RESUMO
Ninety percent of people with chronic kidney disease (CKD) remain undiagnosed, most people at risk do not receive guideline-concordant testing, and disparities of care and outcomes exist across all stages of the disease. To improve CKD diagnosis and management across primary care, the National Kidney Foundation launched a collective impact (CI) initiative known as Show Me CKDintercept. The initiative was implemented in Missouri, USA from January 2021 to June 2022, using a data strategy, stakeholder engagement and relationship mapping, learning in action working groups (LAWG), and a virtual leadership summit. The Reach, Effectiveness, Adoption, Implementation, and Maintenance framework was used to evaluate success. The initiative united 159 stakeholders from 81 organizations (Reach) to create an urgency for change and engage new CKD champions (Effectiveness). The adoption resulted in 53% of participants committed to advancing the roadmap (Adoption). Short-term results reported success in laying a foundation for CI across Missouri. The long-term success of the CI initiative in addressing the public health burden of kidney disease remains to be determined. The project reported the potential use of a CI initiative to build leadership consensus to drive measurable public health improvements nationwide.
RESUMO
In this paper the author challenges the prevailing view that contemporary writing in the medical humanities is serving the needs of the various health care disciplines. The current medical humanities literature assumes that physicians are the appropriate target group. This is most notably the case within health care ethics literature. There appears to be an unexamined assumption that physician-centric approaches to clinical ethical decision-making are the standard by which appropriate ethical practice is judged. The author challenges this assumption and addresses the problems that this approach engenders. The medical humanities literature appears to reinforce hierarchical, patriarchal arrangements which are themselves not morally neutral.
Assuntos
Comunicação , Tomada de Decisões , Empatia , Ética Clínica , Ética Médica , Humanismo , Ciências Humanas , Comunicação Interdisciplinar , Relações Interprofissionais , Homens , Enfermeiras e Enfermeiros , Médicos , Predomínio Social , Mulheres , Temas Bioéticos , Bioética , Diversidade Cultural , Educação , Educação Médica , Educação em Enfermagem , Emoções , Análise Ética , Teoria Ética , Eticistas , Ética , Feminino , Feminismo , Hospitais , Direitos Humanos , Humanos , Literatura , Medicina , Narração , Filosofia , Relações Médico-Enfermeiro , Probabilidade , Relações Profissional-Paciente , Valores Sociais , Fatores Socioeconômicos , Sociologia Médica , Estresse Psicológico , Estudantes , Incerteza , Universidades , Populações VulneráveisRESUMO
Editor's Introduction: The teaching of analytical skills to health workers takes many different forms, and is done in widely divergent institutions and cultures. In recent years medical humanities has been one of the most strongly advocated additions to the undergraduate medical curriculum (the medical humanities were championed in the previous issue of Health Care Analysis). However, in this issue, the discipline is taken to task.
Assuntos
Bioética , Educação Médica , Ética Médica , Feminismo , Pessoal de Saúde , Ciências Humanas , Comunicação Interdisciplinar , Relações Interprofissionais , Médicos , Predomínio Social , Sociologia Médica , Atenção à Saúde , Educação , Educação em Enfermagem , Empatia , Eticistas , Ética , Docentes , Feminino , Hospitais , Humanos , Homens , Grupos Minoritários , Enfermeiras e Enfermeiros , Equipe de Assistência ao Paciente , Estudantes , MulheresRESUMO
Yeast and mold counts of various spice products were determined using Dichloran Rose Bengal agar, Phytone Yeast Extract agar with added Dichloran and Rose Bengal, and Antibiotic Plate Count agar. Media containing the added Dichloran and Rose Bengal proved superior to media without Dichloran and Rose Bengal in controlling mold overgrowth, and promoting distinct colony morphology. Results were obtained 2 d earlier using Phytone Yeast Extract agar with added Dichloran and Rose Bengal.