Charlene Wong | Scholars@Duke

Charlene Wong
Associate Professor of Pediatrics

I specialize in adolescent and young adult medicine and health services research. Clinically, I love serving as both a primary care physician to young people ages 12-26, while also providing specialized care to this population. The types of care I specialize in include addressing young people's reproductive health concerns (for example, menstrual or contraceptive issues), chronic illnesses, behavioral challenges, and developmental difficulties. My focus is on providing high quality medical care to youth through respect for each individual, support of their physical and emotional growth, and education to empower them to be thriving, independent adults. I also spend a substantial amount of my time being an advocate for young people through health policy and research.

I serve as the Executive Director of the North Carolina Integrated Care for Kids (NC InCK) model. NC InCK is a CMS-funded pilot to develop and implement a local integrated service delivery and payment model for Medicaid/CHIP insured children (birth up to age 21). Duke, UNC, and the North Carolina Medicaid agency are partnering to lead this effort with up to $16 million of funding to build capacity and infrastructure. All Medicaid & CHIP insured children in a 5 county area (~100,000 children in Orange, Alamance, Durham, Granville, Vance) are included in the model.

In addition to NC InCK, my research and policy portfolio focuses on healthcare transformation and health-related behavior change, leveraging principles from behavioral economics and employing person-centered research and policy practices. Most of my healthcare transformation projects relate to informing the transition to value-based care. My research is based out of the Department of Pediatrics, the Duke Clinical Research Institute, and the Duke-Margolis Center for Health Policy. I direct health behaviors and needs research in the Duke Children's Health & Discovery Initiative and am the Associate Program Director for the National Clinical Scholars Program at Duke. I am also a faculty member in the Duke Center for Childhood Obesity Research.

Outside of work, I enjoy spending time in the outdoors with my husband and two children.

Current Research Interests

Behavior change, behavioral economics, adolescent and young adult health, health policy

Current Appointments & Affiliations

Associate Professor of Pediatrics, Pediatrics, Primary Care Pediatrics, Pediatrics 2020
Associate Professor in the Sanford School of Public Policy, Sanford School of Public Policy, Duke University 2020
Member in the Duke Clinical Research Institute, Duke Clinical Research Institute, Institutes and Centers 2017
Core Faculty Member, Duke-Margolis Center for Health Policy, Duke - Margolis Center For Health Policy, Initiatives 2019

Contact Information

charlene.wong@duke.edu

Background
Education, Training, & Certifications
- Adolescent Medicine Fellow, Pediatrics, Children's Hospital of Philadelphia 2014 - 2016
- Robert Wood Johnson Clinical Scholar, University of Pennsylvania, School of Medicine 2013 - 2015
- M.S.P.H., University of Pennsylvania, School of Medicine 2015
- Internship and Residency, Pediatrics, University of Washington, School of Medicine 2010 - 2013
- M.D., Emory University School of Medicine 2010
Medical Licensure
- 2016-02271. North Carolina. 2017
Duke Appointment History
- Assistant Professor of Pediatrics, Pediatrics, Primary Care Pediatrics, Pediatrics 2017 - 2020
- Assistant Professor in the Sanford School of Public Policy, Sanford School of Public Policy, Duke University 2019 - 2020
Leadership & Clinical Positions at Duke
- - Associate Program Director, National Clinician Scholars Program (NCSP) at Duke
  - Scientific Lead (Health Behaviors and Needs), Duke Children’s Health and Discovery Initiative (CHDI), Duke University
  - Faculty steering committee, Duke-Margolis Center for Health Policy
Recognition
In the News
- FEB 9, 2021
  
