ABSTRACT
Although the field of neurology was dominated by men at the time the American Academy of Neurology (AAN) was founded in 1948, women were involved from the inception of the organization, albeit in limited numbers. This historical review highlights the challenging experiences of some of those trailblazers who participated in the AAN during the early days and made a mark for themselves in neurology. They helped pave the way for an increasing number of women who now serve in leadership roles-including back-to-back-to-back presidents-and make up 42% of the Academy's membership today.
Subject(s)
Academies and Institutes , Neurology , Male , Female , Humans , LeadershipABSTRACT
Evolution of the US health care system has been punctuated by periods of rapid change. In the coming decades there will be meaningful and potentially disruptive developments in health care delivery mechanisms, the policy environment, and the populations for whom we provide care. Neurologists will need to adapt to changing patient expectations, market dynamics, and regulatory structures to thrive in the future health care environment. This article describes a forecast of potential changes in the US health care system by 2035, an assessment of the implications for the field of neurology, and a rationale for long-term strategic planning to prepare.
Subject(s)
Delivery of Health Care , Neurology , Forecasting , HumansSubject(s)
Chronic Disease/economics , Chronic Disease/epidemiology , Insurance Benefits/economics , Nervous System Diseases/economics , Nervous System Diseases/epidemiology , Patient Protection and Affordable Care Act/economics , Chronic Disease/therapy , Humans , Insurance Benefits/trends , Nervous System Diseases/therapy , Patient Protection and Affordable Care Act/trends , United States/epidemiologySubject(s)
Immunization Programs , Mouth Neoplasms/prevention & control , Papillomavirus Infections/prevention & control , Papillomavirus Vaccines/administration & dosage , Uterine Cervical Neoplasms/prevention & control , Adolescent , Adult , Child , Female , Humans , Male , Middle Aged , Mouth Neoplasms/immunology , Papillomavirus Infections/immunology , United States , Uterine Cervical Neoplasms/immunology , Young AdultSubject(s)
Commerce/methods , Conflict of Interest , Physician's Role , Physicians' Offices , Dietary Supplements , Humans , United StatesABSTRACT
The tipping point for electronic health records (EHR) has been reached and universal adoption in the United States is now inevitable. Neurologists will want to choose their electronic health record prudently. Careful selection, contracting, planning, and training are essential to successful implementation. Neurologists need to examine their workflow carefully and make adjustments to ensure that efficiency is increased. Neurologists will want to achieve a significant return on investment and qualify for all applicable financial incentives from payers, including CMS. EHRs are not just record-keeping tools but play an important role in quality improvement, evidence-based medicine, pay for performance, patient education, bio-surveillance, data warehousing, and data exchange.
