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Issue Brief: Reports of Increases in Opioid- and Other Drug-Related Overdose and Other Concerns During COVID Pandemic
From the Document: "In addition to the ongoing challenges presented by the COVID-19 [coronavirus disease 2019] global pandemic, the nation's opioid epidemic has grown into a much more complicated and deadly drug overdose epidemic. The AMA [American Medical Association] is greatly concerned by an increasing number of reports from national, state and local media suggesting increases in opioid- and other drug-related mortality--particularly from illicitly manufactured fentanyl and fentanyl analogs. The media reports below cite data from multiple and varied sources, including national, state and local public health agencies, law enforcement, emergency medical services, hospitals, treatment centers, research journals and others. More than 40 states have reported increases in opioid-related mortality as well as ongoing concerns for those with a mental illness or substance use disorder. This issue brief underscores the need to remove barriers to evidence-based treatment for those with a substance use disorder as well as for harm reduction services, including sterile needle and syringe services and naloxone."
American Medical Association
2021-04-15
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Long COVID: Over 200 Symptoms, and a Search for Guidance
From the Document: "Long COVID [coronavirus disease] poses a conundrum for physicians and researchers alike. Representing a wide range of new, returning or ongoing health problems that arise about a month after initial infection, it can affect 20% to 30% of patients after recovery from even mild illnesses and about half of COVID-19 [coronavirus disease 2019] patients who required hospitalization. More than 200 symptoms associate with long COVID, but no universal clinical case definition exists. Long-haulers often don't know what to do about their lingering symptoms, which can include fatigue, shortness of breath, memory impediments, and gastrointestinal symptoms. Many different organ systems are involved, said Akiko Iwasaki, PhD, professor of immunobiology at Yale University and a principal investigator at the Howard Hughes Medical Institute."
American Medical Association
Lubell, Jennifer
2022-04-29
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COVID-19 Vaccine Uptake and Intentions Following US Food and Drug Administration Approval of the Pfizer-BioNTech COVID-19 Vaccine
From the Webpage: "Despite the availability of safe and effective COVID-19 [coronavirus disease 2019] vaccines, 25% of American adults remained partially vaccinated or unvaccinated against COVID-19 at the beginning of 2022. Lack of a formally approved COVID-19 vaccine was a common reason given for non-vaccination in polls prior to US Food and Drug Administration (FDA) approval of the biologics license application--also called 'full approval'--for the BNT162b2 (Pfizer-BioNTech) COVID-19 vaccine. Understanding the repercussions for vaccination intentions after FDA full approval is important for informing vaccination interventions and policy in future infectious disease outbreaks. The primary objective of this survey with unvaccinated US adults was to assess vaccination intentions in response to full approval of the BNT162b2 COVID-19 vaccine and any demographic associations with these intentions."
American Medical Association
Scherer, Aaron M.; Parker, Andrew M.; Gidengil, Courtney A.
2022-04-11
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American Medical Association [website]
The AMA's envisioned future is to be an essential part of the professional life of every physician and an essential force for progress in improving the nation's health. The website contains information on membership and advocacy. It also contains a newsroom with press releases and statements, AMA speeches and media briefings, professional resources like practice management tools, medical ethics, public health, medical science, and legal issues, and information on medical school and residency.
American Medical Association
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COVID-19: A Physician Practice Guide to Reopening
From the Document: "As public health experts determine that it is safe to see patients and stay-at-home restrictions are relaxed, physician practices should strategically plan when and how best to reopen. The American Medical Association believes that four signposts must exist before state and local governments relax stay-at-home orders: [1] Minimal risk of community transmission based on sustained evidence of a downward trend in new cases and fatalities; [2] A robust, coordinated and well-supplied testing network; [3] A public health system for surveillance and contact tracing; [4] Fully resourced hospitals and healthcare workforce."
American Medical Association
2020-05-28
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Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized with COVID-19 in the New York City Area
From the Document: "The first confirmed case of coronavirus disease 2019 (COVID-19) in the US was reported from Washington State on January 31, 2020. Soon after, Washington and California reported outbreaks, and cases in the US have now exceeded total cases reported in both Italy and China. The rate of infections in New York, with its high population density, has exceeded every other state, and, as of April 20, 2020, it has more than 30% of all of the US cases. Limited information has been available to describe the presenting characteristics and outcomes of US patients requiring hospitalization with this illness. [...] This study describes the demographics, baseline comorbidities, presenting clinical tests, and outcomes of the first sequentially hospitalized patients with COVID-19 from an academic health care system in New York."
American Medical Association
Richardson, Safiya; Hirsch, Jamie S.; Narasimhan, Mangala . . .
2020-04-22
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COVID-19: The Importance of Science in an Era of Distrust and Disinformation [video]
From the Video Description: "Hear from AMA [American Medical Association] President Patrice A. Harris, MD, MA on why it's critical to rely on science and data to protect public health, particularly in the face of the COVID-19 [coronavirus disease 2019] pandemic. Dr. Harris will also speak to the essential need for evidence-based solutions and policies to build societal trust and a common understanding." The duration of the video is 1 hour and 39 seconds.
