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1.
Med Teach ; 46(4): 443-445, 2024 04.
Artículo en Inglés | MEDLINE | ID: mdl-38207001

RESUMEN

This inaugural Lincoln Chen Lecture comments on five themes raised in the International Conference on the Future of Health Professional Education (University of Miami, November 2022), identifies challenges for the future of health professional education, and highlights the contributions and legacy of Lincoln Chen.


Asunto(s)
Personal de Salud , Humanos , Personal de Salud/educación , Salud Global
2.
Lancet ; 400(10362): 1539-1556, 2022 10 29.
Artículo en Inglés | MEDLINE | ID: mdl-36522209

RESUMEN

The education of health professionals substantially changed before, during, and after the COVID-19 pandemic. A 2010 Lancet Commission examined the 100-year history of health-professional education, beginning with the 1910 Flexner report. Since the publication of the Lancet Commission, several transformative developments have happened, including in competency-based education, interprofessional education, and the large-scale application of information technology to education. Although the COVID-19 pandemic did not initiate these developments, it increased their implementation, and they are likely to have a long-term effect on health-professional education. They converge with other societal changes, such as globalisation of health care and increasing concerns of health disparities across the world, that were exacerbated by the pandemic. In this Health Policy, we list institutional and instructional reforms to assess what has happened to health-professional education since the publication of the Lancet Commission and how the COVID-19 pandemic altered the education process.


Asunto(s)
COVID-19 , Humanos , Pandemias/prevención & control , Personal de Salud/educación , Atención a la Salud
3.
N Engl J Med ; 2024 Jul 31.
Artículo en Inglés | MEDLINE | ID: mdl-39083764
4.
Ann Surg ; 274(1): 37-39, 2021 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-33914462

RESUMEN

COVID-19 has strained hospital capacity, detracted from patient care, and reduced hospital income. This article lays out a tested strategy that surgical and hospital leaders can use to overcome clinical and financial strain, emphasizing the experience at 2 leading North American medical centers. By classifying the time and resource needs of surgical patients and smoothing the flow of surgical admissions over all days of the week, hospitals can dramatically improve hospital efficiency, the quality of care and timely access to care for emergent and urgent surgeries. Through and beyond the time of COVID, smoothing the flow of surgical patients is a key means to restore hospital vitality and improve the care of all patients.


Asunto(s)
COVID-19/prevención & control , Administración Hospitalaria , Control de Infecciones/organización & administración , Procedimientos Quirúrgicos Operativos , COVID-19/epidemiología , COVID-19/transmisión , Capacidad de Camas en Hospitales , Hospitalización , Humanos
11.
JAMA ; 327(9): 880, 2022 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-35230395
13.
JAMA ; 324(15): 1502-1503, 2020 10 20.
Artículo en Inglés | MEDLINE | ID: mdl-33044498
15.
NEJM Evid ; 3(2): EVIDra2300232, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38320492

RESUMEN

Assessing Diagnostic PerformanceDiagnosis is an action and a goal in medicine. This article is the introduction to a series of review articles on varying facets of diagnosis. Clinical diagnosis is an exercise in classification; that is, placing the patient's condition in the correct diagnostic category. However, consideration must also be given to the performance objective, whether it is technical performance of a test, acquiring diagnostic information with respect to clinical management for an individual or a population's health outcomes, or cost-effectiveness and equity of care.


Asunto(s)
Análisis de Costo-Efectividad , Medicina , Humanos , Análisis Costo-Beneficio , Ejercicio Físico
16.
JAMA ; 310(1): 85-90, 2013 Jul 03.
Artículo en Inglés | MEDLINE | ID: mdl-23821092

RESUMEN

Prevention of disease is often difficult to put into practice. Among the obstacles: the success of prevention is invisible, lacks drama, often requires persistent behavior change, and may be long delayed; statistical lives have little emotional effect, and benefits often do not accrue to the payer; avoidable harm is accepted as normal, preventive advice may be inconsistent, and bias against errors of commission may deter action; prevention is expected to produce a net financial return, whereas treatment is expected only to be worth its cost; and commercial interests as well as personal, religious, or cultural beliefs may conflict with disease prevention. Six strategies can help overcome these obstacles: (1) Pay for preventive services. (2) Make prevention financially rewarding for individuals and families. (3) Involve employers to promote health in the workplace and provide incentives to employees to maintain healthy practices. (4) Reengineer products and systems to make prevention simpler, lower in cost, and less dependent on individual action. (5) Use policy to reinforce choices that favor prevention. (6) Use multiple media channels to educate, elicit health-promoting behavior, and strengthen healthy habits. Prevention of disease will succeed over time insofar as it can be embedded in a culture of health.


Asunto(s)
Planes para Motivación del Personal , Promoción de la Salud , Medicina Preventiva/economía , Prevención Primaria , Conflicto de Intereses , Análisis Costo-Beneficio , Atención a la Salud , Conductas Relacionadas con la Salud , Política de Salud , Humanos , Educación del Paciente como Asunto , Medicina Preventiva/métodos , Prevención Primaria/economía , Prevención Primaria/métodos , Factores de Tiempo
17.
Front Public Health ; 11: 1256829, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-38259765

RESUMEN

Background: Although transparency is crucial for building public trust, public health communication during the COVID-19 pandemic was often nontransparent. Methods: In a cross-sectional online study with COVID-19 vaccine-hesitant German residents (N = 763), we explored the impact of COVID-19 public health communication on the attitudes of vaccine-hesitant individuals toward vaccines as well as their perceptions of incomprehensible and incomplete information. We also investigated whether specific formats of public health messaging were perceived as more trustworthy. Results: Of the 763 participants, 90 (11.8%) said they had become more open-minded toward vaccines in general, 408 (53.5%) reported no change, and 265 (34.7%) said they had become more skeptical as a result of public health communication on COVID-19 vaccines. These subgroups differed in how incomprehensible they found public health communication and whether they thought information had been missing. Participants' ranking of trustworthy public health messaging did not provide clear-cut results: the fully transparent message, which reported the benefit and harms in terms of absolute risk, and the nontransparent message, which reported only the benefit in terms of relative risk were both considered equally trustworthy (p = 0.848). Discussion: Increased skepticism about vaccines during the COVID-19 pandemic may have partly been fueled by subpar public health communication. Given the importance of public trust for coping with future health crises, public health communicators should ensure that their messaging is clear and transparent.


Asunto(s)
COVID-19 , Comunicación en Salud , Vacunas , Humanos , Vacunas contra la COVID-19 , COVID-19/prevención & control , Estudios Transversales , Pandemias , Percepción
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