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October 2021 - July 1883

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October 25, 2016, Vol 316, No. 16, Pages 1615-1726

In This Issue of JAMA

Highlights

Abstract Full Text
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JAMA. 2016;316(16):1615-1617. doi:10.1001/jama.2015.14549
Research Letter

Changes in Medicare Shared Savings Program Savings From 2013 to 2014

Abstract Full Text
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JAMA. 2016;316(16):1711-1713. doi:10.1001/jama.2016.12049

This study evaluates the spending trends of the Medicare Shared Savings Program from 2013 to 2014.

US Preventive Services Task Force

Recommendation Statement

Primary Care Interventions to Support Breastfeeding: US Preventive Services Task Force Recommendation Statement

Abstract Full Text
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JAMA. 2016;316(16):1688-1693. doi:10.1001/jama.2016.14697

This Recommendation Statement from the US Preventive Services Task Force recommends interventions including professional and peer support and formal education during pregnancy and after birth to support breastfeeding.

Evidence Report

Primary Care Interventions to Support Breastfeeding: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force

Abstract Full Text
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JAMA. 2016;316(16):1694-1705. doi:10.1001/jama.2016.8882

This Evidence Report to support an update of the 2008 US Preventive Services Task Force Recommendation Statement on interventions to promote and support breastfeeding summarizes current evidence on benefits and harms of interventions during pregnancy and after birth.

Viewpoint

Vital Directions from the National Academy of Medicine

Systems Strategies for Health Throughout the Life Course

Abstract Full Text
JAMA. 2016;316(16):1639-1640. doi:10.1001/jama.2016.14896

This Viewpoint from the National Academy of Medicine's 2016 Vital Directions initiative discusses strategies to improve the health of populations at each stage of life through incentivizing and measuring health system performance to improve health, creating an interoperable digital health platform, and fostering a culture and practice of continuous health improvement.

Vital Directions from the National Academy of Medicine

Addressing Social Determinants of Health and Health Inequalities

Abstract Full Text
JAMA. 2016;316(16):1641-1642. doi:10.1001/jama.2016.14058

This Viewpoint from the National Academy of Medicine’s 2016 Vital Directions initiative emphasizes the importance of refocusing some health policies toward addressing social and behavioral determinants of health and the potential effects of reducing health inequalities and improving the health and longevity of all people in the United States.

Vital Directions from the National Academy of Medicine

Preparing for Better Health and Health Care for an Aging Population

Abstract Full Text
JAMA. 2016;316(16):1643-1644. doi:10.1001/jama.2016.12335

This Viewpoint from the National Academy of Medicine's 2016 Vital Directions initiative recommends ways to improve the health and health care of older persons, including development of new care delivery models for people with chronic conditions and strengthening of the elder care workforce.

Vital Directions from the National Academy of Medicine

Chronic Disease Prevention: Tobacco Avoidance, Physical Activity, and Nutrition for a Healthy Start

Abstract Full Text
JAMA. 2016;316(16):1645-1646. doi:10.1001/jama.2016.14370

This Viewpoint from the National Academy of Medicine's 2016 Vital Directions initiative proposes that the most effective way to prevent chronic disease in US adults is to promote policies that limit tobacco access, encourage physical activity, and uphold school nutrition standards among children.

Vital Directions from the National Academy of Medicine

Improving Access to Effective Care for People With Mental Health and Substance Use Disorders

Abstract Full Text
JAMA. 2016;316(16):1647-1648. doi:10.1001/jama.2016.13639

This Viewpoint from the National Academy of Medicine’s 2016 Vital Directions initiative proposes strategies to improve access to effective care for people with mental health and substance use disorders.

Vital Directions from the National Academy of Medicine

Putting the Health of Communities and Populations First

Abstract Full Text
JAMA. 2016;316(16):1649-1650. doi:10.1001/jama.2016.14800

This Viewpoint from the National Academy of Medicine's 2016 Vital Directions initiative discusses strategies to improve community and population health.

Vital Directions from the National Academy of Medicine

Improving Benefit Design to Promote Effective, Efficient, and Affordable Care

Abstract Full Text
JAMA. 2016;316(16):1651-1652. doi:10.1001/jama.2016.13637

This Viewpoint from the National Academy of Medicine’s 2016 Vital Directions initiative proposes improvements to the design of health benefits in the United States to enable more effective, efficient, and affordable care for patients.

Vital Directions from the National Academy of Medicine

More Value From Payment Reform in Health Care and Biomedical Innovation

Abstract Full Text
JAMA. 2016;316(16):1653-1654. doi:10.1001/jama.2016.14670

This Viewpoint from the National Academy of Medicine's 2016 Vital Directions initiative discusses strategies to align payment reform with efforts to improve health care quality, value, and health outcomes that are important to patients.

