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Showing posts from October, 2025

Optimizing Organ Allocation in the US

This Viewpoint describes the challenges of implementation of a continuous distribution framework for heart transplant and presents opportunities for innovation. from JAMA Health Forum New Online https://ift.tt/e07A8V3

Medicaid Work Requirements and the Political Facts of Life

This JAMA Forum discusses the ramifications of the One Big Beautiful Bill Act on Medicaid and the backlash that Republicans may experience after the cuts go into effect. from JAMA Health Forum New Online https://ift.tt/c0GU5Ma

Survival Benefits of Deceased Donor Kidney Transplant vs Waitlisting

This cohort study examines the survival benefits of deceased donor kidney transplant compared with remaining on the waitlist. from JAMA Internal Medicine Online First https://ift.tt/hPfUNp5

Tai Chi Intervention for Knee Pain and Function in People With Knee Osteoarthritis

This randomized clinical trial evaluates an unsupervised multimodal online tai chi intervention for decreased knee pain and improved function in people with knee osteoarthritis. from JAMA Internal Medicine Online First https://ift.tt/NK4ZsQo

Supporting Shared Decision-Making in Life-Altering Kidney Therapy Decisions for Older Adults

This Review provides a guide for primary care clinicians to collaborate closely with older adults, their families, and nephrologists to promote shared kidney therapy decision-making in advanced chronic kidney disease. from JAMA Internal Medicine Online First https://ift.tt/cgSnwCu

The Swinging Pendulum of Menopausal Hormone Therapy

This Viewpoint discusses the need to invest in menopause science, its symptoms, and its implications for aging women’s health. from JAMA Internal Medicine Online First https://ift.tt/czPmxeC

Defibrillators in Private Homes

Defibrillation is a highly effective treatment for ventricular fibrillation and pulseless ventricular tachycardia when delivered promptly after the onset of cardiac arrest. As time in cardiac arrest progresses, shockable rhythms degenerate to nonshockable rhythms, global organ damage worsens, and the likelihood of successful resuscitation and neurological recovery diminishes. Reducing the time to defibrillation is therefore crucial to survival and good recovery. A key strategy to reducing time to defibrillation is harnessing the community response to deliver bystander-initiated defibrillation using an automated external defibrillator (AED). Public access defibrillator programs, where AEDs are placed in public places, have been highly effective. However, only 20% of out-of-hospital cardiac arrests occur in a public place. The majority occur in the home, where access to AEDs is limited. Strategies to enable timely community defibrillation in the home setting, such as provision of AEDs in...

Effectiveness and Cost-Effectiveness of Automated External Defibrillators in Private Homes

This cohort study evaluates whether automated external defibrillations in private homes are effective and cost-effective. from JAMA Internal Medicine Online First https://ift.tt/SBc8zW2

Trends in State Palliative Care Legislation Across the US

This cross-sectional study examines trends in the introduction and enactment of state-level palliative legislation, categorizes legislative content, and maps distribution across states and regions from 2009 to 2023. from JAMA Health Forum New Online https://ift.tt/0u93L1C

No Cost Sharing for Public Assistance Recipients and Health Service Usage in Japan

This cohort study examines the association of cost sharing for health care services for public assistance recipients with medical and dental care utilization. from JAMA Health Forum New Online https://ift.tt/7CnvDSk

The T-MSIS Analysis Reporting Checklist

This Special Communication discusses a checklist to guide reporting of research using T-MSIS Analytic Files (TAF) data. from JAMA Health Forum New Online https://ift.tt/ECXA9NG

Modernizing Risk Adjustment for Value-Based Care Without Clinician Burnout

This Viewpoint addresses ways to transition from payment systems relying on clinician effort to systems that achieve more accurate payment without additional clinical effort to avoid potential clinician burnout. from JAMA Health Forum New Online https://ift.tt/iRAcoM9

Alternatives to Government-Imposed Price Controls to Lower US Drug Prices

This JAMA Forum discusses the limits of most-favored-nation pricing and other price controls on US drugs and provides policy alternatives, including generic and biosimilar competition, value-based pricing, and reforms to pharmacy benefit managers. from JAMA Health Forum New Online https://ift.tt/v2Ufny9

JAMA Health Forum Editorial Fellow

Health Policy from JAMA Health Forum New Online https://ift.tt/IW0ToHA

Voucher for Healthy Foods and Diabetes Control

This randomized clinical trial measures the effects of a monthly voucher that allows primary care patients with elevated hemoglobin A1c to access healthy foods. from JAMA Internal Medicine Online First https://ift.tt/863yrEL

What Do I Need to Know About the Pneumococcal Pneumonia Vaccine?

