Browsing by Subject "Advocacy"
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Item Advocacy 101 for Interventional Cardiologists: A Society for Cardiovascular Angiography & Interventions Policy Statement(Elsevier, 2023-07-27) Goldsweig, Andrew M.; Box, Lyndon C.; Hoyer, Mark; Klein, Andrew J.; Lata, Kusum; Rooney, Curtis; Snyder, Richard W.; Tariq, Afnan; Toggart, Edward; Tukaye, Deepali; Cigarroa, Joaquin E.; Pediatrics, School of MedicineAdvocacy is a core mission of the Society for Cardiovascular Angiography & Interventions (SCAI). SCAI advocates on behalf of interventional cardiologists and our patients. This document provides foundational information and a toolkit for grassroots advocacy by interventional cardiologists. The first half of the document summarizes how health care laws are made, how medical devices are approved, and how procedure reimbursement is determined. The second half of the document is a playbook of advocacy strategies: legislative advocacy, judicial advocacy, advocacy with regulators and payors, advocacy in the media, and participation in SCAI advocacy initiatives, such as the Government Relations Committee and SCAI Political Action Committee. Equipped with this toolbox, interventional cardiologists must increase our advocacy activities with government, payors, and industry.Item Beyond the Studio: A Mixed-Methods Approach to Exploring Art Therapy Advocacy in Indiana(2016) Hammond, Mohammad; King, JulietIn the United States currently 10 states have either professional licenses with verbiage inclusive of art therapy or licenses that are distinctly art therapy. The states with art therapy licenses received that distinction due to art therapists who advocated on behalf of the profession, consequently shaping the perception of art therapy within their communities and states (American Art Therapy Association (AATA), 2013). In the state of Indiana there is neither an art therapy license, nor verbiage in existing legislative documentation that is inclusive of art therapy in any professional license. This research sought to understand what advocacy efforts have been conducted by AATA and the state chapter of Indiana, the Indiana Art Therapy Association (INDIATA).Item Conclusion: Why Toxic Heritage Matters(Routledge, 2023) Kryder-Reid, Elizabeth; May, SarahCritical perspectives have developed to reconfigure heritage as a tool for constructing a just future while heritage is historically founded with imperialism and settler colonialism. Toxic heritage stands, therefore, as a counternarrative to the denial and amnesia that often serve corporate and state interests, just as it has the potential to activate citizen awareness and advocacy. The stories of pollution, contamination, and their effects on people's health and livelihoods are particularly compelling when they engage those affected populations in participatory heritage strategies. Rankin et al. discuss how the authorising framework of heritage management can surface toxic harms to indigenous communities which have been hidden through centre/periphery dynamics of isolation. Fiske uses both tours and graphic narrative techniques more commonly associated with valourising heritage to reveal harmful pasts in the Ecuadorian Amazon, and Baptista's toxic tours similarly expose the intersections of unjust practice that have created Newark's sacrifice zone.Item Impact of Dobbs Decision on Retention of Indiana Medical Students for Residency(Elsevier, 2023-10-08) Hulsman, Luci; Bradley, Paige K.; Caldwell, Amy; Christman, Megan; Rusk, Debra S.; Shanks, Anthony L.Background: As medical students consider residency training programs, access to comprehensive training in abortion care and the legal climate influencing abortion care provision are likely to affect their decision process. Objective: This study aimed to determine medical students' desire to stay in a state with an abortion ban for residency. Study design: A cross-sectional survey was distributed to all medical students at a large allopathic medical school. Anonymous survey questions investigated the likelihood of seeking residency training in states with abortion restrictions and the likelihood of considering obstetrics and gynecology as a specialty. Qualitative responses were also captured. Results: The survey was distributed to 1424 students, and 473 responses yielded a 33.2% completion rate; 66.8% of students were less likely to pursue residency training in Indiana following a proposed abortion ban. Moreover, 70.0% of students were less likely to pursue residency in a state with abortion restrictions. Approximately half of respondents (52.2%) were less likely to pursue obstetrics and gynecology as a specialty after proposed abortion restrictions. Qualitative remarks encompassed 