Shared Decision Making and Improving Health Care: The Answer Is Not In: Achieving health care of higher quality at lower
Shared Decision Making and Improving Health Care: The Answer Is Not In: Achieving health care of higher quality at lower cost has fueled policy interest in shared decision making (SDM).1 In SDM, clinicians and patients work together to understand the patient’s situation and determine how best to address...
Source: jamanetwork.com
Measuring Surgical Outcomes for Improvement: Was Codman Wrong?: Ernest Amory Codman was the courageous early 20th century
Measuring Surgical Outcomes for Improvement: Was Codman Wrong?: Ernest Amory Codman was the courageous early 20th century champion for an “end results system” to track hospital outcomes, an idea his surgical colleagues did not welcome. If he were to come back to life today, he would feel vindicated,...
Source: jamanetwork.com
Risky Alcohol Intake on the Rise — Especially in Women, Minorities, Seniors: By Kelly Young Edited by Susan Sadoughi,
Risky Alcohol Intake on the Rise — Especially in Women, Minorities, Seniors: By Kelly Young
Edited by Susan Sadoughi, MD
The prevalence of high-risk drinking and alcohol use disorder increased sharply over a decade, constituting a public health crisis, a JAMA Psychiatry study concludes.
Two surveys...
Source: jwatch.org
Human Insulin for Type 2 Diabetes: An Effective, Less-Expensive Option: This Viewpoint suggests that clinicians prescribe
Human Insulin for Type 2 Diabetes: An Effective, Less-Expensive Option: This Viewpoint suggests that clinicians prescribe human insulin products as a more-affordable option over insulin analogues and explains dosing options. Kasia J. Lipska. Irl B. Hirsch. Matthew C. Riddle. JAMA.
Source: jamanetwork.com
Treatment of Elevated Cholesterol in 2017: This Viewpoint clarifies 3 treatment options for treating patients with elevated
Treatment of Elevated Cholesterol in 2017: This Viewpoint clarifies 3 treatment options for treating patients with elevated cholesterol levels by discussing patient goals, encouraging lifestyle changes, and using lipid-lowering medication. Harlan M. Krumholz. JAMA.
Source: jamanetwork.com
Reducing Excessive Use of Antipsychotic Agents in Nursing Homes: This Viewpoint describes the structure and outcomes of
Reducing Excessive Use of Antipsychotic Agents in Nursing Homes: This Viewpoint describes the structure and outcomes of a national initiative of the Centers for Medicare & Medicaid Services to reduce the use of antipsychotics in nursing homes. Jerry H. Gurwitz. Alice Bonner. Donald M. Berwick. JAMA....
Source: jamanetwork.com
The Need to Test Strategies Based on Common Sense: “You have diabetes.” In most care settings, this statement still
The Need to Test Strategies Based on Common Sense: “You have diabetes.” In most care settings, this statement still triggers prescription of a glucometer and instruction on how to perform self-monitoring of blood glucose (SMBG). Every 3 months thereafter, patients’ glucose logs are reviewed and...
Source: jamanetwork.com
Race vs Burden in Understanding Health Equity: To the Editor Dr Kindig discussed the concepts of rate and burden in terms
Race vs Burden in Understanding Health Equity: To the Editor Dr Kindig discussed the concepts of rate and burden in terms of population health equity. We question several of the concepts put forth in his Viewpoint.1 Kindig’s proposition that the statistical burden of white health inequity has been...
Source: jamanetwork.com
Association Between Teaching Status and Mortality in US Hospitals: This study uses national Medicare data to compare 30-day
Association Between Teaching Status and Mortality in US Hospitals: This study uses national Medicare data to compare 30-day mortality among patients hospitalized or undergoing surgical procedures in teaching vs nonteaching hospitals between 2012 and 2014. Laura G. Burke. Austin B. Frakt. Dhruv Khullar....
Source: jamanetwork.com
Inpatient Rehab No Better Than Home Exercise After Total Knee Arthroplasty: By Amy Orciari Herman Edited by Lorenzo Di
Inpatient Rehab No Better Than Home Exercise After Total Knee Arthroplasty: By Amy Orciari Herman
Edited by Lorenzo Di Francesco, MD, FACP, FHM
Inpatient rehab appears to offer no benefit over a supervised home program for patients recovering from total knee arthroplasty, a JAMA study finds.
