Health care
‘Heartbreaking’: Patients queue in the cold from 6am to see a doctor
The director of public relations at the clinic, Lorenzo Kaisara, said the series has gotten worse in the five years he has worked there.
«The line is getting bigger and bigger and the cold is touching my heart. To see my people sitting out here and you see the majority of those who are out in the cold before seven o’clock are Māori and Pacific,» he said.
«They are already sick. They get worse sitting out here in the cold”.
Dressed in a thick winter dress, a puffer jacket and a scarf, Toa Salaina, 44, arrived after dark in her chair to make the wait on the pavement easier.
He said: «I really want to see a doctor about my back pain.
Opting in to the Ōtara clinic means that no appointment is required.
«If we make an appointment and we’re booked with another doctor, they tell us it’s full. That’s why we like to come here.»
However, Salaina says the staff is so busy that unless you arrive early, the wait to see a doctor can be up to five hours inside.
That is why we need the Government to help, to increase nurses and doctors to help people.
Greg McIndoe, 66, arrived at the clinic in a walking frame and hobbled to the line. He had just had knee surgery and was in pain.
He said it was «amazing» people had to queue in the cold to get care.
About 20 people, including mothers, children and the elderly, were waiting outside Herald he was filming, but McIndoe said the call was too common.
Often, the phone goes on the road. [It’s] just crazy,» he said.
Sonya Inifi took her place in the line at 6:15 am on behalf of her father, who was suffering from fever.
He said the wait times were «unreasonable» but it’s worse when you arrive early in the morning.
«If we arrive after nine or 10 o’clock in the morning, then you look like waiting for five hours and my father is sick.»
He said it is clear that the doctors and nurses at the clinic are under a lot of pressure.
I can see how stressed they are. Their staff (Doctors and clinical nurses) are not recognized, and have never been recognized (by the Government) for the work they do. Doctors are for our children, our people, our families. ”
He wanted the Government to take more action.
«It’s one of the key things that needs to be rethought, especially the wait times.»
Primary care is ‘on its knees’
McCann said Herald The procession outside the Ōtara clinic was a reflection of the «big challenge» the general practice is facing.
«It is absolutely painful. We do not want our patients, our community, to experience this. People are desperate for health care,” he said.
The Ōtara clinic has been designated as a «low cost practice» – which receives additional funding to reduce charges so that its clients, mainly Māori and Pasifika, can access care.
But many problems, including staff shortages, burnout, and an aging population with complex and chronic health needs, were causing serious problems.
Ambulance «ramping» – where patients are delayed in reaching a hospital bed – is considered partly due to poor access to primary care, which plays an important role in early detection of problems and prevention of serious diseases.
GPs also manage patients who require long-term surgery.
McCann said the way GPs were supported by the Government was out of date – a point supported by several government reports, including Know the Reportordered by the last Labor Government.
«Primary care is absolutely on its knees. We’re seeing a lot of clinics closing across the country. We’re seeing a few general practitioners leave it because it’s become too difficult,» he said.
«People work on their own time after hours.»
McCann says general practice is not given the respect it deserves when considering the health of New Zealanders and the performance of the health system as a whole.
He said that when conventional methods work well, they reduce the pressure on hospitals, but he said that GPs are facing «years» of financial loss.
«If we can have early investment in primary and community care and early detection, we have a better chance of keeping people healthy; keeping people in their homes instead of in hospitals.»
Last month, the Government proposed a 4% increase in the amount that the general practice paid per patient, which McCann said was «not enough», arguing that the «significant increase» was necessary.
He said that Health Minister Dr Shane Reti had long since «signed» that he wanted to invest more in primary care but those on the front lines were yet to see significant action.
McCann felt the seriousness of the situation «beyond the minister» and urged New Zealanders to demand more investment in primary care.
He said it was «good» the Government had invested millions in funding cancer drugs but stressed it would make no difference if the «front door» of the health system was broken.
«All investment in the best cancer drugs in the world [isn’t] it will actually make a difference to patient outcomes [if the cancer isn’t picked up early by GPs].”
The National Party’s big health card before the last election was that it would build a new medical school in Waikato to boost GP numbers.
«I think we’re at a point where no matter how many new student slots there are in medical school, no matter how many nurses we train, we’re going to keep playing,» McCann said. Herald.
