- N Engl J Med 2022; 387:672-675
For the one in nine hospitalized U.S. adults who have SUD, hospital-based addiction care has critical health benefits. But most hospitals don’t offer such care.
- N Engl J Med 2022; 387:577-579
Health worker burnout, exacerbated by Covid-19, is not only about long hours. It’s about the fundamental disconnect between health workers and the mission to serve that motivates them.
- N Engl J Med 2022; 387:390-393
After Dobbs, Americans may find themselves in a society where many aspects of basic health care are threatened and the law tries to turn clinicians into adversaries of their patients.
- N Engl J Med 2022; 387:388-390
Health systems and clinicians planning for a post-Roe America can look to Texas, which has already witnessed the impact of strict abortion bans on the provision of evidence-based, essential health care.
- N Engl J Med 2022; 387:105-107
Since no interventions for reducing implicit biases have been shown to have enduring effects, health care organizations should focus instead on eliminating discriminatory behavior and other harms caused by implicit bias.
- N Engl J Med 2022; 386:2452-2453
By strategically directing necessary production-line work in medical practices away from the professionals with the most clinical expertise, we can preserve physicians’ skills for the nuanced work of problem solving, medical decision making, and relationship building.
- N Engl J Med 2022; 386:e70
In a post-Roe America, Black women will be disproportionately affected by the lack of abortion access and overrepresented in pregnancy-related deaths. A Black physician aims to ensure that her patients can choose for themselves.
- N Engl J Med 2022; 386:2429-2432
The patient-safety movement has turned clinical medicine into a team sport, but administrators have been left off the team. The effects on patients of administrative decisions and changes therefore remain obscure, unexamined, and unimprovable.
Navigating Loss of Abortion Services — A Large Academic Medical Center Prepares for the Overturn of Roe v. WadeN Engl J Med 2022; 386:2061-2064
With the overturn of Roe v. Wade appearing imminent, U.S. medical centers must prepare carefully to manage the systemwide impact of abortion’s criminalization.
- N Engl J Med 2022; 386:e54
Although the Covid pandemic drew renewed attention to problems in U.S. nursing homes, the underlying issues with long-term care are long-standing. Susan Mitchell moderates a Perspective Roundtable about shortcomings and possible solutions.
- N Engl J Med 2022; 386:1869-1871
More than 30 years after the Nursing Home Reform Act, the United States still fails to protect nursing home residents and provide them with high-quality care. The Covid-19 pandemic’s devastating effect on nursing homes reminds us that further reforms are sorely needed.
- N Engl J Med 2022; 386:1857-1859
Pulse oximetry is frequently used to monitor the respiratory status of outpatients with Covid-19. This randomized trial found that adding pulse oximetry to an established symptom-based remote-monitoring program did not prolong nonhospitalized survival.
- N Engl J Med 2022; 386:1850-1854
Drawing on peer review and professionalism, some quality-improvement efforts tap into physicians’ intrinsic motivations for giving their patients the best possible care. How can we scale up such promising approaches and create and sustain a spirit of inquiry?
- N Engl J Med 2022; 386:1759-1763
Proliferating measures of health care quality may distract clinicians from what matters to individual patients and from larger public health problems. Has the quality-improvement movement gone astray by ignoring the complexity of both high-quality care and physicians’ motivations?
- N Engl J Med 2022; 386:1663-1667
Decades into the quality improvement movement in U.S. health care, the fix for the system has become a massive, cumbersome, time-consuming, demoralizing system in its own right — and we don’t even know whether it is improving care.
- N Engl J Med 2022; 386:1470-1474
When Paul Farmer died in February, it became clear to the world that he had saved millions of lives. He did so by valuing every life equally and refusing to accept constraints. Many of us enter medicine hoping to change the world; Farmer actually did it.
- N Engl J Med 2022; 386:1394-1395
As cautious, fully vaccinated, but immunocompromised people die of Covid, a physician finds herself resenting the patients filling up the hospital after declining vaccination. Then an encounter with one very ill and frightened patient changes her perspective.
- N Engl J Med 2022; 386:1293-1295
The Choosing Wisely initiative was a public relations win for the medical profession in 2012: doctors were stepping up to address low value and high costs in medicine. Today, it’s clear that making lists and publicizing them are not sufficient to reduce low-value care.
- N Engl J Med 2022; 386:907-909
In this Graphic Perspective, a medical student gets a taste of the life of an old-fashioned country doctor — the simplicity, the deep human connections … and the threat of extinction, as corporate medicine makes inroads into rural areas.