Read by QxMD icon Read

NEJM—Health Policy and Reform

shared collection
1117 papers 1000+ followers
Sara Rosenbaum
As the principal source of health insurance for the poor, the dominant payer for long-term services and supports, the most important source of health care financing during public health crises, and the largest source of funding for the health care safety net, Medicaid occupies a central place in..
October 13, 2016: New England Journal of Medicine
Christine Montross
In my work on the intensive treatment unit of a psychiatric hospital, I see many patients whose lives collide with the criminal justice system. Some are admitted to my care because they’re seeking respite. Others are admitted — often brought in by police — because the community seeks respite from..
October 13, 2016: New England Journal of Medicine
Lisa Rosenbaum
In 1985, when internist Jim O’Connell, cofounder of the Boston Health Care for the Homeless Program, began doing outreach to homeless people, one of the toughest questions he faced was whether to commit someone to the hospital for involuntary psychiatric treatment. States vary in their criteria for..
October 13, 2016: New England Journal of Medicine
Rachel R Hardeman, Eduardo M Medina, Katy B Kozhimannil
On July 7, 2016, in our Minneapolis community, Philando Castile was shot and killed by a police officer in the presence of his girlfriend and her 4-year-old daughter. Acknowledging the role of racism in Castile’s death, Minnesota Governor Mark Dayton asked rhetorically, "Would this have happened if..
October 12, 2016: New England Journal of Medicine
Leemore S Dafny, Christopher J Ody, Matthew A Schmitt
In 2015, the U.S. Department of Health and Human Services announced a goal of linking at least 50% of Medicare spending to value-based payment models such as accountable care organizations. Health care providers are now scrambling to reorganize in a way that delivers value while preserving or..
October 12, 2016: New England Journal of Medicine
David Blumenthal, James Morone
All presidential campaigns are unique, and the current one, as George Orwell might have said, seems more unique than most. When it comes to health care, however, there is continuity between the 2016 presidential contest and past elections, reflecting deep underlying political forces and historical..
October 6, 2016: New England Journal of Medicine
Elisha G Brownson, Callie M Thompson, Sarah Goldsberry, H Jonathan Chong, Jeffrey B Friedrich, Tam N Pham, Saman Arbabi, Gretchen J Carrougher, Nicole S Gibran
To the Editor: Electronic nicotine-delivery systems (ENDS) include electronic cigarettes (e-cigarettes) and personal vaporizers. The prevalence of ENDS use is increasing among current, former, and never smokers. E-cigarettes share a basic design; common components include an aerosol generator, a..
October 6, 2016: New England Journal of Medicine
Paul A Gastañaduy, Jeremy Budd, Nicholas Fisher, Susan B Redd, Jackie Fletcher, Julie Miller, Dwight J McFadden, Jennifer Rota, Paul A Rota, Carole Hickman, Brian Fowler, Lilith Tatham, Gregory S Wallace, Sietske de Fijter, Amy Parker Fiebelkorn, Mary DiOrio
Background Although measles was eliminated in the United States in 2000, importations of the virus continue to cause outbreaks. We describe the epidemiologic features of an outbreak of measles that originated from two unvaccinated Amish men in whom measles was incubating at the time of their return to the United States from the Philippines and explore the effect of public health responses on limiting the spread of measles. Methods We performed descriptive analyses of data on demographic characteristics, clinical and laboratory evaluations, and vaccination coverage...
October 6, 2016: New England Journal of Medicine
Chitra Dinakar, George T O'Connor
Electronic cigarettes (e-cigarettes), also known as electronic nicotine-delivery systems, are devices that produce an aerosol by heating a liquid that contains a solvent (vegetable glycerin, propylene glycol, or a mixture of these), one or more flavorings, and nicotine, although the nicotine may be..
October 6, 2016: New England Journal of Medicine
David N Durrheim
The Americas are on the eve of being formally verified as having eliminated endemic measles after the successful interruption of the transmission of measles in Brazil. This achievement provides empirical proof of the conclusion reached by an expert advisory committee, convened by the World Health..
