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Joanna Hart

@joannahart.bsky.social
612 followers 175 following 39 posts

pulmonary and critical care - dedicated to advancing the science and practice of family-centered care, love mentoring, and trying to make the world a better place. Univ of Penn and VAMC but views my own. Philly sports fan, obv

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Reposted by Joanna Hart
Penn LDI @pennldi.bsky.social · 07/10/2026
Can cash incentives help people referred for lung cancer screening quit smoking long term? The Healthy Lungs study is the first to test financial incentives to quit among this group. Read more about the study design, findings, and their implications: bit.ly/4i7hetq
ldi.upenn.edu
Lung Cancer Screening Isn’t Enough. Pay People to Quit.
A new JAMA study by LDI Fellows at the PAIR Center found that cash incentives coupled with other interventions doubled quit rates among high-risk patients.
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Center for Health Incentives and Behavioral Economics @pennchibe.bsky.social · 07/10/2026
Offering financial incentives of up to $600 nearly doubled smoking cessation rates among medically underserved adults undergoing lung cancer screening, according to a large randomized clinical trial. 🚭 jamanetwork.com/journals/jam...
jamanetwork.com
Smoking Cessation Among Underserved Patients Referred for Lung Cancer Screening
This randomized clinical trial examines the effectiveness of 4 strategies for promoting smoking cessation among medically underserved persons referred for lung cancer screening.
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Jenna Norton @jenna-m-norton.bsky.social · 02/10/2026
"Because policy shapes health, research on policy is health research." Great article from some giants in the fields of public health, social epidemiology, and health policy research: www.healthaffairs.org/content/fore...
healthaffairs.org
Policy Research At The National Institutes Of Health: An Imperative In Peril | Health Affairs Forefront
Understanding the health consequences of policy is not peripheral to NIH’s mission. It is central to it.
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Joanna Hart @joannahart.bsky.social · 25/09/2026
May we always strive to the one who is present, not the fixer, when the moment calls. ❤️
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Joanna Hart @joannahart.bsky.social · 21/08/2026
Whatever your foreign policy opinions, my heart is with the sailors and families back at home as this deployment ends. As a kid who grew up missing (and being infinitely proud of) a dad at sea on Navy ships, the impact of a 9-month deployment on families is not abstract.
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Amy G Dala, MD @amygdalamd.bsky.social · 20/08/2026
Me as an author: what’s taking so long for the review Me as reviewer: dammit I’m not doing more work for free Me as editor: please please please please please accept to review and thank you thank you thank you I love you #academicmedicine
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KFF @kff.org · 16/07/2026
Compared to other adult workers, direct care workers are more likely to be age 50+, female, Black or Hispanic, or immigrants. They are also more likely to have a high school degree or less, work part-time, be low-wage, and have Medicaid or be uninsured: on.kff.org/3SPqKaJ
The KFF bar chart shows a breakdown of the different demographics and socioeconomic characteristics of direct care workers compared to all other adult workers in the US.
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Reposted by Joanna Hart
NPR @npr.org · 11/07/2026
Should patients who choose euthanasia be able to die by having their vital organs removed for donation? The ethical concerns are substantial.
n.pr
A new proposal for organ donation sparks concern
Should patients who choose euthanasia be able to die by having their vital organs removed for donation? The ethical concerns are substantial.
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Jess Calarco @jessicacalarco.com · 29/05/2026
This is bad. Bad for researchers. Bad for science. Bad for universities. Bad for professional associations. For example: 1. Every award would be vetted by political appointees, who could overrule peer reviewers and deny the award if it doesn't advance the president's priorities. 1/🧵
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NPR @npr.org · 25/05/2026
Over 550 men in California have fallen ill after cutting natural or factory-made stone countertops. But epidemiologists say this isn't just a California problem.
n.pr
Thousands of U.S. countertop workers could have damaged lungs, safety expert says
Over 550 men in California have fallen ill after cutting natural or factory-made stone countertops. But epidemiologists say this isn't just a California problem.
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Joanna Hart @joannahart.bsky.social · 21/05/2026
Big Tobacco has not gone away. Just changed shape.
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Amy Bradstreet @onbradstreetfarm.bsky.social · 09/05/2026
Yeah, we don’t have hospitals, dentists, or physicians.
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Joanna Hart @joannahart.bsky.social · 29/04/2026
This.
