Health affairs (Project Hope)最新文献_第6页

Pathways To Primary Care: Charting Trajectories From Medical School Graduation Through Specialty Training. 初级保健之路：从医学院毕业到专业培训的轨迹图。

Health affairs (Project Hope) Pub Date : 2025-05-01 DOI: 10.1377/hlthaff.2024.00893

William R Phillips, Jeongyoung Park, Michael Topmiller

{"title":"Pathways To Primary Care: Charting Trajectories From Medical School Graduation Through Specialty Training.","authors":"William R Phillips, Jeongyoung Park, Michael Topmiller","doi":"10.1377/hlthaff.2024.00893","DOIUrl":"https://doi.org/10.1377/hlthaff.2024.00893","url":null,"abstract":"Shortages of primary care physicians threaten access, quality, and equity in US health care. Policy solutions face disinformation about the complex patterns of physician training. This retrospective cohort study used American Medical Association Physician Masterfile and Historical Residency File data to identify physicians' trajectories from medical school graduation through postgraduate training into primary care specialties for doctors of medicine, doctors of osteopathic medicine, and international medical graduates. Sankey diagrams illustrate flows through training programs. Among 353,590 physicians who graduated during the period 2001-15, 11.8 percent pursued initial training in family medicine, 33.5 percent training in internal medicine, and 10.5 percent training in pediatrics. Primary care yield, defined as the percentage of physicians who complete their initial postgraduate training in a primary care specialty and conclude their training in any primary care specialty, was 97.0 percent for family medicine, 35.5 percent for internal medicine, and 54.4 percent for pediatrics. After internal medicine and pediatrics residencies, large percentages of physicians left primary care to train in subspecialties and other fields. Further research must document how many physicians enter careers in primary care practice.","PeriodicalId":519943,"journal":{"name":"Health affairs (Project Hope)","volume":"44 5","pages":"580-588"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014986","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: 0

Opioid Use Disorder Medicaid Waivers: The Authors Reply. 阿片类药物使用障碍医疗补助豁免：作者回复。

Health affairs (Project Hope) Pub Date : 2025-05-01 DOI: 10.1377/hlthaff.2025.00061

Stephan Lindner, Kyle Hart, Brynna Manibusan, Kirbee A Johnston, Dennis McCarty, K John McConnell

引用次数: 0

Physician Training In Rural And Health Center Settings More Than Doubled, 2008-24. 2008-24年，农村和保健中心的医师培训增加了一倍多。

Health affairs (Project Hope) Pub Date : 2025-05-01 DOI: 10.1377/hlthaff.2024.01297

Emily M Hawes, Brianna Lombardi, Mukesh Adhikari, Evan Galloway, Laney McDougal, Maura Biszewski, Erin P Fraher

{"title":"Physician Training In Rural And Health Center Settings More Than Doubled, 2008-24.","authors":"Emily M Hawes, Brianna Lombardi, Mukesh Adhikari, Evan Galloway, Laney McDougal, Maura Biszewski, Erin P Fraher","doi":"10.1377/hlthaff.2024.01297","DOIUrl":"https://doi.org/10.1377/hlthaff.2024.01297","url":null,"abstract":"Although the federal government has invested in efforts to bolster graduate medical education in rural and underserved areas, no studies have examined whether these programs have succeeded at increasing physician training in these communities. This study measured trends in the number of medical residency training sites in rural and federally qualified health center (FQHC) settings, using data from the Accreditation Council for Graduate Medical Education. The number of residency programs with training in rural sites increased from 120 (6.18 percent of all programs) in 2008-09 to 412 (14.34 percent) in 2023-24, whereas residencies at FQHC sites grew from 69 (3.55 percent) to 321 (11.17 percent). A large proportion of this expansion has been funded through federal investments: 21.6 percent of rural residencies are Rural Residency Planning and Development programs, and 28 percent of all current FQHC-based residencies are Teaching Health Center programs. National initiatives that create more training in rural and health center sites have the potential to increase access to care for underserved populations.","PeriodicalId":519943,"journal":{"name":"Health affairs (Project Hope)","volume":"44 5","pages":"572-579"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016623","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: 0

Medicaid 'Unwinding:' Much Of The Reduction In Medicaid-Paid Prescriptions Was Offset By Increased Commercial Coverage. 医疗补助“放松”：医疗补助支付处方减少的大部分被商业覆盖范围的增加所抵消。

Health affairs (Project Hope) Pub Date : 2025-05-01 DOI: 10.1377/hlthaff.2024.01492

Eden Volkov, Jessica Eloso, Arielle Bosworth, Kenneth Finegold, Thomas C Buchmueller

引用次数: 0

ETR.

