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Addiction Treatment Networks Cannot Withstand Acute Crises: Lessons from 2021 Winter Storm Uri in Texas. 戒毒网络无法抵御急性危机:德克萨斯州 2021 年冬季风暴 Uri 的教训。
Pub Date : 2021-03-29 eCollection Date: 2021-01-01 DOI: 10.31478/202103c
Richard Bottner, John Weems, Lucas G Hill, Christopher Ziebell, Sharon Long, Sara Young, Mike Sasser, Aaron Ferguson, Carlos Tirado
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引用次数: 0
Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. COVID-19期间加强工作场所文化的沟通和透明度
Pub Date : 2021-03-01 eCollection Date: 2021-01-01 DOI: 10.31478/202103a
Ashwini Nadkarni, Nomi C Levy-Carrick, David S Kroll, David Gitlin, David Silbersweig
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引用次数: 4
Advancing Artificial Intelligence in Health Settings Outside the Hospital and Clinic. 在医院和诊所之外的健康环境中推进人工智能。
Pub Date : 2020-11-30 DOI: 10.31478/202011f
Nakul Aggarwal, M. Ahmed, S. Basu, J. Curtin, Barbara J Evans, M. Matheny, S. Nundy, M. Sendak, C. Shachar, R. Shah, Sonoo Thadaney-Israni
Nakul Aggarwal, BS, University of Wisconsin-Madison; Mahnoor Ahmed, MEng, National Academy of Medicine; Sanjay Basu, MD, PhD, Harvard University; John J. Curtin, PhD, University of Wisconsin-Madison; Barbara J. Evans, JD, PhD, University of Florida; Michael E. Matheny, MD, MS, MPH, Vanderbilt University Medical Center and Tennessee Valley Healthcare System VA; Shantanu Nundy, MD, MBA, Accolade Inc.; Mark P. Sendak, MD, MPP, Duke University; Carmel Shachar, JD, MPH, Harvard University; Rashmee U. Shah, MD, MS, University of Utah; and Sonoo Thadaney-Israni, MBA, Stanford University
Nakul Aggarwal,学士,威斯康星大学麦迪逊分校;Mahnoor Ahmed, b孟,美国国家医学院;桑贾伊·巴苏,医学博士,哈佛大学;约翰·j·科廷博士,威斯康星大学麦迪逊分校;Barbara J. Evans,法学博士,佛罗里达大学;Michael E. Matheny,医学博士,硕士,公共卫生硕士,范德比尔特大学医学中心和田纳西谷医疗保健系统VA;Shantanu Nundy,医学博士,MBA, Accolade Inc.;Mark P. Sendak, MD, MPP,杜克大学;Carmel Shachar,法学博士,哈佛大学公共卫生硕士;Rashmee U. Shah, MD, MS,犹他大学;以及斯坦福大学工商管理硕士索努·萨达尼-伊斯拉尼
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引用次数: 14
Maternal Mental Health: Where Should Our Research and Policy Priorities Be? 产妇心理健康:我们的研究和政策重点应该放在哪里?
Pub Date : 2020-11-23 DOI: 10.31478/202011g
J. Payne, D. Umberson, Erin Kellogg
In the midst of the COVID-19 pandemic, mental health care has become an increasingly important topic in light of the cumulative stressors of social isolation, economic insecurity, anxiety and fears of infection, fi nancial hardship, and the potential loss of friends or family. Evidence suggests that mental health disorders, including major depression disorder (MDD) and anxiety disorders, are increasing at an alarming rate in the setting of the COVID-19 pandemic, and access to mental health care remains limited. During this critical time, maternal mental health deserves special attention by researchers and policy makers for several reasons, but particularly because of growing evidence that maternal mental health has long-reaching eff ects on the physical, intellectual, and emotional development of a woman’s children [1]. Maternal mental health is therefore a true public health issue that ultimately affects every one of us. Beyond this compelling reason to focus on maternal mental health, a number of other unique aspects to the mental health of women complicate treatment. For example, women are more likely to be the victims of physical and sexual abuse, and the ebb and fl ow of reproductive hormones can trigger mood and anxiety symptoms in biologically and socioeconomically vulnerable women. Furthermore, treating mental health disorders during the reproductive years requires a specialized knowledge of what medications can be used during pregnancy and lactation and a desperate need for research into best management practices for treatment during this critical time period. The COVID-19 pandemic, by increasing the mental health needs of both women and men, has only served to emphasize the knowledge gaps and need for policy change that will ultimately improve mental health outcomes for not only women, but men as well. On December 2, 2019, the Committee on Population of the National Academies of Sciences, Engineering, and Medicine held a stakeholder meeting on maternal mental health and women’s mental health across the life course. The meeting was meant to build and expand upon a previous workshop—Women’s Mental Health across the Life Course through a Sex and Gender Lens held in March 2018 [11]—with a new focus on maternal mental health. During the meeting, experts and stakeholders discussed maternal mental health and specifi cally focused on the perinatal period. The discussion addressed topics such as risk factors, barriers to mental health care, areas in need of research, and potential policy interventions. The authors of this commentary will present some of these ideas with the added perspective of a reproductive psychiatrist—a psychiatrist who specializes in the mental health care of women during the reproductive years. This commentary will also highlight opportunities brought on by the COVID-19 pandemic that have a bearing on these discussions.
