Research Topics
| T C RickettsSummaryAffiliation: University of North Carolina Country: USA Publications
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Detail Information
Publications
The changing nature of rural health careT C Ricketts
Cecil G Sheps Center for Health Services Research, School of Public Health, University of North Carolina at Chapel Hill 27599 7590, USA
Annu Rev Public Health 21:639-57. 2000..The public health infrastructure in rural America is not well understood but is potentially the most fragile aspect of the rural health care continuum...
Access in health services research: the battle of the frameworksThomas C Ricketts
School of Public Health, University of North Carolina at Chapel Hill, Cecil G Sheps Center for Health Services Research, Campus Box 7590, Chapel Hill, NC 27599 7590, USA
Nurs Outlook 53:274-80. 2005..Access is an important concept in the study of the organization, financing and delivery of healthcare services. It is also an important political symbol and policy goal...
Urban-rural flows of physiciansThomas C Ricketts
Rural Health Research Program, Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7590, USA
J Rural Health 23:277-85. 2007..Rural areas are likely to lose relatively more physicians. Policy makers must know how to anticipate what changes in distribution are likely to happen to better target policies...
Workforce issues in rural areas: a focus on policy equityThomas C Ricketts
Department of Health Policy and Administration, School of Public Health, Sheps Center UNC CB 7590, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7590, USA
Am J Public Health 95:42-8. 2005..Health workforce policies must be normative to ensure equity for rural communities, but goals in this area can be achieved only through a balance of utilitarian and coercive mechanisms...
Arguing for rural health in Medicare: a progressive rhetoric for rural AmericaThomas C Ricketts
North Carolina Rural Health Research and Policy Analysis Center, Cecil G Sheps Center for Health Services Research, School of Public Health, University of North Carolina at Chapel Hill, USA
J Rural Health 20:43-51. 2004..The paper suggests that the rhetoric of rural advocates can be better structured to advocate for policies on the basis of a progressive sense of fairness...
The diffusion of physiciansThomas C Ricketts
American College of Surgeons Policy Research Institute, Cecil G Sheps Center for Health Services Research, USA
Health Aff (Millwood) 27:1409-15. 2008..These trends, if they continue, may help decrease access to physician care in rural and urban underserved areas...
Geographic information systems and public healthThomas C Ricketts
Department of Health Policy and Administration and Cecil G Sheps Center for Health, Services Research, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599 7590, USA
Annu Rev Public Health 24:1-6. 2003..GIS is not the complete solution to understanding the distribution of disease and the problems of public health but is an important way in which to better illuminate how humans interact with their environment to create or deter health...
How many rural doctors do we have?T C Ricketts
Cecil G Sheps Center for Health Services Research, 725 Airport Road, CB 7590, Chapel Hill, NC 27599 7590, USA
J Rural Health 16:198-207. 2000..These results suggest that the way in which physicians are counted needs to be re-examined, especially in rural places where the ratios of providers to population are more sensitive to small changes in supply...
Hospitalization rates as indicators of access to primary careT C Ricketts
Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Airport Road CB 7590, UNC, Chapel Hill, NC 27599 7590, USA
Health Place 7:27-38. 2001..The solution to reducing disparities in health status may not lie within the health system...
How adults' access to outpatient physician services relates to the local supply of primary care physicians in the rural southeastDonald E Pathman
Cecil G. Sheps Center for Health Services Research, UNC-CH CB#7590, Chapel Hill, NC 27599, USA
Health Serv Res 41:79-102. 2006..Access for those insured under Medicaid and the uninsured, however, is in more ways sensitive to local physician densities...
Mortality and physician supply: does region hold the key to the paradox?Thomas C Ricketts
Sheps Center for Health Services Research, The University of North Carolina, 725 M L King, Jr Blvd CB 7590, Chapel Hill, NC 27599 7590, USA
Health Serv Res 42:2233-51; discussion 2294-323. 2007..To determine if the supply of physicians has a consistent relationship with mortality across regions...
