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This literature review explores the experiences of disabled healthcare workers and the impact that ableism has on their career development and well-being. Workplace ableism is common in professional settings and health care settings are no exception. The authors of this review argue that this pervasive ableism could be discouraging people with disabilities from considering careers in the medical field and that workplace discrimination and disability-unfriendly settings have negative impacts on the health of these providers.

This article discusses COVID-19’s impact on rates of breast cancer screening in the United States and the inequalities that revealed themselves regarding screening mammography access across the country. In the spring of 2020, breast cancer screenings, which are a key tool used to detect and mitigate the effects of breast cancer, came to a halt. In the years since, troubling patterns have emerged regarding which communities have access to these screenings and which do not. The authors of this paper cite several studies including one showing a greater decreases in screening volumes during the height of the COVID-19 Pandemic for Black, Latina, and Asian women compared to White women and another revealing slower returns to baseline rates of mammography for Native American, Asian, and Latina women compared to White women. The authors of this paper argue that these disparities are consequential and serve as further evidence of persisting health inequalities and unequal access to medical care. They go on to suggest a potential framework for solutions that involves a multifaceted approach that addresses disparities at the individual, health system, and policy levels. They emphasize that quality measures are the critical first step towards identifying and hopefully remedying deficits like the one seen in breast cancer screening rates.

The nonprofit Center for Open Data Enterprise and the U.S. Department of Health and Human Services (HHS) convened the Roundtable on Sharing and Utilizing Health Data for AI Applications in 2019. These discussions identified five high-level applications of AI in healthcare. First, AI automation tools can be utilized to improve clinician and administrative workflows and reduce the costs and administrative burden of manual data entry and billing processes. AI is also a valuable tool that can be used to connect patients with available health and social service resources, especially in rural areas. Researchers can use AI to inform and advance population health management by synthesizing data to tell clearer stories about the prevalence and incidence of different diseases. AI has the potential to be a revolutionary tool in the medical diagnosis space. Lastly, AI can aid in the development of new drugs throughout the entire cycle, from matching clinical trial participants to appropriate trials to contributing to precision medicine research. Importantly, the report emphasizes the dependence of all these promising AI applications on the widespread sharing of high-quality, clean, and accurate data.

The Robert Wood Johnson Foundation formed the National Commission to Transform Public Health Data Systems in response to the health inequalities and insufficient cross-sector data-sharing capabilities that characterize the American health care system. The 16-member Commission, comprised of experts from the healthcare, community advocacy, business, government, and public health spaces, was tasked with examining the data and data-sharing systems needed to ensure a public health system that is representative of the situations and needs of all Americans. In a report published in 2021, the Commissions put forth a series of recommendations focused on the need to remedy the current disconnect between data on health inequalities and the history and social conditions that shape poor health outcomes to begin with.

This study examines the role that family physicians play in maternity care in rural communities across the US. Authors collected data from 185 rural hospitals and found that family physicians delivered babies in 67% of these hospitals and were the only doctors doing so in 27% of these hospitals. The results of this study reveal the importance of family physicians in providing maternal health care in rural America. The study’s authors stress the importance of adequate maternal care training for future family physicians who intend to practice in rural location during their residency training.

Researchers conducted a series of interviews with administrators from 40 different nursing homes across the US between July 2020 and December 2021 to better understand their experiences amidst the COVID-19 pandemic. Interviewees described the adverse effects of the pandemic on the physical and mental health of the residents in their facilities as restrictions around visitation, socializing, and communal dining created isolating, inactive conditions. Administrators also expressed concerns for the longevity of the nursing home industry in the wake of the pandemic and resulting reductions in revenue and pervasive negative perceptions of nursing homes in the media.

This study assessed differences in COVID-19 cases and mortality rates in traditional nursing homes and Green Houses. Green Houses are smaller, more intimate residential living environments that promote personalized care and more tight-knit communities of residents and care givers. Using CMS data, researchers found that, adjusting for age, gender, and disability status, small and large nursing homes had higher COVID-19 cases and mortality rates compared to Green Houses.

This editorial from The Lancet Respiratory Medicine discusses the growing public health crisis of Long COVID. It highlights that over 65 million people worldwide are estimated to have post-acute sequelae of COVID-19, and there is an urgent need for preventive, rehabilitative, and therapeutic strategies to address this issue. The article emphasizes the importance of vaccination against SARS-CoV-2 in reducing the risk of Long COVID and mentions the potential benefits of early outpatient treatment in preventing it. However, challenges remain in defining Long COVID, diagnosing it reliably, and understanding its causes and mechanisms. The article calls for large-scale research initiatives to explore these aspects, identify diagnostic and prognostic biomarkers, and develop targeted interventions. It also emphasizes the importance of considering the needs of vulnerable populations and providing patient-centered care for Long COVID.

The U.S. Department of Health and Human Services (HHS) has taken significant steps to address the long-term effects of COVID-19, known as “Long COVID.” These actions include establishing advisory committees, forming offices dedicated to Long COVID research and practice, and providing technical guidance for evaluating disabilities related to Long COVID. HHS has also delivered comprehensive reports to the President outlining support services and research strategies. These efforts, in collaboration with various federal agencies, aim to assist individuals in living independently and participating in their communities while dealing with the ongoing impacts of COVID-19. Numerous resources, such as guides, civil rights protections, and workplace accommodations, have been made available to support those affected by Long COVID.

The article discusses the challenges and frustrations surrounding Long COVID research in the United States. Despite substantial investments and numerous research efforts, progress in understanding and treating Long COVID has been slow and disappointing. Experts and patient advocates have criticized the research community for its focus on disease development rather than direct patient care, duplication of studies, and a lack of clinical trials. The authors propose a new hypothesis that Long COVID may be a form of post-infectious syndrome or chronic fatigue syndrome, suggesting that traditional biomedical research approaches may not yield meaningful results. Instead, they advocate for a shift towards health services research and measures that directly impact patients’ welfare, including prevention, improved prognosis, access to empathetic care, and quality of life issues. They emphasize the need for collaboration between researchers, patients, and advocacy groups to reset the research agenda effectively.