About The Study: This analysis found that racial and ethnic disparities in buprenorphine treatment duration increased between 2006 and 2020, particularly during more recent years. Buprenorphine is used to treat opioid use disorder and reduce overdose risk. Duration of buprenorphine treatment is a measure of quality of care; longer retention is associated with superior clinical outcomes.
Authors: Mohammad S. Jalali, Ph.D., of Harvard Medical School in Boston, is the corresponding author.
(10.1001/jamapsychiatry.2022.3673)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: In this pooled analysis involving firearm laws and firearm-related deaths from 2000 to 2019 in the 48 contiguous states, a permit requirement for purchasing all firearms had an interstate association with decreased total firearm-related deaths and homicide, whereas the prohibition of firearm possession for individuals who have committed a violent misdemeanor had an interstate association with decreased firearm suicide. These findings suggest that synergic legislative action to implement firearm laws in proximate states may help prevent firearm-related deaths.
Authors: Ye Liu, M.D., M.P.H., of the University of Alabama at Birmingham, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.40750)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: In this case-control study of individuals age 13 or older without a prior eating disorder diagnosis, researchers found that an outpatient electrolyte abnormality was associated with an over 2-fold higher odds of a subsequent eating disorder diagnosis. The median time from the earliest electrolyte abnormality to eating disorder diagnosis exceeded one year. These results suggest that otherwise unexplained outpatient electrolyte abnormalities may serve to identify individuals who should be screened for an underlying eating disorder.
Authors: Gregory L. Hundemer, M.D., M.P.H., of the University of Ottawa in Ottawa, Canada, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.40809)
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About The Study: This systematic review and meta-analysis of 46 studies including 29,000 children and adolescents indicates that, on average, screen time increased by 52%, or 84 min/day (1.4 hours/day), during the pandemic. Compared with a pre-pandemic baseline value of 2.7 hours/day, this increase corresponds to a daily average of 4.1 hours/day of screen time across all children and adolescents during the pandemic. Screen time increases were highest for individuals ages 12 to 18 and for handheld devices and personal computers. Practitioners and pandemic recovery initiatives should focus on fostering healthy device habits, including moderating use, monitoring content, prioritizing device-free time, and using screens for creativity or connection.
Authors: Sheri Madigan, Ph.D., of the University of Calgary, is the corresponding author.
(doi:10.1001/jamapediatrics.2022.4116)
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About The Study: There was a significant COVID-19 pandemic-related increase in both inpatient and outpatient volume of adolescent and young adult patients with eating disorders (EDs) at geographically diverse academic adolescent medicine programs, particularly in the first year of the pandemic. Given inadequate ED care availability prior to the pandemic, the increased post-pandemic demand will likely outstrip available resources. Results highlight the need to address ED workforce and program capacity issues as well as improve ED prevention strategies.
Authors: Sydney M. Hartman-Munick, M.D., of Boston Children’s Hospital, is the corresponding author.
(doi:10.1001/jamapediatrics.2022.4346)
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: In this survey study of 151,000 students in grades 6 to 12, age at initiation of e-cigarette use decreased and intensity of use and addiction increased between 2014 and 2021. By 2019, more e-cigarette users were using their first tobacco product within 5 minutes of waking than users of cigarettes and all other tobacco products combined. These findings suggest that clinicians need to be ready to address youth addiction to these new highly addictive nicotine products during many clinical encounters, and stronger regulation is needed, including comprehensive bans on the sale of flavored tobacco products.
Authors: Jonathan P. Winickoff, M.D., M.P.H., of Massachusetts General Hospital for Children in Boston, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.40671)
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
Visual Abstract
Authors: Ju Seok Ryu, M.D., Ph.D., of the Seoul National University College of Medicine in Seongnam, South Korea, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.40383)
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About JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.
About JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.
About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: Longer drive time was associated with less frequent receipt of guideline-recommended health care services across multiple components of care. To improve quality of care and health outcomes, health systems and clinicians should adopt strategies to mitigate travel burden, even for urban patients.
Authors: Arianne K. Baldomero, M.D., M.S., of the Minneapolis VA Health Care System, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.40290)
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: Researchers found in this analysis of nationally representative health record data that emergency department (ED) deaths accounted for 11.3% of total deaths from 2010 to 2019, and 33.2% of all decedents nationally visited the ED within one month of their death. These deaths were more common during or after ED visits by patients who were older and those with more comorbidities. These findings suggest emergency medicine practitioners must be able to identify patients for whom end-of-life care is necessary or preferred and have the resources necessary to delivery this care.
