- N Engl J Med 2022; 387:767-770
The cyberthreat to health care has never been greater. Fortunately, clinicians can protect themselves and their patients from the worst of these attacks, in part by means of precautions and preparation.
- N Engl J Med 2022; 387:775-777
For patients with rare diseases, connecting virtually with specialists across state lines can be the only option for excellent care. So why are state-licensing restrictions being enforced more aggressively than ever?
Understanding Covid Vaccine Efficacy over Time — Bridging a Gap Between Public Health and Health CareN Engl J Med 2022; 387:483-485
It’s now feasible to track, for each patient seen at a health care facility, which Covid-19 vaccine they received when and what their clinical evaluation revealed.
- N Engl J Med 2022; 386:1677-1679
The Cures 2.0 Act represents an opportunity to advance policies that encourage the use of digital tools, incorporate more efficient and patient-centered research designs, and clarify expectations for evidence generation throughout the life cycle of medical products.
Digital Inclusion as Health Care — Supporting Health Care Equity with Digital-Infrastructure InitiativesN Engl J Med 2022; 386:1101-1103
Digital inclusion is becoming intertwined with health care equity. The Infrastructure Investment and Jobs Act addresses drivers of digital health disparities, offers opportunities for community-based digital inclusion, and could be a lever for improving access to care.
- N Engl J Med 2022; 386:411-413
When a physician finds herself in pain and in need of health care, she discovers both the frustrations of telehealth and some moments of humanity and grace with physicians and patients alike. How do we reconcile these healing moments with our broken system of care?
- N Engl J Med 2021; 385:2401-2403
Amazon has been rolling out Amazon Care, a service combining telemedicine with some in-home care provided by nurses. What will the retail behemoth’s new venture mean for patients, primary care physicians, and the already fragmented U.S. health care system?
- N Engl J Med 2021; 385:1526-1530
Building integrated translational pipelines that use data rapidly and effectively to address health effects of natural disasters will require substantial investment, which must rely on evidence of which approaches improve outcomes. But promising solutions are available.
- N Engl J Med 2021; 385:868-870
The rapid pace of delivery-system change during the pandemic revealed the limitations of new delivery modes and raises questions about whether our current health care system, and its financing, can support these changes and ensure that they improve quality and equity.
- N Engl J Med 2021; 385:871-873
After a substantial investment in information technology, providing digital health care is technically feasible. But patients and physicians can’t reap the benefits because payers don’t know how to pay for new digital health options.
- N Engl J Med 2021; 385:581-583
Just as people with visual impairment may have heightened use of their other senses, for one physician in a safety-net system, a year of telephone care during the Covid-19 pandemic cultivated a capacity to connect with patients solely through sound.
- N Engl J Med 2021; 385:389-391
Funding designated for increasing understanding of SARS-CoV-2 variants could be used in ways that would help guide the current pandemic response and yield public health benefits for years to come.
- N Engl J Med 2021; 385:283-286
This letter outlines how to identify, and potentially mitigate, common sources of “dataset shift” in machine-learning systems. This occurs when the model “training data” differ from the data used by the model to provide diagnostic, prognostic, or treatment advice.
- N Engl J Med 2021; 384:2169-2171
HIPAA is best viewed as a framework of evolving regulation that’s revised periodically in response to demands of biomedical innovation and public health in the digital age. That capacity for adaptive modification is among the greatest strengths of HIPAA and its rules.
- N Engl J Med 2021; 384:2171-2173
Although patients (and their physicians) still have difficulty obtaining complete medical record information in a timely fashion, HIPAA policies permit massive troves of digital health data to traverse the medical–industrial complex unmonitored and unregulated.
- N Engl J Med 2021; 384:e61
Policymakers could incorporate open-science principles into research policies and programs to optimize the return on federal investment in clinical research on Covid-19, which could have benefits beyond the pandemic.
- N Engl J Med 2021; 384:1586-1587
As difficult as 2020 was, it also brought some exhilarating moments when care was redesigned on the fly and delivered in better ways. How can we preserve the benefits of these bursts of innovation once the Covid-19 pandemic eases? One example is the Zoom family meeting.
- N Engl J Med 2021; 384:687-690
The growth of telemedicine is seen by some physicians, academics, and policymakers as a silver lining of the Covid-19 pandemic. Congress is considering bills that would facilitate the use of telemedicine, and licensure reform could be an important step.
- N Engl J Med 2021; 384:299-301
As we continually try to optimize the systems in which we work, we should think ambitiously about clinical environments that optimize attention. A shift to attentive work could improve quality, efficiency, and patient and provider satisfaction and reduce costs of care.