Scalable principles of community-based high-value care for seriously ill individuals: Diamonds in the rough

Parikh, Ravi B.; Bowman, Brynn; Dahlin, Constance; Twohig, Jeanne Sheils; Meier, Diane E.

doi:10.1016/j.hjdsi.2016.08.001

Cited by 6 publications

(9 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are very limited published data on Tibetan dietary intakes and patterns and only a few studies were about specific subgroups such as Tibetan mothers [ 8 , 21 ] and children in rural areas [ 22 ]. To the best of our knowledge, the present study is the first comprehensive analysis and the most recent study of the dietary pattern of Tibetan adults that target different genders, regions and age groups.…”

Section: Discussionmentioning

confidence: 99%

“…Compared with the dietary pagoda of Chinese residents (2016), the intake of other food categories did not reach the recommended intake except for meat, soybeans and nuts, which was not consistent with previous research [ 23 ]. Michael Dermience et al found the consumption of meat was generally low across all counties in Tibet [ 22 ]. In the present study, the meat consumption of Tibetan residents is high (100 ± 26 g/day) and is greater than the recommended value 40~75 g/day, but the consumption structure is fairly monotonous as it mainly consists of yak beef and mutton pork is served as supplements.…”

Section: Discussionmentioning

confidence: 99%

“…The reason for the poor diversity of vegetables and fruit consumption probably lies in the harsh climate of the Himalayan plateau, which does not allow their cultivation [ 24 ], and in the lack of income, which prevents the rural people to buy imported foods. Intake of aquatic products is extremely low for religious and cultural reasons [ 22 ]. Although a few previous studies have only demonstrated the high frequency of grain consumption among Tibetans [ 22 ] and the fact that grain foods provide major nutrients [ 21 ], there exists few research on the adequacy of their grain intake.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Food Consumption and Dietary Patterns of Local Adults Living on the Tibetan Plateau: Results from 14 Countries along the Yarlung Tsangpo River

Zhou

Liu

et al. 2021

Nutrients

View full text Add to dashboard Cite

The distinct Tibetan regional diet is strongly influenced by the regional biogeography, indigenous traditions, popular religious beliefs and food taboos. In the context of the nutritional transition in Tibet, studies seldom report on the food consumption and dietary patterns of Tibetan residents. This is a cross-section study of 552 local adults (≥18 years old, 277 men and 275 women) living in 14 agricultural countries along the Yarlung Tsangpo River. Dietary intakes were assessed by a culturally specific FFQ and compared with the Chinese Dietary Pagoda (2016). Dietary Patterns were extracted by using PCA method. The binary logistic regression model was applied to assess the association between independent variables (genders, regions and age groups) and adherence to dietary patterns. With the exception of meat (100 ± 260 g/day) and soybean nuts (42 ± 12 g/day), which exceeded the recommended dietary intakes of CDP, the dietary intake of other foods were not up to the recommended value. In particular, the intake of aquatic products (2 ± 0.1 g/day), vegetables (90 ± 19 g/day), dairy products (114 ± 29 g/day), cereals (117 ± 27 g/day) and fruits (97 ± 25 g/day) were seriously inadequate, which were 95%, 70%, 62%, 53.2% and 51.5% lower than the recommended intakes, respectively. Four dietary patterns were identified. “Local traditional diet” was characterized by a high intake of tsampa (roasted highland barley flour), culturally specific beverages (sweet tea and yak buttered tea), potato and yak beef and was associated with female, rural and older adults (≥51 years old). The male, urban and 18~30 years old group had a higher adherence score with the “Han diet”, which was comprised of rice, pork, dumplings, eggs, milk and cabbage. The “Beverage diet”, which mainly include tsampa, chang (homemade barley wine) and sweet tea, was associated with the following group: female, urban and aged 18~30 years. The “Out-sourced diet” pattern, consisting of mainly rice, steam bread and some processed meat, was associated with being male, urban and 18–30 years of age. These findings indicate that the dietary practice of the Tibetan people still has strong local characteristics, but it is also undergoing a dietary transition with the penetration of the Chinese Han diet and the increased consumption of outsourced (processed) foods. The unbalanced dietary intake of Tibetan residents should be taken seriously by all parties.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Food Consumption and Dietary Patterns of Local Adults Living on the Tibetan Plateau: Results from 14 Countries along the Yarlung Tsangpo River

