{"title":"Community-Based Health Interventions Are Critical for Peace Building in the Worsening Israeli-Palestinian Conflict.","authors":"Norbert Goldfield","doi":"10.1097/JAC.0000000000000445","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000445","url":null,"abstract":"<p><p>Israeli settlements in the occupied Palestinian Territories (oPT) continue to expand and there is little communication between the 2 sides. Countries not directly engaged in the conflict are uninterested in a dignified solution to the Israeli-Palestinian conflict. This article argues that international organizations, donors, and third states should encourage the following peace-building approaches when considering health care initiatives in this conflict. The first is community oriented lay-led initiatives which should improve health outcomes, enhance the ability of Palestinians to develop resilience and promote peace-building between Israelis and Palestinians. Secondly, this strengthening can, in the absence of the impact of international advocacy for a dignified solution to this long-standing conflict, lead to locally driven peace-building while measurably improving health.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"170-180"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10223973","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":"A \"What Matters Index\" (WMI) for Adolescents.","authors":"John H Wasson","doi":"10.1097/JAC.0000000000000456","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000456","url":null,"abstract":"<p><p>A \"What Matters Index\" (WMI) represents the distillation of many self-reported measures about what matters. The WMI for adults contains only 5 items that efficiently identify important needs, reliably identify people at risk for future problems, and provide guidance for improving health care and well-being. This report uses data from 10 000 respondents to illustrate the value of a 3-item WMI for adolescents built on the model of the Adult WMI.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"121-126"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dd/ec/jamcm-46-121.PMC9946159.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10280736","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}
{"title":"Commentary: You Can Lead from Anywhere.","authors":"Ronald B Goodspeed","doi":"10.1097/JAC.0000000000000467","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000467","url":null,"abstract":"","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"103-105"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9341410","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":"Machine Learning and Health Care: Potential Benefits and Issues.","authors":"J Graham Atkinson, Elizabeth G Atkinson","doi":"10.1097/JAC.0000000000000453","DOIUrl":"10.1097/JAC.0000000000000453","url":null,"abstract":"<p><p>We discuss the potential for machine learning (ML) and artificial intelligence (AI) to improve health care, while detailing caveats and important considerations to ensure unbiased and equitable implementation. If disparities exist in the data used to train ML algorithms, they must be recognized and accounted for, so they do not bias performance accuracy or are not interpreted by the algorithm as simply a lack of need. We pay particular attention to an area in which bias in data composition is particularly striking, that is in large-scale genetics databases, as people of European descent are vastly overrepresented in the existing resources.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"114-120"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9974552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10574623","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}
Richard A Rawson, Tyler G Erath, Mady Chalk, H Westley Clark, Carol McDaid, Sarah A Wattenberg, John M Roll, Michael G McDonell, Sara Parent, Thomas E Freese
{"title":"Contingency Management for Stimulant Use Disorder: Progress, Challenges, and Recommendations.","authors":"Richard A Rawson, Tyler G Erath, Mady Chalk, H Westley Clark, Carol McDaid, Sarah A Wattenberg, John M Roll, Michael G McDonell, Sara Parent, Thomas E Freese","doi":"10.1097/JAC.0000000000000450","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000450","url":null,"abstract":"<p><p>The United States is currently in the fourth wave of the overdose crisis wherein stimulants together with fentanyl are the major drivers of overdose deaths. To date, there has been limited effort outside the US Veterans Administration Health System health system to disseminate evidence-based treatment for people with stimulant use disorder. Contingency management, a behavioral intervention in which positive reinforcement is provided for a target behavior indicating treatment progress, has decades of empirical support but limited implementation in real-world, non-US Veterans Administration Health System settings. The purpose of the report is to provide an overview of contingency management, the barriers to adoption, and recommendations for overcoming these barriers.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"152-159"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10592759","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":"Paying for Outcomes: Clinical Risk Groups-The Swiss Army Knife for Medicaid Programs.","authors":"Billy Millwee","doi":"10.1097/JAC.0000000000000448","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000448","url":null,"abstract":"CRGs are a clinically based categorical classification system that uses administrative data to identify children and adults with chronic health conditions. Claims and encounter records are used to group individuals into mutually exclusive, clinically based categories. These categories comprise specific conditions or combinations of conditions as well as the associated severity of those conditions or combinations of conditions. CRGs can also incorporate data from functional assessments and capture and use Z codes that offer insight into some characteristics of social determinants of health (SDOH).","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"83-85"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10280739","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}
