1402. Principles for the Physician-Led Patient-Centered Medical Home and Other Approaches to Team-Based Care: A Position Paper From the American College of Physicians.
作者: Ryan Crowley.;David Pugach.;Margo Williams.;Jason Goldman.;David Hilden.;Anne Furey Schultz.;Micah Beachy.; .; .
来源: Ann Intern Med. 2024年177卷1期65-67页
Team-based care models such as the Patient-Centered Medical Home are associated with improved patient health outcomes, better team coordination and collaboration, and increased well-being among health care professionals. Despite these attributes, hindrances to wider adoption remain. In addition, some health care professionals have sought to practice independent of the physician-led health care team, potentially undermining patient access to physicians who have the skills and training to deliver whole-person, comprehensive, and longitudinal care. In this paper, the American College of Physicians reaffirms the importance of the physician-led health care team and offers policy recommendations on professionalism, payment models, training, licensure, and research to support the expansion of dynamic clinical care teams.
1403. Ensuring Equitable Access to Participation in the Electoral Process: A Policy Brief From the American College of Physicians.
During the past 2 decades, voter turnout in U.S. presidential elections has ranged from 51.7% to 66.9% of the eligible population. Low voter turnout rates and inequitable electoral institutions, such as gerrymandered districts, can skew policy decisions toward the preferences of a smaller group and further exclude individuals and communities who have been historically marginalized and excluded from decision-making processes. Voting and health are directly connected through the institution of policies by ballot initiative and the election of officials who incorporate health into their platforms. They are also indirectly connected, as civic participation connects persons to their community and empowers them with agency in decision making. In this position paper, the American College of Physicians seeks to inform physicians, medical students, and other health care professionals on the links between electoral processes and health; encourage civic participation; and offer policy recommendations to support safe and equitable access to electoral participation to advance health equity for both patients and health care professionals.
1405. Adoption of Internal Medicine Milestone Ratings and Changes in Bias Against Black, Latino, and Asian Internal Medicine Residents.
作者: Bradley M Gray.;Rebecca S Lipner.;Robert O Roswell.;Alicia Fernandez.;Jonathan L Vandergrift.;Marcella Alsan.
来源: Ann Intern Med. 2024年177卷1期70-82页
The 2014 adoption of the Milestone ratings system may have affected evaluation bias against minoritized groups.
1416. Cumulative Incidence of Thiazide-Induced Hyponatremia : A Population-Based Cohort Study.
作者: Niklas Worm Andersson.;Jan Wohlfahrt.;Bjarke Feenstra.;Anders Hviid.;Mads Melbye.;Marie Lund.
来源: Ann Intern Med. 2024年177卷1期1-11页
According to drug labels, the frequency of thiazide-induced hyponatremia is unknown or uncommon to very rare (that is, <1 in 10 000 to <1 in 100), but the exact burden remains unclear.
1417. HIV Testing and Preexposure Prophylaxis Prescriptions Among U.S. Commercially Insured Transgender Men and Women, 2014 to 2021.
作者: Ya-Lin A Huang.;Asa Radix.;Weiming Zhu.;Anne A Kimball.;Evelyn J Olansky.;Karen W Hoover.
来源: Ann Intern Med. 2024年177卷1期12-17页
Transgender persons are disproportionately affected by HIV, but preexposure prophylaxis (PrEP) use has been low in this population. Clinical encounters for gender-affirming hormone therapy (GAHT) provide opportunities for HIV prevention.
1419. Method-Specific Suicide Mortality in the United States in the 21st Century.
作者: Bibha Dhungel.;Fiona Shand.;Phuong Nguyen.;Yijing Wang.;Sayuri Fujita-Imazu.;July Khin Maung Soe.;Jinzhao Xie.;Xinran Wang.;Jinghua Li.;Stuart Gilmour.
来源: Ann Intern Med. 2024年177卷1期110-113页 |