Journal of Osteopathic Medicine最新文献

{"title":"An unusual chest lesion with dual pathologies.","authors":"Jessica Colon, Jay Nguyen, Samuel Stahly, Gulsun Erdag, Rajiv Nathoo","doi":"10.1515/jom-2024-0219","DOIUrl":"10.1515/jom-2024-0219","url":null,"abstract":"<p><p>Granuloma faciale (GF) is a rare, benign, chronic inflammatory condition characterized by well-defined reddish-brown papules, nodules, or plaques, often demonstrating follicular accentuation and telangiectasia, which may be termed \"peau d'orange.\" Typically, GF is localized to the facial area, but extrafacial variants have been reported, particularly on the trunk, scalp, and extremities. We report a 66-year-old male with a history of GF and multiple basal cell carcinomas (BCCs) who presented with a pearly plaque on the chest. Biopsy revealed extrafacial GF with a coincidental BCC, representing a rare case of a collision tumor. GF, typically a facial condition, can present in extrafacial locations, complicating the diagnosis. This case emphasizes the importance of thorough histopathological evaluation to identify concurrent pathologies in atypical skin lesions.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":"119-122"},"PeriodicalIF":1.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761655","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":"The impact of adverse childhood experiences on age of diabetes diagnosis and associations with race and ethnicity.","authors":"Allie Rice, Madison Taylor, Amy Hendrix-Dicken, Covenant Elenwo, Julie Croff, Laura J Chalmers, Sara Coffey, Micah Hartwell","doi":"10.1515/jom-2025-0044","DOIUrl":"10.1515/jom-2025-0044","url":null,"abstract":"<p><strong>Context: </strong>Previous research has linked the manifestation of multiple chronic diseases that are frequently due to health behaviors to adverse childhood experiences (ACEs). Despite this, the link between ACEs and the age of type 2 diabetes mellitus (T2DM) diagnosis is scarce.</p><p><strong>Objectives: </strong>As such, our primary objective was to evaluate and describe the impact of ACEs on the age at diagnosis utilizing the data from the 2021 Behavioral Risk Factor Surveillance System (BRFSS). Our secondary objective was to analyze the relationship between various demographic factors and the age of T2DM diagnosis.</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis of data from the 2021 cycle of the BRFSS. Applying sampling weights, provided by BRFSS, we assessed the prevalence rates of ACEs across sociodemographic variables and utilized binary and multivariable regressions to determine associations between sociodemographic factors and ACE scores on age of T2DM diagnosis.</p><p><strong>Results: </strong>Among the 437,708 respondents, 57,616 (12.6 %) individuals reported having diabetes, with 6901 including responses for age of T2DM diagnosis and ACEs. We found a relationship between ACEs and earlier age of diabetes diagnosis - with individuals experiencing 1-3 ACEs being diagnosed 2.15 years earlier (standard error [SE]=0.48, p<0.001) than those with 0 ACEs, and 6.37 years earlier for individuals experiencing 4+ ACEs (SE=0.61, p<0.001). Significant differences in ACEs and age of diagnosis were also found between ethnoracial groups - compared to White, non-Hispanic individuals with 0 ACEs, the mean age of diagnosis was more than 12 years earlier among those who experienced 4+ ACEs and were either Asian, American Indian/Alaskan Native (AI/AN), or Hispanic.</p><p><strong>Conclusions: </strong>This observational analysis of one-year of BRFSS data found earlier diagnosis of T2DM among adults reporting ACEs compared to those without ACEs, but this varied by racial and ethnic identities. Although early diagnosis is critical in long-term T2DM management, appropriate identification of childhood adversity may be a key component to the development of the disease. This may be achieved through comprehensive child and family resources that target mental health and behavioral factors already known to be associated with T2DM.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":"147-157"},"PeriodicalIF":1.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761656","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":"The effectiveness of training student physicians in culturally sensitive patient care using an interprofessional culturally competent curriculum.","authors":"Aida Aminpour, McKenzie Gelvin, Abigail Smurzynski, Frank Gardner, Jeffrey Gardere","doi":"10.1515/jom-2025-0009","DOIUrl":"10.1515/jom-2025-0009","url":null,"abstract":"<p><strong>Context: </strong>As patient populations become increasingly diverse, the need for training and education in providing culturally competent care among student physicians, and Master's in Interdisciplinary Studies in Biological and Physical Sciences (MS) students, becomes critical. This training is vital for the safety and well-being of patients, as well as for achieving better patient health outcomes.