This Viewpoint from the National Academy of Medicine's 2016 Vital Directions initiative discusses strategies to align payment reform with efforts to improve health care quality, value, and health outcomes that are important to patients.
This 40-year observational study reports that sustained, community-wide programs targeting cardiovascular risk factors and behavior changes to improve a Maine county’s population health were associated with reductions in hospitalization and mortality.
Jonas and coauthors conducted a systematic review and meta-analysis of the benefits and harms of medications for adults with alcohol use disorders that included 122 randomized clinical trials and 1 cohort study (22 803 participants). In an Editorial, Bradley and Kivlahan discuss the importance of patient-centered care and shared decision making for patients with alcohol use disorders.
Courcoulas and coauthors investigated 3-year change in weight and select health parameters among 2458 participants who underwent first-time bariatric surgical procedures as part of routine clinical care by surgeons in 10 US hospitals. In an Editorial, Ikramuddin and Livingston discuss the role of bariatric surgery in the management of obesity.
Moses and coauthors used public data, principally from 1980 to 2011, to describe and document the current anatomy and historical trends of health care in the United States.
Manson and coauthors provide an update and overview of health outcomes during the intervention and poststopping phases of the Women’s Health Initiative (WHI) hormone therapy trials. In an accompanying Editorial, Nabel discusses how the WHI is a victory for women and their health.