This Medical News article is an interview with Eden English, MD, senior medical director of informatics for UCHealth, about an AI tool that writes the first draft of answers to patients’ messages.
{"title":"Researchers Tested an AI Tool That Drafts Responses to Patient Messages—Here’s What They Found","authors":"Roy Perlis, Rita Rubin","doi":"10.1001/jama.2024.24064","DOIUrl":"https://doi.org/10.1001/jama.2024.24064","url":null,"abstract":"This Medical News article is an interview with Eden English, MD, senior medical director of informatics for UCHealth, about an AI tool that writes the first draft of answers to patients’ messages.","PeriodicalId":518009,"journal":{"name":"JAMA","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143031043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This Viewpoint discusses the challenges facing US leadership in improving the state of the country’s public health and outlines 5 classes of candidates for public health intervention and 4 criteria to guide public health priority setting.
{"title":"Setting Public Health Priorities in the United States","authors":"Harvey V. Fineberg","doi":"10.1001/jama.2025.0485","DOIUrl":"https://doi.org/10.1001/jama.2025.0485","url":null,"abstract":"This Viewpoint discusses the challenges facing US leadership in improving the state of the country’s public health and outlines 5 classes of candidates for public health intervention and 4 criteria to guide public health priority setting.","PeriodicalId":518009,"journal":{"name":"JAMA","volume":"691 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143031041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amy Ben-Arieh, Will McIntire, Kellan E. Baker, Carl G. Streed
This Viewpoint discusses the recommendations of the Secretary’s Advisory Committee on Human Research Protection on creating a more equitable and representative body of research with improved inclusion of LGBTQI+ participants, overcoming disconnection between institutional review boards and research sites, and addressing potential bias among institutional review board members.
{"title":"Advancing LGBTQI+ Inclusive Research Practices","authors":"Amy Ben-Arieh, Will McIntire, Kellan E. Baker, Carl G. Streed","doi":"10.1001/jama.2024.28035","DOIUrl":"https://doi.org/10.1001/jama.2024.28035","url":null,"abstract":"This Viewpoint discusses the recommendations of the Secretary’s Advisory Committee on Human Research Protection on creating a more equitable and representative body of research with improved inclusion of LGBTQI+ participants, overcoming disconnection between institutional review boards and research sites, and addressing potential bias among institutional review board members.","PeriodicalId":518009,"journal":{"name":"JAMA","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this narrative medicine essay, a primary care physician learns of her son’s Angelman syndrome diagnosis and finds comfort that her son chose her to love him, laugh with him, and celebrate his resilience.
{"title":"Baby Jack","authors":"Grace Hunter","doi":"10.1001/jama.2024.27673","DOIUrl":"https://doi.org/10.1001/jama.2024.27673","url":null,"abstract":"In this narrative medicine essay, a primary care physician learns of her son’s Angelman syndrome diagnosis and finds comfort that her son chose her to love him, laugh with him, and celebrate his resilience.","PeriodicalId":518009,"journal":{"name":"JAMA","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143020974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This Viewpoint discusses the 2025-2030 Dietary Guidelines for Americans report and highlights some of the topics reviewed, including ultraprocessed foods and reduced-fat vs whole-fat dairy.
{"title":"The 2025-2030 Dietary Guidelines—Time for Real Progress","authors":"Dariush Mozaffarian","doi":"10.1001/jama.2025.0410","DOIUrl":"https://doi.org/10.1001/jama.2025.0410","url":null,"abstract":"This Viewpoint discusses the 2025-2030 Dietary Guidelines for Americans report and highlights some of the topics reviewed, including ultraprocessed foods and reduced-fat vs whole-fat dairy.","PeriodicalId":518009,"journal":{"name":"JAMA","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142992769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ali B. Abbasi, Jennifer Layden, William Gordon, Susan Gregurick, Nancy DeLew, Jordan Grossman, Arlene S. Bierman, Susan Monarez, Lesley H. Curtis, Abigail H. Viall, Mitra Rocca, Donna R. Rivera, Hilary Marston, Alexandra Mugge, Scott R. Smith, Katherine Bent, James Macrae, Ann Sheehy, Renee D. Wegrzyn, R. Burciaga Valdez, Carole Johnson, Laina Bush, Jonathan Blum, Mandy K. Cohen, Monica M. Bertagnolli, Robert M. Califf, Micky Tripathi
ImportanceHealth information technology, such as electronic health records (EHRs), has been widely adopted, yet accessing and exchanging data in the fragmented US health care system remains challenging. To unlock the potential of EHR data to improve patient health, public health, and health care, it is essential to streamline the exchange of health data. As leaders across the US Department of Health and Human Services (DHHS), we describe how DHHS has implemented fundamental building blocks to achieve this vision.ObservationsAcross DHHS, we have implemented 3 foundational building blocks called for by the 2016 21st Century Cures Act to create a unified approach for secure, high-quality, and timely exchange of health data across the health care system. The United States Core Data for Interoperability provides a minimum baseline for data elements that must be available in federally regulated health information technology systems such as certified EHRs. These data elements now must be accessible using Fast Healthcare Interoperability Resources—a secure, flexible, and open-industry standard for health data exchange. The Trusted Exchange Framework and Common Agreement provides a network to securely exchange health data across the country. The 3 building blocks of United States Core Data for Interoperability, Fast Healthcare Interoperability Resources, and Trusted Exchange Framework and Common Agreement are now in place thanks to diligent public and private sector work over 2 administrations. Across DHHS, we are working to refine these building blocks and increase their adoption through regulatory authorities, grants, and public-private partnerships.Conclusions and RelevanceThe technological building blocks described in this article are creating a unified approach to health data exchange for patient access, clinical care, quality improvement, scientific research, public health, and other uses of health data. Collaborations between the public, nonprofit, and private sectors are needed to maximize their potential. By unlocking the potential of health data, these building blocks are the foundation of a 21st-century digital health care system that will improve the experience of patients and clinicians and result in better health outcomes.