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KFF Health News @kffhealthnews.org · 28/04/2026
Every state won awards from a $50 billion rural transformation fund. But the money can’t replace Medicaid dollars. It must build durable systems: electronic health records, broadband, telehealth. That means community health care providers may end up sharing the billions with corporate giants.
kffhealthnews.org
Big Companies Position Themselves for Payday From $50B Federal Rural Health Fund - KFF Health News
A $50 billion federal fund is supposed to modernize rural health with electronic health records, AI, telehealth, and more. But community clinics and rural health advocates fear that the contractors ad...
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Joanna Hart @joannahart.bsky.social · 22/04/2026
This is the perhaps the worst part: “This is lost time for all of us,” Dr. Lauer said. “Instead of spending their time doing science and hopefully making discoveries that will make us all healthier, they’re rewriting grant applications.” www.nytimes.com/2026/04/22/s...
nytimes.com
Pace of N.I.H. Funding Slows Further in Trump’s Second Year
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Joanna Hart @joannahart.bsky.social · 13/02/2026
As a West Philly baseball mom and volunteer for our local rec league, this article is spot on. The kids out there need safe play spaces and rec sports—and not just the robust programs in the northeast with snack bars, real bathrooms in club houses, and recruiting systems.
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Joanna Hart @joannahart.bsky.social · 10/02/2026
Incredibly proud to be part of this team emphasizing the importance of integrating palliative and supportive care principles into routine pulmonary and critical care!
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Reposted by Joanna Hart
Kristin Brethel-Haurwitz @brethelhaurwitz.bsky.social · 29/01/2026
obssr.od.nih.gov/news-and-eve...
obssr.od.nih.gov
NIH Behavioral and Social Sciences Early Career Workshop
Now Accepting Applications!Visit our application page for instructions. Applications are due February 13, 2026.
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Joanna Hart @joannahart.bsky.social · 27/01/2026
“I was able to recognize my mother, who…spent nights with me, and my husband and younger brother, who would visit during the mornings and afternoons. My constant and singular thought during that time was this: If they could see me, then I was safe.” www.nytimes.com/2026/01/27/d...
nytimes.com
How Losing My Limbs Turned Me Into a Different Kind of Cook
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JAMA @jama.com · 04/01/2026
Clinicians can enhance patient understanding by using numerical data instead of verbal probabilities, consistent denominators, absolute risk comparisons, and clear context for unfamiliar data types. ja.ma/3KW7LI0
Table titled "Guidance for Communicating With Patients About Medical Numbers". Columns: Recommendation, Potentially Problematic Communication, and Preferred Communication. Examples include using numbers to convey risk and providing context.
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Joanna Hart @joannahart.bsky.social · 04/01/2026
I listened to this when it first came out and I’ve been thinking about it ever since.
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Nick Hopkinson @copddoc.bsky.social · 19/11/2025
Material deprivation is associated with more frequent emergency and unplanned healthcare utilisation in COPD. bmjopenrespres.bmj.com/content/12/1... #WorldCOPDday #StructuralViolence @imperialnhli.bsky.social @bmj.com #LungSky #RespEd @fphuk.bsky.social @btsrespiratory.bsky.social
bmjopenrespres.bmj.com
Relationship of material deprivation with emergency or unplanned healthcare utilisation in adults with chronic obstructive pulmonary disease: analysis from an Asthma+Lung UK survey
Background Various forms of deprivation have been linked to poor health. Emergency and unplanned healthcare utilisation (EUHU) is inefficient and represents suboptimal chronic disease management. Unde...
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JAMA Network Open @jamanetworkopen.com · 31/10/2025
Promotion delays in academic pediatrics cost physicians up to $3 million in lost earnings and widen pay gaps, highlighting the need for fair, timely advancement for a sustainable pediatric workforce. ja.ma/4nvdscM
Three graphs show NPV in millions of dollars vs. wage rate, comparing promotion timelines. Early promotion yields the highest NPV gains with increasing wage rates, while stalled/no promotion has lower returns. Pediatric subspecialties NPV increases with wage, with a range shown.
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JAMA Network Open @jamanetworkopen.com · 22/10/2025
Targeted investment to boost screening rates in FQHCs could result in 1.87 million additional people screened and help narrow longstanding disparities in cervical cancer prevention. ja.ma/43zs57R
Two bar graphs show national screening percentages. Graph A shows demographic subgroups, with categories like "Overall" and "Uninsured." Graph B breaks down screening by geographic region: Northeast, Midwest, South, West. Both compare 'Screened (status quo),' 'Reference,' and 'Screened (after improvement)'.
