JAMA Health Forum最新文献

{"title":"Role of the States in the Future of AI Regulation.","authors":"Michelle M Mello, Peter B Childs, Jessica L Roberts","doi":"10.1001/jamahealthforum.2025.5020","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2025.5020","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e255020"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082333","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 Future of the VA-The Privatization Debate.","authors":"Liam Rose, Todd H Wagner","doi":"10.1001/jamahealthforum.2025.3183","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2025.3183","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e253183"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088358","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":"Removing Fluoride From Water?: An Oral Health Crisis Unfolds.","authors":"Brett Kessler, Scott D Smith","doi":"10.1001/jamahealthforum.2025.3296","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2025.3296","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e253296"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001980","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":"Provenance and Funding of Extremely Cited Biomedical Articles Published Between 2003 and 2024.","authors":"John P A Ioannidis","doi":"10.1001/jamahealthforum.2025.3045","DOIUrl":"10.1001/jamahealthforum.2025.3045","url":null,"abstract":"<p><strong>Importance: </strong>It is important to monitor changes in the biomedical literature and its funding. China has surpassed the US in publications and, in some analyses, in some impact indicators.</p><p><strong>Objective: </strong>To evaluate changes over time in the profiles of the most highly cited biomedical publications.</p><p><strong>Design, setting, and participants: </strong>This cross-sectional study assessed 100 top-cited biomedical articles (based on Scopus) published in each of 3 time periods (2003-2004, 2013-2014, and 2023-2024) for corresponding authors, types of publications represented, and funding sources, with an emphasis on funding from the US National Institutes of Health (NIH), which has been traditionally considered the major funder of biomedical research.</p><p><strong>Main outcomes and measures: </strong>The main outcomes of interest are descriptive and include provenance (country of corresponding author), type of publication, type of funding, overall NIH funding, and NIH funding as the sole funding source.</p><p><strong>Results: </strong>Among 100 top-cited biomedical publications, corresponding authors from the US decreased over time (59 of 100 articles in 2003-2004, 58 of 100 in 2013-2014, 45 of 100 in 2023-2024). Corresponding authors from China represented 0 top-cited publications in 2003-2004, 1 in 2013-2014, and 4 in 2023-2024. There was an increase in consensus articles (10 in 2003-2004 vs 24 in 2023-2024) and in reference statistics articles (1 in 2003-2004, 10 in 2013-2014, and 11 in 2023-2024). Reviews remained common among top-cited articles, but almost always were nonsystematic. NIH funding was listed in 45 publications in 2003-2004, 50 in 2013-2014, and 23 in 2023-2024. All other countries combined surpassed US public funding in 2023-2024. Funding by NIH in combination with other funders increased from 13 articles in 2003-2204 to 22 and 21, respectively, in 2013-2014 and 2023-2024, but funding by NIH alone decreased in the last decade (32 of 100 in 2002-2003, 28 of 100 in 2013-2014, and 2 of 100 in 2023-2024). More commonly listed funding from nonprofit organizations, societies, and institutions complemented the NIH funding decline. The first authors of 7 of 45 and the corresponding authors of 14 of 45 top-cited US-based articles of 2023-2024 were listed as leaders of active NIH grants in RePORTER as of February 2025. Citation gaming became more obvious in 2023-2024 with the advent of some atypical highly cited papers and a larger share of nonsystematic reviews and consensus documents.</p><p><strong>Conclusions and relevance: </strong>Results of this study suggest that, overall, the US remains a world leader regarding the most highly cited biomedical research and NIH funding retains a substantial presence among top-cited articles. However, NIH influence had decreased overall, and top-cited articles funded exclusively by NIH have almost disappeared. Strengthening public funding is essential to secure r","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e253045"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042216","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":"Adoption of Health Information Technologies by Area Socioeconomic Deprivation Among US Hospitals.","authors":"Alice S Yan, Nate C Apathy, Jie Chen","doi":"10.1001/jamahealthforum.2025.3035","DOIUrl":"10.1001/jamahealthforum.2025.3035","url":null,"abstract":"<p><strong>Importance: </strong>Access to and quality of care vary substantially by area socioeconomic status. Expanding hospital health information technology (HIT) adoption may help reduce these disparities, given hospitals' central role in serving underserved populations.