Annals of internal medicine
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Despite the central role of primary care in improving health system performance, there are little recent data on how use of primary care and specialists has evolved over time and its implications for the range of care coordination needed in primary care. ⋯ National Institute on Aging.
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Editorial Comment
Reversing the Tide of Racial and Ethnic Disparities in Excess Deaths During the COVID-19 Pandemic.
In their study, Shiels and colleagues sought to capture racial and ethnic disparities in excess COVID-19 and non–COVID-19 deaths between March and December 2020. The editorialists discuss the findings and the actions needed to reverse the observed disparities.
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Biorepositories provide a critical resource for gaining knowledge of emerging infectious diseases and offer a mechanism to rapidly respond to outbreaks; the emergence of the novel coronavirus, SARS-CoV-2, has proved their importance. During the COVID-19 pandemic, the absence of centralized, national biorepository efforts meant that the onus fell on individual institutions to establish sample repositories. ⋯ This article offers a realistic overview of the authors' experience in establishing this biorepository at the onset of the COVID-19 pandemic during the height of the first surge of cases in Boston, Massachusetts, with the hope that the challenges and solutions described are useful to other institutions. Going forward, funders, policymakers, and infectious disease and public health communities must support biorepository implementation as an essential element of future pandemic preparedness.
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Fully assessing the mortality burden of the COVID-19 pandemic requires measuring years of life lost (YLLs) and accounting for quality-of-life differences. ⋯ National Institute on Aging.