</p><p><strong>Objectives: </strong>This study aims to measure and compare the efficacy in improving cultural competency skills among these students after completing cultural competency courses in their respective medical programs: an interprofessional (IPE) cultural competency course for first-year Doctor in Osteopathic Medicine (DO) students and a cultural competency course for MS. Both of the classes took place online.</p><p><strong>Methods: </strong>A Qualtrics survey consisting of a modified version of the Cultural Awareness Scale (CAS) was electronically distributed to students before and after completing the Introduction to Cultural Competency course for first-year DOs and a cultural competence course for Master's students at Touro College of Osteopathic Medicine (TouroCOM). A total of 141 results were analyzed and compared differences in the means of Total CAS score values utilizing paired and independent <i>t</i>-tests. This study was approved by the TouroNY institutional review board (#18532).</p><p><strong>Results: </strong>On average, the Master's mean Total CAS scores were 6.6 points higher on the postclass survey compared to the preclass survey (<i>t</i> ₄₀=2.3, p<0.05); however, there was no significant difference between the preclass and postclass mean Total CAS scores of the DO students. Additionally, in the postclass survey, the current Master's students' mean Total CAS scores were on average 14.3 points higher than the DO students (<i>t</i> _39.9=5.096, p<0.001). This difference was also reflected in analyses conducted on former Master's students. This finding is compounded by the fact that we found no significant difference between these groups' mean CAS scores in the preclass surveys (p=0.170).</p><p><strong>Conclusions: </strong>Based on the previously mentioned findings, we can deduce that Master's students showed an improvement in cultural competency skills after attending a cultural competency course for MS, although the first-year DO student physicians did not show any significant change in cultural competency skills after taking an IPE cultural competency curriculum. Based upon the results from both the DO and MS students, the establishment and inclusion of a cultural competency class with a developed curriculum is crucial for reducing bias and addressing medical-based discrimination.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":"69-77"},"PeriodicalIF":1.1,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745360","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":"The impact of a summer research internship program on research engagement of osteopathic medical students.","authors":"Anupam Bishayee, Michael A Wallace, Adam K Bobak, Tianna L Sasher, Luis A Alvarez, Tania S Flink","doi":"10.1515/jom-2025-0056","DOIUrl":"10.1515/jom-2025-0056","url":null,"abstract":"<p><strong>Context: </strong>Research plays a critical role in the medical field, driving progress and shaping clinical guidelines. It has become particularly significant in the residency application process due to the advent of \"pass or fail\" scoring for Step 1. Unfortunately, there is a marked discrepancy between the quantity of research conducted by osteopathic and allopathic students, disadvantaging many osteopathic residency applicants.</p><p><strong>Objectives: </strong>Lake Erie College of Osteopathic Medicine (LECOM)-Bradenton established the Summer Research Internship Program in 2023 to improve research self-efficacy, facilitate research participation, and encourage lifelong research engagement in Doctor of Osteopathic Medicine (DO) students. The purpose of this study was to evaluate participant research experience and self-efficacy through pre- and postprogram surveys.</p><p><strong>Methods: </strong>This study consisted of an experimental group of 18 students who participated in this program. A control group consisted of 20 students not enrolled in the program who had minimal research experience and no plans to conduct research throughout the study's duration. Participants completed pre- and postprogram surveys, assessing research experience and self-efficacy across four domains: knowledge of research foundations, ability to identify scholarly literature, motivation to conduct research, and likelihood of future engagement. Data were analyzed via a quantitative Likert scale.