scholarly journals Empowerment, love, and connection: Lessons learned from the Farmacy Project, a food-is-medicine program in Rutland, Vermont

2021 ◽  
pp. 1-3
Author(s):  
Emma Hileman
Keyword(s):  
Healthcare Providers ◽  
Lessons Learned ◽  
Health Conditions ◽  
Household Food Security ◽  
Back Seat ◽  
Local Agriculture ◽  
Household Food ◽  
Student Volunteer ◽  
Food Center ◽  
To Receive

Senior high school student volunteer Tyler Carroll walks out to the car that has pulled up along the back of the renovated former iron works building, the site of the Vermont Farmers Food Center, in downtown Rutland, Vermont. Tyler says, “Hi! Can I get your name, please?” Tyler then takes one bag from the table covered with bagged farm shares and puts one in the customer’s back seat, thanking them as they drive off with their local goods. The members are here to receive their produce prescription through the Farmacy Project, a program that provides 150 individuals in the county with 15 weeks of fresh produce grown exclusively by local Rutland county farms. Finishing up its sixth year in 2021, the program has become a standard in the area, working with healthcare providers who identify individuals with chronic diet-related health conditions who could benefit from a “food as medicine” produce share. This project intersects community health and local agriculture. Many, although not all, members may be food insecure as well, as reflected in the 68% of members this year who were food insecure based on the results of the two-item food insecurity questionnaire of the U.S. Household Food Security Survey.

scholarly journals The Influence of Social Networking on Food Security Status of Cassava Farming Households in Nigeria

2020 ◽  
Vol 12 (13) ◽  
pp. 5420 ◽  
Author(s):  
Luke Oyesola Olarinde ◽  
Adebayo Busura Abass ◽  
Tahirou Abdoulaye ◽  
Adebusola Adenike Adepoju ◽  
Matthew Olufemi Adio ◽  
...  
Keyword(s):  
Social Capital ◽  
Food Security ◽  
Household Food Security ◽  
Group Activities ◽  
Household Food ◽  
Food Security Status ◽  
Documented Information ◽  
Using Data ◽  
To Receive ◽  
Farming Households

Food security, at national and household levels, is on the decline because traditional capital (physical, natural, human and financial) has not fully led to its improvement. There is an increasing shift of attention to social capital as an element that explains household food security, but there is a lack of adequately documented information on this. Therefore, this study investigates the effects of social capital on food security, using data collected on a cross-section of 775 cassava farming households from four zones of Nigeria. About 58% of the respondents (cassava farming households) fall under the intermediate category in terms of the benefits received from belonging in social groups. Age and educational level increased the probability to receive benefit from group activities (p < 0.05), while membership density, labor contribution and decision making significantly affected the level of benefit received (p < 0.10). Based on the estimated food security line, 41% of the cassava households were food secure, while 59% were food insecure. Membership density, cash and labor contribution significantly affected food security. Membership density (p < 0.10) and cash contribution (p < 0.05) increased the probability of being food secure. It was recommended that cassava farming households should be encouraged or aided to form cooperatives or farmers’ groups, participate in the activities, and make financial contributions to investments that reduce manual labor-input in the farming activities to enhance household food security.

scholarly journals The Hunger Vital Sign Identifies Household Food Insecurity among Children in Emergency Departments and Primary Care

Children ◽  
2019 ◽  
Vol 6 (10) ◽  
pp. 107
Author(s):  
Gattu ◽  
Paik ◽  
Wang ◽  
Ray ◽  
Lichenstein ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Food Insecurity ◽  
Sensitivity And Specificity ◽  
Vital Sign ◽  
Health Conditions ◽  
Household Food Security ◽  
Adverse Health ◽  
Household Food ◽  
Food Insecure Households

This study aimed: (1) to examine the sensitivity and specificity of the 2-item Hunger Vital Sign against the 18-item Household Food Security Survey Module (HFSSM) in identifying young children in food insecure households in emergency department and primary care sites and (2) to examine associations between food insecurity and adverse health conditions. We conducted cross-sectional surveys from 2009–2017 among 5039 caregivers of children age <48 months. We measured adverse child health by caregiver-reported perceived health, prior hospitalizations, and developmental risk (Parents’ Evaluation of Developmental Status). Analyses were conducted using covariate-adjusted logistic regression. Sensitivity and specificity of the Hunger Vital Sign against the HFSSM were 96.7% and 86.2%. Using the HFSSM, children in the emergency department had a 28% increase in the odds of experiencing food insecurity, compared to children in primary care, aOR = 1.28, 95% Confidence Interval (CI) = 1.08–1.52, p = 0.005. Using the Hunger Vital Sign, the increase was 26%, aOR = 1.26, 95% CI = 1.08–1.46, and p = 0.003. The odds of children’s adverse health conditions were significantly greater in food insecure households, compared to food secure households, using either HFSSM or the Hunger Vital Sign. Screening for food insecurity with the Hunger Vital Sign identifies children at risk for adverse health conditions in both primary care and emergency department sites, and can be used to connect families with resources to alleviate food insecurity.

