Alex R. Kemper, MD, MPH, MS



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Professor of Pediatrics
Professor in Community and Family Medicine
Department / Division:
Pediatrics / Pediatrics-Primary Care
4020 North Roxboro Street
Durham, NC 27704
Appointment Telephone:
Office Telephone:
  • MD, Duke University School of Medicine, 1993
  • Pediatrics, Duke University Medical Center, 1996
  • Health Services Research, University of North Carolina–Chapel Hill, 1996-1998
  • Medical Informatics, University of North Carolina–Chapel Hill, 1999-2000
Other Training:
  • MPH, Epidemiology, University of North Carolina–Chapel Hill, 1998
  • MS, Biomedical Engineering, University of North Carolina–Chapel Hill, 2000
Clinical Interests:
Supervise residents in the provision of well-child and acute care; coordinate research activities to improve the quality of care received by children and their families
Research Interests:
My research focuses on improving the quality of care that children receive by strengthening the linkages between primary care, specialty care, and public health services. I study a wide array of conditions to address this research focus, with special concentration on vision impairment and genetically determined conditions such as inborn errors of metabolism. In addition, juvenile idiopathic arthritis has been added as an area of concentration. I provide mentorship to trainees and faculty members as the Associate Division Chief for Research for the Division of Children’s Primary Care and oversee research activities within our childhood obesity fellowship training program. Examples of recent work include evaluating health care delivery for children with congenital hypothyroidism, assessment of the evidence base around screening for Krabbe disease, and evaluating the quality of vision screening services delivered in the primary care setting.
Representative Publications:
  • Bailey, DB; Armstrong, FD; Kemper, AR; Skinner, D; Warren, SF. Supporting family adaptation to presymptomatic and "untreatable" conditions in an era of expanded newborn screening. Journal of Pediatric Psychology. 2009;34:648-661.  Abstract
  • Kemper, AR. Next steps in pulse oximetry screening research. Pediatrics. 2009;123:e356-e357.  Abstract
  • Kemper, AR; Bailey, DB. Pediatricians' knowledge of and attitudes toward fragile X syndrome screening. Academic Pediatrics. 2009;9:114-117.  Abstract
  • Kemper, AR; McNally, C; Duma, SM. Acquiring non-censored pelvic bone fracture data during dynamic side impact loading - biomed 2009. Biomedical Sciences Instrumentation. 2009;45:395-400.  Abstract
  • Kemper, AR; McNally, C; Duma, SM. The effect of the periosteum and strain gages on the structural response of human ribs - biomed 2009. Biomedical Sciences Instrumentation. 2009;45:12-17.  Abstract
  • Kemper, AR; Stitzel, JD; McNally, C; Gabler, HC; Duma, SM. Biomechanical response of the human clavicle: the effects of loading direction on bending properties. Journal of applied biomechanics. 2009;25:165-174.  Abstract
  • Kemper, AR; Boyle, CA; Aceves, J; Dougherty, D; Figge, J; Fisch, JL; Hinman, AR; Greene, CL; Kus, CA; Miller, J; Robertson, D; Telfair, J; Therrell, B; Lloyd-Puryear, M; van Dyck, PC; Howell, RR. Long-term follow-up after diagnosis resulting from newborn screening: statement of the US Secretary of Health and Human Services' Advisory Committee on Heritable Disorders and Genetic Diseases in Newborns and Children. Genetics in Medicine. 2008;10:259-261.  Abstract
  • Kemper, AR; Freedman, SF; Wallace, DK. Retinopathy of prematurity care: patterns of care and workforce analysis. Journal of American Association for Pediatric Ophthalmology and Strabismus. 2008;12:344-348.  Abstract
  • Kemper, AR; Wallace, DK; Quinn, GE. Systematic review of digital imaging screening strategies for retinopathy of prematurity. Pediatrics. 2008;122:825-830.  Abstract
  • Kemper, AR; Clark, SJ. Preschool vision screening by family physicians. Journal of pediatric ophthalmology and strabismus. 2007;44:24-27.  Abstract
  • Kemper, AR; Gurney, JG; Eibschitz-Tsimhoni, M; Del Monte, M. Corrective lens wear among adolescents: findings from the National Health and Nutrition Examination Survey. Journal of pediatric ophthalmology and strabismus. 2007;44:356-362.  Abstract