</p><p><strong>Results: </strong>The experimental group reported significantly greater (p<0.05) research experience pre- and postprogram including poster creation, LECOM Research Day participation, and publication history. The experimental group also had significantly (p<0.05) more experience with manuscript preparation postprogram compared to the controls. For the self-efficacy survey, the experimental group had higher (p<0.05) motivation to perform research prior to the start of the program compared to the controls. Moreover, this group gained greater (p<0.05) experience in research foundations and identification of the literature postprogram compared with controls.</p><p><strong>Conclusions: </strong>The LECOM Summer Research Internship Program significantly enhanced research experience and self-efficacy among participants when compared to controls. This program study may serve as a model for other institutions seeking to expand student research engagement and build a culture of scholarly activity. Expanding successful structured research programs may also help address the disparity in research output between osteopathic and allopathic medical students.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":"93-102"},"PeriodicalIF":1.1,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699781","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":"The mechanism of muscle energy for a superiorly subluxed rib one.","authors":"Katherine Teixeira, Nicole Russell, Teodor Huzij","doi":"10.1515/jom-2024-0131","DOIUrl":"10.1515/jom-2024-0131","url":null,"abstract":"<p><p>The muscle energy technique for a superiorly subluxed rib, introduced by Fred Mitchell Sr., DO, and later adapted by Philip Greenman, DO, is an effective treatment for a superior rib one somatic dysfunction. Although muscle energy techniques involve various reflexes, Mitchell and Greenman emphasized the postisometric relaxation variation. However, aligning this technique with general postisometric relaxation principles requires certain assumptions to be made about involved nerve reflexes. By analyzing similarly paired muscles to the anterior and middle scalenes as well as the neurologic mechanisms of muscle energy, the most plausible explanation for this technique involves the crossed-extensor reflex or postisometric relaxation with assumptions. This article examines the reflexes at play and the clinical implications for refining muscle energy applications.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":"103-108"},"PeriodicalIF":1.1,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699782","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":"Erratum to: Longitudinal outcomes among patients with fibromyalgia, chronic widespread pain, or localized chronic low back pain.","authors":"John C Licciardone, Elizabeth Brownell, Uchechi Nwaichi, Arpan Patel, Khanh Do","doi":"10.1515/jom-2025-3004","DOIUrl":"10.1515/jom-2025-3004","url":null,"abstract":"","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":"613"},"PeriodicalIF":1.1,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676034","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":"Effects of a myofascial and lymphatic osteopathic manipulative treatment protocol on mood and body connection: a randomized pilot study.","authors":"Erika C Levy, Min-Kyung Jung","doi":"10.1515/jom-2024-0196","DOIUrl":"10.1515/jom-2024-0196","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Context: &lt;/strong&gt;Fascia is a ubiquitous and continuous connective tissue containing receptors involved in nociception, proprioception, and the autonomic nervous system. In conjunction with muscle, the myofascial system plays an important role in body mechanics and connectivity. Beyond structure and function, research implicates the myofascial system in the pathophysiology of depression, anxiety, and stress. As understanding of these multidimensional conditions evolves, there is increasing emphasis on integrated treatment approaches such as osteopathic manipulative treatment (OMT). The myofascial system presents a promising target for standardized treatment that bridges the gap between physical and psychological.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;The objective of this study was to investigate the effects of a standardized myofascial and lymphatic OMT protocol on body awareness, dissociation, and mood symptoms related to anxiety, depression, and stress.