Doctor: ‘It’s very stressful when you see the queue’
No Herald visited the Ōtara clinic, one of its 12 doctors, Dr. Niroshika Kotte Arachchige, was called to help on his day off because the staff was overburdened.
He and his colleagues see about 350 patients a day and even with 12 doctors «it was still not enough».
For example, today is my day off. But my list manager called me and asked me if I could help on the line because there are not enough doctors. Two of our doctors have come down with Covid,” said Niroshika Herald.
Last week, he was again called on a day off and ended up working 13 hours.
He said his nursing colleagues were also «tired» and believed that reforming primary care should be a priority if the Government is serious about reducing the burden on hospitals.
He also always did extra work outside of his regular hours.
«I usually come in an hour early to do my inbox and my paperwork. On top of that paperwork, we get a lot of [patients] they were born in the hospital to follow.”
The main thing he was worried about was his patients, some of whom had to be turned away even though they had queued up early.
So sometimes those who wait four or five hours have to go home at the end of the day without seeing a doctor.
Minister: ‘Any exercise line is about’
Health Minister Dr Shane Reti said Herald the morning lines outside the Ōtara clinic were unacceptable.
«I understand that this practice may face problems in the long run, but of course that does not make the current order acceptable,» said Reti.
He acknowledged the «long-term» pressure on primary care and said solutions for GPs and patients depended on recruiting and retaining more doctors and improving pay.
Reti says the proposed new medical school will help retain more medical students in New Zealand, and in the meantime suggests greater use of healthcare assistants and technology to ease the patient burden and paperwork for doctors.
The 4% salary increase for GPs included a provision that allows for ways to increase their fees to reach a total of 5.88%, he said.
The chairman of General Practice New Zealand, Dr Bryan Betty, said the proposal «does nothing to address the history of chronic overspending».
Reti, who practiced family medicine for 16 years in Whangārei, «really appreciated» the contribution of her former colleagues but said no Budget could provide everything. one that all teams look forward to.
Michael Morrah is a senior investigative reporter/team leader at Herald. He won best coverage of a major news event at the 2024 Voyager NZ Media Awards and has been named reporter of the year twice. He has been a broadcast journalist for 20 years and joined the Herald’s video group in July 2024.
#Heartbreaking #Patients #queue #cold #6am #doctor
Sports and Fitness Food and Beverage Market
In recent years, the global market for Sports and Food & Beverages has witnessed a drastic change, driven by changing consumer preferences, technological advancements and increasing pressure it grows in stability. The Research Report on Food & Beverage Market provides a comprehensive judgment of the market with strategic information on future trends, growth factors, vendor landscape, demand situation, rate of YoY growth, CAGR, price analysis. It also provides many business matrices including Porters Five Forces Analysis, PESTLE Analysis, Value Chain Analysis, 4 Ps’ Analysis, Market Attractiveness Analysis, BPS Analysis, Ecosystem Analysis.
The Sports and Food & Beverage market was valued at $46.07 billion in 2023 to reach a value of $81.56 billion in 2031, at a CAGR of 7.40% during the forecast period (2024-2031).
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This Sports Food & Drinks Market report is being written to show the market potential by regions and by segments, to show the opportunities that the marketers can exploit. To estimate the opportunity, it was very important to understand the current state of the market and how it will grow in the future. The production and consumption trends are being carefully compared with the Food & Beverages & Sports Drinks Market forecast. Other factors considered in forecasting the market are the growth of the nearby market, revenue growth of key market vendors, scenario-based analysis and market share growth. The Sports and Fitness Nutrition Foods and Beverages Market size was determined by measuring the market using a top-down and top-down approach, which was further validated through industry interviews. To identify the growth of the Sports and Nutritional Foods and Beverages Market such as drivers, trends, restraints and opportunities were observed, and the impact of these factors was analyzed to determine the growth of the market. To fully understand the growth of the market, we analyzed the annual growth of the market. Also, historical growth rates were compared to determine growth trends.
