Will the Patient-Centered Medical Home Transform the Delivery of Health Care?

Explores various definitions of the medical home model, its components, rationale, effect on primary care, issues for implementation such as costs and payment methods, evidence of effectiveness, and healthcare reform provisions promoting it

Achieving the Potential of Health Care Performance Measures: Timely Analysis of Immediate Health Policy issues

The United States is on the cusp of a new era, with greater demand for performance information, greater data availability, and a greater willingness to integrate performance information into public policy. This era has immense promise to deliver a learning health care system that encourages collaborative improvements in systems-based care, improves accountability, helps consumers make important choices, and improves quality at an acceptable cost. However, to curtail the possibility of unintended adverse consequences, it is important that we invest in developing sound measures, understand quality measures' strengths and limitations, study the science of quality measurement, and reduce inaccurate inferences about provider performance

What You Don\u27t Know About Motivational Laptop Stickers

Mental health problems are on the rise among young adults in the U.S. (Kingkade, 2016). At the same time, today’s U.S. young adults are significantly more invested than their older counterparts in portraying themselves as “positive” (self-confident, easy-going, and happy; Berenson et al., 2018). Although many have begun to speculate that these two trends may be linked (e.g., Fagan, 2017), little empirical research on this issue exists

How We Can Pay for Health Care Reform

Describes savings and revenue sources and policies to reduce healthcare spending that could finance comprehensive reform with a public option, such as reducing physician and hospital payments, investing in prevention programs, and capping tax exclusions

The Case of Ty Jackson: An Interactive Module on LGBT Health Employing Introspective Techniques and Video-Based Case Discussion

Introduction: The Institute of Medicine's 2011 report on lesbian, gay, bisexual, and transgender (LGBT) health and the legalization of same-sex marriage are just two of the numerous milestones that have hastened medical schools' efforts to prepare trainees to address the needs of LGBT community members. Early awareness of sexual diversity through self- and peer introspection and video-based education can help trainees build a foundation towards providing affirming care to LGBT patients. Methods: The Kern model was used to develop, implement, and evaluate an interactive multimodal workshop to provide first-year medical students with a formative introduction to LGBT health. Learning objectives focused on comprehending the spectrum of human sexuality, health issues for LGBT patients, and better practices for promoting affirming care. The module consisted of a PowerPoint presentation, sexuality survey, videos of provider-patient encounters, and community-based resources. Results: The workshop was implemented among 178 first-year medical students in September 2018, with 93% completing the pre-/postworkshop evaluations. Comparison of evaluations showed an increase in confidence in addressing each of the three learning objectives. Over 85% rated the PowerPoint and videos as very good or excellent. Discussion: This workshop was effective in helping first-year medical students appreciate the spectrum of sexual diversity, health issues facing LGBT individuals, and better practices to promote affirming care. The real-time sexuality survey helped trainees appreciate sexual diversity through self-reflection and near-peer sharing. The videos and accompanying discussion provided real-life encounters, along with common pitfalls in and pearls for communicating with LGBT patients

#Bopo: The Effect of Body Positive Social Media Content on Women’s Mood and Self-compassion

Body positivity is a trending movement that promotes appreciation of one’s body, including acceptance of one’s appearance and perceived flaws. In two experiments, we compared the effects of body-positive social media content relative to idealized body content and neutral control content on young women’s psychological states. In study 1, participants were randomly assigned to view Instagram posts involving fitspiration photos, body positive photos, body positive quotes, or travel landscape photos. In study 2, participants were randomly assigned to view Instagram posts involving selfies of the same individuals’ faces with or without makeup. As predicted, viewing body positive content (body positive photos, quotes, and no-makeup selfies) resulted in better mood and self-perceptions than viewing idealized body content (fitspiration photos and selfies with makeup), especially among participants with higher disordered eating symptoms and/or low trait self-compassion, and these effects were mediated by a reduction in self-criticism. Expanding on previous research demonstrating the detrimental effects of exposure to fitspiration and other idealized images on social media, these results also provide empirical support for the benefits of exposure to content promoting body acceptance