The Amish

Nolt, Steven M.

doi:10.1353/book.44948

Cited by 44 publications

(12 citation statements)

References 0 publications

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“…This is being adopted widely by hospitals along with the development of tools to assess the needs of the patients and tailor healthcare facilities accordingly (7,9,10). Various communities such as the Amish have a distinct cultural and religious background that profoundly in uence their way of living, perception of health, and utility of healthcare services (11). These unique beliefs and practices make it important for healthcare providers to understand the values certain groups have towards health and tailor their care accordingly.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Value-Based Healthcare Delivery in Cardiac Care for Children of Amish Families

Chowdhury

Ather

Snyder

et al. 2023

Preprint

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Background Value-based healthcare is a prominent concept that focuses on patient health outcomes to ensure more efficient healthcare. This patient-centered approach can be applied to establish community-specific personalized care. Unique healthcare solutions need to be developed to adapt to the needs of specific populations. This study highlights the comparison of the delivery of care between the Amish and the Non-Amish community in children who have undergone cardiac surgery. Methods The results are interpreted to reflect areas of the healthcare delivery that lack value. Pediatric Integrated Care Survey (PICS) was sent to parents/guardians of 160 children who had undergone at least one cardiac surgery, and were followed at Cardiology Care for Children. Majority of the self-pay population consisted of the Amish. The survey consisted of 5 components: access, communication, family impact, goal creation and team functioning. Composite score calculation was done to gauge favorable responses. An independent sample t-test was conducted to assess the differences in patient-centered care, with a 95% confidence interval (p <0.05), between the insured and self-pay patients. Results The self-pay community reported fewer medical comorbidities and had a lower utilization of healthcare than those who were insured. Access to care was equally good in both groups. The self-pay group felt that they had better communication and family impact, whereas the insured group felt that the short and long term goals were better defined. The self-pay and the insured groups valued different components, reflecting different perceptions of healthcare. Conclusion The study suggests the need for innovations in the delivery of cardiac care for children of Amish families. Value and impact of care should be regularly addressed with both the providers and patients. Clear communication between physicians and patients is critical including establishing short and long-term goals. Decision-making should be equal amongst patients and their families. The role of the patients' families should be regularly addressed. Healthcare utilization, cost, and value should be recognized and addressed. Ultimately, a more efficient healthcare delivery system reduces cost for patients and creates high-value care.

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Section: Discussionmentioning

confidence: 99%

Assessment of Value-Based Healthcare Delivery in Cardiac Care for Children of Amish Families

Chowdhury

Ather

Snyder

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…Many readers submit obituaries for community members who have died. This is an efficient way to communicate with the larger community, as many groups of Amish and some conservative Mennonite groups limit other communication technologies (Kraybill, 2001;Kraybill et al, 2013;Nolt, 2008Nolt, , 2016. Obituaries are published weekly and provide an index of mortality for these communities.…”

Section: Methodsmentioning

confidence: 99%

“…People within Amish and Mennonite groups value family and community, and their daily behaviors reflect their emphasis on helping one another. Group members believe in living the scripture and try to do so daily by helping others in the community (Hostetler, 1993;Kraybill et al, 2013;Nolt, 2016;Scott, 1996).…”

Section: Covid-19 In Amish and Mennonite Groupsmentioning

confidence: 99%

“…The scribes emphasized how the pandemic created an opportunity to recenter values, slow down, and focus on relationships in the family and community. These relationships are the cornerstone of Amish and Mennonite communities (Hostetler, 1993;Kraybill, 2001;Kraybill et al, 2013;Nolt, 2016). People rely on one another for material and social support, lessening the need for interaction with outsiders.…”

Section: Covid-19 In Amish and Mennonite Groupsmentioning

confidence: 99%

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Pathways to Immunity: Patterns of Excess Death Across the United States and Within Closed Religious Communities

et al. 2023

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Public health officials promoted COVID-19 vaccines to limit burdens placed on the U.S. healthcare system and end the pandemic. People in some closed religious communities refused to vaccinate and likely acquired temporary immunity through infection. This paper compares the death rates in Amish, Old Order Mennonites, and conservative Mennonite groups to a rate estimated for the U.S. population. Approximately two-thirds of the U.S. population was immunized against COVID-19, while few in the Amish/Mennonite community were. We find divergent patterns. Once vaccines became available, excess deaths declined in the general population and remained elevated among Amish and Mennonites. Vaccination campaigns must consider and value the cultural beliefs of closed religious communities to be effective.

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“…Some higher tension religious groups resisted these directives, claiming virtual options were insufficient and invoking their "right" to practice religion freely (Baker et al 2020;Perry, Whitehead, and Grubbs 2020). For many, the religious purpose of rituals cannot be satisfied without in-person gatherings (Baker et al 2020;Kraybill 2001;Nolt 2016). And still, other strict religious groups, such as the Amish, could not move rituals online due to sacramental restrictions on technology use (Corcoran et al 2022).…”

Section: Rituals and Covid-19mentioning

confidence: 99%

Religious Ritual Compliance with COVID‐19 Mandates in Plain Communities: A Case Study of Amish Obituaries and Funeral Practices

Corcoran,

Colyer,

Mackay

et al. 2023

Scientific Study of Religion

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Measures to limit COVID‐19's spread were vital at the pandemic's onset. While some churches complied with public health mandates, others resisted them. Some religious ceremonies depend on third parties independent of the church. Funerals may require mortuary services overseen by funeral directors. Religious groups that may otherwise resist public health directives may comply when they depend on a third party. Extending street‐level bureaucracy theory, we examine the role of service providers who function as street‐level bureaucrats in shaping how religious groups respond to public policy mandates. Using the case of funeral rites in Old Order Amish churches, we content‐analyzed Old Order Amish obituaries from an Amish correspondence newspaper and interviewed funeral directors that serve the Amish. We found that the content of obituaries changed to incorporate COVID‐19 mitigation strategies due to requirements from some funeral homes. We also found that funeral directors used discretion to interpret health mandates.

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The Amish

Cited by 44 publications

References 0 publications

Assessment of Value-Based Healthcare Delivery in Cardiac Care for Children of Amish Families

Assessment of Value-Based Healthcare Delivery in Cardiac Care for Children of Amish Families

Pathways to Immunity: Patterns of Excess Death Across the United States and Within Closed Religious Communities

Religious Ritual Compliance with COVID‐19 Mandates in Plain Communities: A Case Study of Amish Obituaries and Funeral Practices

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