Tips for cancer

Domestic abuse, including both intimate partner violence (IPV) and caregiver abuse of an older or vulnerable adult, is heartbreakingly common. Approximately 47% of women in the US report experiencing sexual violence, physical violence, or stalking by an intimate partner over their lifetime. More than 10% of persons older than 60 years report experiencing elder abuse or neglect over the past year. Violence and abuse have considerable impacts on health, contributing to acute injuries, chronic conditions, and increased health care utilization, and on mortality, including the approximately 1690 US women who are murdered by an intimate partner each year. However, in medical visits, rates of IPV screening are low—much lower than for other conditions such as depression or anxiety. Discussions of abuse may be limited by factors such as fear, shame, and stigma on the part of the patient, and by time pressure, worries about how to respond, and lack of follow-up resources on the part of the clini...

This Viewpoint draws comparisons between the recent Los Angelese wildfires and the military’s experience with burn pit exposures to offer insights into understanding and mitigating the health challenges that result from these fires. from JAMA Internal Medicine Online First https://ift.tt/m2Jaf1P

This Special Communication describes the history of laboratory-developed test regulation, the perspectives of different stakeholders on US Food and Drug Administration (FDA) reform, and the public health implications of recent litigation. from JAMA Health Forum New Online https://ift.tt/rcxZ9GR

This Viewpoint describes opportunities for health care organizations to close gaps between the development and implementation of artificial intelligence using third-party enablers for training, adherence monitoring, local governance, and evidence generation. from JAMA Health Forum New Online https://ift.tt/V1cmqwi

This economic evaluation documents the consolidation of dialysis facilities through chain ownership and vertical integration between dialysis facilities and physicians, as well as studies associations between consolidation and commercial prices for outpatient hemodialysis and medical director compensation. from JAMA Health Forum New Online https://ift.tt/7WmMZuo

This essay describes the author’s lived experience with balancing religious practices with practicing medicine. from JAMA Internal Medicine Online First https://ift.tt/jXiS4Ma

This survey study estimates the association of states newly implementing continuous Medicaid eligibility under the Families First Coronavirus Response Act with children’s health care access, health care use, and barriers to care. from JAMA Health Forum New Online https://ift.tt/XJWikjU

This Viewpoint explores the opportunities and risks posed by AI in the health care system through the lens of the National Academy of Medicine’s framework of health care waste. from JAMA Health Forum New Online https://ift.tt/UuQ1zm8

This JAMA Forum discusses the history of the states working as innovators for women’s suffrage and same-sex marriage and provides ideas and steps that states could take to help fix Medicaid spending. from JAMA Health Forum New Online https://ift.tt/YAgVX0S

This Viewpoint discusses the global challenge of defining diseases and the need to balance broader access to medical treatment with avoidance of harmful medicaliziation and inefficient resource use. from JAMA Internal Medicine Online First https://ift.tt/Kgszb0c

This cohort study examines associations of Medigap guaranteed issue protections that prohibit medical underwriting with Medicare Advantage disenrollment among beneficiaries newly diagnosed with cancer. from JAMA Health Forum New Online https://ift.tt/EMruN0W