  • Kemper, AR; Hwu, WL; Lloyd-Puryear, M; Kishnani, PS. Newborn screening for Pompe disease: synthesis of the evidence and development of screening recommendations. Pediatrics. 2007;120:e1327-e1334.  Abstract
  • Kemper, AR; Uren, RL; Hudson, SR. Childhood lead poisoning prevention activities within Michigan local public health departments. Public health reports (Washington, D.C. : 1974). 2007;122:88-92.  Abstract
  • Kemper, AR; Wake, MA. Duchenne muscular dystrophy: issues in expanding newborn screening. Current Opinion in Pediatrics. 2007;19:700-704.  Abstract
  • Kemper, AR; Wallace, DK. Neonatologists' practices and experiences in arranging retinopathy of prematurity screening services. Pediatrics. 2007;120:527-531.  Abstract
  • Lee, JM; Davis, MM; Clark, SJ; Kemper, AR. Threshold of evaluation for short stature in a pediatric endocrine clinic: differences between boys versus girls?. The Journal of pediatric endocrinology. 2007;20:21-26.  Abstract
  • Hartmann, EE; Bradford, GE; Chaplin, PK; Johnson, T; Kemper, AR; Kim, S; Marsh-Tootle, W; PUPVS Panel for the American Academy of Pediatrics. Project Universal Preschool Vision Screening: a demonstration project. Pediatrics. 2006;117:e226-e237.  Abstract
  • Kemper, AR; Clark, SJ. Preschool vision screening in pediatric practices. Clinical Pediatrics. 2006;45:263-266.  Abstract
  • Kemper, AR; Dombkowski, KJ; Menon, RK; Davis, MM. Trends in diabetes mellitus among privately insured children, 1998-2002. Ambulatory Pediatrics. 2006;6:178-181.  Abstract
  • Kemper, AR; Uren, RL; Clark, SJ. Adoption of electronic health records in primary care pediatric practices. Pediatrics. 2006;118:e20-e24.  Abstract
  • Kemper, AR; Uren, RL; Clark, SJ. Barriers to follow-up eye care after preschool vision screening in the primary care setting: findings from a pilot study. Journal of AAPOS. 2006;10:476-478.  Abstract
  • Kemper, AR; Uren, RL; Moseley, KL; Clark, SJ. Primary care physicians' attitudes regarding follow-up care for children with positive newborn screening results. Pediatrics. 2006;118:1836-1841.  Abstract
  • Lee, JM; Davis, MM; Clark, SJ; Hofer, TP; Kemper, AR. Estimated cost-effectiveness of growth hormone therapy for idiopathic short stature. Archives of Pediatrics and Adolescent Medicine. 2006;160:263-269.  Abstract
  • Moseley, KL; Clark, SJ; Gebremariam, A; Sternthal, MJ; Kemper, AR. Parents' trust in their child's physician: using an adapted Trust in Physician Scale. Ambulatory Pediatrics. 2006;6:58-61.  Abstract
  • Van Cleave, J; Kemper, AR; Davis, MM. Interpreting negative results from an underpowered clinical trial: warts and all. Archives of Pediatrics and Adolescent Medicine. 2006;160:1126-1129.  Abstract
  • Cowan, AE; Ching, PL; Clark, SJ; Kemper, AR. Willingness of private physicians to be involved in smallpox preparedness and response activities. Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science. 2005;3:16-22.  Abstract
  • Fant, KE; Clark, SJ; Kemper, AR. Completeness and complexity of information available to parents from newborn-screening programs. Pediatrics. 2005;115:1268-1272.  Abstract
  • Kemper, AR; Clark, SJ. Physician barriers to lead testing of Medicaid-enrolled children. Ambulatory Pediatrics. 2005;5:290-293.  Abstract
  • Kemper, AR; Cohn, LM; Fant, KE; Dombkowski, KJ. Blood lead testing among Medicaid-enrolled children in Michigan. Archives of Pediatrics and Adolescent Medicine. 2005;159:646-650.  Abstract
  • Kemper, AR; Cohn, LM; Fant, KE; Dombkowski, KJ; Hudson, SR. Follow-up testing among children with elevated screening blood lead levels. JAMA : the journal of the American Medical Association. 2005;293:2232-2237.  Abstract
  • Kemper, AR; Cowan, AE; Ching, PL; Davis, MM; Kennedy, EJ; Clark, SJ; Freed, GL. Hospital decision-making regarding the smallpox pre-event vaccination program. Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science. 2005;3:23-30.  Abstract
  • Kemper, AR; Fant, KE; Clark, SJ. Informing parents about newborn screening. Public Health Nursing. 2005;22:332-338.  Abstract
