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5/6th Nephrectomy in Combination with High Salt Diet and Nitric Oxide Synthase Inhibition to Induce Chronic Kidney Disease in the Lewis Rat

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Produce Rx Programs for Diet-Based Chronic Disease Prevention.

¹The Linda Golodner Food and Nutrition Policy Fellow at the National Consumers League in Washington, DC; and was on the research staff for the Global Food Ethics and Policy Program at Berman Institute of Bioethics at Johns Hopkins University.

AMA Journal of Ethics

|October 23, 2018

Summary

Produce prescription (Rx) programs can improve health and food access but may have unintended psychosocial effects. Policy cohesion is needed for effective integration with government assistance programs.

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Area of Science:

Public Health
Health Policy
Nutrition Science

Background:

Produce prescription (Rx) programs offer fruits and vegetables to patients.
These programs aim to improve health outcomes and address food insecurity.

Purpose of the Study:

To explore the ethical and policy implications of produce prescription (Rx) programs.
To evaluate the impact of Rx programs on various stakeholders.

Main Methods:

A systematic literature review of 19 peer-reviewed articles on produce Rx programs.
Ethical matrix analysis evaluating well-being, autonomy, and fairness for stakeholders.

Main Results:

Produce Rx programs benefit low-income patients and those with diet-related conditions by reducing financial burdens and increasing food choices.
Potential unintended psychosocial consequences for low-income participants were identified.
Healthcare professionals benefit from partnership models, while farmers gain customers but may face financial burdens.
Integration with government assistance programs like Medicaid and SNAP presents challenges in cost efficiency and organization.

Conclusions:

Further research is needed to optimize produce Rx program designs, balancing well-being, fairness, and autonomy.
Acknowledging the roles of healthcare professionals and farmers is crucial for program success.
Clear policies are required for effective integration with government assistance programs to identify and support eligible patients.