This JAMA Internal Medicine Patient Page describes how the pneumococcal pneumonia vaccine works, who should get it, and its benefits and side effects. from JAMA Internal Medicine Online First https://ift.tt/t1Vs3xF

The Harms of Inappropriate Food-Specific Immunoglobulin E Testing

This Teachable Moment describes a 56-year-old woman with a concern for a food allergy and bilateral leg muscle spasms. from JAMA Internal Medicine Online First https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2840465

Advancing a US Single-Payer Model for Cell and Gene Therapy

This Viewpoint discusses the status of regulatory approval and reimbursement for cell and gene therapies in Europe and the US. from JAMA Internal Medicine Online First https://ift.tt/XW1y8FL

E-Cigarettes in Historical Context

This Viewpoint discusses the potential for e-cigarettes to displace smoking, restrictive regulations, and public misperceptions amid enduring nicotine demand and persistent smoking-related disease. from JAMA Health Forum New Online https://ift.tt/TpQMfZw

The Case for Stronger Government Action on Ultraprocessed Foods

This JAMA Forum discusses federal and state actions related to ultraprocessed foods and promising federal strategies to improve the healthfulness of the food supply. from JAMA Health Forum New Online https://ift.tt/srwU0pN

How Physicians Can Prepare for Generative AI

This Viewpoint discusses basic skills for using generative artificial intelligence (AI) and how to take an active role implementing AI into patient care. from JAMA Internal Medicine Online First https://ift.tt/Q0hqJwa

Insights From the Disabled Advanced Medical Assistance Project

This Special Communication presents the Disabled Advanced Medical Assistance (DAMA) model, an innovative approach to hospital care for people with disabilities, designed to provide personalized health care pathways and reduce health disparities. from JAMA Health Forum New Online https://ift.tt/boYLBZI

Lessons From Other Sectors on Building a National Provider Directory

This Viewpoint discusses how a national health care provider database could benefit from lessons learned in the public and private sectors. from JAMA Health Forum New Online https://ift.tt/qBxdYXg

Assault on the Centers for Disease Control and Prevention—Budget Cuts, Political Control, and the Erosion of Trust

This JAMA Forum discusses measures the Trump administration has taken against the US Centers for Disease Control and Prevention that include budget cuts and program eliminations, workforce reductions and hiring freezes, and suppression of scientific information. from JAMA Health Forum New Online https://ift.tt/xMILb0g

State Policies and Facility Practices of IV Hydration Spas in the US

This mixed-methods study examines variation in US state-level policies regarding the oversight and regulation of intravenous hydration spas as well as their product offerings, claims, and practices. from JAMA Internal Medicine Online First https://ift.tt/QUMXYHb

Dense Breasts Are Common—Here Is What to Know

This JAMA Internal Medicine Patient Page describes dense breasts and whether they might lead to higher risk for breast cancer. from JAMA Internal Medicine Online First https://ift.tt/QVuoBOK

A Case for Early High-Dose Thiamine—Moving From Reaction to Prevention

This Teachable Moment describes a patient in their 60s with severe alcohol use disorder and alcohol-induced cirrhosis complicated by ascites who presented with an altered mental status. from JAMA Internal Medicine Online First https://ift.tt/FGjW6L7

Rights of Immigration Detainees to Acute Medical Care

This Viewpoint describes current US policy and legal principles guiding care of undocumented immigrants who require acute medical care while detained. from JAMA Internal Medicine Online First https://ift.tt/lgXB8sh

Global Disparities in Premature Mortality

This cross-sectional study examines probability of premature death across countries and regions and shows their years behind or ahead of the 2019 Preston curve. from JAMA Health Forum New Online https://ift.tt/8uJamvX

US Antibiotic Importation and Supply Chain Vulnerabilities

This cross-sectional study evaluated the global sources of finished drug forms and active pharmaceutical ingredients for antibiotics imported into the US. from JAMA Health Forum New Online https://ift.tt/ZcKsJCA

JAMA Health Forum

Health Policy from JAMA Health Forum New Online https://ift.tt/oHrP5R3

Integrated Clinical-Social Care and Boundaries of Health Care

This Viewpoint discusses conflicting perspectives on the costs and value of clinical-social care and highlights potential innovations for advancing an integrated clinical-social care paradigm. from JAMA Health Forum New Online https://ift.tt/Rz4EhIc

What the Trump Administration Can Do in the Short-Term to Address the Long-Term Care Crisis

This JAMA Forum discusses ways to address the long-term care needs of the aging population by enacting innovative legislative solutions, expanding housing options, easing the long-term care staffing crisis, and leveraging community clinics. from JAMA Health Forum New Online https://ift.tt/Nt0yq5B