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@janprobst.bsky.social

@janprobst.bsky.social

Jan Probst ~ 40 years health services research, mostly into rural issues Guardian of Sam the rural health advoCATe. Bibliography: https://www.ncbi.nlm.nih.gov/myncbi/1HMPkKfOyD5kE/bibliography/public/

2,098 Followers  |  1,345 Following  |  918 Posts  |  Joined: 02.10.2023
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Posts by @janprobst.bsky.social (@janprobst.bsky.social)

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Join a dynamic research team as a PhD Fellow, exploring men’s health and family dynamics. | FINN.no About the positionWe invite applicants for a three- to four-year position as a PhD research fellow at the Institute of Psychology, Faculty of Social Sciences

PhD opening @UniOslo: Join a dynamic team exploring men's health & family dynamics in the ERC HOMME project! 3-4 yrs, interdisciplinary (psych, soc, econ, health), Norwegian register data + cohorts. Salary ~NOK 551k-615k. Deadline 31 March 2026.
Apply: www.finn.no/job/ad/45388...

06.03.2026 03:11 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Everybody’s got their reasons for despising Markwayne Mullin and mine is him screaming at the dignified and brilliant former CDC Director Susan Monarez at a hearing.

He lied about a nonexistent recording and tried to bully her into submission.

She was a locus of zen. He lost his damned mind.

05.03.2026 23:53 β€” πŸ‘ 771    πŸ” 217    πŸ’¬ 39    πŸ“Œ 8
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Implications of Year 1 Trump Administration Policies for Americans’ Lung Health Adam W Gaffney, MD, MPH, Steffie Woolhandler, MD MPH, David C Christiani, MD, MPH, MS, Mary B Rice, MD MPH, John Balmes, MD, C Corey Hardin, MD PhD, Cecile

Our new paper was just published in @atsblueeditor.bsky.social

Authored by the Lung Health Policy Tracking Group β€” a panel of lung specialists & public health experts β€” our paper explores impacts of Trump policies on Lung Health in 10 domains.

Open access link to "online first" version:

05.03.2026 20:50 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
05.03.2026 20:55 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Sam the rural health advoCATe remembers what a wonderful lady Rosemary was. Let’s find some champions to continue her legacy!

#PowerOfRuralCats

05.03.2026 20:55 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Surveys in Psychiatric Epidemiological Research This Special Communication examines the biases and operational problems of surveys used in psychiatric epidemiological research to develop a standard for using nonprobability and probability-based onl...

A thoughtful discussion shared by Sam the rural health advoCATe, who notes that rural residents are often underrepresented in online panels. He likes the recommendation that findings from non-probability online surveys not be published.

#PowerOfRuralCats

jamanetwork.com/journals/jam...

05.03.2026 13:46 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Rural Healthcare Is in the Red as Trump Withholds Medicaid Payments to Minnesota | The Daily Yonder Editor’s Note: This post is from our data newsletter, the Rural Index, headed by Sarah Melotte, the Daily Yonder’s geographer. Subscribe to get a weekly

Grimly shared by Sam the rural health advoCATe, who is tired of endless policy implementations that fail to assess rural impacts.

#PowerOfRuralCats

dailyyonder.com/rural-health...

04.03.2026 18:26 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Happening tomorrow, 11AM EST or 8AM Pacific!

04.03.2026 17:11 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Twitter mentions Friday 6 February: 17,947 posts
Bluesky, same timeframe: 24,512 posts

Twitter mentions Friday 6 February: 17,947 posts Bluesky, same timeframe: 24,512 posts

Since we have 2 months of 2026 data now, we can see if the trend we saw last year holds up: does research from the current year get shared more on Bluesky or X-Twitter?

As you can see here, we still see days regularly where Bluesky's volume of research sharing is markedly higher than Twitter.

1/9

04.03.2026 16:14 β€” πŸ‘ 22    πŸ” 9    πŸ’¬ 4    πŸ“Œ 0

Heads up -- the NHATS webinar was moved one week. See below:

02.03.2026 14:44 β€” πŸ‘ 1    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Image of the article's title + illustration

Image of the article's title + illustration

Today in HA Forefront: we argue that Trump admin efforts to cancel vaccine-related research grants aren't just unlawful -- they're a major threat to public health.

@mccuskey.bsky.social @thcallaghan.bsky.social @michaelrulrich.bsky.social & Nicole Huberfeld

www.healthaffairs.org/content/fore...

03.03.2026 13:03 β€” πŸ‘ 9    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
Map showing Washington Heights and East Harlem with highlighted areas: Washington Heights BID and 125th Street BID in red, 5-min walking buffer in orange, and 10-min walking buffer in blue, with OnPoint Washington Heights and OnPoint East Harlem.

Map showing Washington Heights and East Harlem with highlighted areas: Washington Heights BID and 125th Street BID in red, 5-min walking buffer in orange, and 10-min walking buffer in blue, with OnPoint Washington Heights and OnPoint East Harlem.