Vital Directions from the National Academy of Medicine

Competencies and Tools to Shift Payments From Volume to Value

Abstract Full Text
JAMA. 2016;316(16):1655-1656. doi:10.1001/jama.2016.14205

This Viewpoint from the National Academy of Medicine’s 2016 Vital Directions initiative proposes core changes in health care culture and infrastructure that will be necessary before payment reforms can result in improved patient outcomes and at lower costs.

Vital Directions from the National Academy of Medicine

Tailoring Complex Care Management for High-Need, High-Cost Patients

Abstract Full Text
JAMA. 2016;316(16):1657-1658. doi:10.1001/jama.2016.12388

This Viewpoint from the National Academy of Medicine’s 2016 Vital Directions initiative proposes health infrastructure and policy changes to improve care for high-need, high-cost patients.

Vital Directions from the National Academy of Medicine

Realizing the Full Potential of Precision Medicine in Health and Health Care

Abstract Full Text
JAMA. 2016;316(16):1659-1660. doi:10.1001/jama.2016.14117

This Viewpoint from the National Academy of Medicine's 2016 Vital Directions initiative proposes strategies to accelerate the integration of precision medicine into clinical practice.

Vital Directions from the National Academy of Medicine

Fostering Transparency in Outcomes, Quality, Safety, and Costs

Abstract Full Text
JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039

This Viewpoint from the National Academy of Medicine’s 2016 Vital Directions initiative summarizes the benefits of using quality performance measures in health care and the means by which policy makers can help enhance the effectiveness of performance measurement and reporting.

Vital Directions from the National Academy of Medicine

Democratization of Health Care

Abstract Full Text
JAMA. 2016;316(16):1663-1664. doi:10.1001/jama.2016.14060

This Viewpoint from the National Academy of Medicine's 2016 Vital Directions initiative explores several topics that are key to the democratization of health care and proposes policy considerations to engage the United States in a journey to better health.

Vital Directions from the National Academy of Medicine

Workforce for 21st-Century Health and Health Care

Abstract Full Text
JAMA. 2016;316(16):1665-1666. doi:10.1001/jama.2016.13715

This Viewpoint from the National Academy of Medicine’s 2016 Vital Directions initiative summarizes changes that are needed in the US health care, its workforce, and its methods of care delivery to more effectively meet patient needs of the 21st century.

Vital Directions from the National Academy of Medicine

Health Information Technology Interoperability and Use for Better Care and Evidence

Abstract Full Text
JAMA. 2016;316(16):1667-1668. doi:10.1001/jama.2016.12337

This Viewpoint from the National Academy of Medicine’s 2016 Vital Directions initiative proposes changes in policy and infrastructure to facilitate health information technology (HIT) interoperability and improve clinical care and health system efficiency.•

Vital Directions from the National Academy of Medicine

Data Acquisition, Curation, and Use for a Continuously Learning Health System

Abstract Full Text
JAMA. 2016;316(16):1669-1670. doi:10.1001/jama.2016.12537

This Viewpoint from the National Academy of Medicine’s 2016 Vital Directions initiative discusses changes needed in the culture and infrastructure of the health system to promote data sharing.

Vital Directions from the National Academy of Medicine

Innovation in Medicine and Device Development, Regulatory Review, and Use of Clinical Advances

Abstract Full Text
JAMA. 2016;316(16):1671-1672. doi:10.1001/jama.2016.12486

This Viewpoint from the National Academy of Medicine’s 2016 Vital Directions initiative proposes ways to accelerate drug discovery and development to bring clinically important advances to patients more rapidly.

Vital Directions from the National Academy of Medicine

Research Into Brain Disorders as an Example of Targeted Science

Abstract Full Text
JAMA. 2016;316(16):1673-1674. doi:10.1001/jama.2016.12412

This Viewpoint from the National Academy of Medicine's 2016 Vital Directions initiative discusses research into brain disorders as an example of the use of science-based initiatives to target translational gaps.

Vital Directions from the National Academy of Medicine

Training the Workforce for 21st-Century Science

Abstract Full Text
JAMA. 2016;316(16):1675-1676. doi:10.1001/jama.2016.12410

This Viewpoint from the National Academy of Medicine's 2016 Vital Directions initiative proposes actions needed to meet the changing educational and training needs of the US health science workforce.

A Piece of My Mind

Do You Dare to Dharma?

Abstract Full Text
JAMA. 2016;316(16):1677-1678. doi:10.1001/jama.2016.8526
Editorial

Improving Health and Health Care in the United States: Toward a State of Complete Well-being

Abstract Full Text
JAMA. 2016;316(16):1679-1681. doi:10.1001/jama.2016.12414

Vital Directions for US Health Care: Big Ideas on Small Signposts With Mixed Signals

Abstract Full Text
JAMA. 2016;316(16):1682-1684. doi:10.1001/jama.2016.12415

Interventions Intended to Support Breastfeeding: Updated Assessment of Benefits and Harms

Abstract Full Text
JAMA. 2016;316(16):1685-1687. doi:10.1001/jama.2016.15083
JAMA Professionalism

Professional Boundaries

Abstract Full Text
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JAMA. 2016;316(16):1706-1707. doi:10.1001/jama.2016.15753

This JAMA Professionalism article uses the case of a physician requesting prescription medication from a colleague to examine professional boundaries between physicians and options for managing those boundaries.

