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1.
Ann Intern Med ; 169(10): 704-707, 2018 11 20.
Artigo em Inglês | MEDLINE | ID: mdl-30383132

RESUMO

For more than 20 years, the American College of Physicians (ACP) has advocated for the need to address firearm-related injuries and deaths in the United States. Yet, firearm violence continues to be a public health crisis that requires the nation's immediate attention. The policy recommendations in this paper build on, strengthen, and expand current ACP policies approved by the Board of Regents in April 2014, based on analysis of approaches that the evidence suggests will be effective in reducing deaths and injuries from firearm-related violence.


Assuntos
Política de Saúde , Violência/prevenção & controle , Ferimentos por Arma de Fogo/prevenção & controle , Armas de Fogo/legislação & jurisprudência , Homicídio/prevenção & controle , Humanos , Papel do Médico , Estados Unidos/epidemiologia , Ferimentos por Arma de Fogo/epidemiologia , Ferimentos por Arma de Fogo/mortalidade , Prevenção do Suicídio
2.
Ann Intern Med ; 168(10): 721-723, 2018 05 15.
Artigo em Inglês | MEDLINE | ID: mdl-29710100

RESUMO

Women comprise more than one third of the active physician workforce, an estimated 46% of all physicians-in-training, and more than half of all medical students in the United States. Although progress has been made toward gender diversity in the physician workforce, disparities in compensation exist and inequities have contributed to a disproportionately low number of female physicians achieving academic advancement and serving in leadership positions. Women in medicine face other challenges, including a lack of mentors, discrimination, gender bias, cultural environment of the workplace, imposter syndrome, and the need for better work-life integration. In this position paper, the American College of Physicians summarizes the unique challenges female physicians face over the course of their careers and provides recommendations to improve gender equity and ensure that the full potential of female physicians is realized.


Assuntos
Mobilidade Ocupacional , Médicas/economia , Salários e Benefícios , Sexismo , Sucesso Acadêmico , Feminino , Humanos , Liderança , Masculino , Mentores , Cultura Organizacional , Médicas/estatística & dados numéricos , Estudantes de Medicina/estatística & dados numéricos , Estados Unidos , Equilíbrio Trabalho-Vida
3.
Ann Intern Med ; 168(12): 874-875, 2018 06 19.
Artigo em Inglês | MEDLINE | ID: mdl-29809243

RESUMO

In this position paper, the American College of Physicians (ACP) examines the challenges women face in the U.S. health care system across their lifespans, including access to care; sex- and gender-specific health issues; variation in health outcomes compared with men; underrepresentation in research studies; and public policies that affect women, their families, and society. ACP puts forward several recommendations focused on policies that will improve the health outcomes of women and ensure a health care system that supports the needs of women and their families over the course of their lifespans.


Assuntos
Política de Saúde , Saúde da Mulher , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Anticoncepção , Violência Doméstica , Licença para Cuidar de Pessoa da Família , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Pessoa de Meia-Idade , Política Organizacional , Serviços de Saúde Reprodutiva , Delitos Sexuais , Sociedades Médicas , Estados Unidos
4.
Ann Intern Med ; 168(8): 577-578, 2018 04 17.
Artigo em Inglês | MEDLINE | ID: mdl-29677265

RESUMO

Social determinants of health are nonmedical factors that can affect a person's overall health and health outcomes. Where a person is born and the social conditions they are born into can affect their risk factors for premature death and their life expectancy. In this position paper, the American College of Physicians acknowledges the role of social determinants in health, examines the complexities associated with them, and offers recommendations on better integration of social determinants into the health care system while highlighting the need to address systemic issues hindering health equity.


Assuntos
Equidade em Saúde , Política de Saúde , Promoção da Saúde , Melhoria de Qualidade , Determinantes Sociais da Saúde , Humanos , Sociedades Médicas , Estados Unidos
5.
Ann Intern Med ; 166(10): 733-736, 2017 05 16.
Artigo em Inglês | MEDLINE | ID: mdl-28346947

RESUMO

Substance use disorders involving illicit and prescription drugs are a serious public health issue. In the United States, millions of individuals need treatment for substance use disorders but few receive it. The rising number of drug overdose deaths and the changing legal status of marijuana pose new challenges. In this position paper, the American College of Physicians maintains that substance use disorder is a treatable chronic medical condition and offers recommendations on expanding treatment options, the legal status of marijuana, addressing the opioid epidemic, insurance coverage of substance use disorders treatment, education and workforce, and public health interventions.


Assuntos
Política de Saúde , Drogas Ilícitas/efeitos adversos , Transtornos Relacionados ao Uso de Opioides/prevenção & controle , Transtornos Relacionados ao Uso de Opioides/terapia , Medicamentos sob Prescrição/efeitos adversos , Doença Crônica , Crime , Monitoramento de Medicamentos , Epidemias/prevenção & controle , Humanos , Cobertura do Seguro , Seguro Saúde , Transtornos Relacionados ao Uso de Opioides/epidemiologia , Medição de Risco , Estados Unidos/epidemiologia
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