JAMA Health Forum最新文献

{"title":"Adapted Choice Architecture and Diversity in the National Academy of Medicine.","authors":"Robert L Phillips, Se Kim, Elena Fuentes-Afflick","doi":"10.1001/jamahealthforum.2024.2892","DOIUrl":"10.1001/jamahealthforum.2024.2892","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"5 10","pages":"e242892"},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373562","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":"Competition in International Generic Drug Markets.","authors":"Étienne Gaudette, Shirin Rizzardo, Kevin R Pothier, Mina Tadrous","doi":"10.1001/jamahealthforum.2024.3391","DOIUrl":"10.1001/jamahealthforum.2024.3391","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"5 10","pages":"e243391"},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11470386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401934","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":"Real-Time Prescription Benefit Tool Adoption Among US Hospitals.","authors":"Matthew J Klebanoff, Pengxiang Li, Paula Chatterjee, Jalpa A Doshi","doi":"10.1001/jamahealthforum.2024.3181","DOIUrl":"10.1001/jamahealthforum.2024.3181","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"5 10","pages":"e243181"},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11581665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480549","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":"Medicaid's Edge Case-Potential Expansion and Work Requirements in Mississippi.","authors":"Benjamin D Sommers, Lauren R Gullett, Shira B Hornstein","doi":"10.1001/jamahealthforum.2024.4523","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2024.4523","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"5 10","pages":"e244523"},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548906","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":"340B Participation and Safety Net Engagement Among Federally Qualified Health Centers.","authors":"Elizabeth Watts, Claire McGlave, Nicole Quinones, John P Bruno, Sayeh Nikpay","doi":"10.1001/jamahealthforum.2024.3360","DOIUrl":"10.1001/jamahealthforum.2024.3360","url":null,"abstract":"<p><strong>Importance: </strong>The 340B program provides discounts on outpatient drugs to certain hospitals and federally supported clinics (covered entities) that can be used to generate revenue to fund safety net care. While numerous studies have found no association between 340B and safety net care provision for most hospital covered entities, less is known about whether federally qualified health centers (FQHCs), the largest group of covered entities after hospitals, use the program to enhance safety net care.</p><p><strong>Objective: </strong>To assess whether a proxy for 340B revenue was associated with increased safety net care provision among FQHCs.</p><p><strong>Design and setting: </strong>This descriptive, retrospective cohort study examined care provided from 2005 to 2022 by 1468 FQHCs that submitted to the Health Resources and Services Administration Uniform Data System. FQHC and year-level fixed effects were included, as well as a control for differential Medicaid expansion over time. The data were analyzed between March and December 2023.</p><p><strong>Exposure: </strong>One-year lagged number of locations registered to dispense or administer 340B-discounted drugs (registered locations), which included child sites, in-house pharmacies, and contract pharmacies in the 340B Outpatient Pharmacy Affairs Database.</p><p><strong>Main outcomes: </strong>Natural logarithm of patient volume by payer, low-income status, and use of enabling services. Natural logarithm of visits in which low-profit preventive services were provided.</p><p><strong>Results: </strong>An additional registered location was associated with increased patient volume, especially for uninsured (0.4%; 95% CI, 0.3%-0.5%) and privately insured (0.4%; 95% CI, 0.2%-0.5%) patients and low-income (0.4%; 95% CI, 0.2%-0.6%), unhoused (0.3%; 95% CI, 0.1%-0.5%), and non-English-speaking (0.3%; 95% CI, 0.1%-0.5%) patients. An additional registered location was associated with increased visits with an HIV test (0.7%; 95% CI, 0.4%-0.9%), serum lead test (0.8%; 95% CI, 0.6%-1.1%), seasonal influenza shot (0.4%; 95% CI, 0.3%-0.5%), Papanicolaou smear (0.5%; 95% CI, 0.4%-0.7%), and tobacco cessation counseling (1.0%; 95% CI, 0.5%-1.4%). Across the study period, the average annual increase in locations was 1.5.</p><p><strong>Conclusions and relevance: </strong>The results of this cohort study suggest that there are statistically significant increases in the provision of low-profit but high-value preventive services and care to safety net populations (those who lack insurance, have a low income, or require enabling services) and that, like public hospitals, FQHCs might use 340B revenues to enhance safety net care. This finding may inform debates on the 340B program by supporting differential 340B reforms across hospital and nonhospital covered entities.