  Duke Scholars on Challenges to K-12 Education in the Pandemic
Expertise
Subject Headings
Research
Selected Grants
- North Carolina Integrated Care for Kids Model awarded by Centers for Medicare & Medicaid Services 2020 - 2026
- Parks & Pediatrics Fit Together: Translating knowledge into action for child obesity treatment in partnership with Parks and Recreation awarded by National Institutes of Health 2020 - 2025
- Characterizing Health Disparities in the Shift to North Carolina Medicaid Managed Care awarded by Kate B. Reynolds Charitable Trust 2020 - 2021
- Financial and Social Behavioral Economic Incentives to Increase Physical Activity in Adolescents and Young Adults for Cardiovascular Health awarded by National Institutes of Health 2018 - 2019
External Relationships
- NC Department of Health and Human Services
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Frank, Heather R., Hillary Mulder, Karishma Sriram, Taruni S. Santanam, Asheley C. Skinner, Eliana M. Perrin, Sarah C. Armstrong, Eric D. Peterson, Michael Pencina, and Charlene A. Wong. “The Dose-Response Relationship Between Physical Activity and Cardiometabolic Health in Young Adults.” J Adolesc Health 67, no. 2 (August 2020): 201–8. https://doi.org/10.1016/j.jadohealth.2020.04.021.
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  - Wong, Charlene A., Farrah Madanay, Elizabeth M. Ozer, Sion K. Harris, Megan Moore, Samuel O. Master, Megan Moreno, and Elissa R. Weitzman. “Digital Health Technology to Enhance Adolescent and Young Adult Clinical Preventive Services: Affordances and Challenges.” J Adolesc Health 67, no. 2S (August 2020): S24–33. https://doi.org/10.1016/j.jadohealth.2019.10.018.
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  - Wong, Charlene A., David Ming, Gary Maslow, and Elizabeth J. Gifford. “Mitigating the Impacts of the COVID-19 Pandemic Response on At-Risk Children.” Pediatrics 146, no. 1 (July 2020). https://doi.org/10.1542/peds.2020-0973.
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  - Moseley, Connor A., Madhulika Vulimiri, Robert S. Saunders, William K. Bleser, Eliana M. Perrin, Sarah C. Armstrong, Gary X. Wang, Peter A. Ubel, Mark McClellan, and Charlene A. Wong. “Medicaid and CHIP Child Health Beneficiary Incentives: Program Landscape and Stakeholder Insights.” Pediatrics 144, no. 2 (August 2019). https://doi.org/10.1542/peds.2018-3161.
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  - Moseley, Connor A., Asheley C. Skinner, Eliana M. Perrin, Sarah C. Armstrong, Eric D. Peterson, and Charlene A. Wong. “Adolescent and Young Adult Recreational, Occupational, and Transportation Activity: Activity Recommendation and Weight Status Relationships.” J Adolesc Health 65, no. 1 (July 2019): 147–54. https://doi.org/10.1016/j.jadohealth.2019.01.021.
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  - Vulimiri, Madhulika, William K. Bleser, Robert S. Saunders, Farrah Madanay, Connor Moseley, Hunter F. McGuire, Peter A. Ubel, Aaron McKethan, Mark McClellan, and Charlene A. Wong. “Engaging Beneficiaries In Medicaid Programs That Incentivize Health-Promoting Behaviors.” Health Aff (Millwood) 38, no. 3 (March 2019): 431–39. https://doi.org/10.1377/hlthaff.2018.05427.
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  - Wong, Charlene A., Eric Ellsworth, Farrah Madanay, Dave Chandrasekaran, Megan Moore, Daniel Polsky, and Peter A. Ubel. “The Roles Of Assisters And Automated Decision Support Tools In Consumers' Marketplace Choices: Room For Improvement.” Health Aff (Millwood) 38, no. 3 (March 2019): 473–81. https://doi.org/10.1377/hlthaff.2018.05021.
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  - Wong, Charlene A., Adrian F. Hernandez, and Robert M. Califf. “Providing Individual Research Results to Participants-Reply.” Jama 320, no. 24 (December 25, 2018): 2601. https://doi.org/10.1001/jama.2018.18111.
