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NEJM—Health Policy and Reform

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https://read.qxmd.com/read/30811917/the-not-my-problem-problem
#1
Lisa Rosenbaum
New England Journal of Medicine, Volume 380, Issue 9, Page 881-885, February 2019.
February 28, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30811907/racist-like-me-a-call-to-self-reflection-and-action-for-white-physicians
#2
Deborah Cohan
I am racist. I would love to believe otherwise and can find evidence that I am not — my career dedicated to caring for underserved women of color, my support of colleagues and trainees who are people of color, my score on the implicit-association test. My mission as a white physician is to be..
February 28, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30811905/patient-experience-data-and-bias-what-ratings-don-t-tell-us
#3
Kenneth G Poole
"Keep in mind these data are reflective of patients’ perception of their care; whether or not we, as providers, agree, that perception is legitimate." As the medical director of patient experience at the Mayo Clinic in Arizona, I’ve repeated this line countless times to clinicians and practice..
February 28, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30811904/opioid-use-disorder-and-incarceration-hope-for-ensuring-the-continuity-of-treatment
#4
Ingrid A Binswanger
No abstract text is available yet for this article.
February 27, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30786195/cursed-by-knowledge-building-a-culture-of-psychological-safety
#5
Lisa Rosenbaum
On Christmas Day about a decade ago, Thor Sundt, now chief of cardiac surgery at Massachusetts General Hospital, was urgently summoned to transplant a heart into a young man with ischemic heart disease. Sundt’s satisfaction with the man’s hemodynamic stability turned to horror when, the next day,..
February 21, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30786184/don-t-ruin-my-life-aging-and-driving-in-the-21st-century
#6
Louise Aronson
I have been fired by a patient — explicitly and to my face — just once. It happened during my first year after residency, and although I can no longer recall the patient’s name, I can still see her pretty face, carefully styled hair, and barely contained terror. Certainly, I remember when she stood..
February 21, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30786183/structural-iatrogenesis-a-43-year-old-man-with-opioid-misuse
#7
Scott Stonington, Diana Coffa
Mr. O. a 43-year-old man with severe, destructive rheumatoid arthritis, had been receiving acetaminophen–hydrocodone at low doses from his primary care provider (PCP) for 15 years. He worked in an auto-parts factory in southeastern Michigan, and pain control was essential to maintaining his..
February 21, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30786182/the-fda-s-proposed-ban-on-menthol-cigarettes
#8
Keith Wailoo
No abstract text is available yet for this article.
February 20, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30763195/decolonization-to-reduce-postdischarge-infection-risk-among-mrsa-carriers
#9
RANDOMIZED CONTROLLED TRIAL
Susan S Huang, Raveena Singh, James A McKinnell, Steven Park, Adrijana Gombosev, Samantha J Eells, Daniel L Gillen, Diane Kim, Syma Rashid, Raul Macias-Gil, Michael A Bolaris, Thomas Tjoa, Chenghua Cao, Suzie S Hong, Jennifer Lequieu, Eric Cui, Justin Chang, Jiayi He, Kaye Evans, Ellena Peterson, Gail Simpson, Philip Robinson, Chester Choi, Charles C Bailey, James D Leo, Alpesh Amin, Donald Goldmann, John A Jernigan, Richard Platt, Edward Septimus, Robert A Weinstein, Mary K Hayden, Loren G Miller
BACKGROUND: Hospitalized patients who are colonized with methicillin-resistant Staphylococcus aureus (MRSA) are at high risk for infection after discharge. METHODS: We conducted a multicenter, randomized, controlled trial of postdischarge hygiene education, as compared with education plus decolonization, in patients colonized with MRSA (carriers). Decolonization involved chlorhexidine mouthwash, baths or showers with chlorhexidine, and nasal mupirocin for 5 days twice per month for 6 months...
February 14, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30763193/divided-we-fall
#10
Lisa Rosenbaum
New England Journal of Medicine, Volume 380, Issue 7, Page 684-688, February 2019.
