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JAMA Health Forum @jamahealthforum.com · 3d

Viewpoint: Federal budget cuts are targeting integrated clinical-social care programs, with lack of consensus resulting in two competing models for addressing health-related social needs and ongoing disagreement over implementation.

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JAMA Health Forum viewpoint: "Integrated Clinical-Social Care and Boundaries of Health Care" by Vincent Guilamo-Ramos, Marco Thimm-Kaiser, and Adam Benzekri. Published online October 3, 2025.

JAMA Health Forum @jamahealthforum.com · 4d

Nearly all US public schools restrict cell phone use, with elementary schools having the strictest bans and high schools and schools in low- and medium-poverty neighborhoods having less strict policies.

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Bar graph shows school cell phone policy for 955 schools (2024-2025). Policies vary by school level (elementary, middle, high). Most schools allow phones but not during class. High schools have more varied policies.

JAMA Health Forum @jamahealthforum.com · 5d

Over the past four decades, US #antibiotic imports increased markedly with sourcing for finished dosage forms diversified across many countries, while active #pharmaceutical ingredients relied primarily on China.

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Line graph titled Figure 3. Market Concentration of Antibiotic Finished Dosage Form (FDF) and Active Pharmaceutical Ingredient (API) Imports According to the Herfindahl-Hirschman Index From 1992 to 2024, showing trends for FDF and API.

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JAMA Health Forum @jamahealthforum.com · 5d

From 1900 to 2019, probability of premature death dropped substantially at the global frontier from 57% to 12%, with sub-Saharan Africa and China narrowing the gap over time and the US falling further behind.

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Two line graphs compare 'Years Behind' in premature death probability from 1970-2019. Graph A shows greater years behind for Sub-Saharan Africa, Central Asia, and India. Graph B shows fewer years behind for Latin America, the US, and China.

JAMA Health Forum @jamahealthforum.com · 9d

Value-based payment models outperformed fee-for-service for all 15 clinical quality outcomes among >3 million Medicare Advantage members in 2022. ja.ma/4nhC4qi

Bar graph comparing healthcare quality measures for heart disease, diabetes, cancer screening, and older adult care. Measures include medication adherence, blood sugar control, and follow-up care, with scores for '2-Sided risk', '1-Sided risk', 'P4P', and 'FFS'.

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JAMA Health Forum @jamahealthforum.com · 10d

Lost-time injury rates were 74% higher for Black workers and 90% higher for Hispanic workers versus Whites in California; occupational concentration explained much, but not all, disparity. ja.ma/4gKoeKK

Four scatter plots compare occupational employment shares to injury rates by race: Asian/Pacific Islander, Black, Hispanic, and White workers. Each plot shows data points and a trendline with intercept, slope, and p-value noted.

JAMA Health Forum @jamahealthforum.com · 10d

Despite increasing clearance of #AI/ML devices, standardized efficacy, safety, and risk assessment reporting remains inadequate for FDA-cleared devices. ja.ma/3KoVivF

Horizontal bar graph showing device adherence by standards organization. ANSI, IEC, ISO, NEMA, Other, and Overall are listed with percentages of devices reporting and not reporting adherence.

JAMA Health Forum @jamahealthforum.com · 11d

"How do we create the conditions that allow all people to live longer, healthier lives?"

Read this Editorial by @jamahealthforum.com Editor in Chief Sandro Galea, MD, DrPH, Associate Editor Ninez Ponce, PhD, MPP, and Editorial Fellow Sugy Choi, PhD, MS.

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A JAMA Health Forum editorial titled "The Importance of Health Equity Scholarship in Uncertain Times" by Ninez A. Ponce, Sugy Choi, and Sandro Galea, published online September 26, 2025.

JAMA Health Forum @jamahealthforum.com · 11d

In this economic evaluation study, new firearm injuries created an estimated $7.7 billion in ED-only and inpatient hospital health care costs from 2016 to 2021. ja.ma/4nXZWiR

Two scatter plots show mean cost per inpatient firearm injury admission vs. contribution to total cost from 2016-2021. Plot A: Patient characteristics. Plot B: Hospital characteristics. Costs vary with patient/hospital attributes.

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JAMA Health Forum @jamahealthforum.com · 13d

Viewpoint: States are enhancing primary care spending and managing costs through #Medicaid expansion and alternative payment models, yet disparities in insurance coverage for #LGBT individuals persist, requiring more equitable access efforts.

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A JAMA Health Forum webpage featuring a viewpoint article titled "State Investments in Primary Care—5 Early Leaders of a Potential Policy Trend" by Sarah H. Brown, et al. Published online September 19, 2025.

Reposted by JAMA Health Forum

Center for Integration of Science and Industry @bentleysciindustry.bsky.social · 14d

See follow-on study @jamahealthforum.com showing NIH invests average of $1.44 billion in research leading to new drug approvals, provides $2.9 billion cost savings to industry per approval, and creates economic efficiencies through spillovers to multiple approvals. jamanetwork.com/journals/jam...

Comparison of Research Spending on New Drug Approvals by the NIH vs the Pharmaceutical Industry

This cross-sectional study examines National Institutes of Health and pharmaceutical industry investments in recent drug approvals.

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JAMA Health Forum @jamahealthforum.com · 14d

Viewpoint: Despite improvements in insurance coverage for #LGBT individuals post-Affordable Care Act and Obergefell v Hodges, gains have been concentrated among male, married, higher-income groups, revealing persistent disparities. ja.ma/4mq47Th

JAMA Health Forum @jamahealthforum.com · 14d

In Texas, a simulation model projected #measles outbreaks, showing that a 5% decrease in MMR #vaccination rates could notably increase cases, while a 5% increase in vaccination rates could prevent outbreaks. ja.ma/4nPv8kg

Line graph titled "Vaccination Rates and Counterfactual Scenario Modeling Projections for the 2025 Measles Outbreak in Gaines County and Texas Overall". The graph shows vaccine uptake from 2013-2024 for Texas and Gaines County.