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  - Wong, Charlene A., Adrian F. Hernandez, and Robert M. Califf. “Return of Research Results to Study Participants: Uncharted and Untested.” Jama 320, no. 5 (August 7, 2018): 435–36. https://doi.org/10.1001/jama.2018.7898.
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  - Armstrong, Sarah, Charlene A. Wong, Eliana Perrin, Sara Page, Lauren Sibley, and Asheley Skinner. “Association of Physical Activity With Income, Race/Ethnicity, and Sex Among Adolescents and Young Adults in the United States: Findings From the National Health and Nutrition Examination Survey, 2007-2016.” Jama Pediatr 172, no. 8 (August 1, 2018): 732–40. https://doi.org/10.1001/jamapediatrics.2018.1273.
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  - Wong, Charlene A., Sajal Kulhari, Ellen J. McGeoch, Arthur T. Jones, Janet Weiner, Daniel Polsky, and Tom Baker. “Shopping on the Public and Private Health Insurance Marketplaces: Consumer Decision Aids and Plan Presentation.” J Gen Intern Med 33, no. 8 (August 2018): 1400–1410. https://doi.org/10.1007/s11606-018-4483-x.
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  - Wong, Charlene A., James M. Perrin, and Mark McClellan. “Making the Case for Value-Based Payment Reform in Children's Health Care.” Jama Pediatr 172, no. 6 (June 1, 2018): 513–14. https://doi.org/10.1001/jamapediatrics.2018.0129.
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  - Chaiyachati, Krisda H., Jeffrey K. Hom, Rebecca A. Hubbard, Charlene Wong, and David Grande. “Evaluating the association between the built environment and primary care access for new Medicaid enrollees in an urban environment using Walk and Transit Scores.” Prev Med Rep 9 (March 2018): 24–28. https://doi.org/10.1016/j.pmedr.2017.12.001.
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  - Kratka, Allison, Charlene A. Wong, Riley Herrmann, Kathryn Hong, Aleena Karediya, Iris Yang, and Peter A. Ubel. “Finding Health Care Prices Online-How Difficult Is It to Be an Informed Health-Care Consumer?” Jama Intern Med 178, no. 3 (March 1, 2018): 423–24. https://doi.org/10.1001/jamainternmed.2017.6841.
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  - Wong, Charlene A., Victoria A. Miller, Kathryn Murphy, Dylan Small, Carol A. Ford, Steven M. Willi, Jordyn Feingold, et al. “Effect of Financial Incentives on Glucose Monitoring Adherence and Glycemic Control Among Adolescents and Young Adults With Type 1 Diabetes: A Randomized Clinical Trial.” Jama Pediatr 171, no. 12 (December 1, 2017): 1176–83. https://doi.org/10.1001/jamapediatrics.2017.3233.
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  - Faherty, Laura J., Charlene A. Wong, Jordyn Feingold, Joan Li, Robert Town, Evan Fieldston, and Rachel M. Werner. “Pediatric Price Transparency: Still Opaque With Opportunities for Improvement.” Hospital Pediatrics 7, no. 10 (October 2017): 565–71. https://doi.org/10.1542/hpeds.2017-0020.
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  - Wong, Charlene A., Kristin Kan, Zuleyha Cidav, Robert Nathenson, and Daniel Polsky. “Pediatric and Adult Physician Networks in Affordable Care Act Marketplace Plans.” Pediatrics 139, no. 4 (April 2017). https://doi.org/10.1542/peds.2016-3117.
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  - Harris, Sion K., Matthew C. Aalsma, Elissa R. Weitzman, Diego Garcia-Huidobro, Charlene Wong, Scott E. Hadland, John Santelli, M Jane Park, and Elizabeth M. Ozer. “Research on Clinical Preventive Services for Adolescents and Young Adults: Where Are We and Where Do We Need to Go?” J Adolesc Health 60, no. 3 (March 2017): 249–60. https://doi.org/10.1016/j.jadohealth.2016.10.005.
