Mount Sinai Journal of Medicine最新文献_第4页

Integrating palliative care into primary care. 将姑息治疗纳入初级保健。

Mount Sinai Journal of Medicine Pub Date : 2012-09-01 DOI: 10.1002/msj.21338

Elizabeth McCormick, Emily Chai, Diane E Meier

引用次数: 24

Health maintenance in older adults: combining evidence and individual preferences. 老年人的健康维护:结合证据和个人偏好。

Mount Sinai Journal of Medicine Pub Date : 2012-09-01 DOI: 10.1002/msj.21340

Maria Kristina Gestuvo

{"title":"Health maintenance in older adults: combining evidence and individual preferences.","authors":"Maria Kristina Gestuvo","doi":"10.1002/msj.21340","DOIUrl":"https://doi.org/10.1002/msj.21340","url":null,"abstract":"There is increasing interest in maintaining health and delaying disability for older adults as this population segment expands. And instead of focusing on a traditional disease-specific approach to health maintenance, there is an ongoing shift to a patient-centered approach, and defining outcomes based on the older adults' goals. In this approach, their goals and preferences are central, and other factors such as their health status and prognosis help determine which goals may be realistic. These subjective goals and objective characteristics are then balanced with the risks, benefits, and harms of established evidence-driven health-maintenance recommendations. Hence, older adults share their goals and preferences with clinicians; while clinicians share information on risks, benefits, harms, and uncertainties of existing health-maintenance recommendations, and help guide the older adult through how existing evidence can respond to their health goals and preferences. In this article, the concept of patient-centered care in the context of health maintenance for older adults is discussed; and health maintenance recommendations for older adults are reviewed.","PeriodicalId":51137,"journal":{"name":"Mount Sinai Journal of Medicine","volume":"79 5","pages":"560-78"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/msj.21340","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30905469","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}

引用次数: 5

Primary care and health reform. 初级保健和卫生改革。

Mount Sinai Journal of Medicine Pub Date : 2012-09-01 DOI: 10.1002/msj.21335

Neil S Calman, Maxine Golub, Saskia Shuman

{"title":"Primary care and health reform.","authors":"Neil S Calman, Maxine Golub, Saskia Shuman","doi":"10.1002/msj.21335","DOIUrl":"https://doi.org/10.1002/msj.21335","url":null,"abstract":"Skyrocketing health care costs are burdening our people and our economy, yet health care indicators show how little we are achieving with the money we spend. Federal and state governments, along with public-health experts and policymakers, are proposing a host of new initiatives to find solutions. The Patient Protection and Affordable Care Act is designed to address both the quality and accessibility of health care, while reducing its cost. This article provides an overview of models supported by the Affordable Care Act that address one or more goals of the \"Triple Aim\": better health care for individuals, better health outcomes in the community, and lower health care costs. The models described below rely on the core principles of primary care: comprehensive, coordinated and continuous primary care; preventive care; and the sophisticated implementation of health information technology designed to promote communication between health care providers, enhance coordination of care, minimize duplication of services, and permit reporting on quality. These models will support better health care and reduced costs for people who access health care services but will not address health outcomes in the community at large. Health care professionals, working in concert with community-based organizations and advocates, must also address conditions that influence health in the broadest sense to truly improve the health of our communities and reduce health care costs.","PeriodicalId":51137,"journal":{"name":"Mount Sinai Journal of Medicine","volume":"79 5","pages":"527-34"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/msj.21335","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30904931","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}

