March 1, 2024 Issue of JAMA Internal Medicine

March 2024, Vol 184, No. 3, Pages 232-336

Viewpoint

Health and the 2024 US Election

Health Insurance Coverage鈥擨s Broader Always Better?

David A. Hyman, MD, JD; Sunjay Letchuman, BBA; Ge Bai, PhD, CPA

Abstract Full Text

JAMA Intern Med. 2024;184(3):233-234. doi:10.1001/jamainternmed.2023.7112

This Viewpoint discusses the traditional goals of health insurance and contrasts those with the current needs of insurance beneficiaries.

Health and the 2024 US Election

Why Cost Sharing on Its Own Will Not Fix Health Care Costs

Anna D. Sinaiko, PhD; Benjamin D. Sommers, MD, PhD

Abstract Full Text

JAMA Intern Med. 2024;184(3):234-235. doi:10.1001/jamainternmed.2023.7115

This Viewpoint describes issues with cost sharing for health care costs and suggests improvements to current cost sharing systems.

Care Fragmentation, Care Continuity, and Care Coordination鈥擧ow They Differ and Why It Matters

Lisa M. Kern, MD, MPH; Julie P. W. Bynum, MD, MPH; Harold Alan Pincus, MD

Abstract Full Text

JAMA Intern Med. 2024;184(3):236-237. doi:10.1001/jamainternmed.2023.7628

This Viewpoint considers why fragmentation occurs and suggests a potential path forward for developing evidenced-based strategies that can reduce the occurrence of fragmentation and its associated harms.

Health Care Reform

Transforming Value-Based Dementia Care鈥擨mplications for the GUIDE Model

Tarun Ramesh, BS; Kushal Kadakia, MSc; Lidia Moura, MD, MPH, PhD

Abstract Full Text

JAMA Intern Med. 2024;184(3):237-239. doi:10.1001/jamainternmed.2023.7669

This Viewpoint reviews the Guiding an Improved Dementia Experience (GUIDE) Model to assess its suitability in providing equitable and cost-effective dementia care and to compare it with previously introduced specialty care payment models to identify opportunities for refining payment innovation in dementia care.

Original Investigation

First Trimester Use of Buprenorphine or Methadone and the Risk of Congenital Malformations

Elizabeth A. Suarez, PhD, MPH; Brian T. Bateman, MD, MS; Loreen Straub, MD, MS; et al.

Abstract Full Text

JAMA Intern Med. 2024;184(3):242-251. doi:10.1001/jamainternmed.2023.6986

This cohort study compares the risk of congenital malformations among infants following in utero exposure to buprenorphine vs methadone.

Editor's Note
The Importance of Treating Opioid Use Disorder in Pregnancy
Deborah Grady, MD, MPH

JAMA Intern Med

British Columbia鈥檚 Safer Opioid Supply Policy and Opioid Outcomes

Hai V. Nguyen, PhD; Shweta Mital, PhD; Shawn Bugden, PharmD; et al.

Abstract Full Text

open access

JAMA Intern Med. 2024;184(3):256-264. doi:10.1001/jamainternmed.2023.7570

This cohort study examines whether there were changes in opioid prescribing and opioid-related health outcomes after implementation of British Columbia鈥檚 Safer Opioid Supply policy.

Sodium-Glucose Cotransporter 2 Inhibitors and Nephrolithiasis Risk in Patients With Type 2 Diabetes

Julie M. Paik, MD, ScD, MPH; Helen Tesfaye, PharmD, MSc; Gary C. Curhan, MD, ScD; et al.

Abstract Full Text

JAMA Intern Med. 2024;184(3):265-274. doi:10.1001/jamainternmed.2023.7660

This cohort study investigates the association between sodium-glucose cotransporter 2 inhibitor (SGLT2i) use among patients with type 2 diabetes and nephrolithiasis risk in clinical practice.

Early Tecovirimat Treatment for Mpox Disease Among People With HIV

Bruce Aldred, MD; Robert H. Lyles, PhD; Jane Y. Scott, MD; et al.

Abstract Full Text

JAMA Intern Med. 2024;184(3):275-279. doi:10.1001/jamainternmed.2023.7696

This cohort study examines whether staring tecovirimat within 7 days of mpox symptom onset is associated with a lower rate of mpox disease progression among people with HIV.