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  - Wang, Annabel Z., Karen A. Scherr, Charlene A. Wong, and Peter A. Ubel. “Poor Consumer Comprehension and Plan Selection Inconsistencies Under the 2016 HealthCare.gov Choice Architecture.” Mdm Policy Pract 2, no. 1 (January 2017). https://doi.org/10.1177/2381468317716441.
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  - Wong, Charlene A., Alexander Bain, Daniel Polsky, Raina M. Merchant, Yaa Akosa Antwi, Gail Slap, David Rubin, and Carol A. Ford. “The Use and Out-of-Pocket Cost of Urgent Care Clinics and Retail-Based Clinics by Adolescents and Young Adults Compared With Children.” J Adolesc Health 60, no. 1 (January 2017): 107–12. https://doi.org/10.1016/j.jadohealth.2016.09.009.
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  - Strane, Douglas, Benjamin French, Jennifer Eder, Charlene A. Wong, Kathleen G. Noonan, and David M. Rubin. “Low-Income Working Families With Employer-Sponsored Insurance Turn To Public Insurance For Their Children.” Health Aff (Millwood) 35, no. 12 (December 1, 2016): 2302–9. https://doi.org/10.1377/hlthaff.2016.0381.
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  - Bain, Alexander, Charlene A. Wong, Gail Slap, Daniel Polsky, Raina M. Merchant, Yaa Akosa Antwi, David Rubin, and Carol A. Ford. “Common and Costly Hospitalizations Among Insured Young Adults Since the Affordable Care Act.” J Adolesc Health 59, no. 1 (July 2016): 61–67. https://doi.org/10.1016/j.jadohealth.2016.03.013.
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  - Wong, Charlene A., Daniel E. Polsky, Arthur T. Jones, Janet Weiner, Robert J. Town, and Tom Baker. “For Third Enrollment Period, Marketplaces Expand Decision Support Tools To Assist Consumers.” Health Aff (Millwood) 35, no. 4 (April 2016): 680–87. https://doi.org/10.1377/hlthaff.2015.1637.
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  - Wong, Charlene A., Gabrielle Ostapovich, Emily Kramer-Golinkoff, Heather Griffis, David A. Asch, and Raina M. Merchant. “How U.S. children's hospitals use social media: A mixed methods study.” Healthc (Amst) 4, no. 1 (March 2016): 15–21. https://doi.org/10.1016/j.hjdsi.2015.12.004.
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  - Hom, Jeffrey K., Charlene Wong, Christian Stillson, Jessica Zha, Carolyn C. Cannuscio, Rachel Cahill, and David Grande. “New Medicaid Enrollees See Health and Social Benefits in Pennsylvania's Expansion.” Inquiry 53 (2016). https://doi.org/10.1177/0046958016671807.
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  - Wong, Charlene A., Carol A. Ford, Benjamin French, and David M. Rubin. “Changes in Young Adult Primary Care Under the Affordable Care Act.” Am J Public Health 105 Suppl 5 (November 2015): S680–85. https://doi.org/10.2105/AJPH.2015.302770.
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  - Wong, Charlene, Gabbie Nirenburg, Daniel Polsky, Robert Town, and Tom Baker. “Insurance plan presentation and decision support on HealthCare.gov and state-based web sites created for the Affordable Care Act.” Ann Intern Med 163, no. 4 (August 18, 2015): 327–28. https://doi.org/10.7326/L15-5127.
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  - Wong, Charlene A., David A. Asch, Cjloe M. Vinoya, Carol A. Ford, Tom Baker, Robert Town, and Raina M. Merchant. “Seeing Health Insurance and HealthCare.gov Through the Eyes of Young Adults.” J Adolesc Health 57, no. 2 (August 2015): 137–43. https://doi.org/10.1016/j.jadohealth.2015.04.017.