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2024.01232

Sass Borodkin

引用次数: 0

A Different Type Of Hunger. 另一种饥饿。

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2024.01427

Heather Thomas

引用次数: 0

An Urban Farm-Anchored Produce Prescription Program's Impacts On Weight Reduction. 城市农场农产品处方计划对减肥的影响。

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2024.01345

Kaitlyn M Fruin, Elizabeth L Tung, Jean M Franczyk, Ketaurah James, Andrew J Koetz, Angela K Mason, Wayne M Detmer

引用次数: 0

Food, Nutrition, And Health. 食物，营养和健康。

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2025.00371

Donald E Metz, The Editorial Staff

引用次数: 0

What Is 'Food Is Medicine,' Really? Policy Considerations On The Road To Health Care Coverage. 什么是“食物就是药”？通往医保覆盖之路的政策考量。

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2024.01343

Colin M Schwartz, Alexa M Wohrman, Emily J Holubowich, Lisa D Sanders, Kevin G Volpp

{"title":"What Is 'Food Is Medicine,' Really? Policy Considerations On The Road To Health Care Coverage.","authors":"Colin M Schwartz, Alexa M Wohrman, Emily J Holubowich, Lisa D Sanders, Kevin G Volpp","doi":"10.1377/hlthaff.2024.01343","DOIUrl":"10.1377/hlthaff.2024.01343","url":null,"abstract":"Food Is Medicine interventions are increasingly gaining attention from policy makers, payers, and health care professionals as a promising approach to addressing diet-related chronic health conditions in the health care setting, given the increasing burden and cost of these conditions. The American Heart Association defines Food Is Medicine as the provision of healthy food such as medically tailored meals, medically tailored groceries, and produce prescriptions to treat or manage specific clinical conditions in a way that is integrated with and paid for by the health care sector. Importantly, Food Is Medicine is distinct from, yet complementary to, food and nutrition assistance programs and population-level healthy food policies and programs. In this article, we discuss the importance of this distinction and the prerequisites for successfully integrating Food Is Medicine interventions within the health care system: a standard definition of Food Is Medicine focused on medically tailored meals, medically tailored groceries, and produce prescriptions; a research base showing clinical effectiveness and cost-effectiveness; and implementation that ensures fidelity and quality.","PeriodicalId":519943,"journal":{"name":"Health affairs (Project Hope)","volume":"44 4","pages":"406-412"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805309","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: 0

Reclaiming Ancestral Abundance. 重拾祖先的丰裕。

Health affairs (Project Hope) Pub Date : 2025-04-01 DOI: 10.1377/hlthaff.2024.01433

Jesse Lipman, Kahaulahilahi Vegas, Fiore Anderson, Kaui Tuihalafatai

{"title":"Reclaiming Ancestral Abundance.","authors":"Jesse Lipman, Kahaulahilahi Vegas, Fiore Anderson, Kaui Tuihalafatai","doi":"10.1377/hlthaff.2024.01433","DOIUrl":"10.1377/hlthaff.2024.01433","url":null,"abstract":"This article tells the story of a generation of actions taken by the residents of the working-class Honolulu, Hawai'i, neighborhood of Kalihi Valley to merge the efforts of a federally qualified health center with Indigenous and cultural knowledge and practice to address diet-related illness. It recounts the narrative of Captain James Cook's arrival in 1778, which marked the beginning of resource extraction and the decline of traditional sustainable practices in Hawai'i. Fast forward to 2023, when alarmingly high rates of food insecurity in Native Hawaiian and Pacific Islander populations highlighted the ongoing effects of this history. Kōkua Kalihi Valley Comprehensive Family Services (KKV) has taken a proactive approach to addressing these challenges. Through community engagement and culturally relevant practices, KKV emphasizes the importance of ancestral knowledge and Hawaiian values, promoting a decolonized understanding of leadership and health. The initiative includes community food systems practices that foster connections to the land and encourage the revitalization of traditional Polynesian food practices, ultimately aiming to enhance the well-being of both individuals and the community.","PeriodicalId":519943,"journal":{"name":"Health affairs (Project Hope)","volume":"44 4","pages":"498-504"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805303","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: 0