments for benign gynecological conditions, but there may be ethno-racial differences in how patients receive treatment. Methods: Data were from a health care system in the U.S. South (April 2014-September 2019). We identified 783 female patients aged 18-44 years with an LNG-IUD for a benign gynecological condition (455 White, 208 Black, and 120 Hispanic p…
Homicide Mortality in Formerly Incarcerated People Compared to the General Population in North Carolina, 2000 to 2020
Race and Ethnicity Data in the Electronic Health Records
Assessing Electronic Health Records for Describing Racial and Ethnic Health Disparities
The use of data derived from electronic health records (EHRs) to describe racial and ethnic health disparities is increasingly common, but there are challenges. While the number of patients covered by EHRs can be quite large, such patients may not be representative of a source population. One way to evaluate the extent of this limitation is by linking EHRs to an external source, in this case with the American Community Survey (ACS). Relying on a …
“Cookbook medicine”
Opioid dependence and overdose are serious public health concerns. States have responded by enacting legislation regulating opioid-prescribing practices. Through in-depth interviews with clinicians, state officials, and organizational stakeholders, this paper examines opioid prescribing limits legislation (PLL) in North Carolina and how it impacts clinical practice. Since the advent of PLL, clinicians report being more mindful when prescribing op…
Feasibility of a best–worst scaling exercise to set priorities for autism research
BACKGROUND: The preferences of autism stakeholders regarding the top priorities for future autism research are largely unknown. OBJECTIVE: This study had two objectives: First, to examine what autism stakeholders think new research investments should be and the attributes of investment that they consider important, and second, to explore the feasibility, acceptability and outcomes of two prioritization exercises among autism stakeholders regardin…
Linking Electronic Health Records to the American Community Survey
Objectives. To assess linkages of patient data from a health care system in the southeastern United States to microdata from the American Community Survey (ACS) with the goal of better understanding health disparities and social determinants of health in the population. Methods. Once a data use agreement was in place, a stratified random sample of approximately 200 000 was drawn of patients aged 25 to 74 years with at least 2 visits between Janua…
Understanding Patients’ Decisions to Obtain Unplanned, High-Resource Health Care After Colorectal Surgery
Readmissions and emergency department (ED) visits after colorectal surgery (CRS) are common, burdensome, and costly. Effective strategies to reduce these unplanned postdischarge health care visits require a nuanced understanding of how and why patients make the decision to seek care. We used a purposefully stratified sample of 18 interview participants from a prospective cohort of adult CRS patients. Thirteen (72%) participants had an unplanned p…
The Influence of Rural Versus Urban Residence on Utilization and Receipt of Care for Chronic Low Back Pain
Purpose : (1) To describe demographic and health‐related characteristics among rural/urban residents with chronic low back pain (LBP); (2) To determine if the utilization of diagnostics and treatments differs between rural and urban residents with chronic LBP; and (3) To determine the association between rural/urban residence and health care provider usage and if associations differ by race or gender. Methods : A 2006 cross‐sectional telephone su…
Chronic Low Back Pain Among Older Adults
There are age-related differences in health and health care use among individuals with chronic LBP
Physician–Patient Racial Concordance, Continuity of Care, and Patterns of Care for Hypertension
To assess the effects of physician–patient racial concordance and continuity of care on hypertension outcomes, we described patterns of care for hypertension; we used cross-tabulations and repeated measures (generalized estimating equations) analyses with panel survey data from elderly persons interviewed and examined in 1987 and 1990. Continuity of care was associated with recognition of hypertension, receipt of medication, and lower incidence o…
Prudence, Nihilism, and the Treatment of Low-Back Pain
From the Cecil G. Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Reprints: Timothy S. Carey, MD, MPH, Director, Sheps Center for Health Services Research, The University of North Carolina, 725 Airport Road, CB# 7590, Chapel Hill, NC 27599-7590. E-mail: [email protected]
Comparison of inverse-dynamics musculo-skeletal models of AL 288-1 Australopithecus afarensis and KNM-WT 15000 Homo ergaster to modern humans, with implications for the evolution of bipedalism
A spatial analysis of county-level variation in hospitalization rates for low back problems in North Carolina
Hospitalization rates as indicators of access to primary care
Recurrence and Care Seeking After Acute Back Pain
OBJECTIVE: To explore the relationship between type of initial care as well as the likelihood of recurrence and consequent care seeking behavior. RESEARCH DESIGN: Prospective observational cohort recruited from 208 randomly selected North Carolina practices. Cohort study examined the recurrence of low back pain among patients free of back pain 3 months after their index visit to a practitioner for that problem. The following four practitioner str…
The Effects of Having a Regular Doctor on Access to Primary Care
The authors assessed the relationship between having a regular doctor and access to care, as measured by a set of preventive and primary care utilization indicators recommended by the Institute of Medicine. The 1987 National Medical Expenditure Survey was used in the analyses (n = 30,012). The results of the regression analyses suggest that individuals with any type of regular source of care had better access than those without a regular source o…