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  - Merchant, Raina M., Yoonhee P. Ha, Charlene A. Wong, H Andrew Schwartz, Maarten Sap, Lyle H. Ungar, and David A. Asch. “The 2013 US Government Shutdown (#Shutdown) and health: an emerging role for social media.” Am J Public Health 104, no. 12 (December 2014): 2248–50. https://doi.org/10.2105/AJPH.2014.302118.
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  - Wong, Charlene A., Raina M. Merchant, and Megan A. Moreno. “Using social media to engage adolescents and young adults with their health.” Healthcare 2, no. 4 (December 2014): 220–24. https://doi.org/10.1016/j.hjdsi.2014.10.005.
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  - Wong, Charlene A., David A. Asch, Cjloe M. Vinoya, Carol A. Ford, Tom Baker, Robert Town, and Raina M. Merchant. “The experience of young adults on HealthCare.gov: suggestions for improvement.” Ann Intern Med 161, no. 3 (August 5, 2014): 231–32. https://doi.org/10.7326/L14-0287.
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  - Redwood, Diana, Anil Suryaprasad, Donald Haverkamp, Charlene Wong, Ellen Provost, and David Espey. “Evaluating an Electronic Measure of Colorectal Cancer Screening at Indian Health Service Facilities, 2008-2010.” Ihs Prim Care Provid 39, no. 6 (June 2014): 86–93.
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  - Wong, Charlene A., Francine C. Gachupin, Robert C. Holman, Marian F. MacDorman, James E. Cheek, Steve Holve, and Rosalyn J. Singleton. “American Indian and Alaska Native infant and pediatric mortality, United States, 1999-2009.” Am J Public Health 104 Suppl 3 (June 2014): S320–28. https://doi.org/10.2105/AJPH.2013.301598.
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  - Wong, Charlene A., Jeremiah C. Davis, David A. Asch, and Richard P. Shugerman. “Political tug-of-war and pediatric residency funding.” N Engl J Med 369, no. 25 (December 19, 2013): 2372–74. https://doi.org/10.1056/NEJMp1312898.
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  - Wong, Charlene A., James A. Taylor, Jeffrey A. Wright, Douglas J. Opel, and Rachel A. Katzenellenbogen. “Missed opportunities for adolescent vaccination, 2006-2011.” J Adolesc Health 53, no. 4 (October 2013): 492–97. https://doi.org/10.1016/j.jadohealth.2013.05.009.
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  - Wong, Charlene A., Zahava Berkowitz, Christina G. Dorell, Rebecca Anhang Price, Jennifer Lee, and Mona Saraiya. “Human papillomavirus vaccine uptake among 9- to 17-year-old girls: National Health Interview Survey, 2008.” Cancer 117, no. 24 (December 15, 2011): 5612–20. https://doi.org/10.1002/cncr.26246.
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  - Wong, Charlene A., Melissa A. Jim, Jessica King, Lillian Tom-Orme, Jeffrey A. Henderson, Mona Saraiya, Lisa C. Richardson, Larry Layne, Anil Suryaprasad, and David K. Espey. “Impact of hysterectomy and bilateral oophorectomy prevalence on rates of cervical, uterine, and ovarian cancer among American Indian and Alaska Native women, 1999-2004.” Cancer Causes Control 22, no. 12 (December 2011): 1681–89. https://doi.org/10.1007/s10552-011-9844-2.
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  - Wong, Charlene A., Scott Cuda, and Andrew Kirsch. “A review of the urologic manifestations of Beckwith-Wiedemann syndrome.” J Pediatr Urol 7, no. 2 (April 2011): 140–44. https://doi.org/10.1016/j.jpurol.2010.06.003.
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  - Wong, Charlene A., Mona Saraiya, Susan Hariri, Linda Eckert, Roberta I. Howlett, Lauri E. Markowitz, Julia M. L. Brotherton, et al. “Approaches to monitoring biological outcomes for HPV vaccination: challenges of early adopter countries.” Vaccine 29, no. 5 (January 29, 2011): 878–85. https://doi.org/10.1016/j.vaccine.2010.10.018.