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American Thoracic Society (ATS) @atscommunity.bsky.social · 30/09/2025
The ATS and CAPC are proud to introduce a new collaborative series of seven modules on ATS Ed+ for clinicians treating patients with serious illnesses. Earn CME! #pallipulm @anandiyermd.bsky.social @donsullivan.bsky.social @pallipulm.bsky.social Learn more: atsedplus.thoracic.org/capc/palliat...
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Dimitri Drekonja, MD, MS @dimitridrekonja.bsky.social · 30/09/2025
I work with Veterans. If I told them that they "killed people and broke things for a living" they would (rightfully) tell me to go to hell. Those that have had to kill someone in the line of duty most often view it with sadness, regret, and one of the worst experiences of their lives.
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Joanna Hart @joannahart.bsky.social · 26/09/2025
SMDM offers short courses, including this one: smdm.org/meeting/smdm...
smdm.org
SMDM Core Course: Introduction to Medical Decision Analysis (Decision-Analytic Modeling)
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Joanna Hart @joannahart.bsky.social · 19/09/2025
…of existing in some stranded time zone distinct from all those in the outside world.…except, instead of waiting for a plane, we were waiting for devastation or deliverance.
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Joanna Hart @joannahart.bsky.social · 19/09/2025
…on professionals either kindly or officious; the same long walk to unappealing, overpriced commerce; the same creeping exhaustion that enters, like the quality of the air, almost the moment you walk through the door; the same sense of temporal dislocation...
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Joanna Hart @joannahart.bsky.social · 19/09/2025
…of the brevity of life and the great looming precipice of eternity as Wordsworth was at Tintern Abbey, yet at the same time you are basically stuck at an airport. There is the same combination of impatience and impotence; the same constant proximity to strangers; the same unavoidable dependence…
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Joanna Hart @joannahart.bsky.social · 19/09/2025
Reading Lost & Found by Kathryn Schulz and found her descriptions of ICU life impeccable, eg: “unless you work there, a hospital is no kind of place to spend so much time. Like a storefront church, its physical presence is at odds with its existential responsibilities. In an ICU, you are aware…
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Sabrina @hbgmd.bsky.social · 10/09/2025
🤔 Ever wonder if our ICU families experience trauma? Esp those w a trauma history? D Ashana & colleagues 👀 at just that thru interviews w 26 family members, just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... #OpenAccess @joannahart.bsky.social @accpchest.bsky.social
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The Rural Impact Podcast @ruralimpactpodcast.bsky.social · 10/09/2025
Because all roads to quality of rural life are paved by policy, we're pleased to help spread the word about the @rururbbridge.bsky.social ‪Beyond Resistance Campaign Virtual Launch. Wednesday, September 10, 2025 7:00pm ET Find the link to register: ruralurbanbridge.org
ruralurbanbridge.org
Rural Urban Bridge Initiative
The Rural Urban Bridge Initiative invites liberals and progressives to think differently, talk differently, and act differently in order to understand the causes of the rural-urban divide and then do ...
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JAMA @jama.com · 03/09/2025
Viewpoint: The One Big Beautiful Bill Act's significant #Medicaid cuts threaten rural health care access and economic stability. ja.ma/3HE9rEo
JAMA viewpoint: "The One Big Beautiful Bill Act—Implications for Rural Health Care" by M. Bryant Howren and Jed R. Hansen. Published September 3, 2025. doi: 10.1001/jama.2025.13518
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NPR @npr.org · 20/06/2025
A new documentary on PBS shows what it's like to care for adult family members and recounts the history of caregiving policy in the U.S. revealing why those caring for family are often on their own.
n.pr
Why is caregiving so hard in America? The answers emerge in a new film
A new documentary on PBS shows what it's like to care for adult family members and recounts the history of caregiving policy in the U.S. revealing why those caring for family are often on their own.
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American Thoracic Society (ATS) @atscommunity.bsky.social · 10/06/2025
Studies show that just one exposure to tear gas can increase the likelihood of respiratory illnesses. That's why in 2020, the ATS called for a moratorium on the use of tear gas and other chemical agents. Learn more about the damage tear gas causes (via @wired.com‬): www.wired.com/story/what-t...