Opening of overdose prevention centers in New York City was not associated with significant changes in neighborhood foot traffic or consumer spending, suggesting no observed economic harms near these #HarmReduction sites.

ja.ma/403HXgS

27.02.2026 16:45 β€” πŸ‘ 70    πŸ” 25    πŸ’¬ 0    πŸ“Œ 3
A graph displays the 'Share of NHs with QSWs' against 'Beds, total No.' from 2017 to 2021. The share generally increases with the number of beds. The 2019 share shows a higher rate for most bed totals.

A graph displays the 'Share of NHs with QSWs' against 'Beds, total No.' from 2017 to 2021. The share generally increases with the number of beds. The 2019 share shows a higher rate for most bed totals.

In US nursing homes, employment of qualified social workers was associated with reduced restraint use, especially in facilities with higher #Dementia prevalence.

ja.ma/3MKlAKo

25.02.2026 18:45 β€” πŸ‘ 4    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0
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Half Of Rural Patients Bypassed Their Local Hospital But Received Lower-Quality Surgical Care Elsewhere, 2016–20 | Health Affairs Journal Hospital bypass, where patients receive care at a more distant hospital rather than their local hospital, has been described in the literature, but little is known about its association with surgical ...

New work shared by Sam the rural health advoCATe.

Bottom line: when measured by clinical outcomes, rural hospitals provide great routine surgical care.

@codymullens.bsky.social
@ruralhealth.bsky.social

#PowerOfRuralCats

www.healthaffairs.org/doi/10.1377/...

02.03.2026 22:23 β€” πŸ‘ 7    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0

As a (mostly) retired scientist, Sam’s guardian concurs with the sentiment in the quote.

But as long as folks keep having questions about rural health, SG will still be in the game, even as a low minute sub.

02.03.2026 21:56 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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β€œViral Suppression Among Rural and Urban People Living With HIV in Wyoming” Purpose To determine whether sociodemographic factors, including residence in rural/frontier versus urban settings, are associated with differences in HIV viral suppression rates among people living...

This study in a single state (Wyoming) found no rural/urban difference in viral suppression. What will happen if Ryan White funding is cut? The recent Hopkins simulation analysis did not address rural.

#PowerOfRuralCats

onlinelibrary.wiley.com/doi/full/10....

02.03.2026 15:36 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
JAMA Internal Medicine banner reads: "Call for Applications: Teachable Moment Editorial Fellowship. Due May 15, 2026. Learn more >". The background shows two figures in medical scrubs holding a clipboard and tablet.

JAMA Internal Medicine banner reads: "Call for Applications: Teachable Moment Editorial Fellowship. Due May 15, 2026. Learn more >". The background shows two figures in medical scrubs holding a clipboard and tablet.

πŸ“’ Applications Open: 2026–2027 @jamainternalmed.com Teachable Moment Editorial Fellowship

Chief Residents: elevate your academic trajectory & gain firsthand experience in editorial decision‑making.

Learn more & apply: ja.ma/4rZtNKd

02.03.2026 13:00 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Amid the turmoil, Sam Beyda, a 24-year-old who has never previously worked in public health, has assumed a prominent role at the agency, according to current and former officials.
While at the CDC, O'Neill was often absent, those officials said, and he deputized Beyda to run much of the agency's day-to-day operations for him, people familiar with the matter said. Beyda, a 2023 graduate of Columbia University, is based in Washington, D.C., but frequently travels to the CDC's Atlanta headquarters.
An internal document in November listed Beyda as leading five of 16 new strategic initiatives, including updating the CDC's agencywide response to outbreaks and crises, downsizing animal research and enhancing surveillance of novel pathogens.
Some longtime CDC staffers have credited Beyda with being a quick study and making an effort to ask questions and learn on the
ioh Ona coninr novear And ofniol enid Pando

Amid the turmoil, Sam Beyda, a 24-year-old who has never previously worked in public health, has assumed a prominent role at the agency, according to current and former officials. While at the CDC, O'Neill was often absent, those officials said, and he deputized Beyda to run much of the agency's day-to-day operations for him, people familiar with the matter said. Beyda, a 2023 graduate of Columbia University, is based in Washington, D.C., but frequently travels to the CDC's Atlanta headquarters. An internal document in November listed Beyda as leading five of 16 new strategic initiatives, including updating the CDC's agencywide response to outbreaks and crises, downsizing animal research and enhancing surveillance of novel pathogens. Some longtime CDC staffers have credited Beyda with being a quick study and making an effort to ask questions and learn on the ioh Ona coninr novear And ofniol enid Pando

But others say Beyda isn't qualified for a senior role that is often filled by someone
with a master's in public health or years of experience in the federal government.
Beyda executed January's widespread grant cuts to state and local health departments that the CDC then quickly rescinded, people familiar with the matter said. The administration moved forward about two weeks later with roughly $600 million in grant cuts to four states led by Democrats, a move now held up in court. Beyda was also deeply involved in a chaotic wave of firings at the CDC during the October government shutdown, according to people familiar with the matter, which saw more than a thousand employees laid off only for hundreds to later be reinstated.
Beyda is one of at least a dozen political appointees at the agency, representing a larger number than in previous administrations, according to two current employees. The new political appointees wield significant power over the CDC's