Less Is More

Using Behavioral Economics to Reduce Low-Value Care Among Older Adults: A Cluster Randomized Clinical Trial

Jeffrey T. Kullgren, MD, MS, MPH; H. Myra Kim, ScD; Megan Slowey, MPH; et al.

Abstract Full Text

JAMA Intern Med. 2024;184(3):281-290. doi:10.1001/jamainternmed.2023.7703

This cluster randomized clinical trial tests whether the Committing to Choose Wisely behavioral economic intervention could engage primary care clinicians and older patients to reduce low-value care.

RETRACTED: Efficacy of Electronic Cigarettes vs Varenicline and Nicotine Chewing Gum as an Aid to Stop Smoking: A Randomized Clinical Trial

Hao-Xiang Lin, DrPH; Zhao Liu, MD, PhD; Peter Hajek, PhD; et al.

Abstract Full Text

open access

JAMA Intern Med. 2024;184(3):291-299. doi:10.1001/jamainternmed.2023.7846

This randomized clinical trial examines whether electronic cigarettes are superior to nicotine replacement therapy and noninferior to varenicline in helping smokers quit.

Food Insecurity and Premature Mortality and Life Expectancy in the US

Hao Ma, MD, PhD; Xuan Wang, MD, PhD; Xiang Li, MD, PhD; et al.

Abstract Full Text

JAMA Intern Med. 2024;184(3):301-310. doi:10.1001/jamainternmed.2023.7968

This cohort study investigates food security and all-cause premature mortality and life expectancy across racial and ethnic and sex groups in US adults.

Editor's Note
Populationwide Longevity and Food Insecurity
Melinda X. Wang, MD, MHS; Raegan W. Durant, MD, MPH

JAMA Intern Med

Health and the 2024 US Election

Wealth Redistribution to Extend Longevity in the US

Kathryn E. W. Himmelstein, MD, MSEd; Alexander C. Tsai, MD; Atheendar S. Venkataramani, MD, PhD

Abstract Full Text

JAMA Intern Med. 2024;184(3):311-320. doi:10.1001/jamainternmed.2023.7975

This cohort study examines the association between wealth and longevity and estimates changes in longevity that would occur under several simulated wealth distributions among US adults.

Editorial
Public Policy to Spread Wealth and Health
Raegan. W. Durant, MD, MPH

JAMA Intern Med
Editor's Note
Populationwide Longevity and Food Insecurity
Melinda X. Wang, MD, MHS; Raegan W. Durant, MD, MPH

JAMA Intern Med

Editorial

Public Policy to Spread Wealth and Health

Raegan. W. Durant, MD, MPH

Abstract Full Text

JAMA Intern Med. 2024;184(3):240. doi:10.1001/jamainternmed.2023.8140

Introducing the Expanded JAMA Internal Medicine Editorial Fellowship

Michael A. Incze, MD, MSEd; Kenneth E. Covinsky, MD, MPH; Sharon K. Inouye, MD, MPH

Abstract Full Text

free access

JAMA Intern Med. 2024;184(3):241. doi:10.1001/jamainternmed.2024.0186

Invited Commentary

Prenatal Opioid Use Disorder Treatment鈥攖he Importance of Shared Decision-Making

Max Jordan Nguemeni Tiako, MD, MS; Kelly R. Knight, PhD; Davida M. Schiff, MD, MSc

Abstract Full Text

JAMA Intern Med. 2024;184(3):252-253. doi:10.1001/jamainternmed.2023.6976

Editor's Note
The Importance of Treating Opioid Use Disorder in Pregnancy
Deborah Grady, MD, MPH

JAMA Intern Med

Medication for the Treatment of Opioid Use Disorder in Pregnancy Is Essential

Cara Poland, MD, MEd; Jonathan J. K. Stoltman, PhD; Julia W. Felton, PhD

Abstract Full Text

JAMA Intern Med. 2024;184(3):254-255. doi:10.1001/jamainternmed.2023.6977

Editor's Note
The Importance of Treating Opioid Use Disorder in Pregnancy
Deborah Grady, MD, MPH