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JAMA Health Forum @jamahealthforum.com · 16d

Among adolescents and young adults in a pediatric primary care network, those from higher Child Opportunity Index (COI) quintiles reported greater in-home firearm access, whereas those from lower COI quintiles reported more outside-home access. ja.ma/4gBgXgj

Figure: Immediate Firearm Access by Child Opportunity Index Quintile. The graph shows the percentage of in-home and outside-home firearm access, as well as the adjusted odds, across quintiles of child opportunity index.

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JAMA Health Forum @jamahealthforum.com · 17d

Special Communication: Only 33% of prioritized jurisdictions addressed the needs of Latino gay, bisexual, and other men who have sex with men in their Ending the #HIV Epidemic plans. ja.ma/3KekHYM

JAMA Health Forum article: "A Call to Center Latino Members of Sexual Minority Groups and Strengthen the US HIV Response" by Jahn Jaramillo & Carlos E. Rodriguez-Diaz. Published online September 19, 2025.

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JAMA Health Forum @jamahealthforum.com · 18d

From 2000 to 2021, the proportion of surgical subspecialists increased from 38% to 58% among over 70,000 surgeons, leading to a reduced procedural scope for generalist surgeons and causing geographic variations in access to specialized care. ja.ma/4mlEt1T

Trends in subspecialization by specialty and year, CBS vs. MDS labels. Line graphs showing the subspecialist share from 2000-2021 for overall, general surgery, neurosurgery, ophthalmology, orthopedic, & otolaryngology surgeries.

JAMA Health Forum @jamahealthforum.com · 19d

Among #Medicaid enrollees, prediction models using individual and area-level factors effectively estimated the risk of hospitalization or emergency department visits for cocaine- and stimulant-involved overdoses. ja.ma/48lkAEQ

Four graphs show O/E events vs. prognostic index for cocaine/other stimulant use, with/without opioid involvement. Curves show O/E based on Poisson approach with 95% CI, compared to ideal calibration (O/E = 1).

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JAMA Health Forum @jamahealthforum.com · 19d

Editorial by Pragya Kakani, PhD, Melinda B. Buntin, PhD, and Sandro Galea, MD, DrPH: "The Purpose and Value of Editorial Content at JAMA Health Forum"

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A JAMA Health Forum editorial titled "The Purpose and Value of Editorial Content at JAMA Health Forum" by Pragya Kakani, Melinda B. Buntin, and Sandro Galea. Published online September 19, 2025.

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JAMA Health Forum @jamahealthforum.com · 20d

From 2008 to 2021, the number of advanced practice registered nurses and physician assistants (APCs) in U.S. physician groups significantly increased. ja.ma/3VmLIM1

Line graph titled 'Growth in Employment of Advanced Practice Clinicians'. It plots data from 2008-2021 for specialties: Primary Care, Medical, Surgical, Hospital-based, Obstetrics, and Psychiatry. Surgical specialty shows noticeable growth over time.

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JAMA Health Forum @jamahealthforum.com · 20d

Reliance solely on #Medicare Part D claims underestimates medication use during SNF stays, as shown in a study of opioid dispensing after hip fracture hospitalization. ja.ma/46vn9li

$Two line graphs compare opioid dispensing times in skilled nursing facilities post hip fracture, contrasting Part D vs. Long-Term Care Pharmacy (LTCP) data over first 3 days and remaining days. LTCP decreases while Part D remains constant.$

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JAMA Health Forum @jamahealthforum.com · 20d

This study identified barriers and facilitators affecting the implementation of fertility preservation (FP) insurance mandates in fertility and oncology clinics. ja.ma/4gDQ3UT

EPIS Framework diagram showing Fertility Preservation(FP) Benefit Mandate Implementation Process, including exploration, preparation, implementation, and sustainment.It shows outer and inner contexts connected by bridging factors.

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JAMA Health Forum @jamahealthforum.com · 21d

About 1 in 5 adults in the US live with a mental health condition.

Ruth Shim, MD, MPH, joins JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, to discuss how national policy can better support mental health in the US.

Listen now: ja.ma/3K4WeoU

National Policy to Support Better Mental Health in the US

About 1 in 5 adults in the US live with a mental health condition. In 2023, approximately 32% of US adults reported symptoms of depression and anxiety. Ruth Shim, MD, MPH, of the University of California, Davis, joins JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, to discuss how national policy can better support mental health in the US.

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JAMA Health Forum @jamahealthforum.com · 21d

Editorial by JAMA Health Forum EIC Sandro Galea, MD, DrPH: Mental health concerns in the U.S. offer opportunities for innovative solutions and improved care access through recent policy initiatives and changing societal attitudes. ja.ma/4mnHw9X

JAMA Health Forum editorial: "Toward a Strategy to Improve National Mental Health" by Sandro Galea, published online September 12, 2025. Includes author affiliations and article information.

JAMA Health Forum @jamahealthforum.com · 21d

While the U.S. and NIH remain leaders in top-cited biomedical research, their dominance has decreased, with NIH's exclusive funding of these publications reduced. ja.ma/3I0326E

JAMA Health Forum: "Provenance and Funding of Extremely Cited Biomedical Articles Published Between 2003 and 2024" by John P.A. Ioannidis, published online September 12, 2025.

JAMA Health Forum @jamahealthforum.com · 22d

From 2008 to 2021, the number of advanced practice registered nurses and physician assistants (APCs) in U.S. physician groups significantly increased. ja.ma/3KffkIM