6 themes: comprehensive health care access, frustration with the political climate, impact on health care providers, relocation, advocacy, and personal beliefs and ethical considerations. Conclusion: Most medical students expressed decreased likelihood of remaining in Indiana or in states with abortion restrictions for residency training. The field of obstetrics and gynecology has been negatively affected, with medical students indicating lower likelihood to pursue obstetrics and gynecology. Regardless of specialty, the physician shortage may be exacerbated in states with abortion restrictions. The overturn of Roe v Wade has the potential for significant effects on medical student plans for residency training location, thereby shaping the future of the physician workforce.Item Inclusive Philanthropy(Stanford Social Innovation Review (SSIR), 2020) Pasic, Amir; Osili, Una; Rooney, Patrick; Ottoni-Wilhelm, Mark; Herzog, Patricia Snell; King, David; Practor, Andrea; Siddiqui, ShariqIn this practitioner-engaged article, the Indiana University Lilly Family School of Philanthropy explain problems with limiting what counts as philanthropy since a narrow approach curtails understanding of scope and social value. The authors assert a more expansive approach is essential for creating a more equitable and democratic society. Inclusive giving practices include certain types of social media campaigns, giving circles, religious giving, workplace giving. The article concludes with a call for everyday citizens to engage in giving and thus balance undue influence to only the wealthy by fostering many voices amid financial and social resource channels.Item Informing Policy Change: A Study of Rapid Repeat Pregnancy in Adolescents to Increase Access to Immediate Postpartum Contraception(Mary Ann Liebert, Inc., 2020-06) Qasba, Neena T.; Stutsma, John W.; Weaver, Greta E.; Jones, Kathleen E.; Daggy, Joanne K.; Wilkinson, Tracey A.; Obstetrics and Gynecology, School of MedicineBackground: Rapid repeat pregnancy (RRP) is common among adolescents and is associated with adverse maternal and infant outcomes. Despite evidence that use of long-acting forms of contraception before hospital discharge can help minimize RRP rates, barriers to placement existed within the state of Indiana. We sought to determine state-specific RRP and induced abortion rates for adolescents based on chosen postpartum contraception to inform policy change. Methods: We examined a retrospective cohort of 227 adolescents (ages 12-18 years) who gave birth in Indiana between 2010 and 2012. Demographics, postpartum contraception, and subsequent pregnancies or abortions after the sentinel delivery were obtained. Rates of RRP based on type of immediate postpartum contraception, etonogestrel (ENG) contraceptive implant, depo-medroxyprogesterone acetate (DMPA) injection, and short-acting methods were compared. Bivariate and logistic regression analyses were conducted. Results: RRP rates were 3.7% for those with ENG contraceptive implant, 22.6% for those with DMPA, and 39.1% for those who choose short-acting methods (p = 0.01). Adolescents who did not choose an ENG contraceptive implant were significantly more likely to have an RRP (adjusted odds ratio [aOR] = 11.8, 95% confidence interval: 2.74-110.3), compared with other contraceptive methods, even after adjusting for covariates such as age, prior pregnancies, and postpartum visit attendance. Conclusions: Immediate postpartum receipt of ENG implant was significantly associated with a lower likelihood of RRP in adolescents in Indiana. These data facilitated state policy change regarding insurance reimbursement to improve statewide access for all women, regardless of age, showing how local data can inform policy change.Item Pediatric AKI in the real world: changing outcomes through education and advocacy-a report from the 26th Acute Disease Quality Initiative (ADQI) consensus conference(Springer, 2024) Mottes, Theresa; Menon, Shina; Conroy, Andrea; Jetton, Jennifer; Dolan, Kristin; Arikan, Ayse Akcan; Basu, Rajit K.; Goldstein, Stuart L.; Symons, Jordan M.; Alobaid, Rashid; Askenazi, David J.; Bagshaw, Sean M.; Barhight, Matthew; Barreto, Erin; Bayrakci, Benan; Bignall, O. N., II; Bjornstad, Erica; Brophy, Patrick; Charlton, Jennifer; Chanchlani, Rahul; Conroy, Andrea L.; Deep, Akash; Devarajan, Prasad; Fuhrman, Dana; Gist, Katja M.; Gorga, Stephen M.; Greenberg, Jason H.; Hasson, Denise; Heydari, Emma; Iyengar, Arpana; Krawczeski, Catherine; Meigs, Leslie; Morgan, Catherine; Morgan, Jolyn; Neumayr, Tara; Ricci, Zaccaria; Selewski, David T.; Soranno, Danielle; Stanski, Natalja; Starr, Michelle; Sutherland, Scott M.; Symons, Jordan; Tavares, Marcelo; Vega, Molly; Zappitelli, Michael; Ronco, Claudio; Mehta, Ravindra