JAMA Health Forum最新文献

{"title":"Child Opportunity Index and Access to Firearms Among Adolescents and Young Adults.","authors":"Nicole Koepke, Warren D Frankenberger, Katelin Hoskins, Darcy L Brodecki, Walter Faig, Anireddy R Reddy","doi":"10.1001/jamahealthforum.2025.3910","DOIUrl":"10.1001/jamahealthforum.2025.3910","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e253910"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088201","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":"Employment of Independently Billing Advanced Practice Clinicians.","authors":"Parth K Modi, Max J Hyman, Samuel R Kaufman, Chad Ellimoottil, Vahakn B Shahinian, Brent K Hollenbeck","doi":"10.1001/jamahealthforum.2025.3903","DOIUrl":"10.1001/jamahealthforum.2025.3903","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e253903"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041915","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":"Newborn Visits as Touchpoints to Bridge Postpartum Care Gaps.","authors":"Ananya S Dewan, Aditya Narayan, Eli Y Adashi","doi":"10.1001/jamahealthforum.2025.3608","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2025.3608","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e253608"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151637","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 Importance of Health Equity Scholarship in Uncertain Times.","authors":"Ninez A Ponce, Sugy Choi, Sandro Galea","doi":"10.1001/jamahealthforum.2025.4149","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2025.4149","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e254149"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151693","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":"Coverage for Opioid Use Disorder Medications in Medicaid Managed Care.","authors":"Christina M Andrews, Sage R Feltus, Constance M Horgan, Cindy Parks Thomas, Dominic Hodgkin, Maureen T Stewart","doi":"10.1001/jamahealthforum.2025.3239","DOIUrl":"10.1001/jamahealthforum.2025.3239","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e253239"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001909","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":"Improving Implementation of Fertility Preservation Benefit Mandates.","authors":"Sara B McMenamin, Bonnie N Kaiser, Ricardo E Flores Ortega, Sara W Yoeun, Melina A Economou, Natasha Bisarya, Kara N Goldman, Jennifer Levine, Glenn L Schattman, Gregory A Aarons, Sally A D Romero, H Irene Su","doi":"10.1001/jamahealthforum.2025.3166","DOIUrl":"10.1001/jamahealthforum.2025.3166","url":null,"abstract":"<p><strong>Importance: </strong>More than 90 000 adolescents and young adults are diagnosed with cancer and exposed to treatments that may threaten their future fertility every year. Fertility preservation (FP) services, such as egg, embryo, and sperm freezing, are available to preserve future fertility but are often underused by patients in part due to high cost. Eighteen states and Washington, DC, recently began mandating health insurance coverage for FP services, yet patients and clinicians report difficulty accessing mandated services.</p><p><strong>Objective: </strong>To systematically identify determinants of implementing FP benefit mandates in fertility and oncology clinics to inform intervention development and future public policy.</p><p><strong>Design, setting, and participants: </strong>In this mixed-methods study, fertility and oncology clinics from California, Illinois, and New York were selected from the 8 states that had FP benefit mandates in place in 2020 to maximize diversity of the state-level characteristics that may impact mandate implementation. Fertility and oncology clinic representatives (health care clinicians, financial counselors, and other administrative personnel) identified as being the most knowledgeable regarding implementation of FP benefit mandates were interviewed or surveyed using the Exploration, Preparation, Implementation, Sustainment (EPIS) framework. Interviews and surveys were conducted from July 2020 to November 2023, and data were analyzed from September 2022 to June 2024.</p><p><strong>Exposure: </strong>Passage of a state-level FP benefit mandate.</p><p><strong>Main outcomes and measures: </strong>Barriers and facilitators to implementing access to FP benefits after mandate passage at clinic and patient levels.</p><p><strong>Results: </strong>This study included 48 participants from 24 oncology and fertility clinics and 2 fertility pharmacies. Interviews (n = 48) and surveys (n = 17) were used to identify determinants of successful FP benefit mandate implementation. The top 3 barriers identified included (1) time-consuming nature of interactions between clinics and insurers, (2) patients' lack of knowledge on their benefits and how to find them, and (3) holes in coverage and heterogeneity of benefits across health insurance plans. The top 3 facilitators included (1) dedicated clinic financial counselors who guide patients on benefit verification, (2) clearly defined FP benefits in member handbooks, and (3) health insurance plan preexisting in vitro fertilization insurance benefit.</p><p><strong>Conclusions and relevance: </strong>In this study, multiple barriers and facilitators were systematically identified to assist in improving implementation of FP benefit mandates. These findings support policies and intervention development for FP patients and clinics, and future legislative and regulatory efforts aimed at increasing timely access to FP insurance benefits.</p>","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e253166"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041929","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":"A Call to Center Latino Members of Sexual Minority Groups and Strengthen the US HIV Response.","authors":"Jahn Jaramillo, Carlos E Rodriguez-Diaz","doi":"10.1001/jamahealthforum.2025.3234","DOIUrl":"10.1001/jamahealthforum.2025.3234","url":null,"abstract":"<p><strong>Importance: </strong>The Ending the HIV Epidemic (EHE) initiative aims to reduce new HIV infections in the US by 75% in 2025 and 90% in 2030, prioritizing 57 US jurisdictions with the highest incidence rates. Although Latino gay, bisexual, and other men who have sex with men (MSM) are identified as a priority population, their representation and prioritization within the plans of these jurisdictions remain unclear. Understanding how local strategies align with national HIV prevention priorities is needed for the next phase of EHE planning and implementation (2026-2030). Publicly available HIV/EHE plans were reviewed from all prioritized jurisdictions to assess whether Latino gay, bisexual, and other MSM-specific needs, barriers, targeted strategies, community engagement, and performance metrics were addressed.