Individuals with diabetes mellitus and their providers view the world from their own perspectives and bring these different perspectives to the clinical encounter. Because individuals with diabetes enact the day-to-day management of their disease, their perspective will, therefore, largely determine their behaviours. A broad interpretation of how to think about individuals in their patient role, their social context and their relationships with providers creates opportunities for providers to assist patients in life-enhancing ways. Steps for providers include examining their own values and attitudes about diabetes and its treatment, contextualising patient responses and incorporating a different set of questions in the clinical encounter. Steps for organisations include involving patients in interdisciplinary meetings, evaluation of system and provider quality, creating a milieu which supports dialogue and relationship development, important elements of a caring environment.
Hi Vijay,
Thought you and your readers might want to know that anyone can now vote for their top disruptive innovation in health and health care at the RWJF/Changemakers competition site at http://www.changemakers.net/en-us/competition/disruptive. Nine finalists were selected from more than 300 entries - voting ends Aug. 29 and three winners will be selected. Hope you all will participate - thanks.
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Have the costs per family served been going up or down over the years that Renascer has developed its model? Is there evidence of scaling and replicability advantages or not?
I had assumed that part of the model was as a hub (meeting space) that helped peer families supporting each other's knowhow on factors to do with prevention etc. Please clarify whether this is part of the model or not
1- - It´s easily in one hand, because you can start only given to the families food and medicines. The new institutions based on Renascer have to pass through the challenge to grow up in order to offer a very good assistance. So, in my point of view, time and social work walk together. To implement a very good and comprehensive program we need time. As you can see below the new institution based on our model has to grow up in many areas in order to be a very good institution. But when they achieve a good performance, they are able to implement a complete reestructuration of the whole family.
Development Stages of Associations
Begginning Development Refinement Maturity
Attendance Support based on Expansion of attendance Wide attendance focused Family planning with well
food & medicine with professional courses on family structure defined release criteria
• Internal Volunteer work with Beginning of development Technical staff professional Professional and structure
Material simple structure of professional internal staff & structured technical staff and other areas
• Measurement Based only on the Simplified with information Thorough but superficial Complete with standardized
• Source of Based on Absence of stable sponsors Search of new sources Low external dependance
resources donations/members & donors/limited # of but large external with many sources of
members dependances resources
2 – I think that Brazil is a continental country. Till our days, we only have the civil society and companies as our sponsors. I think that in the future we will need the government support, not taking care of the program but paying some part of operationaç cpst, but being led by civil society.
3 – Please, for more information see your web www.criancarenascer.org.br
How easily and rapidly has your model scaled up? With the patients not being able to pay for the help that they receive, coupled with the training required for those who treat them, will the program expand into wider Brazil? How sustainable is this model given that the revenue stream is limited? We would love more information on how the model works to help us better understand your programs.
Individuals with diabetes mellitus and their providers view the world from their own perspectives and bring these different perspectives to the clinical encounter. Because individuals with diabetes enact the day-to-day management of their disease, their perspective will, therefore, largely determine their behaviours. A broad interpretation of how to think about individuals in their patient role, their social context and their relationships with providers creates opportunities for providers to assist patients in life-enhancing ways. Steps for providers include examining their own values and attitudes about diabetes and its treatment, contextualising patient responses and incorporating a different set of questions in the clinical encounter. Steps for organisations include involving patients in interdisciplinary meetings, evaluation of system and provider quality, creating a milieu which supports dialogue and relationship development, important elements of a caring environment.
Jongle
Hi Vijay,
Thought you and your readers might want to know that anyone can now vote for their top disruptive innovation in health and health care at the RWJF/Changemakers competition site at http://www.changemakers.net/en-us/competition/disruptive. Nine finalists were selected from more than 300 entries - voting ends Aug. 29 and three winners will be selected. Hope you all will participate - thanks.
---
PDA movies
Have the costs per family served been going up or down over the years that Renascer has developed its model? Is there evidence of scaling and replicability advantages or not?
I had assumed that part of the model was as a hub (meeting space) that helped peer families supporting each other's knowhow on factors to do with prevention etc. Please clarify whether this is part of the model or not
1- - It´s easily in one hand, because you can start only given to the families food and medicines. The new institutions based on Renascer have to pass through the challenge to grow up in order to offer a very good assistance. So, in my point of view, time and social work walk together. To implement a very good and comprehensive program we need time. As you can see below the new institution based on our model has to grow up in many areas in order to be a very good institution. But when they achieve a good performance, they are able to implement a complete reestructuration of the whole family.
Development Stages of Associations
Begginning Development Refinement Maturity
Attendance Support based on Expansion of attendance Wide attendance focused Family planning with well
food & medicine with professional courses on family structure defined release criteria
• Internal Volunteer work with Beginning of development Technical staff professional Professional and structure
Material simple structure of professional internal staff & structured technical staff and other areas
• Measurement Based only on the Simplified with information Thorough but superficial Complete with standardized
• Source of Based on Absence of stable sponsors Search of new sources Low external dependance
resources donations/members & donors/limited # of but large external with many sources of
members dependances resources
2 – I think that Brazil is a continental country. Till our days, we only have the civil society and companies as our sponsors. I think that in the future we will need the government support, not taking care of the program but paying some part of operationaç cpst, but being led by civil society.
3 – Please, for more information see your web www.criancarenascer.org.br
Dear Dr. Cordeiro:
How easily and rapidly has your model scaled up? With the patients not being able to pay for the help that they receive, coupled with the training required for those who treat them, will the program expand into wider Brazil? How sustainable is this model given that the revenue stream is limited? We would love more information on how the model works to help us better understand your programs.
Thank you in advance for your response!
Changemakers Team