L.; Kellum, John; Ostermann, Marlies; ADQI 26 workgroup; Pediatrics, School of MedicineBackground: Acute kidney injury (AKI) is independently associated with increased morbidity and mortality across the life course, yet care for AKI remains mostly supportive. Raising awareness of this life-threatening clinical syndrome through education and advocacy efforts is the key to improving patient outcomes. Here, we describe the unique roles education and advocacy play in the care of children with AKI, discuss the importance of customizing educational outreach efforts to individual groups and contexts, and highlight the opportunities created through innovations and partnerships to optimize lifelong health outcomes. Methods: During the 26th Acute Disease Quality Initiative (ADQI) consensus conference, a multidisciplinary group of experts discussed the evidence and used a modified Delphi process to achieve consensus on recommendations on AKI research, education, practice, and advocacy in children. Results: The consensus statements developed in response to three critical questions about the role of education and advocacy in pediatric AKI care are presented here along with a summary of available evidence and recommendations for both clinical care and research. Conclusions: These consensus statements emphasize that high-quality care for patients with AKI begins in the community with education and awareness campaigns to identify those at risk for AKI. Education is the key across all healthcare and non-healthcare settings to enhance early diagnosis and develop mitigation strategies, thereby improving outcomes for children with AKI. Strong advocacy efforts are essential for implementing these programs and building critical collaborations across all stakeholders and settings.Item Public and Private Revisited: Storied Reflections from a Food Allergy Parent(Taylor & Francis, 2020-02-24) Bute, Jennifer J.; Communication Studies, School of Liberal ArtsItem Representational roles of nonprofit organizations in policy advocacy(2014-01-29) Yoshioka, Takayuki; Lenkowsky, Leslie, 1946-; Carmines, Edward G.; Hershey, Marjorie Randon; Perry, James L.This research explores what roles nonprofits play in political representation by applying the concept of the representational role to nonprofits. The representational role consists of representational focus and style. Representational focus shows those whom nonprofits aim to serve: members, constituents, or the general public. Representational style denotes the ways nonprofits advocate for their focal groups: the delegation, trusteeship, and educational styles. The survey and regression analysis results demonstrate that nonprofits serving their members are most likely to convey their members’ voices directly to policy makers: the delegation style. In contrast, nonprofits advocating for their constituents are likely to pursue what they independently identify as the interests of their constituents: the trusteeship style. Finally, nonprofits speaking for the general public are most likely to work toward educating the general public: the educational style. These results suggest that nonprofits play different roles in political representation, depending on the types of their focal groups.Item Something Big that Matters: The American Society of Tropical Medicine and Hygiene’s Commitment to Combat Climate Change(American Society of Tropical Medicine and Hygiene, 2020-10-09) John, Chandy C.; Pediatrics, School of MedicineClimate change is the most pressing global health issue of our time. Climate change has had and will have profound effects on human health, including the health issues most important to the members of the American Society of Tropical Medicine and Hygiene (ASTMH). As the leading global health society, the ASTMH is dedicated to combating climate change and improving planetary health. Attention to climate change is part of the ASTMH 2019–2022 strategic plan, and climate change and planetary health will be key components of future strategic plans. But, what about ASTMH’s contribution to climate change? In my presidential address in 2019, I focused on the importance of doing “something small that matters”: how the small everyday things we do can make a difference in global health. Working to combat climate change is a complementary task: “something big that matters.” Doing our society business and conducting our Annual Meeting in a year of no travel will teach us a lot. The ASTMH must build on those lessons to make concrete decisions that will reduce our carbon, waste, and water footprints. The coming years offer a unique opportunity to establish the ASTMH as a leader in improving the health of not only those people we serve but also the source that sustains us all, our planet.