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Jose Figueroa, MD, MPH @joefigs.bsky.social · 12/06/2025
Our new @JAMAHealthForum study adds more evidence on how Medicare Advantage plans enrolling veterans are maximizing profits by not paying for care. Veterans in high-veteran MA plans are much more likely to have surgical care paid by VA than plan itself—even when surgery occurs in non-VA hospitals…
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JAMA @jama.com · 04/06/2025
Varenicline, combined with behavioral counseling, increased vaping abstinence in youth who vape nicotine and do not regularly smoke tobacco. ja.ma/4jvML5W
Visual Abstract
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Joanna Hart @joannahart.bsky.social · 21/05/2025
☎️ a friend time: looking for folks in ADULT hospital/ICU settings who support patients’ family members who are KIDS. Many places have child life (especially those with co-located peds hospitals)—anyone not have that model? Interested in folks’ experiences on this topic and would love to connect!
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JAMA @jama.com · 16/05/2025
The White House's 2026 budget proposal recommends eliminating the Health Resources and Services Administration and cutting rural health funding by 25%, posing a threat to health care access and services in rural areas. jamanetwork.com/journals/jam...
jamanetwork.com
Federal Funds for Rural Health Care May Be Cut
This Medical News article discusses the impact that proposed federal funding cuts for rural health care programs would have on individuals and their communities.
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NPR @npr.org · 15/05/2025
After her dreams of becoming a doctor were denied, one California woman is working to make the profession more accessible to those with disabilities.
npr.org
One woman's fight to remove barriers for aspiring doctors with disabilities
After her dreams of becoming a doctor were denied, one California woman is working to make the profession more accessible to those with disabilities.
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Nick Hopkinson @copddoc.bsky.social · 30/04/2025
Reassuring data on varenicline in pregancy jamanetwork.com/journals/jam... @jama.com @btsrespiratory.bsky.social @ashorguk.bsky.social
jamanetwork.com
Risk of Major Congenital Malformations Following Prenatal Exposure to Smoking Cessation Medicines
This cohort study examines whether prenatal use of smoking cessation pharmacotherapies is associated with increased risks of major congenital malformations.
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Joanna Hart @joannahart.bsky.social · 30/04/2025
I have had the good fortune to visit the Coal Workers Program of NIOSH in West Virginia. The team is incredible - dedicated to protecting generations of workers doing jobs most of us can barely imagine. I’m glad to hear the program has been (temporarily) restored. abcnews.go.com/amp/US/live-...
abcnews.go.com
'I want to live': Coal miners speak out as Trump strips away health protections
Even as President Trump vows to reinvigorate America's coal industry, critics say his administration has stripped away key health protections for miners.
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American College of Chest Physicians @accpchest.bsky.social · 18/04/2025
Recently, the U.S. Department of Justice sent letters to scholarly journals inquiring about their process and principles. As an organization, we respect and support the CHEST journal's editorial leadership and long-standing reputation. Read more here: www.chestnet.org/newsroom/che...
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Penn LDI @pennldi.bsky.social · 18/04/2025
A new study finds that for rural breast cancer patients, living farther from care is associated with prolonged time to surgery (TTS). But rurality itself—independent of distance—is associated with shorter TTS. Read more: pubmed.ncbi.nlm.nih.gov/40143820/
pubmed.ncbi.nlm.nih.gov
The Effect of Rurality on Time to Surgery and Overall Survival among Women with Breast Cancer - PubMed
Although geographic proximity to care mediates the relationship between rurality and prolonged TTS, rurality has an intrinsic protective effect on TTS that is independent of the adverse effect of incr...
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Shematologist, MD @shematologist.medsky.social · 02/04/2025
The crazy thing about firing all of these federal employees is that they tend to be underpaid, super hardworking, in it for the right reasons, idealistic people who could’ve worked in industry or pharma and made way more money but they truly believed in the mission and the good they were doing.
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Joanna Hart @joannahart.bsky.social · 25/03/2025
All respect to these authors—I agree expectations are critical in serious illness (for decision making, coping, preparations) but in this case the “prognostic awareness” was reported retrospectively by caregivers of patients who have died, not actual patient perspectives. See my recent thread!
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Joanna Hart @joannahart.bsky.social · 20/03/2025
But it sounds like the students aren’t intrinsically motivated by those exposures, so maybe explore that more? Or explain your perspective when they decline those opportunities for patient-based learning.
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Joanna Hart @joannahart.bsky.social · 20/03/2025
These sorts of things provide a) amazing first-hand knowledge about that patient the residents won’t have, thus filling a distinct role, and b) learning about collaborative medical care in a way that truly won’t happen after medical school.
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Joanna Hart @joannahart.bsky.social · 20/03/2025
If students are feeling “in the way” that’s likely a larger team culture issue — however, a quick fix for this I’ve found is to impress upon students it’s often their only chance to do things like travel with the MICU patient to IR, go with them to the cath lab, help during PT sessions, etc.
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