Interdependence of general surgeons and primary care physicians in rural communitiesDonald E Pathman
Department of Family Medicine, School of Medicine, University of North Carolina, UNC Campus Box 7590, 725 Martin Luther King Jr, Boulevard, Chapel Hill, NC 27599 7590, USA
Surg Clin North Am 89:1293-302, vii-viii. 2009....
Medical practitioner supply from a national perspectiveThomas C Ricketts
University of North Carolina School of Public Health, Chapel Hill, NC 27599-7590, USA
N C Med J 68:176-8. 2007
Designating places and populations as medically underserved: a proposal for a new approachThomas C Ricketts
Cecil G Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill, 725 Martin Luther King, Jr Blvd, CB 7590, Chapel Hill, NC 27599 7590, USA
J Health Care Poor Underserved 18:567-89. 2007..Its use, however, requires careful explanation to and support from affected groups...
Preparing the health services research workforceThomas C Ricketts
Cecil G Sheps Center for Health Services Research, 725 M L King Jr Blvd, Chapel Hill, NC 27599 7590, USA
Health Serv Res 44:2227-41. 2009..To describe the ways in which investigators are trained for careers in health services research and estimate their number...
Area Health Education Centers: strengths, challenges, and implications for Academic Health Science Center leadersBryan J Weiner
Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, USA
Health Care Manage Rev 30:194-202. 2005....
The health care workforce: will it be ready as the boomers age? A review of how we can know (or not know) the answerThomas C Ricketts
Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, 27599 7590, USA
Annu Rev Public Health 32:417-30. 2011....
The road to efficiency? Re-examining the impact of the primary care physician workforce on health care utilization ratesDavid Bradley Wright
University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States
Soc Sci Med 70:2006-10. 2010..Investigators should be aware of the implications of aggregating data and acknowledge any resultant limitations...
The migration of surgeonsThomas C Ricketts
American College of Surgeons Health Policy Research Institute, Chapel Hill, NC 27514, USA
Ann Surg 251:363-7. 2010..The overall tendency of movers was to go to places that had more physicians and a better overall economic environment. These trends, if they continue, may create pressure on access in rural and urban underserved areas...
The global health workforce shortage: role of surgeons and other providersGeorge F Sheldon
Department of Surgery, The University of North Carolina, CB 7050, Chapel Hill, NC 27599 7050, USA
Adv Surg 42:63-85. 2008..The recommendation that students make personal specialty choices reversed the prior recommendation that a majority of students enter primary care practice...
Characteristics of practice among rural and urban general surgeons in North CarolinaJennifer King
Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, North Carolina 27599, USA
Ann Surg 249:1052-60. 2009..To examine variation in the practice patterns of individual general surgeons and how they differ between rural and urban areas of North Carolina...
Defining urban and rural areas in U.S. epidemiologic studiesSusan A Hall
Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27709 3398, USA
J Urban Health 83:162-75. 2006..Further study of the utility of these measures in health studies is warranted...
State and local partnerships for meeting the healthcare needs of small and often remote rural communitiesThomas C Ricketts
Cecil G. Sheps Center for Health Services Research, School of Public Health, University of North Carolina at Chapel Hill, 27599-7590, USA
N C Med J 67:43-50. 2006
Rural health research and rural health in the 21st century: the future of rural health and the future of rural health services researchThomas C Ricketts
Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill 27599 7590, USA
J Rural Health 18:140-6. 2002..Rural health research can answer questions about why the distribution of resources is unfair without depending solely on pure definitions..
Use of program logic models in the Southern Rural Access Program evaluationDonald Pathman
Cecil G Sheps Center, CB 7590, University of North Carolina, Chapel Hill, NC 27599, USA
J Rural Health 19:308-13. 2003..Program logic models, on balance, proved their merit in the SRAP through their contributions to its management and evaluation and by providing a better understanding of the program's initiatives, successes, and potential impact...
The changing metropolitan designation process and rural AmericaRebecca T Slifkin
North Carolina Rural Health Research and Policy Analysis Center, Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, USA
J Rural Health 20:1-6. 2004..The central problem to this classification scheme is that it tracks the urban growth of the nation and its tendency toward agglomeration of markets but pays little attention to the places that are outside CBSAs altogether...