Market Segmentation:
Product: Sports nutrition, sports/energy foods, sports/energy drinks
Distribution program: Online, and offline
End use: Athletes, lifestyle users, body builders, recreational users
Companies mentioned in this report:
Glanbia plc (Ireland)
PepsiCo, Inc. (USA)
General Nutrition Centers, Inc. (USA)
The Coca-Cola Company (USA)
Abbott Laboratories (USA)
Clif Bar & Company (USA)
Nestle SA (Switzerland)
Yakult Honsha Co., Ltd. (Japanese)
Post Holdings, Inc. (USA)
MusclePharm Corporation (USA)
Red Bull GmbH (Austria)
Monster Beverage Corporation (USA)
GlaxoSmithKline plc (UK)
Nature’s Bounty Co. (USA)
Atlantic Group (Croatia)
Herbalife Nutrition Ltd. (USA)
CytoSport, Inc. (USA)
Optimum Nutrition, Inc. (USA)
The Nature’s Bounty Co. (USA)
Maxinutrition (UK)
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The key regions of the Sports and Fitness Nutrition Foods and Beverages market are:
• North American market includes nutritional foods and beverages (Canada, Mexico, USA)
• Sports & Fitness Food & Beverage Europe Market includes (Germany, France, Great Britain, Italy, Spain, Russia)
• Food & Beverage Sports & Food Asia-Pacific Market includes (China, Japan, India, South Korea, Australia)
• Middle East and Africa (Saudi Arabia, United Arab Emirates, South Africa)
• South American market includes nutritional foods and beverages (Brazil, Argentina)
Questions:-
1. What are the sales, production, consumption, imports and exports of the global market (North America, Europe, Asia-Pacific, South America, Middle East and Africa)?
2. Who are the main manufacturers dominating the world market?
3. What are their current capacity, production, sales, prices, costs, gross, and working capital?
4. What are the market risks and opportunities?
In addition, it similarly summarizes the application and suggests a research recommendation during the limited period. A detailed analysis of the market players with their profile, interaction analysis and in-depth analysis is provided in the report. In addition, organization, joint ventures, and business coordination have been shown in order to provide research of the global Sports and Fitness Nutrition Foods and Beverages industry.
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Objective of the Study:
• To forecast the market size, in terms of value, for various segments with respect to five major regions, namely, North America, Europe, Asia-Pacific (APAC), Latin America (LATAM), Middle East & Africa (MEA)
• To provide detailed information on key factors influencing market growth (drivers, restraints, opportunities and challenges)
• To strategically analyze sub-markets regarding individual growth trends, future prospects, and contribution to the overall market.
• To provide a comprehensive overview of the value chain and analyze market trends through Porter’s five forces analysis.
• To analyze the market opportunities for various stakeholders by identifying high growth segments
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• Analyzing competitive developments such as joint ventures, mergers and acquisitions, new product launches and development, market research and development.
Looking ahead, the Sports & Nutrition Food & Beverage Market is poised for continued growth, driven by changing consumer preferences and evolving trends. The trend towards implementation is expected to intensify, with more consumers looking for products that match their values. In addition, the integration of advanced technologies and digital platforms can increase market access and customer engagement. The global Sports & Nutrition Food & Beverage Market is a dynamic and changing landscape, shaped by a confluence of trends and factors.
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Table of Contents
Sports & Fitness Food & Beverage Market Research Report 2024-2031
Chapter 1 Sports and Fitness Food and Beverage Market Overview
Chapter 2 The Impact of the Global Economy on Industry
Chapter 3 Global Market Competition by Manufacturers
Chapter 4 World Production, Tax (Value) by Region
Chapter 5 Global Supply (Production), Consumption, Shipping, Shipping by Regions
Chapter 6 World Production, Tax (Value), Price Patterns by Type
Chapter 7 Global Market Analysis Please
Chapter 8 Analysis of Production Costs
Chapter 9 Industrial Chain, Sourcing Strategy and Downstream Buyers
Chapter 10 Business Strategy Analysis, Distributors/Traders
Chapter 11 Market Data Analysis
Chapter 12 Global Sports and Fitness Nutrition Foods and Beverages Market Forecast
…
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East Carolina University’s Department of Nutrition Education has piloted a program to teach future health care providers the ins and outs of food, and how to prepare nutritious meals, as that they can incorporate nutritional medicine into their practices and pass on the knowledge of health-promoting foods to them. patients.
Farm2Clinic assistant director Brandon Stroud shares cooking tips with physician assistant students during a clinical culinary class.
