Inflammation and Healthy Lifestyle Choices Influence Cardiometabolic Risks in African American Women

Objectives: Individuals of African origin in Europe and the Caribbean have a lower prevalence of coronary heart disease (CHD) than do Europeans and European Americans; however, African Americans, especially women, do not possess the same low CHD prevalence as Africans. As such, this study was designed to determine whether highly sensitive...

Will the “Fixes” Fall Flat? Prospects for Quality Measures and Payment Incentives to Control Healthcare Spending

Payment systems in the US healthcare system have rewarded physicians for services and attempted to control healthcare spending, with rewards and penalties based upon projected goals for future spending. The incorporation of quality goals and alternatives to fee-for-service was introduced to replace the previous system of rewards and penalties. We...

Commentary on “Will the ‘Fixes’ Fall Flat? Prospects for Quality Measures and Payment Incentives to Control Healthcare Spending”

In this issue of the Southern Medical Journal, Hauswald and Sklar et al explore the evolution of Medicare payment policies and the challenges faced by the quality-aligned payment incentives.1 After 50 years of various manipulations to a fee-for-service system, the Medicare Access and Children’s Health Insurance Program Reauthorization Act...

Social Support and Health-Related Quality of Life Among Low-Income Women: Findings from Community-Based Participatory Research

Objectives: This study examined the association between social support and health-related quality of life (HRQoL) among low-income women in the southeastern region of the United States. Methods: Analysis was performed on data from a community needs assessment survey that was designed to explore social determinants of health and QoL indicators...

Nurturing Competence and Compassion in Future Physicians

The stories at the low-income clinic that day were even more gut-wrenching, the usual shocking pathology was perhaps more obscure. Yet, the premedical school student who was translating for the non–Spanish-speaking clinicians seemed unmoved and disinterested. Although he did his job efficiently, he had no questions for the attending physician....