Remembering Past Lessons about Structural Racism — Recentering Black Theorists of Health and Society
The New England Journal of Medicine » Health Policy
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1y ago
Though the mounting resolve to address structural racism in U.S. medicine and public health is welcome, the theory and empirical grounding for this work was laid out more than a century ago by W.E.B. Du Bois and his colleagues in the Atlanta school of sociology ..read more
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Revitalizing the U.S. Primary Care Infrastructure
The New England Journal of Medicine » Health Policy
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1y ago
Primary care is undersupported in the United States. Moving forward, an investment plan could include oversight, tools, and resources for rebuilding primary care, with clear accountability vested in a single council and an overarching goal of achieving health equity ..read more
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Environmental Racism and Climate Change — Missed Diagnoses
The New England Journal of Medicine » Health Policy
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1y ago
A subtype of structural racism, environmental racism includes the use of racist practices in determining which communities receive health-protective, and which health-harming, infrastructure. What can physicians do about this underlying and often missed diagnosis ..read more
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Medicare Physician Payment Reform — Enhancing Incentives for Value-Based Care
The New England Journal of Medicine » Health Policy
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1y ago
Models that hold organizations responsible for managing patients’ total cost of care are an important tool for payment reform. Bringing more clinicians into such models is essential, and strengthening current participation incentives could generate long-term benefits ..read more
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The Covid-19 Infodemic — Applying the Epidemiologic Model to Counter Misinformation
The New England Journal of Medicine » Health Policy
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1y ago
Millions of people have been exposed to deceptive material about Covid-19. An approach to counteracting deceptions and misconceptions could parallel epidemiologic models by focusing on three elements: real-time surveillance, accurate diagnosis, and rapid response ..read more
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Year 1 of the Bundled Payments for Care Improvement–Advanced Model
The New England Journal of Medicine » Health Policy
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1y ago
In October 2018, Medicare introduced Bundled Payments for Care Improvement–Advanced, a payment model in which hospitals elect to assume accountability for total costs of care during the 90 days after hospitalization for selected conditions. In its first year, the program was associated with small reductions in Medicare payments among participating hospitals as compared with controls ..read more
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When Low Tech Wins
The New England Journal of Medicine » Health Policy
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1y ago
Just as people with visual impairment may have heightened use of their other senses, for one physician in a safety-net system, a year of telephone care during the Covid-19 pandemic cultivated a capacity to connect with patients solely through sound ..read more
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Fundamentals of Public Health: The Complementarity of Public Health and Medicine — Achieving “the Highest Attainable Standard of Health”
The New England Journal of Medicine » Health Policy
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1y ago
The approaches and achievements of public health and clinical medicine are often framed as dichotomies — “prevention versus cure” or “individual versus population health.” But the two fields are complementary, as their practitioners are increasingly recognizing ..read more
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Fundamentals of Public Health — A New Perspective Series
The New England Journal of Medicine » Health Policy
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1y ago
The Covid-19 pandemic has awakened many physicians to the value of viewing wellness and disease through the lens of public health as well as that of clinical medicine. To help foster such a reframing, the is launching a new Perspective series ..read more
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Establishing Medical Civil Rights
The New England Journal of Medicine » Health Policy
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1y ago
There is currently no legal right in any U.S. jurisdiction for a person in an encounter with police to request and be provided immediate emergency medical care by an objective clinical entity. A bill in the Massachusetts legislature would provide such a right ..read more
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