Zhou

Liu

et al. 2021

Nutrients

View full text Add to dashboard Cite

show abstract

“…It will also be important for palliative care researchers to prospectively test whether palliative care support of HF family caregivers leads to improvements in patient wellbeing and healthcare utilization, particularly as end-of-life nears. Such work can help guide payment reform that might one day reimburse for direct services to family caregivers as insurers and healthcare systems shift to value-based and bundled payment reimbursement [154]. As palliative care looks forward to continued service growth, we encourage palliative care researchers to take the lead on research and clinical practice expansion in the family caregiving space [155].…”

Section: Discussionmentioning

confidence: 99%

Family caregiving for persons with heart failure at the intersection of heart failure and palliative care: a state-of-the-science review

et al. 2017

View full text Add to dashboard Cite

Many of the 23 million individuals with heart failure (HF) worldwide receive daily, unpaid support from a family member or friend. Although HF and palliative care practice guidelines stipulate that support be provided to family caregivers, the evidence-base to guide care for this population has not been comprehensively assessed. In order to appraise the state-of-the-science of HF family caregiving and recommend areas for future research, the aims of this review were to summarize: 1) how caregivers influence patients, 2) the consequences of HF for caregivers, and 3) interventions directed at HF caregivers. We reviewed all literature to December 2015 in PubMed and CINAHL using the search terms “heart failure” AND “caregiver.” Inclusion criteria dictated that studies report original research of HF family caregiving. Articles focused on children or instrument development or aggregated HF with other illnesses were excluded. We identified 120 studies, representing 5,700 caregivers. Research on this population indicates that: 1) caregiving situations vary widely with equally wide-ranging tasks for patients to help facilitate their health behaviors, psychological health and relationships, and quality of life (QoL); 2) caregivers have numerous unmet needs that fluctuate with patients’ unpredictable medical status, are felt to be ignored by the formal healthcare system, and can lead to distress, burden, and reduced QoL; and 3) relatively few interventions have been developed and tested that effectively support HF family caregivers. We provide recommendations to move the science forward in each of these areas that moves beyond descriptive work to intervention development and clinical trials testing.

show abstract

“…In contrast to males, females come in contact with food more frequently, are more concerned about food safety, are more afraid of food safety risks, and usually have higher risk perceptions of food safety [ 6 ]. In comparison with young consumers, older consumers have abundant life experience, are generally equipped with more knowledge about food safety, have greater familiarity with food risks, and usually have worse perceptions of food safety [ 56 , 57 ]. Married people and families with children have to be concerned about the health of their family members and are more sensitive to information about food safety incidents.…”

Section: Theoretical Framework and Hypothesismentioning

confidence: 99%

Regional Regulations and Public Safety Perceptions of Quality-of-Life Issues: Empirical Study on Food Safety in China

2020

View full text Add to dashboard Cite

In many developing countries, the public is shifting its focus from economic growth to quality-of-life issues. As a result, there is extensive demand for better public administration of quality-of-life issues, ranging from air pollution to food safety problems, that threaten ordinary peoples’ health and daily lives. This article analyzes the determinants of public perceptions of food safety and the administrative effects of regional governance in different provinces with nationwide survey data. A two-level hierarchical linear regression model (HLM) with provincial factors as background-level variables and demographic factors as individual-level variables was developed to measure the influence of these factors on public perceptions of food safety. The results showed that female, young, and well-educated urban residents perceived greater risks to food safety than other groups. Administrative fiscal expenditures and local normative documents in different provinces did not have significant effects on public perceptions of food safety. However, food safety inspections weakened public perceptions of food safety. We thereby suggest that provincial governments invest in more efficient food safety projects and enhance the publicity of normative documents in popular media.

show abstract

Scalable principles of community-based high-value care for seriously ill individuals: Diamonds in the rough

Cited by 6 publications

References 24 publications

Food Consumption and Dietary Patterns of Local Adults Living on the Tibetan Plateau: Results from 14 Countries along the Yarlung Tsangpo River

Food Consumption and Dietary Patterns of Local Adults Living on the Tibetan Plateau: Results from 14 Countries along the Yarlung Tsangpo River

Family caregiving for persons with heart failure at the intersection of heart failure and palliative care: a state-of-the-science review

Regional Regulations and Public Safety Perceptions of Quality-of-Life Issues: Empirical Study on Food Safety in China

Contact Info

Product

Resources

About