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August 2024, Vol 184, No. 8, Pages 858-994

Viewpoint

Health Care Policy and Law

Primary Care’s Role in Prescribing Mail-Order Mifepristone

Abstract Full Text
has audio
JAMA Intern Med. 2024;184(8):859-860. doi:10.1001/jamainternmed.2024.1448

This Viewpoint discusses the controversy over mail-order mifepristone prescribed by primary care clinicians for first-trimester abortion as it relates to the history of initial approval, the Supreme Court case Alliance for Hippocratic Medicine v US Food and Drug Administration, and available clinical research.

Women's Health

Protecting Sexual and Reproductive Health Privacy Post-Dobbs

Abstract Full Text
JAMA Intern Med. 2024;184(8):861-862. doi:10.1001/jamainternmed.2024.1652

This Viewpoint discusses the dangers to abortion providers and patients of law enforcement access to sexual and reproductive health information.

How Should Medicare Pay for Artificial Intelligence?

Abstract Full Text
JAMA Intern Med. 2024;184(8):863-864. doi:10.1001/jamainternmed.2024.1648

This Viewpoint examines artificial intelligence–enabled clinical services, existing payment structures, and the economics of artificial intelligence pricing.

Less Care at Higher Cost—The Medicare Advantage Paradox

Abstract Full Text
JAMA Intern Med. 2024;184(8):865-866. doi:10.1001/jamainternmed.2024.1868

This Viewpoint makes the case for eliminating Medicare Advantage and doubling down on Traditional Medicare.

Integration of Primary and Oral Health Care—An Unrealized Opportunity

Abstract Full Text
JAMA Intern Med. 2024;184(8):869-870. doi:10.1001/jamainternmed.2024.2267

This Viewpoint discusses how dentists could provide some primary health care services as part of an interdisciplinary team, easing the burden on clinicians.

Inside Story

Turn a Kind Eye—Offering Positive Reframing

Abstract Full Text
JAMA Intern Med. 2024;184(8):871. doi:10.1001/jamainternmed.2024.2379

This essay describes the importance of physicians using positive reframing with patients.

Original Investigation

Women's Health

Mail-Order Pharmacy Dispensing of Mifepristone for Medication Abortion After In-Person Screening

Abstract Full Text
open access has audio
JAMA Intern Med. 2024;184(8):873-881. doi:10.1001/jamainternmed.2024.1476

This cohort study estimates the effectiveness, acceptability, and feasibility of dispensing mifepristone for medication abortion using a mail-order pharmacy.

Lung Cancer Screening in the US, 2022

Abstract Full Text
has audio
JAMA Intern Med. 2024;184(8):882-891. doi:10.1001/jamainternmed.2024.1655

This cross-sectional study investigates the prevalence of up-to-date lung cancer screening across the 50 US states and the District of Columbia in 2022.

Patient Navigation for Lung Cancer Screening at a Health Care for the Homeless Program: A Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2024;184(8):892-902. doi:10.1001/jamainternmed.2024.1662

This randomized clinical trial examines whether patient navigation improves lung cancer screening completion among people experiencing homelessness.

Early-Life Circumstances and Racial Disparities in Cognition Among Older Adults in the US

Abstract Full Text
JAMA Intern Med. 2024;184(8):904-914. doi:10.1001/jamainternmed.2024.1132

This cross-sectional study assesses how racial differences in early life, particularly educational circumstances, are collectively and individually associated with racial disparities in late-life cognition among older adults in the US.

Electronic Cigarettes vs Varenicline for Smoking Cessation in Adults: A Randomized Clinical Trial

Abstract Full Text
JAMA Intern Med. 2024;184(8):915-921. doi:10.1001/jamainternmed.2024.1822

This randomized clinical trial examines the relative effectiveness of electronic cigarettes in smoking cessation.

Cytisinicline for Vaping Cessation in Adults Using Nicotine E-Cigarettes: The ORCA-V1 Randomized Clinical Trial

Abstract Full Text
open access
JAMA Intern Med. 2024;184(8):922-930. doi:10.1001/jamainternmed.2024.1313

This randomized clinical trial seeks to determine the efficacy and safety of cytisinicline vs placebo to produce abstinence from e-cigarette use in adults seeking to quit vaping nicotine.

