The Debate Over E-cigarette Policymaking: Advocacy Coalitions to Oppose State and Local E-cigarette Policymaking Changed after Major Tobacco Companies Entered the Market
September 13, 2016
Big tobacco has become a major player in e-cigarette policymaking, especially at the state level, employing the same political tactics and allied groups they used to protect the cigarette market, says a new study in the September 2016 issue of The Milbank Quarterly. As with earlier efforts to restrict tobacco products, health advocates had the most success at the local rather than the state level, according to authors Elizabeth Cox, Rachel Ann Barry, and Stanton Glantz of the Center for Tobacco Control Research at the University of California, San Francisco.
An “Epidemic” of Wrong or Misleading Research: New Study Demonstrates How Most Systematic Reviews and Meta-analyses Produced Today Are Not Useful
September 13, 2016
There is mass production of unnecessary, misleading, and conflicted systematic reviews and meta-analyses, according to a new study in the September issue of The Milbank Quarterly. In an examination of PubMed-indexed articles, author John Ioannidis of Stanford University found that many systematic reviews and meta-analyses are overproduced. As of result, too many reviews are redundancy, have little value, make misleading claims, or are produced by those with clear conflicts of interest.
Recommendations for Strengthening Global Health Security: Empowering the World Health Organization and Realizing the Potential of the International Health Regulations
May 9, 2016
The announcement last month that the World Health Organization (WHO) had begun the process of electing its next Director-General could mark renewed effort to strengthen the enforcement of the International Health Regulations (IHR). In a new Early View Milbank Quarterly study, Lawrence O. Gostin, of the O’Neill Institute for National and Global Health, Georgetown University Law Center, and Rebecca Katz, of George Washington University, present a clear and comprehensive description of the IHR, evaluate recent global commission reports evaluating them, and offer proposals for fundamental reform and strengthening of the IHR, particularly for strong national health system core capacities.
Different Strategies to Meet Information-Sharing Needs Publicly Supported Community Health Information Exchanges versus Enterprise Health Information Exchanges
March 14, 2016
The US government has invested billions of dollars to encourage the adoption of information technologies to exchange health information and to enable providers to efficiently and effectively share patient information with other providers. Health care providers have multiple options for obtaining and sharing patient information. In a new study in the March issue of The Milbank Quarterly, researchers from Indiana University Richard M. Fairbanks School of Public Health and Texas A&M Health Sciences Center investigated why some health systems participate in community health information exchanges (HIEs) and others establish their own. A qualitative analysis, the study identifies factors influencing participation in, and success of, each HIE approach.
National Survey Demonstrates Low Consumer Knowledge and Mistrust of Prevention Guidelines More than One-Third Believe that the Government Uses Guidelines to Ration Health Care
March 14, 2016
How well do US consumers understand clinical preventive services and their guidelines? Not terribly well, says a new study published in the March 2016 issue of The Milbank Quarterly that surveyed adults about their knowledge of and attitude toward government-sponsored preventive care guidelines, such as cancer-screening tests. The survey, conducted by University of Michigan and George Washington University researchers, found that while participants had low levels of knowledge and trust for clinical service guidelines, about half thought it was important for health care providers to follow guidelines when advising patients and that research should be the most important factor when crafting guidelines.