NAM perspectives最新文献

{"title":"A Food System Paradigm Shift: From Cheap Food at Any Cost to Food within a One Health Framework.","authors":"Jonathan Rushton, Barry J McMahon, Mary E Wilson, Jonna A K Mazet, Bhavani Shankar","doi":"10.31478/202111b","DOIUrl":"https://doi.org/10.31478/202111b","url":null,"abstract":"Every dollar spent on food in the United States produces two dollars of negative impact on public health and the environment. Today’s food system feeds people but harms the environment and the health of humans, animals, and plants globally (The Rockefeller Foundation, 2021). The authors of this commentary explore how food systems have arrived at this unsustainable state and what can be done to address this crisis. Driven by a narrow focus on economic efficiency, modern food systems have evolved to deliver cheap food at any cost. These food systems are typically guided by Ministries of Agriculture that often work in a narrow and siloed manner, function independently of Ministries of Health and Environment, are reactive to emergencies, and fail to respond proactively to the mining of natural resources and poor food-related public health outcomes (Scott and Gong, 2021). The authors of this commentary present a case for an urgent change of mindset toward systems thinking and proactive policies to curb these negative externalities (i.e., unintended negative impacts not adequately accounting for economic costs). This mindset change centers One Health, an approach that addresses the health of people, animals, plants and the environment through intersectoral and transdisciplinary methods, at the core of global food system policies (Rushton et al., 2018). If you are 50 or older and grew up in a rural town or provincial village in a wealthy country, there is a good chance that your family was involved in agriculture. You might have gone to school with children from farms who perhaps smelled of livestock or had to take time from school to help with crop planting or harvest. You might have been aware of food shortages, the importance of water availability, the seasonality of many fruits and vegetables, and how some meats were highly prized and saved for special occasions. You might understand how food would go bad, turning rancid or becoming moldy. You may have participated in preserving your own family’s homegrown or other locally grown produce. Agriculture might have surrounded you in your younger days. You might have known farm-","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8803390/pdf/nampsp-2021-202111b.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39887909","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":"Lessons Learned for Obesity Prevention and Care from Five Integrated Programs.","authors":"W. Dietz, Jennifer E. Fassbender, J. Levi, N. Pronk, S. Yanovski, David D. Fukuzawa","doi":"10.31478/202111a","DOIUrl":"https://doi.org/10.31478/202111a","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46171229","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":"Improving Behavioral Health Services in the Time of COVID-19 and Racial Inequities.","authors":"Ruth S Shim, Matthew Tierney, Martin H Rosenzweig, Howard H Goldman","doi":"10.31478/202110c","DOIUrl":"https://doi.org/10.31478/202110c","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654467/pdf/nampsp-2021-202110c.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39721685","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":"\"Systems-Integrated CME\": The Implementation and Outcomes Imperative for Continuing Medical Education in the Learning Health Care Enterprise.","authors":"David W Price, David A Davis, Gary L Filerman","doi":"10.31478/202110a","DOIUrl":"10.31478/202110a","url":null,"abstract":"Health care delivery has evolved from a variably connected collective of individually owned proprietorships and independent hospitals to an environment in which physicians increasingly contract with or are employed by health care enterprises. While continuing medical education (CME) that is focused on the dissemination and maintenance of medical knowledge and the development of skills plays a critical role in helping physicians keep up to date, the authors of this manuscript believe the structure and delivery of CME have not suffi ciently evolved to be broadly viewed by health enterprise leaders as a strategic or integral asset to improving health care delivery. Therefore, an evolution and a reconceptualization of the structure and function of CME are necessary to enable collaboration between leaders and improvement experts in health care enterprises and CME. In this paper, the authors describe models that better refl ect a more eff ective role of CME within learning health care delivery enterprises and the implications of such models for these enterprises and the CME profession.","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654469/pdf/nampsp-2021-202110a.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39721687","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":"Don't \"Waive\" Goodbye to Education for Opioid Use Disorder.","authors":"Richard Bottner, Jeffrey Bratberg, Marlene Martin, Melissa B Weimer, Ayana Jordan, Matthew Tierney","doi":"10.31478/202110b","DOIUrl":"https://doi.org/10.31478/202110b","url":null,"abstract":"Richard Bottner, DHA, PA-C, Dell Medical School at The University of Texas at Austin; Jeffrey Bratberg, PharmD, FAPhA, University of Rhode Island College of Pharmacy; Marlene Martin, MD, University of California, San Francisco and San Francisco General Hospital; Melissa B. Weimer, DO, MCR, FASAM, Yale University; Ayana Jordan, MD, PhD Yale University; and Matthew Tierney, MS, NP, FAAN, University of California, San Francisco","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654468/pdf/nampsp-2021-202110b.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39721686","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":"An Equity Agenda for the Field of Health Care Quality Improvement.","authors":"Margaret O'Kane, Shantanu Agrawal, Leah Binder, Victor Dzau, Tejal K Gandhi, Rachel Harrington, Kedar Mate, Paul McGann, David Meyers, Paul Rosen, Michelle Schreiber, Dan Schummers","doi":"10.31478/202109b","DOIUrl":"10.31478/202109b","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654470/pdf/nampsp-2021-202109b.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39721688","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":"Artificial Intelligence for Health Professions Educators.","authors":"Kimberly Lomis, Pamela Jeffries, Anthony Palatta, Melanie Sage, Javaid Sheikh, Carl Sheperis, Alison Whelan","doi":"10.31478/202109a","DOIUrl":"10.31478/202109a","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654471/pdf/nampsp-2021-202109a.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39721689","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":"Researchers Should Consider How Disparities Change Over Time and Space: Lessons from the COVID-19 Pandemic.","authors":"Michelle S Wong, Donna L Washington, Ernest Moy","doi":"10.31478/202108c","DOIUrl":"10.31478/202108c","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654466/pdf/nampsp-2021-202108c.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39721684","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":"Crisis Standards of Care and COVID-19: What Did We Learn? How Do We Ensure Equity? What Should We Do?","authors":"John L Hick, Dan Hanfling, Matthew K Wynia, Eric Toner","doi":"10.31478/202108e","DOIUrl":"https://doi.org/10.31478/202108e","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486425/pdf/nampsp-2021-202108e.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39512398","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":"The Road to Readiness: Guiding Families of Children and Adolescents with Serious Illness Toward Meaningful Advance Care Planning Discussions.","authors":"Lori Wiener, Cynthia J Bell, Jessica L Spruit, Meaghann S Weaver, Amanda L Thompson","doi":"10.31478/202108a","DOIUrl":"https://doi.org/10.31478/202108a","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486424/pdf/nampsp-2021-202108a.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39512397","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}