在2019冠状病毒病大流行期间,鉴于社会孤立、经济不安全、对感染的焦虑和恐惧、经济困难以及可能失去朋友或家人等累积的压力源,精神卫生保健已成为一个越来越重要的话题。有证据表明,在2019冠状病毒病大流行的背景下,包括重度抑郁症和焦虑症在内的精神健康障碍正在以惊人的速度增加,而获得精神卫生保健的机会仍然有限。在这一关键时刻,孕产妇的心理健康值得研究人员和决策者特别关注,原因有几个,尤其是因为越来越多的证据表明,孕产妇的心理健康对妇女子女的身体、智力和情感发展具有长期影响。因此,产妇心理健康是一个真正的公共卫生问题,最终影响到我们每一个人。除了关注产妇心理健康这一令人信服的理由之外,妇女心理健康的一些其他独特方面使治疗复杂化。例如,妇女更有可能成为身体虐待和性虐待的受害者,生殖激素的潮起潮落可能引发生理和社会经济上脆弱的妇女的情绪和焦虑症状。此外,治疗育龄期的精神健康障碍需要对怀孕和哺乳期间可以使用哪些药物有专门的了解,并且迫切需要对这一关键时期的治疗最佳管理做法进行研究。2019冠状病毒病大流行增加了女性和男性的精神卫生需求,这只会凸显出知识差距和政策变革的必要性,最终不仅要改善女性的精神卫生结果,还要改善男性的精神卫生结果。2019年12月2日,美国国家科学院、工程院和医学院人口委员会召开了一次关于孕产妇心理健康和妇女整个生命过程心理健康的利益相关者会议。此次会议旨在建立和扩展2018年3月举行的“从性别和社会性别视角看妇女在整个生命过程中的心理健康”研讨会,并将新的重点放在孕产妇心理健康上。会议期间,专家和利益攸关方讨论了产妇心理健康问题,并特别侧重于围产期。讨论的主题包括风险因素、精神卫生保健的障碍、需要研究的领域以及可能的政策干预措施。这篇评论的作者将从生殖精神病学家的角度来阐述其中的一些观点,生殖精神病学家专门研究育龄期妇女的精神卫生保健。本评论还将强调2019冠状病毒病大流行带来的与这些讨论有关的机会。
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引用次数: 0
Components of the Next Generation of Integrated Care. 下一代综合护理的组成部分。
Pub Date : 2020-11-16 DOI: 10.31478/202011e
A. Ross, P. Greenberg
The purpose of this Commentary is to explore the ways in which the key elements of integrated care (integrating behavioral health care with primary care in an eff ort to improve and streamline complete care for the patient) are being incorporated into the health care system and to examine new elements that have emerged in the years since the fi eld of integrated care was established in the 1990s [1]. In an integrated care approach, behavioral health and primary care providers work as a team to address patient concerns, whether that takes place in the same practice setting or through distance-based modalities. This team-based approach allows for easier access to care, the potential for more eff ective care coordination, use of an integrated medical record, and the inclusion of a range of professional and paraprofessional care providers. When services are provided in a coordinated manner, individuals are more likely to have their medical and behavioral health needs addressed [2]. As evidence demonstrating the value of integration for improving access to care grows, consideration needs to be given to the next generation of integrated care. The authors of this commentary were interested in hearing from executives in managed behavioral health care organizations and primary care safety net providers on whether the identifi ed elements of integrated care are suffi cient today or whether additional elements need to be considered.
