Scholars@Duke
Michelle Jacqueline Lyn

Michelle Jacqueline Lyn

Adjunct Assistant Professor in Family Medicine and Community Health
Family Medicine and Community Health, Community Health
lyn00001@mc.duke.edu
Duke Box 104652, DUMC, Durham, NC 27710
710 West Main Street, Durham, NC 27701
Office hours Monday - Friday
8am - 5pm  

Scholarly Works - Journal articles

How Providers, Health System Leaders, and States Can Work Together to Align Disparate Policy Efforts to Address Health-Related Social Needs: Learning from North Carolina.

Journal article N C Med J · July 30, 2025 BACKGROUND: Under the Biden Administration, policy authorities and programs working to address health-related social needs (HRSNs) expanded across the United States. Despite major investments and initiatives to address HRSNs, they are still largely dispara ... Full text Link to item Cite

The research equity and diversity initiative (READI): Changing the face of clinical research through community outreach and engagement.

Journal article J Clin Transl Sci · 2025 Current evidence underscores a need to transform how we do clinical research, shifting from academic-driven priorities to co-led community partnership focused programs, accessible and relevant career pathway programs that expand opportunities for career de ... Full text Open Access Link to item Cite

Addressing Housing-Related Social Needs Through Medicaid: Lessons From North Carolina's Healthy Opportunities Pilots Program.

Journal article Health Aff (Millwood) · February 2024 North Carolina Medicaid's Healthy Opportunities Pilots program is the country's first comprehensive program to evaluate the impact of paying community-based organizations to provide eligible Medicaid enrollees with an array of evidence-based services to ad ... Full text Open Access Link to item Cite

SEED: A novel web-based data visualization platform to visualize, communicate, and explore social, environmental, and equity drivers of health.

Journal article J Clin Transl Sci · 2024 Multisector stakeholders, including, community-based organizations, health systems, researchers, policymakers, and commerce, increasingly seek to address health inequities that persist due to structural racism. They require accessible tools to visualize an ... Full text Link to item Cite

Residential Structural Racism and Prevalence of Chronic Health Conditions.

Journal article JAMA Netw Open · December 1, 2023 IMPORTANCE: Studies elucidating determinants of residential neighborhood-level health inequities are needed. OBJECTIVE: To quantify associations of structural racism indicators with neighborhood prevalence of chronic kidney disease (CKD), diabetes, and hyp ... Full text Link to item Cite

Community-based organizations' perspectives on piloting health and social care integration in North Carolina.

Journal article BMC Public Health · October 4, 2023 BACKGROUND: Community-based organizations (CBOs) are key players in health and social care integration initiatives, yet little is known about CBO perspectives and experiences in these pilot programs. Understanding CBO perspectives is vital to identifying b ... Full text Open Access Link to item Cite

COVID Collaborations: A Physician Assistant Program and Health Department Partnership.

Journal article J Physician Assist Educ · September 1, 2022 The onset of the COVID-19 pandemic resulted in the displacement of clinical-phase medical learners across the country. Physician assistant (PA) and other health professions programs were challenged to innovate and offer alternate learning experiences that ... Full text Link to item Cite

Perceived Benefits of Training Clinicians in Community Engagement for a Leadership Development Program.

Journal article Fam Med · February 2022 BACKGROUND AND OBJECTIVES: Community engagement (CE), including community-engaged research, is a critical tool for improving the health of patients and communities, but is not taught in most medical curricula, and is even rarer in leadership training for p ... Full text Open Access Link to item Cite

Partnerships to Care for Our Patients and Communities During COVID-19.

Journal article J Am Board Fam Med · 2021 The Coronavirus disease 2019 (COVID-19) pandemic forced not only rapid changes in how clinical care and educational programs are delivered but also challenged academic medical centers (AMCs) like never before. The pandemic made clear the need to have coord ... Full text Open Access Link to item Cite

Democratizing health system data to impact social and environmental health contexts: a novel collaborative community data-sharing model.

Journal article J Public Health (Oxf) · November 23, 2020 BACKGROUND: Community health data are infrequently viewed in the context of social and environmental health determinants. We developed a novel data-sharing model to democratize health system data and to facilitate community and population health improvemen ... Full text Link to item Cite

What Is Population Health?

Journal article Prim Care · December 2019 This article defines population health as the health outcomes of a group of individuals, including the distribution of such outcomes within the group. Population health includes health outcomes, patterns of health determinants, and policies and interventio ... Full text Link to item Cite

Who Will Drive the Change? Democratizing Health Data.

Journal article Am J Public Health · April 2019 Full text Link to item Cite

Methods and initial findings from the Durham Diabetes Coalition: Integrating geospatial health technology and community interventions to reduce death and disability.

Journal article J Clin Transl Endocrinol · March 2015 OBJECTIVE: The Durham Diabetes Coalition (DDC) was established in response to escalating rates of disability and death related to type 2 diabetes mellitus, particularly among racial/ethnic minorities and persons of low socioeconomic status in Durham County ... Full text Link to item Cite

Results from a pilot promotora program to reduce depression and stress among immigrant Latinas.

Journal article Health Promot Pract · May 2014 The stressful experiences that Latino immigrants face throughout the migration process to the United States put them at increased risk for poor mental health. Latinas are at heightened risk due to stigma, limited access to mental health resources, domestic ... Full text Link to item Cite

Evaluation of Amigas Latinas Motivando el Alma (ALMA): a pilot promotora intervention focused on stress and coping among immigrant Latinas.

Journal article J Immigr Minor Health · April 2014 Recent immigrant Latinas are at increased risk of poor mental health due to stressors associated with adapting to life in the United States. This study evaluated Amigas Latinas Motivando el Alma, a promotora intervention to reduce stress and promote health ... Full text Link to item Cite

Just for Us: in-home care for frail elderly and disabled individuals with low incomes.

Journal article N C Med J · 2011 In response to increasing concerns about health care access, cost, and quality, Duke University Medical Center began a community-engaged, iterative, data-driven process in 1998 to develop innovative models to provide care earlier, more effectively, and at ... Link to item Cite

Development of an interinstitutional collaboration to support community-partnered research addressing the health of emerging Latino populations.

Journal article Acad Med · April 2010 Featured Publication Collaborative and participatory research approaches have received considerable attention as means to understanding and addressing disparities in health and health care. In this article, the authors describe the process of building a three-way partnership a ... Full text Link to item Cite

Just for us.

Journal article N C Med J · 2010 Link to item Cite

Improving the health of the community: Duke's experience with community engagement.

Journal article Acad Med · April 2008 Featured Publication Evidence is accumulating that the United States is falling behind in its potential to translate biomedical advances into practical applications for the population. Societal forces, increased awareness of health disparities, and the direction of clinical an ... Full text Link to item Cite

Defining high-performance teams and physician leadership.

Journal article Physician Exec · 2008 Beset with complex reimbursement and regulatory structures, rapidly advancing technology and a population that is growing increasingly older, sicker, and more obese, the U.S. medical environment needs coordinated interdisciplinary teamwork now more than ev ... Link to item Cite

Just for Us: an academic medical center-community partnership to maintain the health of a frail low-income senior population.

Journal article Gerontologist · April 2006 Featured Publication PURPOSE: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. DESIGN AND METHODS: The program provides ... Full text Link to item Cite

Making a home in the community for the academic medical center.

Journal article Acad Med · January 2005 Academic medical centers (AMCs) have traditionally provided primary care for low-income and other underserved populations. However, they have had difficulty developing lasting partnerships with other organizations serving the same populations. This article ... Full text Link to item Cite