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This was a prospective, randomized, parallel-assignment, open-label, interventional study with 31 volunteer students and staff from an osteopathic medical college. An external party randomly assigned volunteers to one of two groups: OMT intervention or control. Triplanar diagnoses of the occipitoatlantal (OA), cervicothoracic (CT), thoracolumbar (TL), and lumbosacral (LS) regions were obtained and recorded for all subjects for 4 consecutive weeks during a weekly scheduled session. The experimental group was treated with direct myofascial release and a lymphatic pedal pump. Primary outcome measures were scores on the State-Trait Anxiety Inventory (STAI Form Y2), Depression Anxiety Stress Scale (DASS), and Scale of Body Connection (SBC) at baseline (T1), after two treatments (T3), and after four treatments (T4). The effects of OMT on mood and body connection over time were modeled with generalized estimating equations (GEEs). Cohen's &lt;i&gt;d&lt;/i&gt; effect size was also determined for the between-group comparisons.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 31 participants volunteered for the study. Due to scheduling conflicts, 29 participants (21 females, 72.4 % and 8 males, 27.6 %), with ages ranging from 22 to 54 (M=30.9 years, SD=9.4) were randomly assigned to OMT intervention (n=14) or control (n=15). Medical students comprised 72.4 % (n=21) of the population, whereas the remaining 27.6 % (n=8) were faculty or staff employed by the medical school. The average BMI for female participants was 26.7 (SD=4.9), and 26.4 (SD=4.8) for males. The prevalence of the psychiatric conditions among the participants was high, with 17 (58.6 %) participants reporting a psychiatric diagnosis at some point in their life, with only 3 of the 17 (17.7 %) reporting remission. Significant improvements in trait anxiety (p&lt;0.001), depression (p=0.028), body awareness (p=0.046), and body dissociation (p=0.003) occurred in the experimental group over all time periods. Experimental group ","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":"37-46"},"PeriodicalIF":1.1,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660609","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":"Minimum physical activities protective against Alzheimer's disease in late life: a systematic review.","authors":"Amy Sakazaki, Austin Lui, Haneef Muhammad, Claire Vu, Aiden le Roux, Patricia Lacayo, Shin Murakami","doi":"10.1515/jom-2025-0065","DOIUrl":"10.1515/jom-2025-0065","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Context: &lt;/strong&gt;Previous studies indicate an inverse relationship between physical activity (PA) and the risk of Alzheimer's disease (AD). Although they highlighted the health benefits of PA, the specific effects of PA in late life remain unclear, and intense PA may be challenging for older adults. Moreover, there is significant variation in how PA is assessed, including the timing and types of activities considered.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;This review aimed to evaluate existing literature to determine the effects of PA with an emphasis on late-life PA and the minimum levels of PA for older adults.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We conducted a systematic review via the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol utilizing the MEDLINE and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases, last assessed in July 2023. Studies that met the inclusion criteria were prospective cohort or interventional studies, that are written in English, and that measured PA in a cohort who did not have dementia, AD, or cognitive decline at baseline. Retrospective cohort, cross-sectional, case reports, and studies not meeting the inclusion criteria were excluded. Each study was evaluated in seven domains of bias utilizing the Risk Of Bias In Non-randomized Studies of Exposures (ROBINS-E) tool.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Out of 2,322 studies screened, 17 met the inclusion criteria, including six new studies not included in the previous systematic review. This resulted in 206,463 participants from North America (United States and Canada) and Europe (Denmark, Finland, Italy, Sweden, and the United Kingdom). Our method effectively reduced the number of duplicated studies during screenings, resulting in 92 duplications compared to 3,580 in the previous review. The risk of bias assessment in the quality of evidence was \"low risk\" in 13 studies and \"some concerns\" in four studies. Four studies assessed PA at midlife (average age, 49 years; average follow-up time, 29.2 years), 11 studies assessed PA in late life (average age, 75.9 years; average follow-up time, 5.9 years), and two assessed PA in adulthood without specification. For studies that assessed PA at midlife, 2 out of 4 (50 %) had statistically significant findings (p&lt;0.05) for studies that assessed PA during late life, 8 out of 11 (75 %) had significant findings (p&lt;0.05), and 2 out of 2 (100 %) of unspecified timing had significant findings (p&lt;0.05). Our review indicated that engaging in PA at least three times per week, for at least 15 min per session, was judged to be the minimum requirement tested for protective effects