W. Dietz, Jennifer E. Fassbender, J. Levi, N. Pronk, S. Yanovski, David D. Fukuzawa
{"title":"Lessons Learned for Obesity Prevention and Care from Five Integrated Programs.","authors":"W. Dietz, Jennifer E. Fassbender, J. Levi, N. Pronk, S. Yanovski, David D. Fukuzawa","doi":"10.31478/202111a","DOIUrl":"https://doi.org/10.31478/202111a","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46171229","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}
Pub Date : 2021-11-01eCollection Date: 2021-01-01DOI: 10.31478/202110c
Ruth S Shim, Matthew Tierney, Martin H Rosenzweig, Howard H Goldman
{"title":"Improving Behavioral Health Services in the Time of COVID-19 and Racial Inequities.","authors":"Ruth S Shim, Matthew Tierney, Martin H Rosenzweig, Howard H Goldman","doi":"10.31478/202110c","DOIUrl":"https://doi.org/10.31478/202110c","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654467/pdf/nampsp-2021-202110c.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39721685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-04eCollection Date: 2021-01-01DOI: 10.31478/202110a
David W Price, David A Davis, Gary L Filerman
Health care delivery has evolved from a variably connected collective of individually owned proprietorships and independent hospitals to an environment in which physicians increasingly contract with or are employed by health care enterprises. While continuing medical education (CME) that is focused on the dissemination and maintenance of medical knowledge and the development of skills plays a critical role in helping physicians keep up to date, the authors of this manuscript believe the structure and delivery of CME have not suffi ciently evolved to be broadly viewed by health enterprise leaders as a strategic or integral asset to improving health care delivery. Therefore, an evolution and a reconceptualization of the structure and function of CME are necessary to enable collaboration between leaders and improvement experts in health care enterprises and CME. In this paper, the authors describe models that better refl ect a more eff ective role of CME within learning health care delivery enterprises and the implications of such models for these enterprises and the CME profession.
{"title":"\"Systems-Integrated CME\": The Implementation and Outcomes Imperative for Continuing Medical Education in the Learning Health Care Enterprise.","authors":"David W Price, David A Davis, Gary L Filerman","doi":"10.31478/202110a","DOIUrl":"10.31478/202110a","url":null,"abstract":"Health care delivery has evolved from a variably connected collective of individually owned proprietorships and independent hospitals to an environment in which physicians increasingly contract with or are employed by health care enterprises. While continuing medical education (CME) that is focused on the dissemination and maintenance of medical knowledge and the development of skills plays a critical role in helping physicians keep up to date, the authors of this manuscript believe the structure and delivery of CME have not suffi ciently evolved to be broadly viewed by health enterprise leaders as a strategic or integral asset to improving health care delivery. Therefore, an evolution and a reconceptualization of the structure and function of CME are necessary to enable collaboration between leaders and improvement experts in health care enterprises and CME. In this paper, the authors describe models that better refl ect a more eff ective role of CME within learning health care delivery enterprises and the implications of such models for these enterprises and the CME profession.","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654469/pdf/nampsp-2021-202110a.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39721687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-04eCollection Date: 2021-01-01DOI: 10.31478/202110b
Richard Bottner, Jeffrey Bratberg, Marlene Martin, Melissa B Weimer, Ayana Jordan, Matthew Tierney
Richard Bottner, DHA, PA-C, Dell Medical School at The University of Texas at Austin; Jeffrey Bratberg, PharmD, FAPhA, University of Rhode Island College of Pharmacy; Marlene Martin, MD, University of California, San Francisco and San Francisco General Hospital; Melissa B. Weimer, DO, MCR, FASAM, Yale University; Ayana Jordan, MD, PhD Yale University; and Matthew Tierney, MS, NP, FAAN, University of California, San Francisco
{"title":"Don't \"Waive\" Goodbye to Education for Opioid Use Disorder.","authors":"Richard Bottner, Jeffrey Bratberg, Marlene Martin, Melissa B Weimer, Ayana Jordan, Matthew Tierney","doi":"10.31478/202110b","DOIUrl":"https://doi.org/10.31478/202110b","url":null,"abstract":"Richard Bottner, DHA, PA-C, Dell Medical School at The University of Texas at Austin; Jeffrey Bratberg, PharmD, FAPhA, University of Rhode Island College of Pharmacy; Marlene Martin, MD, University of California, San Francisco and San Francisco General Hospital; Melissa B. Weimer, DO, MCR, FASAM, Yale University; Ayana Jordan, MD, PhD Yale University; and Matthew Tierney, MS, NP, FAAN, University of California, San Francisco","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654468/pdf/nampsp-2021-202110b.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39721686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-15eCollection Date: 2021-01-01DOI: 10.31478/202109b
Margaret O'Kane, Shantanu Agrawal, Leah Binder, Victor Dzau, Tejal K Gandhi, Rachel Harrington, Kedar Mate, Paul McGann, David Meyers, Paul Rosen, Michelle Schreiber, Dan Schummers
