Reversing the Decreasing Peritoneal Dialysis (PD) Trend in Ontario: A Government Initiative to Increase PD Use in Ontario to 30% by 2010

2007 ◽  
Vol 27 (5) ◽  
pp. 489-495 ◽  
Author(s):  
Dimitrios G. Oreopoulos ◽  
Sandra Coleman ◽  
Ethel Doyle
Keyword(s):  
Peritoneal Dialysis ◽  
Long Term Care ◽  
Dialysis Patients ◽  
Ministry Of Health ◽  
Implementation Plan ◽  
Term Care ◽  
Government Initiative

In September 2005, the Ontario Ministry of Health and Long-Term Care established the Provincial PD Coordinating Committee to make recommendations to increase the use of PD among prevalent dialysis patients in Ontario from the present 18% to 30% by 2010. In the present paper, we describe the process through which the Committee produced its recommendations and we highlight the proposed implementation plan.

scholarly journals Immunogenicity of SARS-CoV-2 Vaccine in Dialysis

2021 ◽  
Author(s):  
Eduardo Lacson ◽  
Christos P Argyropoulos ◽  
Harold J Manley ◽  
Gideon Aweh ◽  
Andrew I Chin ◽  
...  
Keyword(s):  
High Risk ◽  
Long Term Care ◽  
Morbidity And Mortality ◽  
Dialysis Patients ◽  
Term Care ◽  
Seropositive Rate ◽  
Care Facilities ◽  
Maximum Titer ◽  
Maintenance Dialysis

Abstract Importance: Patients receiving maintenance dialysis patients are at high risk for morbidity and mortality from COVID-19. The immunogenicity of SARS-CoV-2 mRNA vaccines is unknown in this vulnerable population where immune compromise is common. Objective: To determine seroresponse to vaccination against SARS-CoV-2 utilizing mRNA vaccines among patients receiving maintenance dialysis. Design: Retrospective observational study. Setting: Dialysis Clinic, Inc. (DCI) outpatient dialysis clinics in the United States. Participants: All patients receiving maintenance dialysis that received two doses of SARS-CoV-2 mRNA vaccines with SARS-CoV-2 spike-antibody test results drawn at least 14 days after the second dose, as documented in the electronic health record through March 18, 2021. Exposure: Two doses of BNT162b2/Pfizer or of mRNA-1273/Moderna vaccines administered per manufacturer recommendations. Main Outcomes and Measures: Levels of immunoglobulin-G against the receptor binding domain of the S1 subunit of SARS-CoV-2 spike antigen (seropositive: 2 or greater) using FDA-approved semi-quantitative chemiluminescent assay (ADVIA Centaur XP/XPT COV2G). The DCI clinical protocol for in-clinic administration included baseline and follow-up levels although initial administration of the vaccine occurred primarily elsewhere (e.g. long-term care facilities, hospitals, etc.) during the evaluation period. Hence, only post-vaccination antibody levels were reported. Results: Among 186 patients receiving maintenance dialysis from 32 clinics in 8 states tested an average of 23 days after receiving 2 vaccine doses, mean age was 68 years, with 47% women, 21% Black, 26% residents in long-term care facilities and 97% undergoing in-center hemodialysis. Overall seropositive rate was 165/186 (88.7%) with 70% at maximum titer and with no significant difference in seropositivity between BNT162b2/Pfizer (N=148) and mRNA-1273/Moderna (N=18) vaccines (88.1% vs. 94.4%, p=0.42). Among patients with COVID-19 history, seropositive rate was 38/38 (100%) with 97% at maximum titer. Conclusions and Relevance: Most patients receiving maintenance dialysis were seropositive after two doses of BNT162b2/Pfizer or mRNA-1273/Moderna vaccine. Early evidence suggests that vaccinated dialysis patients with prior COVID-19 develop robust antibody response. These results support an equitable and aggressive vaccination strategy for all eligible patients receiving maintenance dialysis, regardless of age, sex, race, ethnicity, or disability, to prevent the extremely high morbidity and mortality associated with COVID-19 in this high risk population.

scholarly journals Usability of Health Promotional Materials and Their Translations by Newcomer Populations

2021 ◽  
Author(s):  
Uliana Roskina
Keyword(s):  
Reading Comprehension ◽  
Long Term Care ◽  
Linguistically Diverse ◽  
Cultural Barriers ◽  
Ministry Of Health ◽  
Term Care ◽  
Important Health ◽  
Health Related ◽  
Promotional Materials

Health promotional materials are used to increase people’s health literacy and educate them about important health related issues. However, research indicates that due to linguistic and cultural barriers, many immigrants do not comprehend the information provided in such materials. To reach the linguistically-diverse population of Ontario, the Ministry of Health and Long-Term Care prepares educational materials in different languages. However, no research has focused on immigrant reading comprehension of the health promotional materials. This research paper compares reading comprehension of health promotional materials in English and in Russian by Russian-speaking newcomers to examine the usability of the promotional materials on the Ministry of Health and Long-Term Care website. It then proposes policy recommendations to lower readability levels of the health promotional materials and their translations.

scholarly journals Usability of Health Promotional Materials and Their Translations by Newcomer Populations

2021 ◽  
Author(s):  
Uliana Roskina
Keyword(s):  
Reading Comprehension ◽  
Long Term Care ◽  
Linguistically Diverse ◽  
Cultural Barriers ◽  
Ministry Of Health ◽  
Term Care ◽  
Important Health ◽  
Health Related ◽  
Promotional Materials

Health promotional materials are used to increase people’s health literacy and educate them about important health related issues. However, research indicates that due to linguistic and cultural barriers, many immigrants do not comprehend the information provided in such materials. To reach the linguistically-diverse population of Ontario, the Ministry of Health and Long-Term Care prepares educational materials in different languages. However, no research has focused on immigrant reading comprehension of the health promotional materials. This research paper compares reading comprehension of health promotional materials in English and in Russian by Russian-speaking newcomers to examine the usability of the promotional materials on the Ministry of Health and Long-Term Care website. It then proposes policy recommendations to lower readability levels of the health promotional materials and their translations.

Working With Resistance and Encouraging Buy-In to New Programs

2011 ◽  
Vol 16 (1) ◽  
pp. 18-21
Author(s):  
Sara Joffe
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Optimal Outcomes ◽  
Speech Language Pathologist

In order to best meet the needs of older residents in long-term care settings, clinicians often develop programs designed to streamline and improve care. However, many individuals are reluctant to embrace change. This article will discuss strategies that the speech-language pathologist (SLP) can use to assess and address the source of resistance to new programs and thereby facilitate optimal outcomes.

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