</p><p><strong>Observations: </strong>Plans from 19 jurisdictions (33%) explicitly described the needs of Latino gay, bisexual, and other MSM, while plans from 22 jurisdictions (39%) acknowledged barriers faced by Latino gay, bisexual, and other MSM. Additionally, 26 jurisdictions (46%) outlined specific implementation strategies or activities to engage Latino gay, bisexual, and other MSM in HIV prevention and care efforts. Nineteen jurisdictions (33%) reported on the extent of Latino gay, bisexual, and other MSM community engagement in current or future EHE initiatives. Only 2 jurisdictions (4%) discussed performance measures to track progress specific to Latino gay, bisexual, and other MSM within their EHE plans. This review identified gaps, including the lack of disaggregated metrics for Latino gay, bisexual, and other MSM, a limited focus on social and economic barriers that hinder access to essential services, and insufficient engagement with the Latino gay, bisexual, and other MSM community.</p><p><strong>Conclusions and relevance: </strong>To strengthen the next phase of EHE planning, it is recommended to engage Latino gay, bisexual, and other MSM in all stages of EHE implementation, develop and track performance and outreach metrics, and leverage local data to inform EHE policy decisions, drive resource allocation, and ensure accountability in the development of tailored strategies that meet the health needs of Latino gay, bisexual, and other MSM. Given the recent erasure of vital gender and sexual health data, the visibility of Latino gay, bisexual, and other MSM in national HIV prevention efforts and data reporting is critical to effectively address disparities and advance the goal of ending the HIV epidemic.</p>","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e253234"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088270","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":"Health Care Costs of Firearm Injury Hospital Visits in the US.","authors":"Regina Royan, Alexander Lundberg, Ying Shan, Arielle C Thomas, Anne M Stey","doi":"10.1001/jamahealthforum.2025.3299","DOIUrl":"10.1001/jamahealthforum.2025.3299","url":null,"abstract":"<p><strong>Importance: </strong>Firearm injury is a leading cause of mortality in the US. Contemporary firearm injury health care costs and characteristics of hospital visits can inform investment decisions on treatment and prevention strategies.</p><p><strong>Objective: </strong>To estimate the total health care cost of new firearm injury hospital visits from 2016 to 2021 in the US.</p><p><strong>Design, setting, and participants: </strong>This economic evaluation study via Monte Carlo simulation included data from the Arkansas, Florida, Maryland, Massachusetts, New York, and Wisconsin Healthcare Cost and Utilization Project State Inpatient and Emergency Department databases from 2016 to 2021. Children and adults with an inpatient or emergency department (ED) hospital visit for new firearm injuries were included. Data were analyzed from June 2023 to May 2025.</p><p><strong>Exposures: </strong>Firearm-related inpatient or ED visits with new firearm injury International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) diagnosis codes.</p><p><strong>Main outcomes and measures: </strong>A Monte Carlo simulation used new inpatient and ED firearm injury visits in 6 sample states to estimate the national health care cost for the treatment of initial firearm injuries from 2016 to 2021. The simulation also used national inpatient data from the RAND Corporation for nonsample states. Costs were adjusted for inflation to 2024 US dollars. Costs to each body region were derived from the Injury Mortality Diagnosis Matrix classification scheme.</p><p><strong>Results: </strong>The Monte Carlo analysis included 2400 simulations. Firearm injuries in the US led to an estimated 298 721 ED visits and 185 846 inpatient visits, with a total health care cost of $7.7 billion from 2016 to 2021. Inpatient admissions accounted for 93% of the cost, or $7.2 billion. Treatment for children younger than 18 years accounted for 9% of the cost, or $684 million. Annual ED and inpatient visits were both approximately stable from 2016 to 2019, at which point they grew by 42% and 40%, respectively, from 2019 to 2021. Annual total health care cost was also stable at approximately $1.2 billion until 2019, when cost began to grow to a peak of $1.6 billion in 2021. The mean (SE) ED visit cost was $1743 (4.5), and the mean (SE) inpatient admission cost was $38 879 (138.9). These costs remained stable annually over the sample period.</p><p><strong>Conclusions and relevance: </strong>In this economic evaluation study, an increase in firearm injuries in the last 6 years paralleled an increase in costs from 2016 to 2021.</p>","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e253299"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12475945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151699","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":"Evidence of Policy Effects on Infrequent but Important Outcomes-Lessons From the Medicaid Mortality Debate.","authors":"Katherine Baicker, Bruce D Meyer, Angela Wyse","doi":"10.1001/jamahealthforum.2025.5210","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2025.5210","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e255210"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138976","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":"Opioid Exposure Measurement in Postacute Care Under Medicare Consolidated Payments.","authors":"Kelsey L Corcoran, Kaleen N Hayes, Richa Joshi, Sarah D Berry, Andrew R Zullo","doi":"10.1001/jamahealthforum.2025.3724","DOIUrl":"10.1001/jamahealthforum.2025.3724","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e253724"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041936","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}