Authors: Jonathan Elmer, M.D., M.S., of the University of Pittsburgh, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.40399)
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: This study compared the proportions of racial and ethnic groups in 221 phase 1 clinical trials of drugs for metastatic cancer from 2000 to 2018 with population-based cancer registry data and found worsening disparities over time in the accrual of patients from racial and ethnic minority groups. These findings may represent widening inequalities in access to trial sites and worsening systemic biases. More efforts are needed to diversify phase 1 cancer drug trials to improve equity in access to new treatments and to ensure that safety and efficacy findings from early drug trials are generalizable across populations.
Authors: C. Jillian Tsai, M.D., Ph.D., of the Princess Margaret Cancer Centre in Toronto, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.30884)
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: This analysis of the health records of a random national sample of 200 veterans who had experienced SARS-CoV-2 infection and who had at least one diagnostic code for long COVID highlights the complexity of diagnosing long COVID in clinical settings and the challenges of caring for patients who have or are suspected of having this condition.
Authors: Ann M. O’Hare, M.A., M.D., of the VA Puget Sound Health Care System in Seattle, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.40332)
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Authors: Cun-Zhi Liu, Ph.D., of the Beijing University of Chinese Medicine in Beijing, and Ying-Chi Yang, Ph.D., of Beijing Friendship Hospital Affiliated to Capital Medical University in Beijing, are the corresponding authors.
(doi:10.1001/jamasurg.2022.5674)
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: In this analysis of the top 1,000 generics in Colorado’s all-payer claims database in 2019, researchers identified 45 high-cost products that had lower-cost therapeutic alternatives of same clinical value. Overall, high-cost generics were 15.6 times more expensive than their therapeutic alternatives (median values). If the lower-cost alternatives had been used, total spending would have been reduced by 88%. Substitution of high-cost generics may provide a simple pathway to offer the same therapeutic benefit at lower cost to patients and insurers.
Authors: Mariana P. Socal, M.D., Ph.D., of the Johns Hopkins Bloomberg School of Public Health in Baltimore, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.39868)
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: Researchers describe the establishment, scaling, and maintenance of Trace, New York City’s COVID-19 contact tracing program and provide data on outcomes during its first 17 months.
Authors: Kathleen Blaney, M.P.H., R.N., of the New York City Department of Health and Mental Hygiene in Queens, New York, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.39661)
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: The results of this cross-sectional study suggest that between 2015 and 2019 an estimated 1 in 8 total deaths among U.S. adults ages 20 to 64 were attributable to excessive alcohol use, including 1 in 5 deaths among adults ages 20 to 49. The number of premature deaths could be reduced with increased implementation of evidenced-based, population-level alcohol policies, such as increasing alcohol taxes or regulating alcohol outlet density.
Authors: Marissa B. Esser, Ph.D., of the Centers for Disease Control and Prevention in Atlanta, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.39485)
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: The findings of this study of women in Denmark followed up from age 45 suggest that systemically administered (oral or transdermal) hormonal therapy before and during menopause is associated with higher risk of depression, especially in the years immediately after initiation, whereas locally administered (intravaginal or intrauterine) hormonal therapy is associated with lower risk of depression for women 54 years or older.
Authors: Merete Osler, M.D., Ph.D., D.M.Sc., of the Bispebjerg and Frederiksberg Hospitals in Frederiksberg, Denmark, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.39491)
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About The Study: In this analysis, estimated travel time to abortion facilities in the U.S. was significantly greater in the post-Dobbs period after accounting for the closure of abortion facilities in states with total or 6-week abortion bans compared with the pre-Dobbs period, during which all facilities providing abortions in 2021 were considered active.
Authors: Yulin Hswen, Sc.D., of the University of California, San Francisco, is the corresponding author.
(doi:10.1001/jama.2022.20424)
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About The Study: Among a sample of abortion facilities, the 2021 Texas law banning abortion in early pregnancy (SB 8) was significantly associated with a decrease in the documented total of facility-based abortions in Texas and obtained by Texas residents in surrounding states in the first month after implementation compared with the previous month. Over the 6 months following SB 8 implementation, the percentage of out-of-state abortions among Texas residents obtained at 12 or more weeks of gestation significantly increased.
Authors: Kari White, Ph.D., M.P.H., of the University of Texas at Austin, is the corresponding author.