Chronic Back Pain
Impact Of Socioeconomic Status On Hospital Use In New York City
This DataWatch examines the potential impact of socioeconomic differences on rates of hospitalization, based on patterns of hospital use in New York City in 1988. The research suggests that lack of timely and effective outpatient care may lead to higher hospitalization rates in low-income areas. For certain conditions identified as ambulatory care sensitive, hospitalization rates were higher in low-income areas than they were in higher-income are…
Social Security Disability Determinations
Social Security spends $135 million yearly, contracting with physicians to provide consultative examinations for disability applicants. However, little is known about who these physicians are or how they view the determination of impairment. We surveyed a random sample of 153 physicians from North Carolina who performed consultative examinations for the North Carolina Disability Determinations Agency in 1983 (the consultative group), and a random…
Hospitalization rates as indicators of access to primary care
Comparison of inverse-dynamics musculo-skeletal models of AL 288-1 Australopithecus afarensis and KNM-WT 15000 Homo ergaster to modern humans, with implications for the evolution of bipedalism
A spatial analysis of county-level variation in hospitalization rates for low back problems in North Carolina
Physician–Patient Racial Concordance, Continuity of Care, and Patterns of Care for Hypertension
To assess the effects of physician–patient racial concordance and continuity of care on hypertension outcomes, we described patterns of care for hypertension; we used cross-tabulations and repeated measures (generalized estimating equations) analyses with panel survey data from elderly persons interviewed and examined in 1987 and 1990. Continuity of care was associated with recognition of hypertension, receipt of medication, and lower incidence o…
Linking Electronic Health Records to the American Community Survey
Objectives. To assess linkages of patient data from a health care system in the southeastern United States to microdata from the American Community Survey (ACS) with the goal of better understanding health disparities and social determinants of health in the population. Methods. Once a data use agreement was in place, a stratified random sample of approximately 200 000 was drawn of patients aged 25 to 74 years with at least 2 visits between Janua…
Chronic Low Back Pain Among Older Adults
There are age-related differences in health and health care use among individuals with chronic LBP
Assessing Electronic Health Records for Describing Racial and Ethnic Health Disparities
The use of data derived from electronic health records (EHRs) to describe racial and ethnic health disparities is increasingly common, but there are challenges. While the number of patients covered by EHRs can be quite large, such patients may not be representative of a source population. One way to evaluate the extent of this limitation is by linking EHRs to an external source, in this case with the American Community Survey (ACS). Relying on a …
Social Security Disability Determinations
Social Security spends $135 million yearly, contracting with physicians to provide consultative examinations for disability applicants. However, little is known about who these physicians are or how they view the determination of impairment. We surveyed a random sample of 153 physicians from North Carolina who performed consultative examinations for the North Carolina Disability Determinations Agency in 1983 (the consultative group), and a random…
Impact Of Socioeconomic Status On Hospital Use In New York City
This DataWatch examines the potential impact of socioeconomic differences on rates of hospitalization, based on patterns of hospital use in New York City in 1988. The research suggests that lack of timely and effective outpatient care may lead to higher hospitalization rates in low-income areas. For certain conditions identified as ambulatory care sensitive, hospitalization rates were higher in low-income areas than they were in higher-income are…
Chronic Back Pain
The Effects of Having a Regular Doctor on Access to Primary Care
The authors assessed the relationship between having a regular doctor and access to care, as measured by a set of preventive and primary care utilization indicators recommended by the Institute of Medicine. The 1987 National Medical Expenditure Survey was used in the analyses (n = 30,012). The results of the regression analyses suggest that individuals with any type of regular source of care had better access than those without a regular source o…
Recurrence and Care Seeking After Acute Back Pain
OBJECTIVE: To explore the relationship between type of initial care as well as the likelihood of recurrence and consequent care seeking behavior. RESEARCH DESIGN: Prospective observational cohort recruited from 208 randomly selected North Carolina practices. Cohort study examined the recurrence of low back pain among patients free of back pain 3 months after their index visit to a practitioner for that problem. The following four practitioner str…
Hospitalization rates as indicators of access to primary care
A spatial analysis of county-level variation in hospitalization rates for low back problems in North Carolina
Comparison of inverse-dynamics musculo-skeletal models of AL 288-1 Australopithecus afarensis and KNM-WT 15000 Homo ergaster to modern humans, with implications for the evolution of bipedalism
Physician–Patient Racial Concordance, Continuity of Care, and Patterns of Care for Hypertension
