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The Center for Evidence-based Policy at Oregon Health & Science University is a national leader in evidence-based decision making and policy design.
The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
A multidisciplinary journal of population health and health policy
Alan B. Cohen Editor
Christopher F. Koller Publisher
Tara Strome Managing Editor
2-year Impact Factor: 7.425 Journal Citation Reports® 2018 Rankings: 1/81 (Health Policy & Services); 1/98 (Health Care Sciences & Services) 5-year Impact Factor: 7.440
Alan B. Cohen
This issue of the Quarterly features opinion pieces from several of our contributing writers as well as invited commentaries from noted guest authors on a broad range of issues: Lawrence … Read more
Our Opinion section features some of the best minds currently working to improve the public’s health.
Edward H. Wagner
This month, The Milbank Quarterly introduces a new series of Milbank Quarterly Classics. These were landmark articles when originally published by the journal over the course of its 97-year history that continue to resonate today with lessons for contemporary policymakers and practitioners. We are first recognizing “Organizing Care for Patients with Chronic Illness,” a 1996 article by Edward Wagner, Brian Austin, and Michael Von Korff that outlined a chronic care model for treating individuals with chronic illnesses. Read more
Donald M. Berwick
Donald Berwick, president emeritus and senior fellow at the Institute for Healthcare Improvement, reflects on the chronic care model’s role in health care delivery as the gold standard for managing chronically ill patients. Read more
Russell E. Glasgow, Amy G. Huebschmann, Alex H. Krist, Frank V. DeGruy, III
This new research builds upon the chronic care model to create an integrated, patient-directed system that takes greater account of a patient’s life, such as the degree of available support in the home, work, and primary care settings. Read more
Hector P. Rodriguez, Bing Ying Poon, Emily Wang, Stephen M. Shortell
Adoption of patient engagement strategies among ACO-affiliated practices did not improve patient-reported outcomes of physical, emotional, and social function among adult patients with diabetes and/or cardiovascular disease over one year, according to this study. Read more
Courtney D. Cogburn
As a fundamental cause of health inequalities and disease, racism will require policy solutions that address its role. Such policies should be grounded in social theory and meaningful assessments of the social context concerning race, racism, and health. Read more
Bård Hobæk, Anne Kveim Lie
Norway’s “rational,” public health–driven approach to drug regulation can inform new policies for curbing antibiotic resistance, this new analysis finds. Read more
Audrey D. Zhang, Jason L. Schwartz, Joseph S. Ross
The FDA disagreed with 22% of its advisory committee recommendations over an 8-year period, according to this original research. In the case of disagreements, the FDA tended to be less likely than its advisory committees to approve new products, approve new supplemental indications, or enact new safety changes. Read more
Despite loosening its standards for drug approval over time, the US Food and Drug Administration (FDA) is not restructuring itself to properly enforce the ongoing regulation of drugs once they are on the market. Current and former FDA officials interviewed for this study affirmed the FDA also has little legal authority to oversee postmarket studies. Read more
Brendan Collins, Chris Kypridemos, Jonathan Pearson-Stuttard, Yue Huang, Piotr Bandosz, Parke Wilde, Rogan Kersh, Simon Capewell, Dariush Mozaffarian, Laurie P. Whitsel, Renata Micha, Martin O'Flaherty, on behalf of the Food-PRICE Investigators
Researchers modeled the health and economic impact of meeting the FDA’s recommended sodium reduction targets on food system workers from 2017 to 2036 for this study. They found the value of health gains and health care cost savings associated with implementing the voluntary sodium targets would outweigh the costs of reformulation for the food industry at large. Read more
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