Connect with Healthcetera
Thursday, April 18, 2024
HomeStandard Blog Whole Post (Page 195)

This is repost from Primary Care Progress.

As team-based models of primary care become more prevalent, patients, providers, and trainees may encounter health care professionals they’d never heard of before.  For example, what’s a health coach?  Here, C. Leigh Goldsmith, a health coach at Iora Health’s Collective Primary Care in Brooklyn, NY, explains.

PCP photoBy C. Leigh Goldsmith

The patient tracking system lights up my laptop with “WAITING.”  I head out to the waiting room to meet “Angela” with a smile and a handshake.  She stands up from the sleek gray couch. Light streams into this magnificent space that is so rare in New York.  Angela has red pixie hair and thick black hipster glasses covering pensive eyes.  She gives me a smile, big but sad.

“Have you been here before? Let me give you the tour….”

“Here is the yoga studio. All of our programming is free. There is so much more to wellness than ‘absence of sickness.’  We want to give you the tools to feel good all the time. We offer yoga, tai chi, acupuncture …”

I walk backwards, always making a point not to turn my back to my patients.

“Our consultation rooms have tables and chairs instead of exam tables because lots of the work we do here is through discussion with you, learning about your life and creating goals and plans that will work for you.”

I walk her around the practice to my favorite room—room 10—the largest room, with two walls of windows showcasing the downtown Brooklyn cityscape.  Continue reading  here.

This is repost from Primary Care Progress. As

Much has been discussed and debated over the food stamp program of the Farm Bill, however, as you may know the Bill includes many other programs such as international food aid.  This food aid program has been largely left unchanged in the current version, even though in recent months it was reported that the Obama administration was looking to address the major weaknesses of the program.

Currently, the US grows and ships most of the food that makes up its international food assistance, which has been found to be an inefficient and more costly process than if the US bought locally produced food.  One provision of the current program is that 75% of US-funded food aid is to be transported on US-flag vessels, which often results in monthly delays of food aid when it’s needed the most, and the money spent on this transport amounts to an additional $1 billion.

In addition, the US Government Accountability Office has found the process of “monetization,” which involves buying food from US farmers and selling it overseas, to be largely inefficient and costly, as well as having a negative impact on local markets. The money recovered from these transactions is often 58-70% of the original value.  These losses could be avoided by changing the way the aid is distributed. According to  supporters of the program reform, 17 million more people could benefit from the money saved on these costs.

Unfortunately, the proposed shift in how food is procured has been met with opposition from organizations like the USA Rice Federation and the USA Maritime, among others, who have expressed concern for jobs lost if the government no longer shipped US-grown food overseas. However, the proportion of current food aid accounts for less than 1% of the US agricultural exports, which is a “small drop in the market” and not an “important revenue stream for U.S. agriculture,” according to Veronica Nigh, an economist with the American Farm Bureau Federation.

With the proposed changes, more than half of the food would still be grown by US farmers and shipped overseas, and a pilot program of buying food locally would be extended, which would ultimately result in feeding more people at a lower cost.

USAID humanitarian aid in Amman Photo credit: The Guardian

USAID humanitarian aid in Amman
Photo credit: The Guardian

Much has been discussed and debated over

childbirthing center

I also blog for JAMA News Forum on policy matters, along with some other folks. My latest post deals with transforming maternity services in the U.S.  I’m hoping that it is fodder for conversations and actions to give women more birthing choices and improve maternal, child, and financial outcomes at the same time. Check it out:  http://jama.md/13ZTN9M  JAMA doesn’t let others post comments, so I’d welcome people’s thoughts on this HealthCetera post regarding how to move forward with this transformation.

Diana J. Mason, PhD, RN, FAAN, Rudin Professor of Nursing

I also blog for JAMA News Forum