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From Laggard To Leader: Why Health Care In The United States Is Failing, And How To Fix It.
Health Aff (Millwood)
January 2025
Len M. Nichols, Urban Institute, Washington, D.C.
Health care in the United States is among the most technologically advanced in the world, but it is largely failing to meet the needs of the nation. The US can claim international excellence in important areas of care, such as cancer treatment, and it leads the world in biomedical innovation and building a well-prepared and dedicated clinical workforce. The Affordable Care Act was a major step forward in expanding access to health care in the US.
View Article and Find Full Text PDFIncreasing access to pain care services to improve rural pain management: a realist review investigating factors affecting uptake, implementation, and sustainability.
Pain
January 2025
Innovation, Implementation and Clinical Translation (IIMPACT) in Health, University of South Australia Adelaide, SA, Australia.
Guideline-based care for chronic pain is challenging to deliver in rural settings. Evaluations of programs that increase access to pain care services in rural areas report variable outcomes. We conducted a realist review to gain a deep understanding of how and why such programs may, or may not, work.
View Article and Find Full Text PDFExertional Compartment Syndrome Strategies for Evaluation and Management.
Clin J Sport Med
January 2025
Memorial Care Long Beach Medical Center, Long Beach, California.
Objective: The exertional compartment syndrome (ECS) is often a delayed diagnosis. Compartment pressure measurements (CPM) confirm the diagnosis. Herein we present our algorithm for the evaluation and management (E&M) of ECS.
View Article and Find Full Text PDFChallenges of Contemporary Practice: Internists Maintaining Competency in Multiple Specialties.
J Contin Educ Health Prof
January 2025
Dr. Jason J. Weiner: Assistant Professor, Department of Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, MD; Chair, Department of Medicine, Naval Medical Center San Diego, San Diego, CA.
Introduction: Despite increasing physician specialization, high-quality continuing professional development is needed for continual mastery learning, especially focused on multiple specialties. Board certification is considered a surrogate for competency, and some stakeholders consider it suboptimally aligned with its primary purpose. We set to explore the motivation for continued education and competence in physicians who are board certified in multiple specialties.
View Article and Find Full Text PDFExtensive Inactive Neurocysticercosis: A Case Report in Mbeya, Southern Highlands of Tanzania.
Int Med Case Rep J
January 2025
Kilimanjaro Christian Medical University College of Tumaini University, Moshi, Tanzania.
Background: Neurocysticercosis (NCC) and Acquired Human Immunodeficiency Syndrome (AIDS) are both highly prevalent in Africa. Clinical presentation of NCC ranges from asymptomatic to manifestations, including epileptic seizures, severe progressive headache, and focal neurological deficits. It is influenced by the number, size, location, and stage of the cysts, as well as the parasite's potential to cause inflammation and the immunological response of the host.
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