Jessica Beer, C Scott Dorris, Dahlia Fateen, Ranit Mishori
{"title":"What Do We Know About the Health Status of Asylum Seekers in the United States?: Identifying Research Gaps Following a Bibliometric Scoping Review of Existing Literature.","authors":"Jessica Beer, C Scott Dorris, Dahlia Fateen, Ranit Mishori","doi":"10.1097/JAC.0000000000000452","DOIUrl":"10.1097/JAC.0000000000000452","url":null,"abstract":"<p><p>Data about US asylum seekers' health are lacking. We assessed the medical literature by performing a bibliometric scoping review of the literature from 1946 to 2020. Of 114 articles identified, 48 (42.1%) were empirical studies and 66 (57.9%) were editorials or commentaries. Empirical studies focused on mental health (60.42%), African asylees (45.83%). Editorials and commentaries focused on detention and medicolegal processes (31.82% and 30.3%). Empirical data on the health of US asylum seekers are limited. Research expansion requires increased commitment, funding, and participatory engagement of asylees. This limited representation in the scientific literature can impact their care and health system preparedness.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 2","pages":"160-169"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10227485","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}
Kimberly McVeigh, Dayana Martinez, Jacey Fazio, Thomas D Rizzo, Juan Irias Munoz
{"title":"Outcomes of a Data-Driven Physician Practice Redesign.","authors":"Kimberly McVeigh, Dayana Martinez, Jacey Fazio, Thomas D Rizzo, Juan Irias Munoz","doi":"10.1097/JAC.0000000000000437","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000437","url":null,"abstract":"<p><p>This study evaluated a practice redesign to improve access into a specialty practice. The secondary goal was to improve financial performance, while avoiding an increase in physician burnout. Historical demand was utilized to calculate capacity. Next, data-driven schedules were developed for this practice. We also transitioned schedules from five 8-hour to four 10-hour workdays. Access was improved for news (100% increase), consultations (16% increase), and procedures (70% increase). Gross revenue increased by 10.62% and physician burnout reduced by 25%. This project offers insights into improving the efficiency of a resource-constrained practice, while improving financial performance and reducing burnout.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 1","pages":"20-24"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10225534","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":"Impact of Socioeconomic Status on Delivery System Effectiveness.","authors":"Richard F Averill, Ronald E Mills","doi":"10.1097/JAC.0000000000000438","DOIUrl":"https://doi.org/10.1097/JAC.0000000000000438","url":null,"abstract":"<p><p>The socioeconomic status (SES) component of the Social Vulnerability Index ranks US counties based on the SES of county residents and was used to evaluate the impact of SES on the performance of the health care delivery system. Using Medicare fee-for-service data, the performance of the health care delivery system was evaluated based on population measures such as per capita hospital admissions, quality of care measures such as surgical mortality, postacute care measures such as readmissions, and service volume measures such as posthospitalization nursing home and rehabilitation admissions. Substantial differences in delivery system performance across SES populations were observed.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 1","pages":"54-62"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/69/1e/jamcm-46-54.PMC9722366.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10228975","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}
Brad Wright, Jill Akiyama, Andrew J Potter, Lindsay M Sabik, Grace G Stehlin, Amal N Trivedi, Fredric D Wolinsky
{"title":"Characterizing the Uptake of Newly Opened Health Centers by Individuals Dually Enrolled in Medicare and Medicaid.","authors":"Brad Wright, Jill Akiyama, Andrew J Potter, Lindsay M Sabik, Grace G Stehlin, Amal N Trivedi, Fredric D Wolinsky","doi":"10.1097/JAC.0000000000000440","DOIUrl":"10.1097/JAC.0000000000000440","url":null,"abstract":"<p><p>Federally qualified health centers (FQHCs) increasingly provide high-quality, cost-effective primary care to individuals dually enrolled in Medicare and Medicaid. However, not everyone can access an FQHC. We used 2012 to 2018 Medicare claims and federally collected FQHC data to examine communities where an FQHC first opened and determine which dual eligibles used it. Overall uptake was 10%, ranging from 6.6% among age-eligible urban residents to 14.8% among disability-eligible rural residents. Community-level uptake ranged from 0% to 76.4% (median = 5.5%; interquartile range = 2.8%-11.3%). Certain subpopulations of dual eligibles are significantly more likely to use FQHCs. Our findings should inform the targeting of future FQHC expansions.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 1","pages":"2-11"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9691473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10227456","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}