  • Kemper, AR; Keating, LM; Jackson, JL; Levin, EM. Comparison of monocular autorefraction to comprehensive eye examinations in preschool-aged and younger children. Archives of Pediatrics and Adolescent Medicine. 2005;159:435-439.  Abstract
  • Kemper, AR; Kennedy, EJ; Dechert, RE; Saint, S. Hospital readmission for bronchiolitis. Clinical Pediatrics. 2005;44:509-513.  Abstract
  • Lattimore, KA; Donn, SM; Kaciroti, N; Kemper, AR; Neal, CR; Vazquez, DM. Selective serotonin reuptake inhibitor (SSRI) use during pregnancy and effects on the fetus and newborn: a meta-analysis. Journal of Perinatology. 2005;25:595-604.  Abstract
  • Kemper, AR. Randomised controlled trial of treatment of unilateral visual impairment detected at preschool vision screening. The Journal of Pediatrics. 2004;144:687.  Abstract
  • Kemper, AR. Valuing vision. Pediatrics. 2004;113:404-405.  Abstract
  • Kemper, AR; Bruckman, D; Freed, GL. Prevalence and distribution of corrective lenses among school-age children. Optometry and Vision Science. 2004;81:7-10.  Abstract
  • Kemper, AR; Cohn, LM; Dombkowski, KJ. Patterns of vision care among Medicaid-enrolled children. Pediatrics. 2004;113:e190-e196.  Abstract
  • Kemper, AR; Diaz, G; Clark, SJ. Willingness of eye care practices to evaluate children and accept Medicaid. Ambulatory Pediatrics. 2004;4:303-307.  Abstract
  • Kemper, AR; Fant, KE; Bruckman, D; Clark, SJ. Hearing and vision screening program for school-aged children. American Journal of Preventive Medicine. 2004;26:141-146.  Abstract
  • Cabana, MD; Bruckman, D; Bratton, SL; Kemper, AR; Clark, NM. Association between outpatient follow-up and pediatric emergency department asthma visits. Journal of Asthma (Informa). 2003;40:741-749.  Abstract
  • Davis, MM; Kemper, AR. Valuing childhood vaccines. The Journal of Pediatrics. 2003;143:283-284.  Abstract
  • Kemper, AR; Bruckman, D; Freed, GL. Receipt of specialty eye care by children. Ambulatory Pediatrics. 2003;3:270-274.  Abstract
  • Kemper, AR; Clark, SJ; Freed, GL. Services provided for preschool-aged children with suspected amblyopia. Journal of pediatric ophthalmology and strabismus. 2003;40:279-282.  Abstract
  • Kemper, AR; Davis, MM. Under scrutiny: smallpox vaccine recommendations. Expert Opinion on Pharmacotherapy. 2003;4:1207-1214.  Abstract
  • Kemper, AR; Fant, KE; Badgett, JT. Preschool vision screening in primary care after a legislative mandate for diagnostic eye examinations. Southern Medical Journal. 2003;96:859-862.  Abstract
  • Kemper, AR; Davis, MM; Freed, GL. Expected adverse events in a mass smallpox vaccination campaign. Effective clinical practice : ECP. 2002;5:84-90.  Abstract
  • Kemper, AR; Freed, GL. Hospitalists and residency medical education: measured improvement. Archives of Pediatrics and Adolescent Medicine. 2002;156:858-859.  Abstract
  • Kemper, AR; Krysan, DJ. Reevaluating the efficacy of naturopathic ear drops. Archives of Pediatrics and Adolescent Medicine. 2002;156:88-89.  Abstract
  • Krysan, DJ; Kemper, AR. Claims of equivalence in randomized controlled trials of the treatment of bacterial meningitis in children. Pediatric Infectious Disease Journal. 2002;21:753-758.  Abstract
  • Davis, MM; Bruckman, D; Cabana, MD; Clark, SJ; Dombkowski, KJ; Kemper, AR; Rushton, JL; Freed, GL. Constructive use of race and ethnicity variables. Archives of Pediatrics and Adolescent Medicine. 2001;155:973.  Abstract
  • Lane, WG; Kemper, AR; American College of Preventive Medicine. American College of Preventive Medicine Practice Policy Statement. Screening for elevated blood lead levels in children. American Journal of Preventive Medicine. 2001;20:78-82.  Abstract
  • Kemper, AR; Downs, SM. A cost-effectiveness analysis of newborn hearing screening strategies. Archives of Pediatrics and Adolescent Medicine. 2000;154:484-488.  Abstract
  • Kemper, AR; Margolis, PA; Downs, SM; Bordley, WC. A systematic review of vision screening tests for the detection of amblyopia. Pediatrics. 1999;104:1220-1222.  Abstract
  • Kemper, AR; Bordley, WC; Downs, SM. Cost-effectiveness analysis of lead poisoning screening strategies following the 1997 guidelines of the Centers for Disease Control and Prevention. Archives of Pediatrics and Adolescent Medicine. 1998;152:1202-1208.  Abstract