This Viewpoint reviews the growth of the Choosing Wisely campaign from its inception in 2012 into an international movement and outlines advances in evidence and implementation that will be necessary for the effort to have more widespread, durable effects on the quality, safety, and value of health care.
This Viewpoint proposes policy reforms to prioritize use and development of new cancer drugs that yield meaningful clinical benefit at sustainable prices.
This Medical News article discusses a recent analysis of 10 clinical trials of omega-3 fatty acid supplements for heart health.
This systematic review to support the 2018 US Preventive Services Task Force Recommendation Statement on interventions to prevent falls in older adults summarizes published evidence on the benefits and harms of fall prevention interventions in community-dwelling older adults.
This 2018 US Preventive Services Task Force guideline recommends exercise to prevent falls in community-dwelling adults 65 years or older at increased fall risk (B recommendation), that patients and clinicians consider the balance of benefits and harms based on prior falls, comorbid conditions, and patient values and preferences (C recommendation), and recommends against vitamin D supplementation to prevent falls in community-dwelling adults 65 years or older (D recommendation).
This Viewpoint calls out the contribution of growth in health care workforce to higher health care costs, and emphasizes the need to find efficiencies in the current national workforce and resist additional hiring growth as a mechanism to slow growth in spending.
This Viewpoint discusses a 2018 Centers for Medicare & Medicaid Services national coverage determination on next-generation sequencing tests for patients with advanced cancer and suggests ways to ensure appropriate and equitable access to testing, resource efficiency, and improvement in patient and societal outcomes.
This Expression of Concern warns of potential validity issues with articles written by Brian Wansink and published in JAMA and the JAMA Network journals.
This Viewpoint discusses what it will take to transform retail or minute clinics, such as those at CVS/Aetna, into fully integrated components of larger health systems that offer patient-centered, cost-aligned, value-based health care.
In this Viewpoint, JCAHO leaders discuss the challenges of value-based payment reform in instances when performance measures cannot capture clinically valid but difficult-to-measure exclusions, and urges payers and policy makers to take measurement error into account when setting payment rules.
This Viewpoint discusses ways in which the US FCC’s 2017 repeal of net neutrality could compromise online medical education through prioritization by internet service providers of paid commercial over less well-funded or Free Open Access Medical Eduction (FOAM) content.
This Medical News article is an interview with cardiologist Stephen Devries, MD, about an institute that educates doctors about healthful eating.
This Medical News article discusses some of the factors behind the nearly 4.5-fold increase in US cases of Legionnaires disease since 2000, including increased testing and climate change, and why many cases are still probably being missed.
This Viewpoint describes the addition of HIV nucleotide sequence data collected through molecular surveillance to traditional epidemiologic investigation as an effective means to characterize HIV transmission networks, contain outbreaks, and prevent further spread.
This Viewpoint uses the case of Jahi McGrath, a physically healthy adolescent in a vegetative state since a catastrophic surgical complication in 2013, to discuss the differences between neurologic and legal definitions of brain death and to explain conflicts between families' and physicians’ understandings of prognosis that arise as a result.
In this Viewpoint, Gawande and colleagues characterize risks to patient safety from health system expansions identified by clinicians and health system leaders who have experienced the risks, and potential strategies institutions can implement to mitigate them.
This Viewpoint explains the role of pharmaceutical benefit managers (PBMs) in the United States drug and health care market, and the potential effects acquisitions of PBMs by health insurers could have on prices and drug availability.
In this Viewpoint, US Surgeon General Jerome Adams summarizes his office’s 2018 Advisory on Naloxone and Opioid Overdose, which provides guidance on the use of naloxone to curb the number of opioid overdose deaths across the country.
This Viewpoint surveys changes in the academic medical environment since the onset of the #MeToo movement in 2017 and outlines policy and procedural changes to decrease harassment and facilitate improvements to the learning environments of medical schools going forward.
This Viewpoint draws parallels between advances in the patient safety movement, in which team members are encouraged to call out unsafe practices and propose changes, and what will be required to advance the #MeToo movement in health care: courage to speak out when they or others are being harassed or disrespected.