JAMA Clinical Evidence Synopsis

Interventions for Vitiligo

Abstract Full Text
JAMA. 2016;316(16):1708-1709. doi:10.1001/jama.2016.12399

This Clinical Evidence Synopsis summarizes a Cochrane review of clinical trials comparing the effects of monotherapies with combined therapies to treat vitiligo.

Medical News & Perspectives

AHRQ Director Sets Course for Agency’s Health Services Research

Abstract Full Text
JAMA. 2016;316(16):1632-1634. doi:10.1001/jama.2016.12702

This Medical News story features a Q&A with the AHRQ’s newest director, Andrew Bindman, MD, that discusses the goals and priorities of the agency and challenges it faces.

The JAMA Forum

Health and Taxes

Abstract Full Text
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JAMA. 2016;316(16):1634-1635. doi:10.1001/jama.2016.15482
News From the Centers for Disease Control and Prevention

Prediabetes Is Being Overlooked

Abstract Full Text
JAMA. 2016;316(16):1638. doi:10.1001/jama.2016.15042

Raccoon Roundworm Is on the Move

Abstract Full Text
JAMA. 2016;316(16):1638. doi:10.1001/jama.2016.15081
Clinical Trials Update

Tumor Gene Testing May Help Guide Breast Cancer Treatment Decisions

Abstract Full Text
JAMA. 2016;316(16):1637. doi:10.1001/jama.2016.14764

Caring for Realistic Infant Simulators Does Not Deter Teenage Pregnancy

Abstract Full Text
JAMA. 2016;316(16):1637. doi:10.1001/jama.2016.15434

Eating Oily Fish May Protect Against Diabetic Retinopathy

Abstract Full Text
JAMA. 2016;316(16):1637. doi:10.1001/jama.2016.15436
Health Agencies Update

Repurposing Drugs to Treat Zika

Abstract Full Text
JAMA. 2016;316(16):1636. doi:10.1001/jama.2016.14757

Expert Panel Makes Cancer Moonshot Funding Recommendations

Abstract Full Text
JAMA. 2016;316(16):1636. doi:10.1001/jama.2016.15478

Social Determinants of Chronic Disease Get NIH Attention

Abstract Full Text
JAMA. 2016;316(16):1636. doi:10.1001/jama.2016.15480
The Arts and Medicine

Art in My Veins: A Medical Self-portrait

Abstract Full Text
JAMA. 2016;316(16):1628-1629. doi:10.1001/jama.2016.15507

This essay appraises artist Philip Carey’s life-size medical self-portrait, Art in My Veins, made from materials collected from his numerous dialysis sessions and treatments for heart disease and prostate cancer.

Poetry and Medicine

Twilight

Abstract Full Text
JAMA. 2016;316(16):1718. doi:10.1001/jama.2016.8892
JAMA Revisited

A Pound of Prevention

Abstract Full Text
JAMA. 2016;316(16):1719. doi:10.1001/jama.2015.17107
JAMA Patient Page

Interventions to Support Breastfeeding

Abstract Full Text
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JAMA. 2016;316(16):1726. doi:10.1001/jama.2016.15920
Comment & Response

Breast Cancer Risk After Ovarian Stimulation for In Vitro Fertilization

Abstract Full Text
JAMA. 2016;316(16):1713. doi:10.1001/jama.2016.15240

Breast Cancer Risk After Ovarian Stimulation for In Vitro Fertilization—Reply

Abstract Full Text
JAMA. 2016;316(16):1713-1714. doi:10.1001/jama.2016.15243

Colorectal Cancer Screening

Abstract Full Text
JAMA. 2016;316(16):1714. doi:10.1001/jama.2016.13846

Colorectal Cancer Screening

Abstract Full Text
JAMA. 2016;316(16):1715. doi:10.1001/jama.2016.13849

Colorectal Cancer Screening—Reply

Abstract Full Text
JAMA. 2016;316(16):1715. doi:10.1001/jama.2016.13861

Colorectal Cancer Screening Recommendations

Abstract Full Text
JAMA. 2016;316(16):1715-1716. doi:10.1001/jama.2016.14918

Colorectal Cancer Screening Recommendations

Abstract Full Text
JAMA. 2016;316(16):1716. doi:10.1001/jama.2016.14915

Colorectal Cancer Screening Recommendations—Reply

Abstract Full Text
JAMA. 2016;316(16):1717. doi:10.1001/jama.2016.14930
JAMA Masthead

JAMA

Abstract Full Text
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JAMA. 2016;316(16):1619-1620. doi:10.1001/jama.2015.14550
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