(doi:10.1001/jama.2022.20423)
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EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, NOVEMBER 1, 2022
About This Issue: This issue of JAMA includes original research and eight scholarly Viewpoints that provide data and perspective about abortion care and the larger context of evidence-based health care. In addition, there is an editorial, Medical News articles and a Patient Page on medication abortion. Also included in this news release are related articles from the JAMA Network.
The full articles are linked to this news release. The links below the titles of the articles will provide readers free access to the full-text article at the embargo time.
JAMA
Original Research
Associations of Unintended Pregnancy With Maternal and Infant Health Outcomes
Requests for Self-managed Medication Abortion Provided Using Online Telemedicine in 30 US States Before and After the Dobbs v Jackson Women’s Health Organization Decision
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About The Study: This study examined Food and Drug Administration (FDA) anticancer drug approvals in recent years and evaluated if an association exists between their cost and efficacy.
Authors: Vinay Prasad, M.D., M.P.H., of the University of California, San Francisco, is the corresponding author.
(doi:10.1001/jamainternmed.2022.4924)
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EMBARGOED FOR RELEASE: 11 A.M. (ET), TUESDAY, NOVEMBER 1, 2022
Media advisory: To contact the U.S. Preventive Services Task Force, email the Media Coordinator at Newsroom@USPSTF.net or call 301-951-9203. The full report and related articles are linked to this news release.
Bottom Line: The U.S. Preventive Services Task Force (USPSTF) recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal persons and against the use of estrogen alone for the primary prevention of chronic conditions in postmenopausal persons who have had a hysterectomy. This recommendation applies to asymptomatic, postmenopausal persons who are considering hormone therapy for the primary prevention of chronic medical conditions. The prevalence and incidence of most chronic diseases (such as cardiovascular disease, cancer, osteoporosis, and fracture) increase with age, and U.S. persons who reach menopause are expected on average to live more than another 30 years. However, the excess risk for chronic conditions that can be attributed to menopause alone is uncertain. The USPSTF routinely makes recommendations about the effectiveness of preventive care services and this recommendation is consistent with its 2017 statement on hormone therapy for the primary prevention of chronic conditions in postmenopausal women.
(doi:10.1001/jama.2022.18625)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
Note: More information about the U.S. Preventive Services Task Force, its process, and its recommendations can be found on the newsroom page of its website.
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About JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.
About JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.
About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: The results of this study suggest that exclusions from Medicaid eligibility based on immigration status may be associated with increased health care disparities among some immigrant groups. This finding has relevance to current policy debates regarding Medicaid coverage during and outside of pregnancy.
Authors: Teresa Janevic, Ph.D., M.P.H., of the Icahn School of Medicine at Mount Sinai in New York, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.39264)
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About JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.
About The Study: The findings of this study of survey data including 590,000 adults suggest that barriers to timely medical care in the U.S. increased for all population groups from 1999 to 2018, with associated increases in disparities among race and ethnicity groups. Interventions beyond those currently implemented are needed to improve access to medical care and to eliminate disparities among race and ethnicity groups.
Authors: Harlan M. Krumholz, M.D., S.M., of Yale New Haven Hospital in New Haven, Connecticut, is the corresponding author.
(doi:10.1001/jamahealthforum.2022.3856)
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About The Study: Researchers found in this study of 150,000 patients wide variation in hospital markup for head and neck cancer surgery, with a 4-fold increase in charges relative to costs in 25% of hospitals. The highest markups were found in for-profit hospitals in moderately concentrated and concentrated markets. These data suggest that greater transparency is needed to address disparities in hospital pricing.
Authors: Christine G. Gourin, M.D., M.P.H., of Johns Hopkins Medical Institutions in Baltimore, is the corresponding author.
(doi:10.1001/jamaoto.2022.3340)
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: In this study of more than 16,000 individuals, 15% with a prior positive COVID-19 test reported symptoms lasting longer than two months. Those who completed a primary vaccination series prior to infection were less likely to report long COVID symptoms. The risk varied among individual subgroups.
Authors: Roy H. Perlis, M.D., M.Sc., of Massachusetts General Hospital in Boston, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.38804)
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: Using daily symptoms data from a prospective trial involving 158 participants, researchers found the natural history of untreated COVID-19 was variable and undulating. Over one-third of participants who experienced symptom resolution for at least two consecutive days within the first 4 to 5 weeks of COVID-19 symptoms reported recurrent symptoms.
