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NEJM—Health Policy and Reform

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https://www.readbyqxmd.com/read/30021079/radical-changes-for-reproductive-health-care-proposed-regulations-for-title-x
#1
Janet M Bronstein
On June 1, 2018, the Department of Health and Human Services (HHS) proposed new regulations for the Title X Family Planning Program. If enacted, these regulations will radically alter the mix of health care providers and the range, quality, and effectiveness of services offered to support the..
July 18, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/30020849/parenteral-opioid-shortage-treating-pain-during-the-opioid-overdose-epidemic
#2
Eduardo Bruera
The opioid-overdose epidemic now causes more than 30,000 deaths per year in the United States. In response to the increasing death toll, many measures have recently been implemented, including reclassification of hydrocodone as a Schedule II opioid and new requirements for physician review of..
July 18, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/30020848/a-remembrance-of-life-before-roe-v-wade
#3
Julie R Ingelfinger
We chatted as the dialysis shift began. She was a young nursing student whose name and face I still remember five decades later, but I will just call her "Jane Roe." She was from the Virgin Islands and had come to New York for nursing school. She was nearly done — justifiably proud, since she had..
July 18, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29996065/behind-schedule-reconciling-federal-and-state-marijuana-policy
#4
Rebecca L Haffajee, Robert J MacCoun, Michelle M Mello
The long-standing chasm between federal and state marijuana policy recently widened when U.S. Attorney General Jeff Sessions rescinded Obama-era guidance indicating that the Justice Department would not make it a priority to prosecute federal marijuana crimes in states where the activities are..
July 11, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29995585/fractional-dose-yellow-fever-vaccination-advancing-the-evidence-base
#5
Kirsten Vannice, Annelies Wilder-Smith, Joachim Hombach
In 2016, a global shortage of yellow fever vaccine occurred as a result of major yellow fever outbreaks in Angola and the Democratic Republic of Congo (DRC). By October, 7136 cases and 493 deaths were reported in the two countries. Reactive vaccination campaigns were conducted in areas with..
July 11, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29972760/a-look-forward-the-frontiers-in-medicine-series
#6
EDITORIAL
Lisa Caulley, Ramya Ramaswami, Dan L Longo, Elizabeth G Phimister, Julie R Ingelfinger, Allan H Ropper, Kathy Stern, Alison E Burke, Kimberly M Knoper, Jeffrey J J Seals, Daniel C Müller, Jeffrey M Drazen
This week we introduce Frontiers in Medicine, a series of review articles that showcases the ways in which new technologies are influencing contemporary medicine and highlights the synergistic relationship between medicine and science. The series covers a number of advanced diagnostics and..
July 5, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29972748/primary-care-and-the-opioid-overdose-crisis-buprenorphine-myths-and-realities
#7
Sarah E Wakeman, Michael L Barnett
Despite widespread awareness of the opioid-overdose crisis, the epidemic continues to worsen. In 2016, there were 42,249 opioid-overdose deaths in the United States, a 28% increase from the previous year. According to the National Center for Health Statistics, life expectancy in the United States..
July 5, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29972745/moving-addiction-care-to-the-mainstream-improving-the-quality-of-buprenorphine-treatment
#8
Brendan Saloner, Kenneth B Stoller, G Caleb Alexander
More than 40,000 Americans died from opioid overdoses in 2016 — more than the number killed in motor vehicle accidents. The stunning increase in overdose deaths since the 1990s has revealed a pervasive lack of capability to meet the need for treatment in the 2.1 million Americans who have an opioid..
July 5, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29972744/methadone-in-primary-care-one-small-step-for-congress-one-giant-leap-for-addiction-treatment
#9
Jeffrey H Samet, Michael Botticelli, Monica Bharel
The opioid-overdose epidemic has had a devastating impact throughout the United States and currently claims an average of 115 lives a day. Federal, state, and local public health officials, health care agencies, and community partners are working hard to stem the tide of deaths. Opioid use..
July 5, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29949491/personhood-and-the-three-branches-of-government
#10
I Glenn Cohen, Eli Y Adashi
In the majority opinion in Roe v. Wade, Justice Harry Blackmun wrote that if the notion of fetal personhood were established, the argument for women’s choice would collapse, "for the fetus’ right to life would then be guaranteed specifically by the [Fourteenth] Amendment." Many abortion opponents..
