Sexual harassment and abuse in health care are not a recent phenomenon. Men in positions of power as physicians and as supervisors have been perpetrators for a long, long time. But the #MeToo movement and its progeny, #TimesUp, have created a new awareness in the health care sector as they have elsewhere. Our story reviews the evidence and discusses some of the nuances and the way forward.
We also tackle more traditional managed care topics. Bundled payments for maternity care make sense and have been shown to have some positive effects (reducing the number of unnecessary Caesarean sections, for example). We look at some of the reasons they’ve had difficulty catching on.
Another story in this issue considers the future of the Pap test. It’s been a good run for a test that has greatly reduced the incidence of cervical cancer but HPV vaccination and testing may conspire to make it obsolete.