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Showing posts from December, 2023

Financial Outcomes of Managed Entry Agreements for Pharmaceuticals in Italy

This observational study analyzes whether managed entry agreements lower pharmaceutical expenditures using individually collected data from 2019 to 2021 in Italy. from JAMA Health Forum New Online https://ift.tt/GBNAnja

Effect of an Intensive Food-as-Medicine Program on Health and Health Care Use

This randomized clinical trial examines whether an intensive food-as-medicine program can improve glycemic control and ,1rengagement with preventive health care compared with usual care among adults with diabetes and food insecurity. from JAMA Internal Medicine Online First https://ift.tt/siISf9t

Transforming Primary Care Through Innovations in Medicare

Health Policy from JAMA Health Forum New Online https://ift.tt/5uNx6Bd

Workers at Risk of Silicosis—Reply

In Reply We agree with the comments from Wagner and Michaels regarding prioritization of disease prevention through increased resources for the federal Occupational Safety and Health Administration (OSHA) inspections. Additionally, employers have a responsibility to uphold and implement the requirements of the 2016 Respirable Crystalline Silica Standard, which Hodgson and Smith of OSHA detailed in their letter. from JAMA Internal Medicine Online First https://ift.tt/6tUXISM

Preventing the Continuing Tragedy of Silicosis—Reply

In Reply We thank Wagner and Michaels for their thoughtful comments regarding the recently reported resurgence of silicosis among engineered stone workers in California, many of whom had severe disease. The correspondents highlight the tragic and preventable nature of these cases, and Occupational Safety and Health Administration enforcement constraints from severely limited resources and inadequate penalties for violations. from JAMA Internal Medicine Online First https://ift.tt/ERoa7Q3

Association Between Daily Toothbrushing and Hospital-Acquired Pneumonia

This systematic review and meta-analysis of randomized clinical trials assesses the association of toothbrushing with hospital-acquired pneumonia, mortality, length of stay, duration of mechanical ventilation, and use of antibiotics in hospitalized patients. from JAMA Internal Medicine Online First https://ift.tt/uVFOsU4

Corporate Influences on Science and Health—the Case of Spinal Cord Stimulation

This Viewpoint discusses tactics by corporations to criticize scientific research that may be unfavorable to their industries, recently including the spinal cord stimulator industry. from JAMA Internal Medicine Online First https://ift.tt/o4CR2UG

A Public Health Approach to Mental Health

This Viewpoint shares New York City’s rationale, process, and challenges in addressing mental health, focusing on 1 of 3 pillars of the plan—overdose—as a case study to inform the work of other governments across the nation. from JAMA Health Forum New Online https://ift.tt/ns1Q2iH

Burned Out on Burnout — The Urgency of Equity-Minded Structural Approaches to Support Nurses

This JAMA Forum discusses a health equity framework to address burnout and professional fulfillment among nurses. from JAMA Health Forum New Online https://ift.tt/0y36gln

Safety of GLP-1 Receptor Agonists and Other Second-Line Antidiabetics in Early Pregnancy

This cohort study examines the association of periconceptional use of glucagon-like peptide 1 (GLP-1) receptor agonists or other noninsulin second-line antidiabetic medications with increased risk of major congenital malformations. from JAMA Internal Medicine Online First https://ift.tt/oMyRhqV

Racial and Ethnic Differences in Hospice Use Among Medicaid-Only and Dual-Eligible Decedents

This cohort study compares hospice use and length of stay by race and ethnicity among Medicaid-only and dual-eligible individuals in Connecticut’s Medicaid program who died between 2017 to 2020 with 1 of the 5 most common diagnoses for hospice decedents. from JAMA Health Forum New Online https://ift.tt/cR4Wyfr

Balancing Investments in Health Care and Social Determinants—The Need for Benefit-Cost Analysis

This JAMA Forum discusses how to balance investments in health care and social determinants of health, using benefit-cost analysis and other methods to rationally balance investments across sectors. from JAMA Health Forum New Online https://ift.tt/E9jp6UQ

Models to Predict Need for Nursing Home Level of Care in Older Adults With Dementia

This prognostic study leverages 2 nationally representative prospective cohorts, the Health and Retirement Study and the National Health and Aging Trends Study, to develop and validate models to predict need for nursing home level of care among older adults with probable dementia. from JAMA Internal Medicine Online First https://ift.tt/7yVIUiW

Avi’s Love: The Importance of Abortion Rights for Everyone

This essay describes a physician’s experience with terminating a wanted pregnancy and underscores the importance of access to abortion care. from JAMA Internal Medicine Online First https://ift.tt/EVg1U2e

Mitigating the Burden of Medication Costs

This essay discusses medication cost−lowering strategies that clinicians can use in routine clinical and inpatient care to assist patients in affording and adhering to expensive therapy regimens. from JAMA Internal Medicine Online First https://ift.tt/trcFGoy

Lawsuits Over the Price of Insulin

This Viewpoint discusses the litigation strategy of state-initiated lawsuits alleging illegal and immoral conduct regarding the pricing of insulin by pharmaceutical companies and pharmacy benefit managers. from JAMA Internal Medicine Online First https://ift.tt/aMmQ65g

Transgender Youths and Sanctuaries for Gender-Affirming Care

This Viewpoint suggests ways state and local governments can support transgender youths seeking gender-affirming care amid continued passage of antitransgender legislation. from JAMA Health Forum New Online https://ift.tt/tgUZkoQ