October 6, 2016: New England Journal of Medicine
James Colgrove
In recent years, vaccine refusal and associated declines in herd immunity have contributed to numerous outbreaks of infectious diseases, consumed public health resources, and provoked increasingly polarized debates between supporters and opponents of vaccines. Although the prominence of the..
October 6, 2016: New England Journal of Medicine
Emily M Bucholz, Neel M Butala, Shuangge Ma, Sharon-Lise T Normand, Harlan M Krumholz
Background Thirty-day risk-standardized mortality rates after acute myocardial infarction are commonly used to evaluate and compare hospital performance. However, it is not known whether differences among hospitals in the early survival of patients with acute myocardial infarction are associated with differences in long-term survival. Methods We analyzed data from the Cooperative Cardiovascular Project, a study of Medicare beneficiaries who were hospitalized for acute myocardial infarction between 1994 and 1996 and who had 17 years of follow-up...
October 6, 2016: New England Journal of Medicine
Hillary Clinton
The editors invited the Democratic and Republican presidential nominees, Hillary Clinton and Donald Trump, to answer the following question for Journal readers: What specific changes in policy do you support to improve access to care, improve quality of care, and control health care costs for our..
September 28, 2016: New England Journal of Medicine
Sankar Swaminathan, Robert Schlaberg, Julia Lewis, Kimberly E Hanson, Marc R Couturier
To the Editor: Epidemic transmission of Zika virus (ZIKV) has rapidly occurred in the Americas, with most cases limited to mild or asymptomatic disease. To date, nine deaths from ZIKV infection that were unrelated to the Guillain–Barré syndrome have been confirmed in adults. Here, we report a..
September 28, 2016: New England Journal of Medicine
Ian F Tannock, John A Hickman
Rapid advances in the molecular characterization of tumors, including complete gene sequencing of multiple cancers in the Cancer Genome Project, have led to an increased understanding of the molecular pathways that underlie cancer. These genomic changes differentiate tumors from normal tissues,..
September 29, 2016: New England Journal of Medicine
Ziad Obermeyer, Ezekiel J Emanuel
By now, it’s almost old news: big data will transform medicine. It’s essential to remember, however, that data by themselves are useless. To be useful, data must be analyzed, interpreted, and acted on. Thus, it is algorithms — not data sets — that will prove transformative. We believe, therefore,..
September 29, 2016: New England Journal of Medicine
Stephen J Thomas, Maïna L'Azou, Alan D T Barrett, Nicholas A C Jackson
Studies have demonstrated that various Zika virus (ZIKV) vaccine constructs generate protective immune responses in mice and nonhuman primates, and two DNA ZIKV vaccine candidates have entered phase 1 human safety testing ( numbers, NCT01099852 and NCT02840487). ZIKV vaccine..
September 29, 2016: New England Journal of Medicine
Hilary D Marston, Nicole Lurie, Luciana L Borio, Anthony S Fauci
The rapid spread of Zika virus through the Americas and its devastating consequences for pregnant women and infants have precipitated an international, multisectoral response. Current prevention strategies focus on mosquito control, protection of the blood supply, barrier protection during sex, and..
September 29, 2016: New England Journal of Medicine
Frank Rockhold, Perry Nisen, Andrew Freeman
Sharing patient-level data from clinical trials can improve the quality of research and our understanding of disease and medical treatments. Various concerns have been voiced about data sharing; they involve privacy, consent, intellectual property, costs, infrastructure, data standards, free-riding..
September 22, 2016: New England Journal of Medicine
Bernard Lo, David L DeMets
Sharing of data from clinical trials benefits patients by enabling new discoveries, meta-analyses, and confirmation of published results. As the table shows, the European Medicines Agency (EMA), a number of drug companies, and one other trial funder have already implemented data sharing. A..
September 22, 2016: New England Journal of Medicine
2016-09-23 05:30:09
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"