To assess the effects of physician–patient racial concordance and continuity of care on hypertension outcomes, we described patterns of care for hypertension; we used cross-tabulations and repeated measures (generalized estimating equations) analyses with panel survey data from elderly persons interviewed and examined in 1987 and 1990. Continuity of care was associated with recognition of hypertension, receipt of medication, and lower incidence o…
Prudence, Nihilism, and the Treatment of Low-Back Pain
From the Cecil G. Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Reprints: Timothy S. Carey, MD, MPH, Director, Sheps Center for Health Services Research, The University of North Carolina, 725 Airport Road, CB# 7590, Chapel Hill, NC 27599-7590. E-mail: [email protected]
Chronic Low Back Pain Among Older Adults
There are age-related differences in health and health care use among individuals with chronic LBP
The Influence of Rural Versus Urban Residence on Utilization and Receipt of Care for Chronic Low Back Pain
Purpose : (1) To describe demographic and health‐related characteristics among rural/urban residents with chronic low back pain (LBP); (2) To determine if the utilization of diagnostics and treatments differs between rural and urban residents with chronic LBP; and (3) To determine the association between rural/urban residence and health care provider usage and if associations differ by race or gender. Methods : A 2006 cross‐sectional telephone su…
Understanding Patients’ Decisions to Obtain Unplanned, High-Resource Health Care After Colorectal Surgery
Readmissions and emergency department (ED) visits after colorectal surgery (CRS) are common, burdensome, and costly. Effective strategies to reduce these unplanned postdischarge health care visits require a nuanced understanding of how and why patients make the decision to seek care. We used a purposefully stratified sample of 18 interview participants from a prospective cohort of adult CRS patients. Thirteen (72%) participants had an unplanned p…
Feasibility of a best–worst scaling exercise to set priorities for autism research
BACKGROUND: The preferences of autism stakeholders regarding the top priorities for future autism research are largely unknown. OBJECTIVE: This study had two objectives: First, to examine what autism stakeholders think new research investments should be and the attributes of investment that they consider important, and second, to explore the feasibility, acceptability and outcomes of two prioritization exercises among autism stakeholders regardin…
Linking Electronic Health Records to the American Community Survey
Objectives. To assess linkages of patient data from a health care system in the southeastern United States to microdata from the American Community Survey (ACS) with the goal of better understanding health disparities and social determinants of health in the population. Methods. Once a data use agreement was in place, a stratified random sample of approximately 200 000 was drawn of patients aged 25 to 74 years with at least 2 visits between Janua…
“Cookbook medicine”
Opioid dependence and overdose are serious public health concerns. States have responded by enacting legislation regulating opioid-prescribing practices. Through in-depth interviews with clinicians, state officials, and organizational stakeholders, this paper examines opioid prescribing limits legislation (PLL) in North Carolina and how it impacts clinical practice. Since the advent of PLL, clinicians report being more mindful when prescribing op…
Assessing Electronic Health Records for Describing Racial and Ethnic Health Disparities
The use of data derived from electronic health records (EHRs) to describe racial and ethnic health disparities is increasingly common, but there are challenges. While the number of patients covered by EHRs can be quite large, such patients may not be representative of a source population. One way to evaluate the extent of this limitation is by linking EHRs to an external source, in this case with the American Community Survey (ACS). Relying on a …
Ethno-Racial Differences in Age and Symptom Severity Among Pre-Menopausal Women Commencing Treatment for Benign Gynecological Conditions with a Levonorgestrel-Releasing Intrauterine Device
Introduction: Levonorgestrel-releasing intrauterine devices (LNG-IUDs) can be effective treatments for benign gynecological conditions, but there may be ethno-racial differences in how patients receive treatment. Methods: Data were from a health care system in the U.S. South (April 2014-September 2019). We identified 783 female patients aged 18-44 years with an LNG-IUD for a benign gynecological condition (455 White, 208 Black, and 120 Hispanic p…
Homicide Mortality in Formerly Incarcerated People Compared to the General Population in North Carolina, 2000 to 2020
Race and Ethnicity Data in the Electronic Health Records
County-level social determinants of health and suicide mortality trends among formerly incarcerated persons in North Carolina, 2010–2018
BACKGROUND: Suicide mortality represents a growing public health crisis in the United States, disproportionately affecting people with recent incarceration histories. The purpose of this study was to assess how county-level Social Determinants of Health—including educational attainment, unemployment, poverty, aging, racial composition, and rurality—are associated with suicide mortality among formerly incarcerated individuals in North Carolina in …
How representative are electronic health records? A record linkage study using individual-level census data
Medicine (17 obras) · Health care (11 obras) · Population (10 obras) · Environmental health (7 obras) · Family medicine (7 obras) · Political science (7 obras) · Primary Care and Health Outcomes (7 obras) · Gerontology (6 obras) · Healthcare Policy and Management (6 obras) · Musculoskeletal pain and rehabilitation (5 obras)