Analysis of interest group influence on federal school meals regulations 1992 to 1996Suzanne Havala Hobbs
Department of Health Policy and Administration, School of Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599 7411, USA
J Nutr Educ Behav 36:90-8. 2004..The study provides suggestions for using the experiences of 1992 to 1996 to guide future advocacy efforts and for adapting the approach for application to other food and nutrition policies...
Urbanization and breast cancer incidence in North Carolina, 1995-1999Susan A Hall
Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7439, USA
Ann Epidemiol 15:796-803. 2005..We investigated the relationship between urbanization and breast cancer in North Carolina (1995-1999), and considered hospital characteristics as an explanation...
Numbers of minority health professionals: where do we stand?Thomas C Ricketts
Cecil G Sheps Center for Health Services Research, School of Public Health, University of North Carolina at Chapel Hill, 27599 7590, USA
N C Med J 65:381-4. 2004..But these goals must be re-stated, and intensified efforts are required if any reasonable parity in representation of minorities among the health professions is to be achieved...
Access to care for North Carolina's uninsuredPam Silberman
Department of Health Policy and Administration, University of North Carolina at Chapel Hill, USA
N C Med J 63:35-47. 2002
Physical therapy health human resource ratios: a comparative analysis of the United States and CanadaMichel D Landry
Department of Health Policy and Administration, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Phys Ther 89:149-61. 2009..In this study, HHR ratios for physical therapists across the United States were estimated in order to conduct a comparative analysis of the United States and Canada...
A periodic feature to inform North Carolina healthcare professionals about current topics in health statisticsThomas C Ricketts
Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, USA
N C Med J 67:235-6. 2006
Service-linked scholarships, loans, and loan repayment programs for nurses in the southeastSamir I Thaker
Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
J Prof Nurs 24:122-30. 2008..Future research should identify and describe these programs for other regions, measure outcomes, and offer recommendations to maximize their effectiveness in alleviating nursing shortages...
Innovative approach to research and policy in matter of health workforceThomas C Ricketts
University of North Carolina, USA
Cah Sociol Demogr Med 48:266-9. 2008
Clinical trial enrollment of rural patients with cancerElectra D Paskett
Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1063, USA
Cancer Pract 10:28-35. 2002..In addition, the role that primary-care providers play in encouraging patients with cancer to participate in clinical treatment trials needs further exploration...
Understanding biased selection in Medicare HMOsMichelle M Mello
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
Health Serv Res 38:961-92. 2003..CONCLUSIONS: Our results support further risk adjustment of the adjusted average per capita cost (AAPCC) payment formula...
An analysis of Medicare's Incentive Payment program for physicians in health professional shortage areasLeighton Chan
Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Wash, USA
J Rural Health 20:109-17. 2004..Medicare's Incentive Payment (MIP) program provides a 10% bonus payment to providers who treat Medicare patients in rural and urban areas where there is a shortage of generalist physicians...
More on primary careThomas C Ricketts
N C Med J 63:274. 2002
Primary care physician supply in North CarolinaThomas C Ricketts
Cecil G. Sheps Center for Health Services Researh, USA
N C Med J 66:253-4. 2005
Policy forum: Cancer in North CarolinaThomas C Ricketts
N C Med J 69:284. 2008
Policy forum: data and health policyThomas C Ricketts
N C Med J 69:101. 2008
Policy forum: taking care of those who serveThomas C Ricketts
N C Med J 69:22. 2008
Long term regional migration patterns of physicians over the course of their active practice careersAlain Vanasse
Family Medicine Department, University of Sherbrooke, Quebec, Canada
Rural Remote Health 7:812. 2007..This study aimed to examine the geographic transition of physicians at two points in time (1981 and 2003), in and out the four US census regions (Northeast, Midwest, South, and West)...
Policy forum: chronic kidney disease in North CarolinaThomas C Ricketts
N C Med J 69:196. 2008
