Abstract

Physician influence on the signing of do-not-resuscitate orders in surgical intensive care units in Taiwan

Highlights

  • The two primary aims of this study are 1) to assess the ability of Community Health Workers (CHWs) to correctly identify and refer undernourished children and 2) to verify that patients seek care at the appropriate referral treatment center

  • Assesment was done of an existing Community Health Worker program implemented in 2009 by Seva Mandir in rural tribal Rajasthan, India

  • The CHWs were trained to identify undernourished children and refer them to treatment centers. This is important given that 43% of children in the working area are underweight

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Summary

Introduction

The two primary aims of this study are 1) to assess the ability of Community Health Workers (CHWs) to correctly identify and refer undernourished children and 2) to verify that patients seek care at the appropriate referral treatment center. The CHWs were trained to identify undernourished children and refer them to treatment centers. Laws may permit the practice of DNR orders when appropriate, the way in which DNR orders are operationalized may influence whether they enable treatment plans to match patient goals. Factors such as physicians’ religious beliefs, medical specialty, and level of communication may influence patients’ decisions to sign DNR orders. This paper aims to identify possible threats and facilitators to this strategy’s success in Guatemala by assessing attitudes, misperceptions and expectations for the introduction of midwifery to the healthcare system among diverse cadres of stakeholders

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