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Antimicrobial resistance (AMR) is a pressing global health crisis rooted in complex collective action problems. Despite the urgency, policy responses have not kept pace with the escalating threat of drug resistance. By recognizing the similarities between AMR governance and other shared-resource challenges in environmental governance, this article examines potential strategies for AMR governance. More

Throughout the last 50 years, the disability rights movement has made significant progress in providing statutory protections for people with disabilities in the United States. The passage of landmark legislation, including the Rehabilitation Act of 1973, the Individuals with Disabilities in Education Act (passed in 1975), and the Americans with Disabilities Act (ADA; passed in 1990), has created a foundation for disability advocates to fight against discrimination and for the expanded rights of the more than 67 million people with disabilities in the United States. In the health care context specifically, there have also been statutes passed to protect patients, including the Health Insurance Portability and Accountability Act (HIPAA; passed in 1996) and the Affordable Care Act (ACA; passed in 2010), that have helped to provide privacy and coverage protections for all patients, including people with disabilities who may have disproportionately frequent contacts with the health care system. More

The Trump administration’s efforts to eliminate all manner of diversity, equity, and inclusion (DEI) practices from government agencies, universities, and private sector workplaces has been coupled with steep funding cuts to key health agencies and the cancellation or freezing of medical research grants and contracts. It’s not just the careers of promising scientists and medical researchers that are at stake, but also the nation’s preeminent standing in the scientific community. Science unfortunately has become the latest victim in the culture wars taking place in the United States. More

Lean management is a sociotechnical approach to quality improvement that aims for consistency in work processes and outcomes. This can be leveraged to reduce inequities by ensuring delivery of high-quality care to meet the needs of patients with diverse backgrounds. Despite recent efforts in the field, there is limited study on how managers implement health equity and workforce diversity goals as strategies to improve patient care. Given the important role of leadership in fostering workplace culture, we examined leader activities and specifically their use of lean management practices to support equity initiatives in health care. More

Current primary care productivity measures do not account for investment in interprofessional primary care teams in relation to primary care goals and thus are insufficient for assessing and improving primary care efficiency and productivity. We explored alternative productivity measurement methods. More

A growing body of scholarship and practice in public health attests to the importance of addressing differences in power as a fundamental determinant of health inequities. To pursue health equity, public health practitioners must move beyond identifying differences in health outcomes among populations (disparities) to articulating why those differences are unfair or unjust (inequities) and then identifying structures, such as laws, policies, practices, and norms, that advantage some and disadvantage others. More

Individuals with behavioral health disorders are more likely to experience substantial harm from a police encounter, prompting reforms to minimize encounters between police and people experiencing a behavioral health crisis. One strategy involves expanding partnerships between certified community behavioral health clinic (CCBHC) mobile crisis teams and emergency response systems, often through two models: 911 referral, wherein a CCBHC’s behavioral health practitioner–only team responds to 911 calls, and co-response, wherein a CCBHC clinician joins a police or emergency medical services (EMS) team. More

Federal and state immigration policies influence access to health insurance for Latino populations. Local jurisdictions also have immigration-related policymaking power, but there has been limited study of their influence on health care access. We examined the relationship between county-level immigration policy contexts and health insurance coverage of Latino adults and youth in California using two measures that capture local-level policy decisions and immigration policy–related social inequity. More

No discernible difference exists between the ACA mandate penalty that was overturned by the US Supreme Court and the mandate penalty in the 2025 OBBBA. More