{"title":"A Unified Approach to Health Data Exchange","authors":"Ali B. Abbasi, Jennifer Layden, William Gordon, Susan Gregurick, Nancy DeLew, Jordan Grossman, Arlene S. Bierman, Susan Monarez, Lesley H. Curtis, Abigail H. Viall, Mitra Rocca, Donna R. Rivera, Hilary Marston, Alexandra Mugge, Scott R. Smith, Katherine Bent, James Macrae, Ann Sheehy, Renee D. Wegrzyn, R. Burciaga Valdez, Carole Johnson, Laina Bush, Jonathan Blum, Mandy K. Cohen, Monica M. Bertagnolli, Robert M. Califf, Micky Tripathi","doi":"10.1001/jama.2025.0068","DOIUrl":"https://doi.org/10.1001/jama.2025.0068","url":null,"abstract":"ImportanceHealth information technology, such as electronic health records (EHRs), has been widely adopted, yet accessing and exchanging data in the fragmented US health care system remains challenging. To unlock the potential of EHR data to improve patient health, public health, and health care, it is essential to streamline the exchange of health data. As leaders across the US Department of Health and Human Services (DHHS), we describe how DHHS has implemented fundamental building blocks to achieve this vision.ObservationsAcross DHHS, we have implemented 3 foundational building blocks called for by the 2016 21st Century Cures Act to create a unified approach for secure, high-quality, and timely exchange of health data across the health care system. The United States Core Data for Interoperability provides a minimum baseline for data elements that must be available in federally regulated health information technology systems such as certified EHRs. These data elements now must be accessible using Fast Healthcare Interoperability Resources—a secure, flexible, and open-industry standard for health data exchange. The Trusted Exchange Framework and Common Agreement provides a network to securely exchange health data across the country. The 3 building blocks of United States Core Data for Interoperability, Fast Healthcare Interoperability Resources, and Trusted Exchange Framework and Common Agreement are now in place thanks to diligent public and private sector work over 2 administrations. Across DHHS, we are working to refine these building blocks and increase their adoption through regulatory authorities, grants, and public-private partnerships.Conclusions and RelevanceThe technological building blocks described in this article are creating a unified approach to health data exchange for patient access, clinical care, quality improvement, scientific research, public health, and other uses of health data. Collaborations between the public, nonprofit, and private sectors are needed to maximize their potential. By unlocking the potential of health data, these building blocks are the foundation of a 21st-century digital health care system that will improve the experience of patients and clinicians and result in better health outcomes.","PeriodicalId":518009,"journal":{"name":"JAMA","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This Medical News article discusses the ongoing debate about whether the word cancer should be dropped from the names of indolent tumors of the prostate and breast.
这篇医学新闻文章讨论了关于是否应该从前列腺和乳腺惰性肿瘤的名称中删除“癌症”这个词的持续争论。
{"title":"Experts Are Debating Whether Some Cancers Shouldn’t Be Called That","authors":"Rita Rubin","doi":"10.1001/jama.2024.27250","DOIUrl":"https://doi.org/10.1001/jama.2024.27250","url":null,"abstract":"This Medical News article discusses the ongoing debate about whether the word <jats:italic>cancer</jats:italic> should be dropped from the names of indolent tumors of the prostate and breast.","PeriodicalId":518009,"journal":{"name":"JAMA","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142987957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This Viewpoint examines poor uptake of the annual updated COVID vaccines among US residents despite strong evidence of their effectiveness in lowering the risk of death, serious illness, and hospitalization.
{"title":"Consequences and Opportunities From Poor Uptake of COVID Vaccinations Despite Strong Evidence","authors":"Robert M. Califf","doi":"10.1001/jama.2025.0255","DOIUrl":"https://doi.org/10.1001/jama.2025.0255","url":null,"abstract":"This Viewpoint examines poor uptake of the annual updated COVID vaccines among US residents despite strong evidence of their effectiveness in lowering the risk of death, serious illness, and hospitalization.","PeriodicalId":518009,"journal":{"name":"JAMA","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Underused Palliative Care Could Aid Stroke Survivors.","authors":"Samantha Anderer","doi":"10.1001/jama.2024.27436","DOIUrl":"https://doi.org/10.1001/jama.2024.27436","url":null,"abstract":"","PeriodicalId":518009,"journal":{"name":"JAMA","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Study Reveals Variation in Case Exposure for Internal Medicine Residents in the Same Program.","authors":"Samantha Anderer","doi":"10.1001/jama.2024.27438","DOIUrl":"https://doi.org/10.1001/jama.2024.27438","url":null,"abstract":"","PeriodicalId":518009,"journal":{"name":"JAMA","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}