Estimated Effectiveness of the BNT162b2 XBB Vaccine Against COVID-19

Abstract Full Text
open access
JAMA Intern Med. 2024;184(8):932-940. doi:10.1001/jamainternmed.2024.1640

This case-control study estimates the association between receipt of the BNT162b2 XBB vaccine and medically attended COVID-19 outcomes among US adults 18 years and older.

Severe Acute Liver Injury After Hepatotoxic Medication Initiation in Real-World Data

Abstract Full Text
open access
JAMA Intern Med. 2024;184(8):943-952. doi:10.1001/jamainternmed.2024.1836

This cohort study identifies the most potentially hepatotoxic medications based on clinical incidence rates of hospitalizations for severe acute liver injury (ALI) and examines how these rates compare with the hepatotoxicity categorization of severe ALI using published case reports.

Overdose, Behavioral Health Services, and Medications for Opioid Use Disorder After a Nonfatal Overdose

Abstract Full Text
JAMA Intern Med. 2024;184(8):954-962. doi:10.1001/jamainternmed.2024.1733

This cohort study evaluates access to medications for opioid use disorder (MOUD), naloxone, and behavioral health care and their association with decreased fatal overdose risk among Medicare beneficiaries with recent nonfatal overdose experience.

Atherosclerotic Cardiovascular Disease Risk Estimates Using the Predicting Risk of Cardiovascular Disease Events Equations

Abstract Full Text
JAMA Intern Med. 2024;184(8):963-970. doi:10.1001/jamainternmed.2024.1302

This cross-sectional study compares 10-year atherosclerotic cardiovascular disease risk and recommendations for primary prevention statin therapy between the 2023 American Heart Association (AHA) Predicting Risk of Cardiovascular Disease (CVD) Events (PREVENT) equations and the 2013 AHA/American College of Cardiology pooled cohort equations.

Editorial

Early-Life Education Quality and Quantity

Abstract Full Text
JAMA Intern Med. 2024;184(8):872. doi:10.1001/jamainternmed.2024.1141
Invited Commentary

Health Care Reform

The Case for Continuing to Improve Medicare Advantage: Misplaced Nostalgia for Traditional Medicare

Abstract Full Text
JAMA Intern Med. 2024;184(8):867-869. doi:10.1001/jamainternmed.2024.1865

Progress in Lung Cancer Screening Adoption

Abstract Full Text
has audio
JAMA Intern Med. 2024;184(8):902-903. doi:10.1001/jamainternmed.2024.1673

Time for a Focus on Cessation of E-Cigarettes

Abstract Full Text
JAMA Intern Med. 2024;184(8):930-931. doi:10.1001/jamainternmed.2024.1310

Evaluating COVID-19 Vaccines in the Era of Endemicity—Recency vs Reformulation

Abstract Full Text
JAMA Intern Med. 2024;184(8):940-942. doi:10.1001/jamainternmed.2024.1637

Rethinking Drug-Induced Liver Injury—A New Era of Pharmacovigilance

Abstract Full Text
JAMA Intern Med. 2024;184(8):952-953. doi:10.1001/jamainternmed.2024.1833

Prioritizing Women’s Inclusion in Clinical Trials of Medical Devices

Abstract Full Text
JAMA Intern Med. 2024;184(8):979-980. doi:10.1001/jamainternmed.2024.1844

Harnessing Social Needs Data to Advance Health Equity in Federally Qualified Health Centers

Abstract Full Text
JAMA Intern Med. 2024;184(8):982-984. doi:10.1001/jamainternmed.2024.1871

Association of Political Assaults With the Health of Transgender and Nonbinary Persons

Abstract Full Text
JAMA Intern Med. 2024;184(8):986-987. doi:10.1001/jamainternmed.2024.2553
Research Letter

Women's Health

Women’s Representation in RCTs Evaluating FDA-Supervised Medical Devices: A Systematic Review

Abstract Full Text
JAMA Intern Med. 2024;184(8):977-979. doi:10.1001/jamainternmed.2024.1011

This systematic review evaluates the representation of women in randomized clinical trials (RCTs) of US Food and Drug Administration (FDA)–supervised medical devices.

National Prevalence of Social Risk Factors at Federally Qualified Health Centers

Abstract Full Text
JAMA Intern Med. 2024;184(8):980-982. doi:10.1001/jamainternmed.2024.1881

This cross-sectional study estimates positive screening rates for 4 social risk factors and assesses federally qualified health center characteristics associated with higher positive screening rates.