{"title":"An Equity Agenda for the Field of Health Care Quality Improvement.","authors":"Margaret O'Kane, Shantanu Agrawal, Leah Binder, Victor Dzau, Tejal K Gandhi, Rachel Harrington, Kedar Mate, Paul McGann, David Meyers, Paul Rosen, Michelle Schreiber, Dan Schummers","doi":"10.31478/202109b","DOIUrl":"10.31478/202109b","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654470/pdf/nampsp-2021-202109b.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39721688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-08eCollection Date: 2021-01-01DOI: 10.31478/202108c
Michelle S Wong, Donna L Washington, Ernest Moy
{"title":"Researchers Should Consider How Disparities Change Over Time and Space: Lessons from the COVID-19 Pandemic.","authors":"Michelle S Wong, Donna L Washington, Ernest Moy","doi":"10.31478/202108c","DOIUrl":"10.31478/202108c","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654466/pdf/nampsp-2021-202108c.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39721684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-30eCollection Date: 2021-01-01DOI: 10.31478/202108e
John L Hick, Dan Hanfling, Matthew K Wynia, Eric Toner
{"title":"Crisis Standards of Care and COVID-19: What Did We Learn? How Do We Ensure Equity? What Should We Do?","authors":"John L Hick, Dan Hanfling, Matthew K Wynia, Eric Toner","doi":"10.31478/202108e","DOIUrl":"https://doi.org/10.31478/202108e","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486425/pdf/nampsp-2021-202108e.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39512398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-02eCollection Date: 2021-01-01DOI: 10.31478/202108a
Lori Wiener, Cynthia J Bell, Jessica L Spruit, Meaghann S Weaver, Amanda L Thompson
{"title":"The Road to Readiness: Guiding Families of Children and Adolescents with Serious Illness Toward Meaningful Advance Care Planning Discussions.","authors":"Lori Wiener, Cynthia J Bell, Jessica L Spruit, Meaghann S Weaver, Amanda L Thompson","doi":"10.31478/202108a","DOIUrl":"https://doi.org/10.31478/202108a","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486424/pdf/nampsp-2021-202108a.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39512397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-02eCollection Date: 2021-01-01DOI: 10.31478/202108b
Soroush Saghafian, Susan A Murphy
Scientists looking for innovative ways to deliver health care have long searched for mechanisms that can enable the right intervention to be delivered at the right time. Traditional delivery mechanisms have been limited both to the availability of a provider (e.g., a physician) and the location of care (e.g., a hospital or outpatient clinic). In recent years, however, numerous technological advancements—including wearable devices, mobile technologies, and the widespread development and use of user-friendly smartphone applications—have resulted in signifi cant changes in how care is delivered. For example, mobile Health (mHealth) technologies are now commonly used to deliver interventions in a self-service and personalized manner, reducing the demands on providers and lifting limitations on the locations in which care can be delivered. Successful examples of mHealth interventions include programs to: 1. maintain adherence to HIV medication and to smoking cessation eff orts, which have shown suffi cient eff ectiveness for adoption by health services [1]; 2. assist caregivers in managing veteran post-traumatic stress disorder (PTSD) and provide support with health care-related tasks within the Veterans Aff airs (VA) system [2]; 3. continuously monitor chronic medical conditions, collect and share relevant data, and use this data to develop more eff ective treatment or disease management plans [1,3]; 4. encourage physical activity and weight loss in a more cost-eff ective, scalable manner than oneto-one approaches [1,4]; and 5. reduce excessive alcohol use [1,4].
{"title":"Innovative Health Care Delivery: The Scientific and Regulatory Challenges in Designing mHealth Interventions.","authors":"Soroush Saghafian, Susan A Murphy","doi":"10.31478/202108b","DOIUrl":"https://doi.org/10.31478/202108b","url":null,"abstract":"Scientists looking for innovative ways to deliver health care have long searched for mechanisms that can enable the right intervention to be delivered at the right time. Traditional delivery mechanisms have been limited both to the availability of a provider (e.g., a physician) and the location of care (e.g., a hospital or outpatient clinic). In recent years, however, numerous technological advancements—including wearable devices, mobile technologies, and the widespread development and use of user-friendly smartphone applications—have resulted in signifi cant changes in how care is delivered. For example, mobile Health (mHealth) technologies are now commonly used to deliver interventions in a self-service and personalized manner, reducing the demands on providers and lifting limitations on the locations in which care can be delivered. Successful examples of mHealth interventions include programs to: 1. maintain adherence to HIV medication and to smoking cessation eff orts, which have shown suffi cient eff ectiveness for adoption by health services [1]; 2. assist caregivers in managing veteran post-traumatic stress disorder (PTSD) and provide support with health care-related tasks within the Veterans Aff airs (VA) system [2]; 3. continuously monitor chronic medical conditions, collect and share relevant data, and use this data to develop more eff ective treatment or disease management plans [1,3]; 4. encourage physical activity and weight loss in a more cost-eff ective, scalable manner than oneto-one approaches [1,4]; and 5. reduce excessive alcohol use [1,4].","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486421/pdf/nampsp-2021-202108b.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39512395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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