Publications by authors named "Karen B DeSalvo"

Public health practice appears poised to undergo a transformative shift as a result of the latest advancements in artificial intelligence (AI). These changes will usher in a new era of public health, charged with responding to deficiencies identified during the COVID-19 pandemic and managing investments required to meet the health needs of the twenty-first century. In this Commentary, we explore how AI is being used in public health, and we describe the advanced capabilities of generative AI models capable of producing synthetic content such as images, videos, audio, text, and other digital content.

View Article and Find Full Text PDF

Importance: Interest in artificial intelligence (AI) has reached an all-time high, and health care leaders across the ecosystem are faced with questions about where, when, and how to deploy AI and how to understand its risks, problems, and possibilities.

Observations: While AI as a concept has existed since the 1950s, all AI is not the same. Capabilities and risks of various kinds of AI differ markedly, and on examination 3 epochs of AI emerge.

View Article and Find Full Text PDF

Policy Points Accurate and reliable data systems are critical for delivering the essential services and foundational capabilities of public health for a 21 -century public health infrastructure. Chronic underfunding, workforce shortages, and operational silos limit the effectiveness of America's public health data systems, with the country's anemic response to COVID-19 highlighting the results of long-standing infrastructure gaps. As the public health sector begins an unprecedented data modernization effort, scholars and policymakers should ensure ongoing reforms are aligned with the five components of an ideal public health data system: outcomes and equity oriented, actionable, interoperable, collaborative, and grounded in a robust public health system.

View Article and Find Full Text PDF

Importance: Most dermatologic cases are initially evaluated by nondermatologists such as primary care physicians (PCPs) or nurse practitioners (NPs).

Objective: To evaluate an artificial intelligence (AI)-based tool that assists with diagnoses of dermatologic conditions.

Design, Setting, And Participants: This multiple-reader, multiple-case diagnostic study developed an AI-based tool and evaluated its utility.

View Article and Find Full Text PDF

Telecare is increasingly recognized as an essential tool for a contemporary twenty-first century health care system even though the evidence is still emerging on its effectiveness. The need to find delivery models like telecare that improve both the convenience and value of care is universal, but particularly pressing for countries like the U.S.

View Article and Find Full Text PDF

Public health is what we do together as a society to ensure the conditions in which everyone can be healthy. Although many sectors play key roles, governmental public health is an essential component. Recent stressors on public health are driving many local governments to pioneer a new Public Health 3.

View Article and Find Full Text PDF

In April 2004, President Bush signed Executive Order 13335, which called for the establishment of the Office of the National Coordinator for Health Information Technology (ONC) within the US Department of Health and Human Services. The President charged ONC with the critical responsibility of ensuring that every American had access to his or her electronic health information and establishing connectivity of health information technology.

View Article and Find Full Text PDF