Dr. Lauren Sastre, assistant professor of nutritional sciences in the College of Allied Health Sciences, says the culinary arts initiative is important because even health-educated students often don’t understand the macro- and micronutrients, and how how are they doing. affect life in general. Sastre said that perhaps most importantly, many people are hindered by not having the tools to budget for healthy foods and how to use basic cooking skills.
Sastre said that the idea of exposing health students to the concept of holistic medicine – combining culinary arts and nutrition science – has been carried over from the health conference. public beauty about 10 years ago, where he was introduced to this idea for the first time. which was included in the curriculum of a few medical schools across the country.
The promotion of health professionals related to nutritional medicine is not a new idea, but thinking of food as medicine has not been included in health care – yet. Another highlight is Jessica DeLuise, a physician’s assistant who promotes food as the key to health as The Wellness Kitchenista on TV and social media.
Sastre and his team have made significant progress in recent years with the Farm2Clinic project, which brings nutritional medicine concepts to communities that need to be encouraged to adopt healthy eating habits.
«One of the most important parts of our Farm2Clinic program is to help people realize that it’s not that hard to make healthy and delicious food,» said Sastre. “So, I did a deep dive into the literature, and it was only done with medical students. You don’t see it done with PA students or nurses. ”
Students assisting physicians with a plate of food they have cooked as part of a clinical culinary experience.
Finding access to physician assistant students was relatively easy, as it is part of the same college as the nutrition science department, and Sastre has a strong connection with the College. of Nursing, located next to the Health Sciences Campus.
During the summer Sastre met with a colleague in the physician assistant (PA) program to reinforce the nutrition training Sastre had been giving students for several years. Sastre offered an alternative – why not include a comprehensive literacy course in a limited amount of time, including financial planning and key nutritional skills as well as cooking skills?
«I want to make sure we’re giving them information that translates into patient care,» Sastre said. «We have so many nutritional problems in the United States, 90% of what we spend on health care is managing a chronic condition – everybody has it now. These diseases are not Chronic diseases such as diabetes and hypertension are driven by poor dietary habits, yet we do not have comprehensive nutrition training for our health providers.
Not everyone can afford to see a nutritionist, Sastre said, but they have access to primary care from a physician’s assistant or nurse practitioner. Helping shape how those primary care providers counsel their patients is a great step forward in dealing with chronic health conditions.
Bridging the Knowledge Gap
One of the cultural changes that Sastre has identified as contributing to the current state of health in North Carolina and across the US is the decline in home economics education in schools – a budget manager among a skill that most adults don’t have.
«We are decades away from people having no basic knowledge of food. We can have a fancy nutritional medicine class and teach fancy things, but if a person can’t make a plan of use of money to get healthy food into their homes, we don’t check the boxes,» said Sastre. «What we’ve done with this fleet is much broader.»
Kinston’s Raven Breinholt, a public health student and research assistant and coordinator of Farm2Clinic, who earned her Bachelor of Science degree in nutrition and dietetics from ECU in 2023, worked with PA students on the basic skills of to cook during the day of medical supply, leading his peers to prepare. cabbage and turkey casserole. The simple dish was an example of how a nutritious, balanced meal can be easy to make and easy on the wallet.
Students helping doctors cut vegetables to be used in meals as part of a culinary medicine class.
«When working with patients it’s important to understand the different health conditions of patients and how that affects their ability to cook healthy meals. It’s very difficult to buy fruits and vegetables,» Breinholt said, but can be done.
Couple the lack of kitchen skills with unaffordable food prices, and it’s no wonder that many people are turning to cheap, over-processed, unhealthy foods. , Breinholt said. He said the interdisciplinary approach is the best move for ECU’s nutrition science department and students and their peers in health, nursing and medicine.
«We need to work together as a team to ensure that every patient receives the best care possible, and we need to start building those relationships now, » said Breinholt.
Kendra Brent, a second-year medical student from Bristol, Tennessee, says cooking is a big part of her life, but the demands of the PA program have taken her away from the kitchen more than she would like.
He knows that the rural parts of North Carolina and his home in Tennessee do not always have the best eating habits – that «we love all things fried» – but the opportunity to learn from Sastre and the students of his way of changing the attitude of patients. the food was stimulating.
«This is great because it gives me an idea of how I can teach my patients. It’s possible; it’s possible,» said Brent.