Clinical trials — the personal perspective of the research physician?

2020 ◽  
Vol 75 (3) ◽  
pp. 256-263
Author(s):  
Maria Y. Egorova ◽  
Irina A. Shuvalova ◽  
Olga I. Zvonareva ◽  
Igor D. Pimenov ◽  
Olga S. Kobyakova ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Medical Care ◽  
New Technologies ◽  
Healthcare Providers ◽  
Study Drug ◽  
Well Being ◽  
Personal Perspective ◽  
Public And Private ◽  
Factors Affecting ◽  
To Receive

Background. The organization of clinical trials (CTs) requires the participation and coordination of healthcare providers, patients, public and private parties. Obstacles to the participation of any of these groups pose a risk of lowering the potential for the implementation of CTs. Researchers are a key human resource in conducting of CT. Their motivation for participation can have a significant impact on the recruitment and retention of patients, on the quality of the data collected, which determines the overall outcome of the study. Aims to assess the factors affecting the inclusion of Russian physicians-researchers in CT, and to determine their role in relations with patients-participants. Materials and methods. The study was organized as a part of the Russian multicenter face-to-face study. A survey was conducted of researchers from 10 cities of Russia (20172018). The participation in the survey for doctors was anonymous and voluntary. Results. The study involved 78 respondents. Most research doctors highly value the importance of research for science (4,84 0,39), society (4,67 0,46) and slightly lower for participating patients (4,44 0,61). The expectations of medical researchers are related to improving their financial situation and attaining new experience (n = 14; 18,18%). However, the opportunity to work with new technologies of treatment and diagnosis (n = 41; 52,56%) acted as a motivating factor. According to the questionnaire, the vast majority of research doctors (n = 29; 37,18%) believe that the main reason for patients to participate in CT is to receive quality and free medical care. The most significant obstacle to the inclusion of participants in CT was the side effects of the study drug (n = 38; 48,71%). Conclusions. The potential of clinical researchers in Russia is very high. The patient-participant acts for the research doctor as the subject of the study, and not the object, so the well-being of the patient is not indifferent to the doctor. However, the features of the functioning of our health care system form the motivation of doctors-researchers (additional earnings, professional self-development) and the way they perceive the motivation of patients (CT as an opportunity to receive quality medical care).

scholarly journals A pilot comparison of medical records sensitivity perspectives of patients with behavioral health conditions and healthcare providers

2021 ◽  
Vol 27 (2) ◽  
pp. 146045822110099
Author(s):  
Hiral Soni ◽  
Julia Ivanova ◽  
Adela Grando ◽  
Anita Murcko ◽  
Darwyn Chern ◽  
...  
Keyword(s):  
Mental Health ◽  
Drug Abuse ◽  
Behavioral Health ◽  
Health Information ◽  
Healthcare Providers ◽  
Health Conditions ◽  
Mixed Methods Approach ◽  
Record Data ◽  
Category Labels

This pilot study compares medical record data sensitivity (e.g., depression is sensitive) and categorization perspective (e.g., depression categorized as mental health information) of patients with behavioral health conditions and healthcare providers using a mixed-methods approach employing patient’s own EHR. Perspectives of 25 English- and Spanish-speaking patients were compared with providers. Data categorization comparisons resulted in 66.3% agreements, 14.5% partial agreements, and 19.3% disagreements. Sensitivity comparisons obtained 54.5% agreement, 11.9% partial agreement, and 33.6% disagreements. Patients and providers disagreed in classification of genetic data, mental health, drug abuse, and physical health information. Factors influencing patients’ sensitivity determination were sensitive category comprehension, own experience, stigma towards category labels (e.g., drug abuse), and perception of information applicability (e.g., alcohol dependency). Knowledge of patients’ sensitivity perceptions and reconciliation with providers could expedite the development of granular and personalized consent technology.

Sign in / Sign up

Export Citation Format

Share Document