Authors: Davey M. Smith, M.D., M.A.S., of the University of California San Diego in La Jolla, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.38867)
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: In this 6-month randomized clinical trial that included 150 adults, a low-carbohydrate diet intervention led to larger reductions in hemoglobin A1c (HbA1c) than usual diet among adults with elevated untreated HbA1c, though the study was unable to evaluate its effects independently of weight loss. This diet, if sustained, might be a useful dietary approach for preventing and treating type 2 diabetes, but more research is needed.
Authors: Kirsten S. Dorans, Sc.D., of the Tulane University School of Public Health and Tropical Medicine in New Orleans, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.38645)
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: The findings of this cohort study suggest that an automated texting program to support primary care patients after hospital discharge was associated with significant reductions in use of acute care resources. This patient-centered approach may serve as a model for improving post-discharge care.
Authors: Eric Bressman, M.D., M.S.H.P., of the University of Pennsylvania in Philadelphia, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.38293)
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: The findings of this study that included 43,000 veterans suggest that Black veterans hospitalized with COVID-19 were less likely to be treated with evidence-based COVID-19 treatments, including systemic steroids, remdesivir, and immunomodulatory drugs. Differences in care were partially explained by within- and between-hospital differences and underscore the need for a comprehension approach to minimize racial variation in COVID-19 care.
Authors: Florian B. Mayr, M.D., M.P.H., of the VA Pittsburgh Healthcare System in Pittsburgh, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.38507)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: Researchers found in this study of 31,000 medical school graduates a significant disparity in publication rates across sex and race and ethnicity, with women and Black and Hispanic students reporting lower publication rates compared with men and white students. These findings suggest that inequities in the physician-scientist workforce began early in training, as exposure to research and research productivity are critical for a successful career as a physician-scientist.
Authors: Mytien Nguyen, M.S., of the Yale School of Medicine in New Haven, Connecticut, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.38520)
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Authors: Michelle Science, M.D., M.Sc., of the Hospital for Sick Children in Toronto, is the corresponding author.
(doi:10.1001/jamapediatrics.2022.3833)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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For more information, contact JAMA Network Media Relations at 312-464-JAMA (5262) or emailmedia relations.
About The Study: Using a comprehensive neuropsychological test battery, researchers found in this nationally representative cross-sectional study of nearly 3,500 individuals age 65 and older that 10% were classified as having dementia and 22% as having mild cognitive impairment (MCI). The results indicated a disproportionate burden of dementia among older Black adults, of MCI among older Hispanic adults, and of both among people with lower educational attainment.
Authors: Jennifer J. Manly, Ph.D., of the Columbia University Irving Medical Center in New York, is the corresponding authors.
(doi:10.1001/jamaneurol.2022.3543)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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For more information, contact JAMA Network Media Relations at 312-464-JAMA (5262) or emailmedia relations.
About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: Compared with non-video gamers, video gamers were found to exhibit better cognitive performance involving response inhibition and working memory as well as altered blood oxygen level-dependent signal in key regions of the cortex responsible for visual, attention, and memory processing in this study involving 2,200 children. The findings are consistent with videogaming improving cognitive abilities that involve response inhibition and working memory and altering their underlying cortical pathways.
Authors: Bader Chaarani, Ph.D., of the University of Vermont in Burlington, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.35721)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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For more information, contact JAMA Network Media Relations at 312-464-JAMA (5262) or emailmedia relations.
About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
About The Study: In this qualitative study of low-income, Black pregnant people in Detroit and the health care workers who care for them, prenatal care delivery failed to meet many patients’ needs. Participants reported that an ideal care delivery model would include comprehensive, integrated services across the health care system, expanding beyond medical care to also include patients’ social needs and preferences.
Authors: Alex Friedman Peahl, M.D., M.Sc., of the University of Michigan in Ann Arbor, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.38161)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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For more information, contact JAMA Network Media Relations at 312-464-JAMA (5262) or emailmedia relations.
About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
Visual Abstract
Authors: Jacques Gaume, Ph.D., of the Lausanne University Hospital and University of Lausanne in Lausanne, Switzerland, is the corresponding author.
(doi:10.1001/jamanetworkopen.2022.37563)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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For more information, contact JAMA Network Media Relations at 312-464-JAMA (5262) or emailmedia relations.
About JAMA Health Forum: JAMA Health Forum has transitioned from an information channel to an international, peer-reviewed, online, open access journal that addresses health policy and strategies affecting medicine, health and health care. The journal publishes original research, evidence-based reports and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity and reform. Its distribution will be solely digital and all content will be freely available for anyone to read.