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  - Wong, Charlene, Zahava Berkowitz, Mona Saraiya, Louise Wideroff, and Vicki B. Benard. “US physicians' intentions regarding impact of human papillomavirus vaccine on cervical cancer screening.” Sex Health 7, no. 3 (September 2010): 338–45. https://doi.org/10.1071/SH09115.
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  - Wong, Charlene, Jamie Krashin, Alison Rue-Cover, Mona Saraiya, Elizabeth Unger, Angela Calugar, and Lauri Markowitz. “Invasive and in situ cervical cancer reported to the vaccine adverse event reporting system (VAERS).” J Womens Health (Larchmt) 19, no. 3 (March 2010): 365–70. https://doi.org/10.1089/jwh.2009.1891.
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  - Wong, Charlene A., Maarten Sap, Andrew Schwartz, Robert Town, Tom Baker, Lyle Ungar, and Raina M. Merchant. “Twitter Sentiment Predicts Affordable Care Act Marketplace Enrollment.” Journal of Medical Internet Research 17, no. 2 (n.d.): e51–e51. https://doi.org/10.2196/jmir.3812.
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- Conference Papers
  - Wong, Charlene A., Jordan Greeno, Eliana Perrin, Eric Peterson, Richard Chung, and Asheley Skinner. “YOUNG AND NOT SO INVINCIBLE: HEALTH BEHAVIORS AND PATIENT-REPORTED HEALTH OUTCOMES AMONG ADOLESCENTS AND YOUNG ADULTS.” In Journal of Adolescent Health, 62:S132–S132. ELSEVIER SCIENCE INC, 2018.
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  - Wong, Charlene, Jordan Greeno, Eliana Perrin, Eric Peterson, Richard Chung, and Asheley Skinner. “SEX, DRUGS & READY TO ROLL: YOUNG ADULT PATIENT-REPORTED HEALTH OUTCOMES & BEHAVIORS.” In Journal of Adolescent Health, 62:S131–32. ELSEVIER SCIENCE INC, 2018.
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  - Wong, Charlene A., Evan Saltzman, Carol A. Ford, and Robert Town. “Young Adults Make Different Health Plan Choices on ACA Exchange Than Older Adults.” In Journal of Adolescent Health, 60:S14–S14. Elsevier BV, 2017. https://doi.org/10.1016/j.jadohealth.2016.10.048.
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  - Hom, Jeffrey, Charlene Wong, Christian H. Stillson, Jessica Zha, Carolyn C. Cannuscio, Rachel M. Cahill, and David Grande. “NEW MEDICAID ENROLLEES SEE HEALTH AND SOCIAL BENEFITS IN PENNSYLVANIA'S EXPANSION.” In Journal of General Internal Medicine, 31:S311–12. SPRINGER, 2016.
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  - Wong, Charlene, Laura J. Faherty, Jordyn Feingold, Robert Town, and Rachel Werner. “Price Transparency for Children and Adolescent Healthcare in the United States: Still Opaque in 2015.” In Journal of Adolescent Health, 58:S48–S48. Elsevier BV, 2016. https://doi.org/10.1016/j.jadohealth.2015.10.108.
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  - Wong, Charlene A., Alexander M. Bain, Yaa Akosa Antwi, Raina M. Merchant, Gail Slap, Daniel E. Polsky, and Carol A. Ford. “86. Inpatient Hospitalizations Among Insured Young Adults, 2012-2013, United States.” In Journal of Adolescent Health, 56:S46–S46. Elsevier BV, 2015. https://doi.org/10.1016/j.jadohealth.2014.10.092.
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  - Wong, Charlene A., David A. Asch, Cjloe M. Vinoya, Carol A. Ford, Tom Baker, Robert Town, and Raina M. Merchant. “1. The Young Adult Perspective on Health Insurance.” In Journal of Adolescent Health, 56:S1–S1. Elsevier BV, 2015. https://doi.org/10.1016/j.jadohealth.2014.10.004.
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Teaching & Mentoring
Recent Courses

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Education, Training, & Certifications

Medical Licensure

Duke Appointment History

Leadership & Clinical Positions at Duke

In the News

Subject Headings

Selected Grants

External Relationships

Selected Publications

Academic Articles

Conference Papers

Recent Courses