But others say Beyda isn't qualified for a senior role that is often filled by someone with a master's in public health or years of experience in the federal government. Beyda executed January's widespread grant cuts to state and local health departments that the CDC then quickly rescinded, people familiar with the matter said. The administration moved forward about two weeks later with roughly $600 million in grant cuts to four states led by Democrats, a move now held up in court. Beyda was also deeply involved in a chaotic wave of firings at the CDC during the October government shutdown, according to people familiar with the matter, which saw more than a thousand employees laid off only for hundreds to later be reinstated. Beyda is one of at least a dozen political appointees at the agency, representing a larger number than in previous administrations, according to two current employees. The new political appointees wield significant power over the CDC's

Letting a 24 year old lead hundreds of millions of grants cuts at CDC…

02.03.2026 03:24 β€” πŸ‘ 243    πŸ” 82    πŸ’¬ 5    πŸ“Œ 10

I may be biased here as a small business owner of a medical practice but every time private equity helps out a struggling medical group it just leads to a larger discrepancy between the care of rich vs poor patients.

02.03.2026 03:15 β€” πŸ‘ 72    πŸ” 13    πŸ’¬ 6    πŸ“Œ 0
Public Health Under Attack: Continuity, Discontinuity, and History | Journal of Health Politics, Policy and Law | Duke University Press

My new article in @jhppl.bsky.social situates the current attacks on public health in a historical perspective.

What I found surprised me. We've seen this before, and it's not as unprecedented as it feels.

Thanks to @sarahgollust.bsky.social @oberlanderunc.bsky.social for editing! Read free below.

01.03.2026 22:09 β€” πŸ‘ 19    πŸ” 10    πŸ’¬ 0    πŸ“Œ 1
The image contains three line graphs labeled A, B, and C, each depicting trends related to "Change in pharmacies per 10000 residents" over time relative to Medicaid expansion. Graph B shows a notable increase after year 0.

The image contains three line graphs labeled A, B, and C, each depicting trends related to "Change in pharmacies per 10000 residents" over time relative to Medicaid expansion. Graph B shows a notable increase after year 0.

Medicaid expansion was associated with a 5.7% increase in pharmacy availability over 5 years in zip code areas with highest adult uninsurance rates, compared to a 7.4% decrease in nonexpansion areas.

ja.ma/4rYfLZj

01.03.2026 15:00 β€” πŸ‘ 10    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0

It’s bad enough predatory grifters are allowed to promote dangerous science denial and scams using professional credentials. If Epstein accomplices are allowed to continue without consequence after enabling the most notorious child sex trafficker of all time then there is no reason for them to exist

28.02.2026 21:44 β€” πŸ‘ 123    πŸ” 12    πŸ’¬ 1    πŸ“Œ 0

pretty much covers it.

28.02.2026 14:06 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
27.02.2026 22:09 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Great idea. Your presentation needs to be widely shared.

27.02.2026 19:37 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Excellent thread.

27.02.2026 16:16 β€” πŸ‘ 4    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
JAMA Internal Medicine: Call for Applications: Editorial Fellowship. Due March 2, 2026. Learn more >

JAMA Internal Medicine: Call for Applications: Editorial Fellowship. Due March 2, 2026. Learn more >

JAMA Internal Medicine invites early-career physicians to apply for our Editorial Fellowship. Gain insight into the publication process, connect with experts, and strengthen your editorial skills.

πŸ”—Ready to advance your career? Learn more and apply by March 2, 2026: ja.ma/45q4OWZ

27.02.2026 13:00 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

They are consistently so bad at governing that their only solutions to reducing health care costs are things that we already do (telehealth), things that we already tried and failed spectacularly (free market insurance models), or things that will barely make a dent (OTC Zofran/TrumpRx).

26.02.2026 18:38 β€” πŸ‘ 30    πŸ” 9    πŸ’¬ 5    πŸ“Œ 0
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@mrbimpact.bsky.social talks repercussions of H.R.1, $1 trillion in Medicaid cuts, work reporting requirements and big policy shifts with @joanalker1.bsky.social, @georgetownccf.bsky.social Dr. Shannon Dowler, @aafp.org @amorganrural.bsky.social @ruralhealth.bsky.social 🎧 πŸ”— tinyurl.com/y49jpts5

26.02.2026 21:04 β€” πŸ‘ 6    πŸ” 4    πŸ’¬ 0    πŸ“Œ 1

This recent RCT of an "AI stethoscope" claims the technology "shows promise" for diagnosing cardiovascular conditions.

It does not.

It is a textbook example of the risks of conducting unprincipled 'per protocol analyses'. Once again, peer review at a major medical journal has failed.

🧡 1/

25.02.2026 16:44 β€” πŸ‘ 416    πŸ” 184    πŸ’¬ 8    πŸ“Œ 31