Health and the 2024 US Election

Health Status and Mental Health of Transgender and Gender-Diverse Adults

Abstract Full Text
JAMA Intern Med. 2024;184(8):984-986. doi:10.1001/jamainternmed.2024.2544

This cross-sectional study examines self-reported poor or fair health status, frequent mental distress, and depression among transgender and gender-diverse respondents compared with cisgender respondents to the 2014 to 2022 Behavioral Risk Factor Surveillance System.

Health Care Policy and Law

Racial and Ethnic Disparities in Medicaid Disenrollment After the End of the COVID-19 Public Health Emergency

Abstract Full Text
JAMA Intern Med. 2024;184(8):987-989. doi:10.1001/jamainternmed.2024.1503

This survey study reports the proportions of and reasons for Medicaid coverage loss among racially and ethnically minoritized individuals.

Clinical Insights

Recurrent Urinary Tract Infection in Older Outpatient Women

Abstract Full Text
JAMA Intern Med. 2024;184(8):971-972. doi:10.1001/jamainternmed.2024.1069

This Clinical Insights discusses special considerations in recurrent urinary tract infection diagnosis and management in older women.

Increasing Risk for Tick-Borne Disease: What Should Clinicians Know?

Abstract Full Text
JAMA Intern Med. 2024;184(8):973-974. doi:10.1001/jamainternmed.2024.1754

This clinical insights article examines reasons behind the increase in tick-borne diseases and what clinicians should know about diagnosis and mitigation.

Challenges in Clinical Electrocardiography

An Unusual ST-Segment Elevation in Unexplained Syncope

Abstract Full Text
has active quiz
JAMA Intern Med. 2024;184(8):975-976. doi:10.1001/jamainternmed.2024.1005

This case report describes a patient in their 70s with a lambda wave pattern on electrocardiography.

JAMA Internal Medicine Patient Page

What Should I Know About Recurrent UTIs in Older Women?

Abstract Full Text
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JAMA Intern Med. 2024;184(8):994. doi:10.1001/jamainternmed.2024.1854

This JAMA Internal Medicine Patient Page describes urinary tract infections, their causes, and how to treat them and prevent future episodes.

Comment & Response

Physician Work Environment and Well-Being

Private Equity in Healthcare—Safeguarding Patient Care

Abstract Full Text
JAMA Intern Med. 2024;184(8):989. doi:10.1001/jamainternmed.2024.1887

Challenges With Relying on Body Fat and Weight Values for Obesity

Abstract Full Text
JAMA Intern Med. 2024;184(8):989-990. doi:10.1001/jamainternmed.2024.2370

Challenges With Relying on Body Fat and Weight Values for Obesity

Abstract Full Text
JAMA Intern Med. 2024;184(8):990. doi:10.1001/jamainternmed.2024.2373

Challenges With Relying on Body Fat and Weight Values for Obesity—Reply

Abstract Full Text
JAMA Intern Med. 2024;184(8):990-991. doi:10.1001/jamainternmed.2024.2376

Proactively Designing Generative Artificial Intelligence for Primary Care

Abstract Full Text
JAMA Intern Med. 2024;184(8):991-992. doi:10.1001/jamainternmed.2024.2584

Proactively Designing Generative Artificial Intelligence for Primary Care—Reply

Abstract Full Text
JAMA Intern Med. 2024;184(8):992. doi:10.1001/jamainternmed.2024.2550
Correction

Article Changed to Open Access

Abstract Full Text
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JAMA Intern Med. 2024;184(8):992. doi:10.1001/jamainternmed.2024.2589

Typographical Errors in Table 2

Abstract Full Text
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JAMA Intern Med. 2024;184(8):993. doi:10.1001/jamainternmed.2024.3009

Error in Figure 1

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JAMA Intern Med. 2024;184(8):993. doi:10.1001/jamainternmed.2024.3261

Error in the Table

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JAMA Intern Med. 2024;184(8):993. doi:10.1001/jamainternmed.2024.3784

Error in Visual Abstract

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JAMA Intern Med. 2024;184(8):993. doi:10.1001/jamainternmed.2024.3981
JAMA Internal Medicine Masthead

JAMA Internal Medicine

Abstract Full Text
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JAMA Intern Med. 2024;184(8):858. doi:10.1001/jamainternmed.2023.5576
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