</p><p><strong>Objective: </strong>To examine variations in US hospital adoption of telehealth and health information exchange (HIE) functionalities by hospital service area (HSA) socioeconomic deprivation.</p><p><strong>Design, setting, and participants: </strong>This cross-sectional study links data from the 2018-2023 American Hospital Association Annual Survey and Information Technology Survey with HSA-level area deprivation index. Nonfederal acute care hospitals with complete data on HIT outcomes, comprising 16 646 observations for the telehealth outcomes and 9218 observations for the HIE outcomes across 6 years, were included. Data were analyzed from February 2024 to February 2025.</p><p><strong>Exposures: </strong>HSA-level area deprivation index in quartiles.</p><p><strong>Main outcomes and measures: </strong>Hospital adoption of treatment-stage telehealth and postdischarge telehealth services and HIE infrastructure supporting electronic data query and availability. Descriptive, regression, and Blinder-Oaxaca decomposition analyses and visualized time trends in hospital HIT adoption were used in analyses.</p><p><strong>Results: </strong>This study included 16 646 hospital-level observations and 9218 observations for health information exchange functionalities. Hospitals in the most socioeconomically deprived HSAs were significantly less likely to adopt HIT compared with those in the least deprived areas (treatment-stage telehealth: marginal effect [ME], -0.03; 95% CI, -0.06 to -0.01; postdischarge telehealth: ME, -0.03; 95% CI, -0.07 to 0.01; electronic data query capability: ME, -0.03; 95% CI, -0.06 to -0.01; electronic data availability: ME, -0.06; 95% CI, -0.11 to -0.01). Year fixed effects indicated significant increases in HIT adoption from 2018 to 2023, regardless of HSA deprivation level. Decomposition analyses showed that differences in hospital bed size, urban/rural location, and accountable care organization participation explained a substantial portion of the disparities by HSA deprivation.</p><p><strong>Conclusions and relevance: </strong>In this study, hospitals in more socioeconomically disadvantaged HSAs remained likely to adopt telehealth and HIE functionalities. Nevertheless, HIT adoption has grown steadily over time. Accountable care organization participation may support HIT infrastructure and help reduce geographic disparities in adoption and access to care.</p>","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e253035"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001925","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":"Physician Perspectives on Pharmaceutical Promotion.","authors":"Helen Mooney, Kirsten Austad, Eric G Campbell, Jerry Avorn, Zhigang Lu, Aaron S Kesselheim","doi":"10.1001/jamahealthforum.2025.3521","DOIUrl":"10.1001/jamahealthforum.2025.3521","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e253521"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001907","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":"JAMA Health Forum.","authors":"","doi":"10.1001/jamahealthforum.2024.4967","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2024.4967","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e244967"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001968","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":"Errors in Citation Order.","authors":"","doi":"10.1001/jamahealthforum.2025.4768","DOIUrl":"10.1001/jamahealthforum.2025.4768","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e254768"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12475940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151696","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":"Clinical Quality Performance of Value-Based and Fee-for-Service Models for Medicare Advantage.","authors":"Eleanor M Beltz, Kelly J Thomas Craig, Wei Xin, Amanda L Zaleski, Elyse Pegler, Ali Khan, Dorothea J Verbrugge","doi":"10.1001/jamahealthforum.2025.4002","DOIUrl":"10.1001/jamahealthforum.2025.4002","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 9","pages":"e254002"},"PeriodicalIF":11.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12475951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151671","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":"Risky Prescribing and the Epidemic of Deaths From Falls.","authors":"Thomas A Farley","doi":"10.1001/jamahealthforum.2025.3031","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2025.3031","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"6 8","pages":"e253031"},"PeriodicalIF":11.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800906","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}