本评论的目的是探讨综合护理的关键要素(将行为健康护理与初级护理相结合,以有效改善和简化对患者的全面护理)如何纳入医疗保健系统,并研究自20世纪90年代建立综合护理领域以来的几年中出现的新要素[1] 。在综合护理方法中,行为健康和初级保健提供者作为一个团队来解决患者的担忧,无论是在相同的实践环境中还是通过基于距离的方式。这种基于团队的方法可以更容易地获得护理,有可能进行更有效的护理协调,使用综合医疗记录,并包括一系列专业和准专业护理提供者。当以协调的方式提供服务时,个人更有可能满足其医疗和行为健康需求[2]。随着证明一体化对改善获得护理的价值的证据越来越多,需要考虑下一代一体化护理。本评论的作者有兴趣听取管理行为健康护理组织和初级保健安全网提供者的高管们关于综合护理的已识别要素今天是否足够,或者是否需要考虑其他要素的意见。
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引用次数: 2
Combatting the Stigma of Addiction - The Need for a Comprehensive Health System Approach. 打击成瘾的耻辱-需要一个全面的卫生系统方法。
Pub Date : 2020-11-09 DOI: 10.31478/202011d
J. Atkins, A. Dopp, Edna Boone Temaner
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引用次数: 15
What Happens After Disease X: Using One Health to Prevent the Next Pandemic. X疾病之后会发生什么:用一个健康来预防下一次大流行。
Pub Date : 2020-11-09 DOI: 10.31478/202011c
G. Hansen, J. Mazet, J. Rushton, C. Stroud
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引用次数: 2
Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. 改善临床医生福祉的组织循证和有希望的实践。
Pub Date : 2020-11-02 DOI: 10.31478/202011a
C. Sinsky, L. Biddison, Aditi Mallick, A. Dopp, J. Perlo, L. Lynn, Cynthia D. Smith
Christine A. Sinsky, MD, American Medical Association; Lee Daugherty Biddison, MD, MPH, Johns Hopkins Medicine; Aditi Mallick, MD, George Washington University; Anna Legreid Dopp, PharmD, American Society of Health-System Pharmacists; Jessica Perlo, MPH, Institute for Healthcare Improvement; Lorna Lynn, MD, American Board of Internal Medicine; and Cynthia D. Smith, MD, FACP, American College of Physicians
Christine A. Sinsky,医学博士,美国医学协会;Lee Daugherty Biddison,医学博士,公共卫生硕士,约翰霍普金斯医学院;Aditi Mallick医学博士,乔治华盛顿大学;Anna Legreid Dopp,药学博士,美国卫生系统药剂师协会;Jessica Perlo,公共卫生硕士,医疗保健改善研究所;Lorna Lynn,医学博士,美国内科委员会;以及Cynthia D. Smith,医学博士,美国内科医师学会FACP
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引用次数: 41
Learning from the Global Response to the COVID-19 Pandemic: An Interprofessional Perspective on Health Professions Education. 从全球应对COVID-19大流行中学习:卫生专业教育的跨专业视角
Pub Date : 2020-11-02 DOI: 10.31478/202011b
J. Maeseneer, J. Fisher, E. Iwu, B. Pálsdóttir, Katherine L. Perez, R. Rajatanavin, Wendi K. Schweiger, Zohray M Talib
Jan De Maeseneer, MD, PhD, FRCGP (Hon), Ghent University; Julian Fisher, BDS, MSc, MIH, State University of New York Upstate Medical University; Emilia Iwu, PhD, MSN, RN, APNC, FWACN, Rutgers University; Björg Pálsdóttir, MPA, Training for Health Equity Network (THEnet); Katherine L. Perez, The National Academies of Sciences, Engineering, and Medicine; Rajata Rajatanavin, MD, FRCP, FACP, FACE, Mahidol University; Wendi K. Schweiger, PhD, NCC, LCMHC, National Board for Certifi ed Counselors, Inc. & Affi liates; and Zohray Talib, MD, California University of Science and Medicine
Jan De Maesenier,医学博士,博士,FRCGP(荣誉),根特大学;Julian Fisher,BDS,理学硕士,MIH,纽约州立大学上州立医科大学;Emilia Iwu,博士,MSN,RN,APNC,FWACN,罗格斯大学;Björg Pálsdóttir,MPA,健康公平网络培训;Katherine L.Perez,美国国家科学院、工程院和医学院;Rajata Rajatanavin,医学博士,FRCP,FACP,FACE,Mahidol大学;Wendi K.Schweiger,博士,NCC,LCMHC,国家认证顾问委员会,股份有限公司及其附属机构;和Zohray Talib,医学博士,加州科学与医学大学
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引用次数: 2
The American Opioid Epidemic in Special Populations: Five Examples. 美国阿片类药物在特殊人群中的流行:五个例子。
Pub Date : 2020-10-26 eCollection Date: 2020-01-01 DOI: 10.31478/202010b
Carlos Blanco, Mir M Ali, Aaron Beswick, Karen Drexler, Cheri Hoffman, Christopher M Jones, Tisha R A Wiley, Allan Coukell
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引用次数: 0
期刊
NAM perspectives
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