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Showing posts from May, 2025

Strengthening Patient Experience Measurement and Improvement

This Viewpoint discusses approaches to improving the measurement of patient experience and use of this information in quality improvement efforts. from JAMA Health Forum New Online https://ift.tt/xg8z9Ml

Cutting the NIH—The $8 Trillion Health Care Catastrophe

This JAMA Forum discusses the recent budget cuts to National Institutes of Health (NIH), the effects of these cuts on scientific research and health of individuals in the US, and the prospects for changes to Trump administration policies. from JAMA Health Forum New Online https://ift.tt/KpeVHLz

Trends and Disparities in Maternal Self-Reported Mental and Physical Health

This cross-sectional study examines trends and disparities in self-reported maternal physical and mental health between 2016 and 2023 in the US. from JAMA Internal Medicine Online First https://ift.tt/bSqjaGR

Making a Moment

This essay discusses the author’s anxiety before a procedure and the comfort provided by her anesthesiologist making time for her. from JAMA Internal Medicine Online First https://ift.tt/wp17Vz2

Optimizing Safety of Intensive Care Unit Patients Transferred to General Medical Wards

This Viewpoint discusses pitfalls of transitions of care from an intensive care unit to a general medical ward or step-down unit and introduces a checklist to support safe transfers. from JAMA Internal Medicine Online First https://ift.tt/txCSy9Z

Coverage Retention and Plan Switching Following Switches From a Zero- to a Positive-Premium Plan

This cross-sectional study estimates how zero-premium silver plan turnover affected Marketplace coverage in 29 HealthCare.gov states after the implementation of the American Rescue Plan Act. from JAMA Health Forum New Online https://ift.tt/AWyDjpQ

Assessing US Food and Drug Administration Guidance Practices in Drug Development

This Viewpoint discusses the US Food and Drug Administration’s history of guidance documents, trends in publishing practices, and suggested reforms for further improvements. from JAMA Health Forum New Online https://ift.tt/5Ywjkin

Gender Differences in Physician Earnings and Outcomes Under Medicare Advantage Value-Based Payment

This cohort study assesses gender differences in reimbursed earnings and quality among primary care physicians participating in full risk-sharing arrangements with Medicare Advantage plans, which now enroll most Medicare-eligible adults. from JAMA Health Forum New Online https://ift.tt/enS9kFc

Training Interrupted—The Hidden Costs of Secure Messaging on Medical Trainee Learning

This essay describes the negative impact of secure messaging on attention, learning opportunities, and autonomy for medical trainees. from JAMA Internal Medicine Online First https://ift.tt/nxIorZv

Long-Term Health Improvements and Economic Performance Among Individuals With Diabetes

This cross-sectional study explores whether the health improvements of people with diabetes have matched the economic progress of this patient population. from JAMA Health Forum New Online https://ift.tt/V6nFz07

Making America Healthy Again

This Viewpoint discusses the possibilities of a nutrition-focused Supplemental Nutrition Assistance Program (SNAP) pilot program and proposes next steps to strengthen SNAP’s nutrition policy. from JAMA Health Forum New Online https://ift.tt/Z0xNo2v

The Domestic Consequences of Defunding Global Health

This JAMA Forum discusses the recent funding cuts to the United States Agency for International Development (USAID) and the potential ramifications of these cuts on global health and the health of individuals in the US. from JAMA Health Forum New Online https://ift.tt/zDhnsvt

Incomplete Team Staffing, Burnout, and Work Intentions Among US Physicians

This cross-sectional study assesses the prevalence of incomplete team staffing in the post–COVID-19 pandemic health care landscape and its association with burnout and work intentions among US physicians. from JAMA Internal Medicine Online First https://ift.tt/aCF95Yp

Long-Term Changes in Serum Vitamin D Testing After Implementation of Criteria-Based Testing

This cohort study assessed the association of criteria-based testing and the number of publicly funded vitamin D tests performed in Ontario, Canada. from JAMA Internal Medicine Online First https://ift.tt/MOf0eKN

Front-of-Package Labeling in an Unhealthy Food Environment

This Viewpoint examines front-of-package food labeling and how clear nutrition labels can help consumers make more informed decisions in unhealthy food environments. from JAMA Internal Medicine Online First https://ift.tt/lcLEdDU

Estimates of Illicit Opioid Use in the US

This cross-sectional survey study estimates the prevalence of illicit opioid use, including illicitly manufactured fentanyl, and initial opioid exposure among those reporting illicit opioid use. from JAMA Health Forum New Online https://ift.tt/xNy402G

Toward Integrating Care for Dually Eligible Beneficiaries

This Viewpoint discusses the challenges in creating integrated care for dually eligible Medicare and Medicaid beneficiaries and presents policy recommendations for increasing enrollment in integrated plans. from JAMA Health Forum New Online https://ift.tt/Rjqc7le

Why a Planned Reorganization of the FDA Creates Major Challenges

This JAMA Forum discusses the potential downsides of reorganization of the US Food and Drug Administration (FDA), including introducing inefficiencies, and provides examples of past restructuring efforts. from JAMA Health Forum New Online https://ift.tt/lRSwLay

Overtreatment in Prostate Cancer: An Overused Term—Reply

In Reply We appreciate the Letter from Osinski et al regarding our investigation of the overtreatment of prostate cancer among men with limited longevity. We recognize the uncertainties in risk stratification that limit the application of population-based estimates of life expectancy to an individual patient. Given these concerns, it is important to note that in population-based analyses, there will be a minority of patients that drastically outlive their estimated life expectancy and may derive meaningful benefit from treatment. Similarly, there will be men with longer life expectancy that do not live long enough to benefit from treatment. Yet, treatment decisions should be driven by evidence-based factors predicting when the vast majority of patients will or will not benefit from treatment. from JAMA Internal Medicine Online First https://ift.tt/0UulW1T

High-Touch vs Low-Touch Strategy for Implementing a CRC Screening Digital Health Intervention

This cluster randomized trial examines whether a more intensive implementation strategy resulted in greater use of a mobile app targeting multilevel barriers to colorectal cancer screening. from JAMA Internal Medicine Online First https://ift.tt/JeMv7rF

Physician- and Large Language Model–Generated Hospital Discharge Summaries

This cross-sectional study examines the quality and safety of discharge summary narratives for inpatient hospital medicine encounters generated by a language learning model. from JAMA Internal Medicine Online First https://ift.tt/gZHNdrE

Nitrites for Urinary Tract Infection

This Viewpoint examines the urinary nitrite test and questions its effectiveness and relevance in distinguishing between urinary tract infection and asymptomatic bacteriuria. from JAMA Internal Medicine Online First https://ift.tt/HCyYunS

Optimizing Informed Consent—A Call to Action

This Viewpoint discusses the US Food and Drug Administration’s proposal for a collaborative approach toward clarifying the informed consent process for potential clinical trial participants. from JAMA Health Forum New Online https://ift.tt/kceYmlK

How Anti-DEI Policies Adversely Affect Mental Health

This JAMA Forum discusses the effects of discriminatory policies on mental health, ways that antidiscrimination policies protect mental health outcomes, and how promotion of diversity, equity, and inclusion (DEI) policies benefits everyone. from JAMA Health Forum New Online https://ift.tt/EHiLhgk