Some...
Source: jwatch.org
Testosterone and Male Aging: Faltering Hope for Rejuvenation: Hopes for hormonal rejuvenation appear periodically throughout
Testosterone and Male Aging: Faltering Hope for Rejuvenation: Hopes for hormonal rejuvenation appear periodically throughout history—with the most prominent attempt occurring around the turn of the 20th century only to vanish in the 1930s following the discovery of testosterone, which discredited testis...
Source: jamanetwork.com
Patient-Reported Symptoms May Be Left Out of EMRs: By Amy Orciari Herman Edited by André Sofair, MD, MPH, and William
Patient-Reported Symptoms May Be Left Out of EMRs: By Amy Orciari Herman
Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS
"Patient-reported symptoms may fail to make it into a practice's electronic medical record (EMR), according to a study in JAMA … NEJM Journal Watch." It...
Source: jwatch.org
Firearm Deaths in the United States and Globally, 1990-2015: This Visualizing Health Metrics infographic, based on the
Firearm Deaths in the United States and Globally, 1990-2015: This Visualizing Health Metrics infographic, based on the Global Burden of Disease Study 2015, provides information on mortality resulting from assault by firearms in the United States and globally from 1990 to 2015. The burden of firearms—excluding...
Source: jamanetwork.com
Increase in US Suicide Rates and the Critical Decline in Psychiatric Beds: This Viewpoint discusses the apparent association
Increase in US Suicide Rates and the Critical Decline in Psychiatric Beds: This Viewpoint discusses the apparent association between a reduction of psychiatric beds and increasing suicide rates in the United States, and proposes an expansion of inpatient psychiatric treatment facilities as a component...
Source: jamanetwork.com
Fixing Obamacare Takes Back Seat, Poll Finds: The public ranks lowering prescription drug prices and ensuring that insurance
Fixing Obamacare Takes Back Seat, Poll Finds: The public ranks lowering prescription drug prices and ensuring that insurance plans have adequate health care networks as higher priorities than tinkering with Obamacare, according to a Kaiser Health Tracking Poll released just before the November elections....
Source: jamanetwork.com
Development and Validation of a Deep Learning Algorithm for Detection of Diabetic Retinopathy in Retinal Fundus Photographs:
Development and Validation of a Deep Learning Algorithm for Detection of Diabetic Retinopathy in Retinal Fundus Photographs: This study assesses the sensitivity and specificity of an algorithm based on deep machine learning for automated detection of diabetic retinopathy and diabetic macular edema in...
Source: jamanetwork.com
End-of-Rotation House Staff Changes Linked to Increased Patient Mortality: By Amy Orciari Herman Edited by David G. Fairchild,
End-of-Rotation House Staff Changes Linked to Increased Patient Mortality: By Amy Orciari Herman
Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM
Resident and intern service changes are associated with increased mortality among hospitalized patients, suggests a retrospective...
Source: jwatch.org
Association of e-Cigarette Vaping and Progression to Heavier Patterns of Cigarette Smoking: This cohort study uses survey
Association of e-Cigarette Vaping and Progression to Heavier Patterns of Cigarette Smoking: This cohort study uses survey data to assess associations between baseline e-cigarette use among high school students and use of combustible cigarettes 6 months later. Adam M. Leventhal. Matthew D. Stone. Nafeesa...
Source: jamanetwork.com
The President Reviews the Lessons of the Affordable Care Act: By Joe Elia Edited by David G. Fairchild, MD, MPH, and Lorenzo
The President Reviews the Lessons of the Affordable Care Act: By Joe Elia
Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM
President Barack Obama presents his analysis of the Affordable Care Act (ACA) in JAMA , which also contains several editorials on the future of...
Source: jwatch.org
A Yellow Fever Epidemic: A New Global Health Emergency?: This Viewpoint discusses the yellow fever epidemic in Angola as
A Yellow Fever Epidemic: A New Global Health Emergency?: This Viewpoint discusses the yellow fever epidemic in Angola as well as in China, the Democratic Republic of Congo, and Kenya due to cases arising from infected travelers from Angola. Daniel Lucey. Lawrence O. Gostin. JAMA.
Source: jamanetwork.com
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