June 28, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29949490/making-neighborhood-disadvantage-metrics-accessible-the-neighborhood-atlas
#11
Amy J H Kind, William R Buckingham
Health disparities are a major problem in the United States: many conditions, including cardiovascular disease, diabetes, and Alzheimer’s disease, disproportionately affect racial and ethnic minorities and the socioeconomically disadvantaged. Few interventions have successfully reduced these..
June 28, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29949489/metastasis-free-survival-a-new-end-point-in-prostate-cancer-trials
#12
Julia A Beaver, Paul G Kluetz, Richard Pazdur
Earlier this year, the Food and Drug Administration (FDA) approved apalutamide, an androgen receptor inhibitor, for treatment of patients with nonmetastatic castration-resistant prostate cancer (nmCRPC). The approval was based on SPARTAN, a randomized, placebo-controlled trial involving 1207..
June 28, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29949485/inhaled-corticosteroids-and-labas-removal-of-the-fda-s-boxed-warning
#13
Sally M Seymour, Robert Lim, Changming Xia, Eugenio Andraca-Carrera, Badrul A Chowdhury
For years, the risks associated with the use of long-acting beta-agonists (LABAs) in patients with asthma have been uncertain, and some health care professionals have recommended conducting large clinical trials to gather important safety information on these products. In December 2017, the Food..
June 28, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29924953/the-graduate-nurse-education-demonstration-implications-for-medicare-policy
#14
Linda H Aiken, Joshua Dahlerbruch, Barbara Todd, Ge Bai
Despite decades of public and private investment, the United States continues to have a shortage of primary care capacity. Only 2699 graduating U.S. medical students — about 17% of graduates from allopathic and osteopathic schools — matched with primary care residencies in 2016. Studies show that..
June 21, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29924950/informed-consent-and-the-role-of-the-treating-physician
#15
Holly Fernandez Lynch, Steven Joffe, Eric A Feldman
In the century since Justice Benjamin N. Cardozo famously declared that "[e]very human being of adult years and sound mind has a right to determine what shall be done with his own body," informed consent has become a central feature of American medical practice. In an increasingly team-based and..
June 21, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29924945/why-the-va-needs-more-competition
#16
Kyle H Sheetz, David J Shulkin
Despite independent studies showing that clinical quality in the Department of Veterans Affairs (VA) health system is often as good as or better than that in the private sector, numerous areas for improvement remain. Moreover, going forward, VA reform efforts will have to focus on building systems..
June 21, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29924944/growing-ranks-of-advanced-practice-clinicians-implications-for-the-physician-workforce
#17
David I Auerbach, Douglas O Staiger, Peter I Buerhaus
Throughout the history of modern American medicine, physicians have made up the vast majority of professionals who diagnose, treat, and prescribe medication to patients. Although demand for medical services has increased markedly over the years (and is projected to grow more rapidly as the..
June 21, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29791253/nurse-led-communication-in-the-intensive-care-unit
#18
EDITORIAL
Daniela Lamas
We examine him each day — the elderly patient, intubated, sedated, with a bewildered wife at his bedside. We should sit down with his wife before we ask her to make hard decisions about her husband’s care, but the unit is so busy that we find ourselves scurrying by, pausing only to offer rushed..
June 21, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29949451/accreditation-of-clinical-research-sites-moving-forward
#19
Greg Koski, Larry Kennedy, Mary F Tobin, Matthew Whalen
Accreditation is used in many fields, including education, travel, construction, and health care. When implemented correctly, it improves quality, performance, and safety, while signaling to the public that an accredited entity is committed to an agreed-on set of values. Key to its effectiveness is..
June 27, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29949446/firearm-injuries-and-violence-prevention-the-potential-power-of-a-surgeon-general-s-report
#20
John Maa, Ara Darzi
In the aftermath of the mass shooting at a social services center in San Bernardino, California, in 2015, President Barack Obama suggested that the relationship between firearm ownership and gun injuries might be as strong as the connection between cigarette smoking and lung cancer. The full extent..
June 27, 2018: New England Journal of Medicine
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