This Viewpoint proposes a new specialty for medical virtualists, physicians trained and certified in the delivery of health care services through web-based services, videoconferencing, and social media.
This Viewpoint describes the rationale for the US Veteran CARE (Coordinated Access & Rewarding Experience) program, a proposal under consideration by the US Congress that would refer patients in the Veterans Health Administration (VHA) health system to community-based care based on a judgments of clinical appropriateness made by a primary health care professional in combination with shared assessments of convenience and time sensitivity.
This Viewpoint discusses how distortions of prices in health care services influence policies and payments that encourage use of lower value services, and it proposes policies that target price distortions as a means to address rising health care expenditures.
This Viewpoint discusses preprint publication of clinical research, outlining the benefits and risks of making early manuscript drafts widely available before their accuracy has been vetted through the traditional editorial and peer review process.
In this essay, a critical care pediatric hospitalist finds herself on the other side of the office table advocating for the specific medical care needed to address her son’s rare skeletal dysplasia and her search for a pediatric specialist with whom to travel on this quest.
This cohort study compares risk of ischemic stroke within 30 days postsurgery among adult noncardiac surgery patients with patent foramen ovale (PFO) vs without PFO.
This cohort study compares the association between use of warfarin vs non–vitamin K oral anticoagulants (NOACs) and in-hospital mortality among patients with intracerebral hemorrhage.
This community-based cohort study used active-case ascertainment to estimate the prevalence of fetal alcohol spectrum disorders among first-graders living in 4 diverse communities in the United States.
This extension of the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) reporting guideline establishes standards for clinical trial protocols that include patient-reported outcome data.
This JAMA Performance Improvement article uses the case of a patient with obstructive sleep apnea who experienced cardiac arrest after sedation for magnetic resonance imaging to discuss proper handling and avoidance of oversedation in high-risk patients.
A 45-year-old man with superior mesenteric vein thrombosis (SMVT) and with mesenteric ischemia was treated with partial small bowel resection and 2 weeks of enoxaparin. Three weeks later, he underwent bowel resection for recurrent SMVT and developed venous thromboembolism on intravenous heparin. Lab results were consistent with heparin-induced thrombocytopenia (4Ts score, 6). What would you do next?
This study describes the demographic and radiographic characteristics of 416 coal miners with progressive massive pulmonary fibrosis (PMF) identified by pneumoconiosis screening as part of the US Coal Workers’ Health Surveillance Program.
In this Medical News story, physicians discuss their efforts aimed at addressing gun violence and injury.
This JAMA Patient Page describes elbow subluxation in children, a common pediatric joint injury in children 6 months to 5 years old.
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