Discover and read the best of Twitter Threads about #chws
Most recents (7)
š£ It's time for another #CommunityHealth Research Round-Up! Welcome to Issue 095! š«
š§µ Check out this thread where we explore CHW motivation, the impact of geographical placement on CHWs SAM coverage...and so much more!
Inspired? Subscribe below! š¤
#researchroundup
š§µ Check out this thread where we explore CHW motivation, the impact of geographical placement on CHWs SAM coverage...and so much more!
Inspired? Subscribe below! š¤
#researchroundup
1. Salary matters, and so do other factors according to this article. What do you think of the provocative title? gh.bmj.com/content/7/10/eā¦
2. A close look at the epidemiological burden of the big three killers of children under-five (pneumonia, diarrhea, malaria) and the important role of CHWs in saving childrens' lives in a Ugandan sub-county. malariajournal.biomedcentral.com/articles/10.11ā¦
Iāve been out for the past 6 months.
I think I want to write about it.
Deep breath: here is my #LongCovid story.
I think I want to write about it.
Deep breath: here is my #LongCovid story.
You may remember this tweet from April of 2020.
Gandalf let me down, and I ended up getting #COVID19 just 3 weeks after getting H1N1 influenza. (I am a doctor and toddler mom, pretty germy).
Gandalf let me down, and I ended up getting #COVID19 just 3 weeks after getting H1N1 influenza. (I am a doctor and toddler mom, pretty germy).
The night that I got #COVID19 it felt like broken glass was running through my veins. No fever but just that icy chill. Horrible, rotten smell in my nose. And strangest of all a buzzing feeling, a restlessness. It made me want to crawl out of my skin. I couldnāt sleep that night.
I am so pleased to join a great group of leaders from @MayoClinic @PennMedicine @Flywire to discuss how innovations from #COVID19 are making us rethink the future of #health.
Virtual event by @usnews, starting now!
usnews.com/news/live-evenā¦
Virtual event by @usnews, starting now!
usnews.com/news/live-evenā¦
Kevin Mahoney @PennMedicine on what theyāve learned: Went from how do we treat patients only in the hospital to talking care of patients no matter where they are. This is going to be a new way of providing care from now on. #HealthcareOfTomorrow
Exactly the right approach: @mayoclinic they quickly adjusted to the needs of communities and individual patients = local, specific approaches. -- Rita Khan #HealthcareOfTomorrow
[LIVE] Are people with #HIV and #TB more likely to die of #COVID19SA? Our #BhekisisaWebinar in partnership with @Auruminstitute is on NOW. We'll be live-tweeting the event, follow on for live updates. bit.ly/2UsZbmn
First up, Mary-Ann Davies, public health medicine expert at @WesternCapeGov health department will release SA's first preliminary data on the #COVID19SA death risk for #HIV and #TB patients from the Western Cape. #BhekisisaWebinar
Until now, there hasn't been much data on #TB and #HIV and how those conditions affect your risk of dying from #COVID19SA, Davies says. Getting good data is not easy. #BhekisisaWebinar bit.ly/2UsZbmn
Every state/local #Covid_19 initiative Iāve read about is making one of the following mistakes.
Thread.
Thread.
1. Ignoring community altogether and just doing apps.
Case example: Utah.
$2.75 million to purchase an app PLUS a *monthly* maintenance fee of $300,000.
(Couldāve employed 100 FTE #CHWs with this $ but whoās counting)
And the app isnāt working.
tiny.cc/bvrfpz
Case example: Utah.
$2.75 million to purchase an app PLUS a *monthly* maintenance fee of $300,000.
(Couldāve employed 100 FTE #CHWs with this $ but whoās counting)
And the app isnāt working.
tiny.cc/bvrfpz
2. Vaguely referencing āshoe leatherā and community engagement but no mention of the #CHW workforce who already does that.
Case example: almost everyone.
āCultural literacy is key to developing trust.ā
(Really? Then hire someone of the same CULTURE!)
tiny.cc/80rfpz
Case example: almost everyone.
āCultural literacy is key to developing trust.ā
(Really? Then hire someone of the same CULTURE!)
tiny.cc/80rfpz
Feb @Health_Affairs is out!
We did a formal return on investment (ROI) analysis of the IMPaCT community health worker program using randomized controlled trial evidence.
Each dollar invested by Medicaid returns $2.47, annually.
bit.ly/2QNt4v4
@threadreaderapp unroll
We did a formal return on investment (ROI) analysis of the IMPaCT community health worker program using randomized controlled trial evidence.
Each dollar invested by Medicaid returns $2.47, annually.
bit.ly/2QNt4v4
@threadreaderapp unroll
This paper is important because most estimates of ROI from #SDOH programs are likely exaggerated because they are based on pre-post studies.
Itās important to note that IMPaCT is highly structured with fixed caseloads, clear hiring protocols and good supervision. I think those program elements are key to seeing this kind of financial return. So #hclrds, resist the impulse to skimp!
1/ Ok by special request from my dear mentee @dn_charles: hereās my version of the HPI for new #primarycare patients.
Key points: welcome them and get to know them as people.
Donāt worry, it takes no longer than usual! I still see 8-10 pts in a morning.
Key points: welcome them and get to know them as people.
Donāt worry, it takes no longer than usual! I still see 8-10 pts in a morning.
2/ Here are some prompts I use to get a quick overview of my patientsā life stories, including trauma history.
I also try to reflect and synthesize what theyāve told me so that we are on the same page about their strengths/hopes/fears/root causes of any troubles.
I also try to reflect and synthesize what theyāve told me so that we are on the same page about their strengths/hopes/fears/root causes of any troubles.
3/Then, the medical part of my HPI. Hereās where I ask about what is typically called the social history: sex, drugs, alcohol and cigarettes. This is too narrow to call a social history. I call it āhabits.ā
I skip the Fhx and do it on the second visit.
I skip the Fhx and do it on the second visit.
