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Researchers Tested an AI Tool That Drafts Responses to Patient Messages—Here’s What They Found
Pub Date : 2025-01-24 DOI: 10.1001/jama.2024.24064
Roy Perlis, Rita Rubin
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.
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引用次数: 0
Setting Public Health Priorities in the United States
Pub Date : 2025-01-24 DOI: 10.1001/jama.2025.0485
Harvey V. Fineberg
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.
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引用次数: 0
Advancing LGBTQI+ Inclusive Research Practices 推进LGBTQI+包容性研究实践
Pub Date : 2025-01-23 DOI: 10.1001/jama.2024.28035
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.
本观点讨论了人类研究保护秘书咨询委员会的建议,即建立一个更加公平和具有代表性的研究机构,更好地纳入LGBTQI+参与者,克服机构审查委员会和研究地点之间的脱节,并解决机构审查委员会成员之间潜在的偏见。
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引用次数: 0
Baby Jack 婴儿杰克
Pub Date : 2025-01-23 DOI: 10.1001/jama.2024.27673
Grace Hunter
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.
在这篇叙事性医学文章中,一位初级保健医生得知她的儿子被诊断出患有天使综合症,她感到安慰的是,她的儿子选择了她来爱他,和他一起笑,并庆祝他的韧性。
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引用次数: 0
The 2025-2030 Dietary Guidelines—Time for Real Progress 《2025-2030年膳食指南》——是时候取得真正进展了
Pub Date : 2025-01-22 DOI: 10.1001/jama.2025.0410
Dariush Mozaffarian
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.
本观点讨论了《2025-2030年美国人膳食指南》报告,并强调了一些审查的主题,包括超加工食品和低脂与全脂乳制品。
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引用次数: 0
A Unified Approach to Health Data Exchange 卫生数据交换的统一方法
Pub Date : 2025-01-18 DOI: 10.1001/jama.2025.0068
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.
重要意义 电子病历(EHR)等医疗信息技术已被广泛采用,但在分散的美国医疗系统中访问和交换数据仍具有挑战性。要释放电子病历数据的潜力,改善患者健康、公共卫生和医疗保健,就必须简化健康数据的交换。作为美国卫生与公众服务部(DHHS)的领导者,我们将介绍卫生与公众服务部是如何实施基础构建模块来实现这一愿景的。在整个卫生与公众服务部,我们已经实施了 2016 年《21 世纪治愈法案》要求的 3 个基础构建模块,以创建一种统一的方法,在整个医疗保健系统中安全、高质量、及时地交换健康数据。美国互操作性核心数据为联邦监管的医疗信息技术系统(如经认证的电子病历)中必须提供的数据元素提供了最低基准。现在,必须使用快速医疗互操作性资源(Fast Healthcare Interoperability Resources)--一种安全、灵活、开放的医疗数据交换行业标准--来访问这些数据元素。可信交换框架和共同协议提供了一个在全国范围内安全交换健康数据的网络。美国互操作性核心数据、快速医疗保健互操作性资源以及可信交换框架和共同协议这三个组成部分现已到位,这要归功于公共和私营部门在两届政府期间的辛勤工作。在整个卫生与健康部,我们都在努力完善这些构建模块,并通过监管机构、拨款和公私合作伙伴关系来提高它们的采用率。结论与相关性本文所描述的技术构建模块正在为患者就医、临床护理、质量改进、科学研究、公共卫生以及健康数据的其他用途创建一种统一的健康数据交换方法。需要公共部门、非营利部门和私营部门通力合作,才能最大限度地发挥它们的潜力。通过释放健康数据的潜能,这些构件将成为 21 世纪数字医疗系统的基础,从而改善患者和临床医生的就医体验,带来更好的医疗效果。
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引用次数: 0
Experts Are Debating Whether Some Cancers Shouldn’t Be Called That 专家们正在争论一些癌症是否不应该被称为癌症
Pub Date : 2025-01-17 DOI: 10.1001/jama.2024.27250
Rita Rubin
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。
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引用次数: 0
Consequences and Opportunities From Poor Uptake of COVID Vaccinations Despite Strong Evidence 尽管有强有力的证据,但未充分接种COVID疫苗的后果和机遇
Pub Date : 2025-01-17 DOI: 10.1001/jama.2025.0255
Robert M. Califf
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.
本观点考察了美国居民对每年更新的COVID疫苗的接受程度不高,尽管有强有力的证据表明它们在降低死亡、严重疾病和住院风险方面有效。
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引用次数: 0
Underused Palliative Care Could Aid Stroke Survivors. 未充分利用的姑息治疗可以帮助中风幸存者。
Pub Date : 2025-01-17 DOI: 10.1001/jama.2024.27436
Samantha Anderer
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引用次数: 0
Study Reveals Variation in Case Exposure for Internal Medicine Residents in the Same Program. 研究揭示了同一项目的内科住院医师病例暴露的差异。
Pub Date : 2025-01-17 DOI: 10.1001/jama.2024.27438
Samantha Anderer
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引用次数: 0
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