JAMA Intern Med

Tecovirimat for Mpox鈥擯romise and Limitations

Jason Zucker, MD, MS; William A. Fischer II, MD; Timothy Wilkin, MD, MPH

Abstract Full Text

JAMA Intern Med. 2024;184(3):279-280. doi:10.1001/jamainternmed.2023.7693

Electronic Cigarettes for Smoking Cessation鈥擜 Clinician鈥檚 Dilemma

Dorothy K. Hatsukami, PhD; Judith J. Prochaska, PhD, MPH

Abstract Full Text

JAMA Intern Med. 2024;184(3):299-300. doi:10.1001/jamainternmed.2023.7855

Editor's Note

The Importance of Treating Opioid Use Disorder in Pregnancy

Deborah Grady, MD, MPH

Abstract Full Text

JAMA Intern Med. 2024;184(3):255. doi:10.1001/jamainternmed.2023.7272

Populationwide Longevity and Food Insecurity

Melinda X. Wang, MD, MHS; Raegan W. Durant, MD, MPH

Abstract Full Text

JAMA Intern Med. 2024;184(3):321. doi:10.1001/jamainternmed.2023.7958

Access to Safe Abortion for Survivors of Rape

Deborah Grady, MD, MPH; Sharon K. Inouye, MD, MPH; Mitchell H. Katz, MD

Abstract Full Text

JAMA Intern Med. 2024;184(3):332. doi:10.1001/jamainternmed.2024.0019

Research Letter

Health Care Reform

Availability and Coverage of New Drugs in 6 High-Income Countries With Health Technology Assessment Bodies

Olivier J. Wouters, PhD; Huseyin Naci, PhD; Irene Papanicolas, PhD

Abstract Full Text

JAMA Intern Med. 2024;184(3):328-330. doi:10.1001/jamainternmed.2023.7726

This cohort study analyzes review times and approval outcomes of health technology assessments conducted in 6 high-income countries for novel therapeutic agents approved by the US Food and Drug Administration.

Health and the 2024 US Election

Rape-Related Pregnancies in the 14 US States With Total Abortion Bans

Samuel L. Dickman, MD; Kari White, PhD; David U. Himmelstein, MD; et al.

Abstract Full Text

JAMA Intern Med. 2024;184(3):330-332. doi:10.1001/jamainternmed.2024.0014

This cross-sectional study estimates the incidence of rape-related pregnancies in US states with abortion bans.

Editor's Note
Access to Safe Abortion for Survivors of Rape
Deborah Grady, MD, MPH; Sharon K. Inouye, MD, MPH; Mitchell H. Katz, MD

JAMA Intern Med

Clinical Insights

Less Is More

鈥�4 E鈥檚鈥� Ways That Clinicians Can Reduce Low-Value Care on Medical Wards

William K. Silverstein, MD, MSc; Jerome A. Leis, MD, MSc; Christopher Moriates, MD

Abstract Full Text

JAMA Intern Med. 2024;184(3):322-323. doi:10.1001/jamainternmed.2023.7632

This 糖心vlog Insight demonstrates examples of how clinicians can implement stepwise changes to reduce unnecessary patient harms, using the 4 E鈥檚.

Challenges in Clinical Electrocardiography

Unraveling Wavy ST Segments鈥擜n Unusual Case of Syncope

Kimberly L. Yan, MD; Robert T. Short, MD; Nora F. Goldschlager, MD

Abstract Full Text

has active quiz

JAMA Intern Med. 2024;184(3):324-325. doi:10.1001/jamainternmed.2023.7144

This case report describes a patient in their 60s with gastroesophageal reflex disease who presented to the emergency department after loss of consciousness during dinner and daily intermittent chest discomfort.

Less Is More

Possible Digoxin-Related Toxic Effects in a Patient

Chan-Hee Lee, MD, PhD; Melvin M. Scheinman, MD

Abstract Full Text

has active quiz

JAMA Intern Med. 2024;184(3):326-327. doi:10.1001/jamainternmed.2023.7244

This case report describes a patient in their 70s with hypertension and heart failure presenting to the emergency department with chest discomfort, nausea, anorexia, and weakness.

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