Brent says the focus on nutrition is a welcome respite from the disease-heavy focus of the PA program. Working with his nutrition peers, who are in a different program but focused on improving health in the area, helped Brent feel like they were all on the same team, working toward a common goal. one.
“It was great working with them. You are seeing a new side of medicine that I didn’t know existed. I didn’t know culinary medicine was a thing until this morning. It’s nice to know that they are resources out there,” Brent said.
Food is a central part of people’s emotions, a part of culture, and Sastre knows that making many changes to Americans’ food choices will be a challenge.
«To some extent, we have to go back and forth,» said Sastre, but he remains motivated to continue to fight for change alongside students who represent education across the spectrum of health.
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#Pilot #program #brings #culinary #medicine #students
House Republicans on Tuesday unveiled new legislation to expand veterans’ ability to access private-sector health care options using taxpayer dollars, a move that kicks off an expected debate in the coming years about the size and accountability of the system. Veterans Affairs health care.
The bill — called «Get the Mission Done» — is sponsored by House Armed Services Committee Chairman Mike Bost, R-Ill., and has received strong support from several conservative activists.
It would expand community care options for Veterans Health Administration patients to include nearly all extended care services, such as residential mental health rehabilitation, and prevent the VA from offer telehealth appointments with department physicians instead of outpatient care options.
This measure will also simplify the rules for considering the merits of social care, including accountability for the timing and choices of carers. It will mandate new reimbursement rules for outpatient medical offices and mandate better sharing of VA leads with patients.
BE CAREFUL
«The [original] The MISSION Act has transformed the delivery of health care to veterans across the country, particularly in rural and remote areas of the country,» Bost said in a statement. «Every soldier has access to timely options for health care. to meet their needs – no officer is allowed to stand in the way of that.»
Expanding «choice» veterans’ medical benefits was a major issue of President Donald Trump’s first term, and is expected to be a key issue when he takes office again next year.
Congress passed the VA MISSION Act in June 2018, which changed eligibility rules for veterans outside of care options.
Social care options have expanded significantly since then. In fiscal 2017, the agency paid for nearly 27 million outpatient appointments, about 27% of all scheduled VA visits. In fiscal 2023, that number grew to 47 million, about 39% of the total.
Despite the growth, conservative groups have accused President Joe Biden’s administration of trying to undermine outside care options, with excessive regulations and inadequate communication of patient choices. They also accused VA leaders of working to grow their department instead of finding ways to better serve veterans.
While introducing the bill, Bost criticized «VA administrators who stand in the way of veterans’ access to social care.»
Concerned Veterans for America Policy Director John Byrnes said VA leaders have «failed our nation’s heroes for nearly four years by not holding senior officials accountable for acting with integrity and supporting VA’s mission to hold the veterans they are sworn to serve.»
«While the VA MISSION Act was signed into law by President Trump, current VA leadership supports behavioral barriers to veterans’ access to public care,» Byrnes continued, «that access the law allows.»
VA leaders oppose that.
In a hearing before the House Appropriations Committee last month, Under Secretary of Health Shereef Elnahal said that «public care is very much needed for many veterans.»
But he acknowledged that the growth rate of social care has slowed in recent years, which he says is because «we provide a lot of referrals between the medical centers that many veterans take us to, and the veterans he chose with his feet.»
Democratic lawmakers have accused their Republican colleagues of working to defund the VA, undermining the agency’s vast health care system to divert large amounts of taxpayer money to private businesses. More than $24 billion is already spent on social care recruitment each year.
Despite potential support in the Republican-controlled House, Bost’s new measure may face difficulty becoming law this year due to the published legislative schedule facing lawmakers.
Only three weeks of session are scheduled before the end of the 118th Congress, and leaders of the House and Senate must pass several other bills – including a full extension of the federal budget and a defense authorization bill. annually – before 1 January.
However, if the measure does not pass this year, it may be the basis for efforts to make laws for veterans in the next session, where Republicans will control the House, Senate and White House.
That includes Congress, Veterans Affairs and the White House for Military Affairs. He has covered Washington, DC since 2004, focusing on military and veterans policy. His work has received numerous honors, including the 2009 Polk award, the 2010 National Journalism Award, the IAVA Leadership in Journalism award and the VFW News Media award.
#Bill #push #expand #medical #care #options #vets
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