against AD in late life. Potential biological mechanisms were also discussed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Our current review supports existing evidence that PA provides significant protection against the development of AD and found that the requirement of PA may be less than the current guideli","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":"47-68"},"PeriodicalIF":1.1,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638320","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":"Effect of positional asymmetry palpatory models on improvement and retention of accuracy during pelvic asymmetry assessments.","authors":"Justin M Hajicek, Madelyn B Huhn, Ashley Thurgood, Edelheide N Isemann, Chase B Barnwell, Zane Starks, Mary Ying-Fang Wang, Brian F Degenhardt","doi":"10.1515/jom-2024-0194","DOIUrl":"10.1515/jom-2024-0194","url":null,"abstract":"<p><strong>Context: </strong>Asymmetry of bony landmarks, such as the anterior superior iliac spine (ASIS) or posterior superior iliac spine (PSIS), is often utilized to identify somatic dysfunction in the pelvis. However, establishing good accuracy for these assessments can be challenging, so objective training models have been developed to enhance learning and accuracy.</p><p><strong>Objectives: </strong>The objective of this study was to determine the effect of training with positional asymmetry models with objective feedback on the improvement and retention of pelvic asymmetry assessment accuracy.</p><p><strong>Methods: </strong>First-year osteopathic medical students and undergraduate interns were recruited for model training. After a basic technique demonstration, they completed a 72-question baseline assessment on the ASIS and PSIS models. Subsequent training was conducted for 5 h per week (1 h/day) for two consecutive weeks. Model accuracy was assessed four times at baseline, midpoint, final, and retention. Assessments were scored as a percent of the correctly identified asymmetries, and change scores were calculated by comparison with the previous assessment score (i.e., baseline to midpoint, midpoint to final, final to retention) and overall (baseline to retention).</p><p><strong>Results: </strong>Twelve students (age range, 20.3-29.2 years) participated. At baseline, overall scores were 57.6 % for ASIS and 72.9 % for PSIS models. For ASIS models, the change scores improved from baseline to midpoint (+18.9 %, p<0.001) and from midpoint to final (+6.6 %, p=0.01) but decreased from final to retention (-7.2 %, p=0.01). The overall retention scores were higher than baseline (+18.3 %, p<0.001). For PSIS models, the change scores improved from baseline to midpoint (+13.0 %, p<0.001), and the overall retention scores were higher than baseline (+15.0 %, p<0.001).</p><p><strong>Conclusions: </strong>Training with positional asymmetry models with objective feedback resulted in significant sustained improvements in ASIS and PSIS positional asymmetry assessment accuracy. Integration of these models into the standard medical curriculum should be considered.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":"579-587"},"PeriodicalIF":1.1,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638319","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":"Private equity in healthcare: implications and policy recommendations.","authors":"Maxim Jestin","doi":"10.1515/jom-2025-0039","DOIUrl":"10.1515/jom-2025-0039","url":null,"abstract":"<p><p>Private equity (PE) involvement in healthcare has generated considerable debate regarding its implications for patient care, healthcare quality, and system sustainability. While PE can inject much-needed capital into struggling healthcare facilities, its profit-driven motives and focus on short-term financial gains can lead to cost-cutting measures and business closures that jeopardize patient access and the quality of care. To maximize profits, PE firms may exploit legal and regulatory loopholes, engage in aggressive billing practices, and acquire healthcare providers to reduce competition through consolidation, driving up prices. Evidence suggests that there are both risks and benefits to PE involvement in healthcare, with some studies reporting increased costs and quality concerns, whereas others highlight improved operational efficiency and stabilization of at-risk providers. This commentary provides an overview of both sides and offers policy recommendations addressing some of the detrimental effects of PE practices on the healthcare sector, to ensure that patient well-being remains the priority.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":"11-14"},"PeriodicalIF":1.1,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561404","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}