引用次数: 25

Family medicine: a specialty for all ages. 家庭医学:适合所有年龄的专业。

Mount Sinai Journal of Medicine Pub Date : 2012-09-01 DOI: 10.1002/msj.21333

Neil S Calman, Diane Hauser, Francesco Leanza, Robert Schiller

{"title":"Family medicine: a specialty for all ages.","authors":"Neil S Calman, Diane Hauser, Francesco Leanza, Robert Schiller","doi":"10.1002/msj.21333","DOIUrl":"https://doi.org/10.1002/msj.21333","url":null,"abstract":"After a diminishing of its ranks following the post-World War II explosion of growth in medical discoveries, advanced medical technology, and the concomitant specialization of the physician workforce, family medicine is re-establishing itself as a leading medical specialty that has garnered growing interest among recent medical-school graduates. Family physicians provide care for patients of all ages, from newborns to the elderly. In addition to its wide scope of practice, family medicine is characterized by its emphasis on understanding of the whole person, its partnership approach with patients over many years, and its command of medical complexity. Family physicians are trained both to use community resources to assist individual patients in meeting medical or social needs and to identify and address community-wide needs. The specialty of family medicine is uniquely positioned to provide a leadership role in health-reform efforts that are accelerating across the country. Health care models that are gaining traction, such as the patient-centered medical home model, health homes, and accountable care organizations, share the characteristics of providing comprehensive, coordinated patient care with an emphasis on disease prevention and health promotion. This model of care, provided in the context of family and community, has been the hallmark of family medicine since its creation as a distinct medical specialty more than 40 years ago. In addition, family physicians' ability to care for patients of all ages make them particularly cost-effective as the new models of care move to improve access to care through expanded hours and locations.","PeriodicalId":51137,"journal":{"name":"Mount Sinai Journal of Medicine","volume":"79 5","pages":"603-9"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/msj.21333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30905470","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}

引用次数: 4

Meyerhoff Scholars Program: a strengths-based, institution-wide approach to increasing diversity in science, technology, engineering, and mathematics. 迈耶霍夫学者计划:一个以优势为基础的，机构范围内的方法，以增加科学，技术，工程和数学的多样性。

Mount Sinai Journal of Medicine Pub Date : 2012-09-01 DOI: 10.1002/msj.21341

Kenneth I Maton, Shauna A Pollard, Tatiana V McDougall Weise, Freeman A Hrabowski

{"title":"Meyerhoff Scholars Program: a strengths-based, institution-wide approach to increasing diversity in science, technology, engineering, and mathematics.","authors":"Kenneth I Maton, Shauna A Pollard, Tatiana V McDougall Weise, Freeman A Hrabowski","doi":"10.1002/msj.21341","DOIUrl":"https://doi.org/10.1002/msj.21341","url":null,"abstract":"The Meyerhoff Scholars Program at the University of Maryland, Baltimore County is widely viewed as a national model of a program that enhances the number of underrepresented minority students who pursue science, technology, engineering, and mathematics PhDs. The current article provides an overview of the program and the institution-wide change process that led to its development, as well as a summary of key outcome and process evaluation research findings. African American Meyerhoff students are 5× more likely than comparison students to pursue a science, technology, engineering, and mathematics PhD. Program components viewed by the students as most beneficial include financial scholarship, being a part of the Meyerhoff Program community, the Summer Bridge program, study groups, and summer research. Qualitative findings from interviews and focus groups demonstrate the importance of the Meyerhoff Program in creating a sense of belonging and a shared identity, encouraging professional development, and emphasizing the importance of academic skills. Among Meyerhoff students, several precollege and college factors have emerged as predictors of successful entrance into a PhD program in the science, technology, engineering, and mathematics fields, including precollege research excitement, precollege intrinsic math/science motivation, number of summer research experiences during college, and college grade point average. Limitations of the research to date are noted, and directions for future research are proposed.","PeriodicalId":51137,"journal":{"name":"Mount Sinai Journal of Medicine","volume":"79 5","pages":"610-23"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/msj.21341","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30905472","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}

引用次数: 99

Health care for homeless and unstably housed: overcoming barriers. 无家可归者和住房不稳定者的保健:克服障碍。

Mount Sinai Journal of Medicine Pub Date : 2012-09-01 DOI: 10.1002/msj.21339

Mark Rabiner, Amy Weiner

引用次数: 17

Primary care: health care's leading edge, part II. 初级保健:卫生保健的前沿，第二部分。

Mount Sinai Journal of Medicine Pub Date : 2012-09-01 DOI: 10.1002/msj.21331

Aida Vega, David C Thomas

引用次数: 0

Developing talent to increase diversity in biomedical sciences workforce. 培养人才，增加生物医学科学工作人员的多样性。

Mount Sinai Journal of Medicine Pub Date : 2012-07-01 DOI: 10.1002/msj.21330

Terry A Krulwich, Suman Saran, Richard McGee