American Medical Association
Freedman, Michael; Harris, Patrice A.
2020-04-07
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Issue Brief: Reports of Increases in Opioid-Related Overdose and Other Concerns During COVID Pandemic
From the Document: "As the COVID-19 [coronavirus disease 2019] global pandemic continues, so does the nation's opioid epidemic. The AMA [American Medical Association] is greatly concerned by an increasing number of reports from national, state and local media suggesting increases in opioid-related mortality--particularly from illicitly manufactured fentanyl and fentanyl analogs. More than 30 states have reported increases in opioid-related mortality as well as ongoing concerns for those with a mental illness or substance use disorder in counties and other areas within the state. This also includes new reports about the need for evidence-based harm reduction services, including sterile needle and syringe services and naloxone."
American Medical Association
2020
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Special Coding Advice During COVID-19 Public Health Emergency [presentation]
From the Presentation: "[1] The coding scenarios in this document are designed to apply best coding practices. The American Medical Association (AMA) has worked to ensure that all payors are applying the greatest flexibility to our physicians in providing care to their patients during this public health crisis."
American Medical Association
2020-05-04
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Caring for Health Care Workers During Crisis: Creating a Resilient Organization
From the Summary: "Action steps taken by an organization before, during and after a crisis will reduce psychosocial trauma and increase the likelihood your workforce will cope or even thrive. How physicians and other health care workers are supported during a time of acute stress impacts how they cope and whether they recover from the crisis, or alternatively, whether they will adopt unhealthy coping mechanisms and show signs of stress injury (e.g., burnout, insomnia, dysphoria) or even worse, chronic stress illness (e.g., depression, anxiety, PTSD [post-traumatic stress disorder], substance abuse). Effectively caring for the health care worker may decrease their risk of leaving practice or limiting their fulltime effort. Successful organizations will take a systems approach and focus on becoming a resilient organization prior to times of crises, rather than limiting their efforts to a focus on individual resilience or only attending to the well-being of health care workers after crises develop. Furthermore, resilient organizations will need to rapidly reconfigure their well-being priorities to meet the biggest new drivers of stress in a crisis setting."
American Medical Association
Shanafelt, Tait D.; Ripp, Jonathan A.; Brown, Marie Teresa . . .
2020-05-08
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Association Between COVID-19 Relief Funds and Hospital Characteristics in the US
From the Abstract: "In response to financial stress created by the reduction in care during the COVID-19 [coronavirus disease 2019] pandemic, hospitals received financial assistance through the Coronavirus Aid, Relief, and Economic Security (CARES) Act program. To date, the allocation of CARES Act funding is not well understood. [...] This cross-sectional analysis of US-based hospitals and health systems assesses the hospital characteristics associated with CARES Act funding with linear regression models using linked hospital and health system-level information on CARES Act funding with hospital characteristics from Hospital Cost Report data. [...] The analysis included 952 hospital-level entities with an average payment of $33.6 million, most of which was received during the first payment round. Wide ranges existed in CARES Act funding, with 24% of matched hospitals receiving less than $5 million in funding and 8% receiving more than $50 million. Academic-affiliated hospitals, hospitals with higher pre-COVID-19 assets and hospitals with higher COVID-19 cases received higher levels of funding, while critical access hospitals received lower levels of financial assistance. A 10% increase in hospital assets, endowment size, and COVID-19 cases was associated with 1.4% (95% CI, 0.8% to 2.0%; P = .003), 0.2% (95% CI, 0.1% to 0.3%; P < .001), and 3.5% (95% CI, 2.8% to 4.2%; P < .001) increases in CARES Act funding, respectively. [...] In this cross-sectional study of US hospitals and health systems, findings suggest that High-Impact Distribution CARES Act funds may have disproportionately gone to hospitals that were in a stronger financial situation prior to the pandemic compared with those that were not, but funds also went disproportionately to those that eventually had the most cases."
Journal of the American Medical Association (Firm)
Qureshi, Nabeel Shariq; Whaley, Christopher; Briscombe, Brian . . .
2021-10-22
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Working from Home During COVID-19 Pandemic
From the Document: "During the COVID-19 [coronavirus disease 2019] pandemic, many physicians are working from home, using their personal computers and mobile devices to help care for patients. Fortunately, technology can allow physicians and care teams to do much of what they could do at the medical office, remotely. Telemedicine is a powerful tool that spans a continuum of technologies and offers new ways to deliver care. Many electronic health record (EHR) systems allow you to connect over the Internet just as if you were in the clinic. While you are doing your part to help during the COVID-19 pandemic, the American Medical Association (AMA) and American Hospital Association (AHA) want to ensure you have resources to help keep your work environment safe from cyber-threats that could disrupt your practice, the hospital, or negatively impact your patients' safety and well-being."
American Medical Association; American Hospital Association
2020
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