February 14, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30763192/brazil-s-fight-against-hepatitis-c-universalism-local-production-and-patents
#11
Elize M da Fonseca, Kenneth Shadlen, Francisco I Bastos
The emergence of new direct-acting antiviral drugs (DAAs) has revolutionized the treatment of hepatitis C virus (HCV); these more effective and better tolerated drugs allow for cure rates exceeding 90%. The price of these new therapies, however, is prohibitive in many countries, so creative..
February 14, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30763190/universal-medicine-access-through-lump-sum-remuneration-australia-s-approach-to-hepatitis-c
#12
Suerie Moon, Elise Erickson
High prices can restrict access to medicines in rich and poor countries alike. Australia’s approach to providing direct-acting antivirals (DAAs) for patients with hepatitis C virus (HCV) suggests that, under certain conditions, innovative approaches to payment can remove price as a barrier to..
February 14, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30763188/residual-disease-after-neoadjuvant-therapy-developing-drugs-for-high-risk-early-breast-cancer
#13
Tatiana M Prowell, Julia A Beaver, Richard Pazdur
In the KATHERINE trial, whose results are reported by von Minckwitz et al. in this issue of the Journal (pages 617–28), 1486 patients with human epidermal growth factor receptor 2 (HER2)–positive early-stage breast cancer who had residual invasive cancer after preoperative chemotherapy plus..
February 14, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30649993/after-the-storm-a-responsible-path-for-genome-editing
#14
George Q Daley, Robin Lovell-Badge, Julie Steffann
No abstract text is available yet for this article.
January 16, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30649992/the-future-of-gene-editing-toward-scientific-and-social-consensus
#15
Lisa Rosenbaum
No abstract text is available yet for this article.
January 16, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30726699/risk-compensation-and-clinical-decision-making-the-case-of-hiv-preexposure-prophylaxis
#16
Julia L Marcus, Kenneth A Katz, Douglas S Krakower, Sarah K Calabrese
Imagine a daily pill that prevents an unwanted consequence of sexual intercourse. Does it give users a "license for promiscuity"? Will its widespread availability lead to "sexual anarchy"? These questions were posed more than a half-century ago about oral contraceptive pills, which enabled..
February 7, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30726698/organ-donation-and-drug-intoxication-related-deaths-in-the-united-states
#17
LETTER
Muthiah Vaduganathan, Sara R Machado, Ersilia M DeFilippis, Navkaranbir Bajaj, Josef Stehlik, Elias Mossialos, John A Jarcho, Mandeep R Mehra
To the Editor: The drug-overdose epidemic has led to an increase in the number of organ donors dying from drug intoxication; this pattern is confined to the United States and has not been observed in Europe. Geographic disparity in the rates of death from drug intoxication in the United States led..
February 7, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30726687/a-step-toward-protecting-payments-for-primary-care
#18
Bruce E Landon
Even as the U.S. health care system increasingly adopts alternative payment models such as accountable care organizations, the traditional fee-for-service system continues to be the most commonly used method of physician payment. Moreover, although alternative payment models often involve budgets..
February 7, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30699326/coordination-of-care-or-conflict-of-interest-exempting-acos-from-the-stark-law
#19
Genevieve P Kanter, Mark V Pauly
Suppose you are a Medicare-insured patient with coronary artery disease. You will visit, on average, 10 physicians at six practice sites in a given year. Such fragmentation of care has spurred efforts by health care systems and payers to coordinate the delivery of care by multiple providers in a..
January 31, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30699322/rehabbed-to-death
#20
Lynn A Flint, Daniel J David, Alexander K Smith
Ms. P. was an 87-year-old woman with moderate dementia who lived alone in an apartment before being admitted to the hospital with pneumonia. During her hospitalization, she became deconditioned and could no longer walk without assistance. Friends and family were unable to provide the amount of help..
January 31, 2019: New England Journal of Medicine
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