Publications

Ethical Use of Artificial Intelligence in Public Health: Mitigating Risks and Advancing Health Equity

ABSTRACT

Artificial intelligence (AI) is increasingly integrated into public health practice, offering new tools for surveillance, behavioral interventions, disease prevention, risk communication, and population health management. Although AI demonstrates promise for earlier disease detection, improved intervention targeting, and cost-effective augmentation of limited public health capacity, many tools are being deployed amid fragmented regulatory frameworks, validation standards, and equity safeguards that govern other health interventions. Consequently, AI can introduce significant ethical, operational, and equity-related risks.

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Managing vulnerability: cross-sector reflections on the ethics and equity implications of AI use among young adults with chronic conditions

ABSTRACT

Generation Patient, a global advocacy organization led by young adults with chronic and rare medical conditions, convened a Roundtable in December 2025 to explore the potential and realized impacts of increased AI use in patient care. Across two hours, fifteen participants with a blend of lived, scholarly, and professional expertise engaged in a semi-structured focus group on the benefits and drawbacks of using AI to meet their healthcare needs within and beyond the clinic. Reflexive thematic analysis of the Roundtable transcript shed light on AI's promise to ease the administrative and emotional burden for young adults with complex conditions transitioning into adult care.

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Health Policy and Health Services Terry Adirim Health Policy and Health Services Terry Adirim

Changes in body mass index and behavioral health among adolescents in military families during the COVID-19 pandemic: a retrospective cohort study

Abstract

Background: Widely published findings from the COVID-19 pandemic show adverse effects on body mass index (BMI) and behavioral health in both adults and children, due to factors such as illness, job loss, and limited opportunity for physical and social activity.

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Health Policy and Health Services Terry Adirim Health Policy and Health Services Terry Adirim

Turn Intention Into Action

Abstract

To build and maintain an effective, agile force that is ready at a moment’s notice to deploy for national security missions, the US military must recruit approximately 150,000 new personnel annually while adhering to stringent medical standards. Given a target recruitment population of young adults ages 18–24, the health of the nation’s children is critical to US national security.

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The Emerging Pandemic of Coronavirus and the Urgent Need for Public Health Leadership

There is ample precedent for public health officials directing the control of emerging pandemics. Perhaps most notably, in the early 1960s, Alexander D. Langmuir, MD, Director of the Epidemic Intelligence Service and Epidemiology Program at the Centers for Disease Control and Prevention (CDC) began to work closely with Donald A. Henderson, MD, Chief of the Virus Disease Surveillance Program at the CDC.

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A Military Health System For The Twenty-First Century

Abstract

The Military Health System is one of the largest integrated health care systems in the United States. It is composed of a “direct care” system of military treatment facilities managed in a federated manner by the Army, Navy, Air Force, and Defense Health Agency and a “purchased care” component that consists of a network of health care providers managed through TRICARE.

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Health Policy and Health Services Terry Adirim Health Policy and Health Services Terry Adirim

Development of a pediatric quality measure set for the military health system 

Abstract

The Military Health System (MHS) is an integrated health care system composed of direct care and purchased care that serves over 9.4 million beneficiaries including 2 million children. The current MHS quality measures dashboard includes few measures specific to children and may not reflect the needs of military children.

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Health Policy and Health Services Terry Adirim Health Policy and Health Services Terry Adirim

Pediatric Readiness in Indian Health Service and Tribal Emergency Departments: Results from the National Pediatric Readiness Project

Abstract

Introduction: In 2014, 45 Indian Health Service (IHS)/Tribal emergency departments serving American Indian and Alaskan Native communities treated approximately 650,000 patients of which, 185,000 (28%) were children and youth younger than 19 years. This study presents the results of the National Pediatric Readiness Project (NPRP) assessment of the 45 IHS/Tribal emergency departments

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