About The Milbank Quarterly

Context: Despite significant investments to transform primary care, Canada lags behind its peers in providing timely access to regular doctors or… More

The tensions among state immigrant policies, local immigration climates, and federal policy changes indicate that state immigrant policies are not implemented equally across state communities, resulting in challenges and limited benefits from policies for many immigrant communities. More

Context: Increasing polarization of states reached a high point during the COVID-19 pandemic, when the party affiliation of elected officials often… More

Although it will not fully solve patent barriers to the access of medicines, implementation of compulsory licensing (and specifically those for the import and export of pharmaceutical products) will provide governments with another tool to safeguard their population’s public health. More

Context: The Food and Drug Administration (FDA)’s accelerated-approval pathway expedites patient access to promising treatments. However,… More

Context: With the increases in nationwide hospital maternity unit closures, there is a greater need for telehealth services for the supervision,… More

In this issue of the Milbank Quarterly, readers will find Perspectives and original scholarship articles on such diverse topics as complexity in… More

Context: A growing crop of national policies has emerged to encourage health care delivery systems to ask about and try to address patients’ social… More

Context: Employment is a key social determinant of health. As such, high rates of unemployment, underemployment, and poverty across the rapidly… More

A framework and analyses describing the variable relationships between LTSS-relevant environmental factors and person-reported care experiences. More

The United States is home to 44.9 million immigrants who contribute unique assets, economic stability, and rich lived experiences to communities… More

Cultural racism is a pervasive social toxin that surrounds all other dimensions of racism to produce and maintain racial health inequities. Yet, cultural racism has received relatively little attention in the public health literature. More

On October 17th, 2022, the US Presidential Advisory Council on HIV/AIDS (PACHA) adopted a nonbinding resolution about domestic molecular HIV… More

As the science of scaling spreads across the world with the aim of reducing health inequities, it is also essential to address the power imbalance in how we do scaling research globally. More

Primary care is a potentially fruitful setting for cultivating community and individual health and power by supporting social connectedness, self-efficacy, and collective action. More

Health matters to people and society. People generally desire to live longer, continue to function independently, and experience well-being throughout… More

The politics of public health requires a closer look at the role played by county commissioners, mayors, and other local elected officials. We need a political strategy to persuade these officials that their constituents will benefit from a better public health system. More

Erosion of electoral democracy is a threat to population health. This study adds to growing evidence that electoral democracy and population health are inextricably linked. More

In this review paper, authors explore the crucial contribution of human values to complex interaction and change. In the form of “simple rules,” we offer some preliminary recommendations for a more contemporary and values-informed approach to complexity in health care. We invite a new generation of research to extend the existing evidence base. More

Rural places affected by rural hospital closures have greater travel burdens for acute care. Across the rural South, racial/ethnic inequities in spatial access to acute care are most pronounced when travel times to the second nearest open acute care hospital are accounted for. More

Context: Trust is a fundamental aspect of any human relationship, and medical care is no exception. An ongoing, trusting relationship between… More

Context: Since the beginning of COVID-19 and the rise of social justice movements sparked by the murders of George Floyd and Breonna Taylor in the… More