</p>","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"5 10","pages":"e243360"},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11452821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373560","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":"Use of Hearing Services in Traditional Medicare and Medicare Advantage.","authors":"Sarah Y Bessen, Emmanuel E Garcia Morales, Frank R Lin, Nicholas S Reed","doi":"10.1001/jamahealthforum.2024.3619","DOIUrl":"10.1001/jamahealthforum.2024.3619","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"5 10","pages":"e243619"},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11581654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512793","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":"Open Access Publication at a Crossroads-Implications for Researchers and Beyond.","authors":"Kathryn A Phillips","doi":"10.1001/jamahealthforum.2024.2914","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2024.2914","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"5 10","pages":"e242914"},"PeriodicalIF":9.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480547","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":"Medicare Advantage Supplemental Benefits for Dual-Eligible Benificiaries and Recommendations for Reform.","authors":"Eric T Roberts, Eliza Macneal, John Lovelace","doi":"10.1001/jamahealthforum.2024.2761","DOIUrl":"10.1001/jamahealthforum.2024.2761","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"5 9","pages":"e242761"},"PeriodicalIF":9.5,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141752","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":"Voter Support for Policies Associated With Child Health as National Campaign Priorities.","authors":"Stephen W Patrick, Sarah F Loch, Elizabeth McNeer, Matthew M Davis","doi":"10.1001/jamahealthforum.2024.3305","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2024.3305","url":null,"abstract":"<p><strong>Importance: </strong>Policies that are associated with child health are rarely included in platforms of candidates for national political office. Candidates may underrecognize voter support for such priorities or perceive that such policy issues are not sufficiently divisive to appeal to partisan voters. Key policy questions associated with child health may be considered by the next Congress, including the consistency of Medicaid coverage across states and restoring the recently lapsed refundable child tax credit.</p><p><strong>Objective: </strong>To examine voter support for candidates regarding policies that are associated with child health.</p><p><strong>Design, setting, and participants: </strong>This nationally representative survey of registered US voters 18 years or older was conducted from March to April 2024 and included a survey-based randomized experiment to evaluate the association of message framing with voter support.</p><p><strong>Exposures: </strong>Messages conveying distinct rationales for Medicaid reform and refundable child tax credit.</p><p><strong>Main outcomes and measures: </strong>Likely or definite support for candidates.</p><p><strong>Results: </strong>In this sample (unweighted N = 2014; 1015 women [51.0%]), most respondents indicated they would likely or definitely vote for candidates who expressed strong support for all tested policies: extreme risk protection order (79.5%), school threat assessment (73.1%), expanded childcare (69.6%), refundable child tax credit (66.6%), federalization of Medicaid (66.0%), paid parental leave (65.5%), free school meals (65.6%), safe firearm storage and enforcement (62.9%), preventing Medicaid disenrollment for children younger than 6 years (61.9%), universal free preschool (61.6%), and summer nutrition programs (57.9%). More women than men expressed support for all tested policies. Strong majorities of Democrat and Independent voters would support candidates who endorsed child-focused policies; fewer than 50% of Republican voters expressed such support, except for the extreme risk protection order and school threat assessment. Variations in framing language regarding consistent Medicaid coverage across states were not associated with amplified or diminished voter support. Framing the refundable child tax credit as benefiting \"hard-working\" vs \"low-income\" families garnered significantly more support among men (67.0% vs 59.0%), privately insured individuals (72.0% vs 64.4%), and Republicans (54.6% vs 43.0%; all P < .05).</p><p><strong>Conclusions and relevance: </strong>The study results suggest that most voters favor candidates who strongly support policies that are associated with child health. Voter support differs substantively by gender and political party affiliation and may be associated with language choices in messaging about policy change.</p>","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"5 9","pages":"e243305"},"PeriodicalIF":9.5,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11437383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332198","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":"Missing Acknowledgement.","authors":"","doi":"10.1001/jamahealthforum.2024.3480","DOIUrl":"https://doi.org/10.1001/jamahealthforum.2024.3480","url":null,"abstract":"","PeriodicalId":53180,"journal":{"name":"JAMA Health Forum","volume":"5 9","pages":"e243480"},"PeriodicalIF":9.5,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11437393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336630","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}