Journal articles on the topic 'New Zealand. Department of Health. Library'
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1
Carter, Kareen. "The future of health libraries in New Zealand." Journal of Health Information and Libraries Australasia 2, no. 3 (December 20, 2021): 60–70. http://dx.doi.org/10.55999/johila.v2i3.87.
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The New Zealand Health Sector is in a period of extreme pressure and change, not least the libraries within the sector. The aim of this article is to give an overview on the Health Library landscape in New Zealand, and its role in developing a stronghealth workforce; particularly considering upcoming changes to the District Health Board (DHB) structure arising out of the Health and Disability System Review (2020).
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Honey, Michelle, Nicola North, and Cathy Gunn. "Improving library services for graduate nurse students in New Zealand." Health Information and Libraries Journal 23, no. 2 (June 2006): 102–9. http://dx.doi.org/10.1111/j.1471-1842.2006.00639.x.
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Schutz, Jacquie, Franz E. Babl, Nisa Sheriff, and Meredith Borland. "Emergency department management of gastro-enteritis in Australia and New Zealand." Journal of Paediatrics and Child Health 44, no. 10 (October 2008): 560–63. http://dx.doi.org/10.1111/j.1440-1754.2008.01335.x.
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Talamaivao, Natalie, Gabrielle Baker, Ricci Harris, Donna Cormack, and Sarah-Jane Paine. "Informing Anti-Racism Health Policy in Aotearoa New Zealand." Policy Quarterly 17, no. 4 (November 25, 2021): 50–57. http://dx.doi.org/10.26686/pq.v17i4.7319.
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Racism is firmly established as a determinant of health and an underlying cause of ethnic health inequities. As an organised system, racism operates at multiple levels (including structurally and interpersonally). Racism and its many manifestations are breaches of international human rights obligations and, in the Aotearoa New Zealand context, te Tiriti o Waitangi. This article considers approaches to anti-racism in health and disability policy in the 30 years following the foundational publication Pūao-te-Ata-Tū (Ministerial Advisory Committee on a Māori Perspective for the Department of Social Welfare, 1988), which was one of the first government publications to name and call out the harmful impacts of institutional racism. The article then examines the ways in which government health and disability sector organisations have talked about and responded to racism at a national level since 1980. The results of this research urge a stronger organisational-level approach to antiracism in the health and disability system for more tangible results, requiring multi-level solutions, and transforming what is considered ‘business as usual’ in health and disability sector institutions.
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Kowalenko, Nick, Monica Hagali, and Benjamin Hoadley. "Building capacity for child and adolescent mental health and psychiatry in Papua New Guinea." Australasian Psychiatry 28, no. 1 (September 5, 2019): 51–54. http://dx.doi.org/10.1177/1039856219871883.
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Objective: To describe the recent work of child psychiatrists in Australia, New Zealand (ANZ) and Papua New Guinea (PNG) adding to mental health capacity building across the life-span, starting with children and adolescents. Method: Concerns about treatment access and clinical training needs, combined with academic leadership and National Department of Health commitment, supported the collaborative involvement of the Royal Australian and New Zealand College of Psychiatry (RANZCP) in workforce development. This has been initially established under the auspices of the Faculty of Child and Adolescent Psychiatry (FCAP). Results: Workforce development in child and adolescent mental health is underway, with sustainability, consolidation and scaling up of initiatives required to meet need. Conclusions: Expanding mental health workforce capacity in partnership with the National Department of Health and the University of Papua New Guinea (UPNG) seems feasible. Ongoing cooperation is required to realize the potential of such collaborative initiatives.
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Oliver, Gillian, and Pam Bidwell. "Hospitals and consumer health information in New Zealand: the role of the library." Health Information and Libraries Journal 18, no. 2 (June 2001): 83–90. http://dx.doi.org/10.1046/j.1365-2532.2001.00324.x.
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Oliver, Gillian, and Pam Bidwell. "Hospitals and consumer health information in New Zealand: the role of the library." Health Information & Libraries Journal 18, no. 2 (June 2001): 83–90. http://dx.doi.org/10.1046/j.1471-1842.2001.d01-20.x.
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Wilson, Miriama K., Fiona Pienaar, Ruth Large, Matt Wright, and Verity F. Todd. "Enhancing Aotearoa, New Zealand’s Free Healthline Service through Image Upload Technology." International Journal of Telemedicine and Applications 2024 (February 2, 2024): 1–10. http://dx.doi.org/10.1155/2024/6644580.
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Background. Healthline is one of the 39 free telehealth services that Whakarongorau Aotearoa/New Zealand Telehealth Services provides to New Zealanders. In early 2021, an image upload system for viewing service user-uploaded images was implemented into the Healthline service. Aims. The aim of this research was to understand the utilisation of Healthline’s image upload system by clinicians and service users in New Zealand. Methods. This is a retrospective observational study analysing Healthline image upload data over a two-year period: March 2021 through to December 2022. A total of 40,045 images were analysed, including demographics of the service users who uploaded an image: ethnicity, age group, and area of residence. The outcome or recommendation of the Healthline call was also assessed based on whether an image was included. Results. Images uploaded accounted for 6.0% of total Healthline calls (n=671,564). This research found that more service users were advised to go to an Emergency Department if they did not upload an image compared to service users who used the tool (13.5% vs. 7.7%), whereas a higher proportion of service users were given a lower acuity outcome if they included an image, including visiting an Urgent Care (24.0% vs. 16.9%) and GP (36.7% vs. 24.3%). Conclusion. Service users who did not upload an image had a higher proportion of Emergency Department outcomes than service users who did use the tool. This image upload tool has shown the potential to decrease stress on Emergency Departments around Aotearoa, New Zealand, through increased lower acuity outcomes.
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Tenbensel, Tim, Linda Chalmers, and Esther Willing. "Comparing the implementation consequences of the immunisation and emergency department health targets in New Zealand." Journal of Health Organization and Management 30, no. 6 (September 19, 2016): 1009–24. http://dx.doi.org/10.1108/jhom-08-2015-0126.
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Purpose Over the last decade there has been considerable debate about the merits of targets as a policy instrument. The purpose of this paper is to examine the implementation of two health targets that were cornerstones of New Zealand health policy between 2009 and 2012: immunisation rates for two-year-olds, and time to treatment, discharge or admission in hospital emergency departments. Design/methodology/approach For each policy target, the authors selected four case-study districts and conducted two waves of key-informant interviews (113 in total) with clinical and management staff involved in target implementation. Findings Despite almost identical levels of target achievement, the research reveals quite different mixes of positive and negative implementation consequences. The authors argue that the differences in implementation consequences are due to the characteristics of the performance measure; and the dynamics of the intra-organisational and inter-organisational implementation context. Research limitations/implications The research is based on interviews with clinical and management staff involved in target implementation, and this approach does not address the issue of effort substitution. Practical implications While literature on health targets pays attention to the attributes of target measures, the paper suggests that policymakers considering the use of targets pay more attention to broader implementation contexts, including the possible impact of, and effects on related services, organisations and staff. Originality/value The research focuses specifically on implementation consequences, as distinct from target success and/or changes in clinical and health outcomes. The paper also adopts a comparative approach to the study of target implementation.
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Abraham, Sneha Grace, Marama Tauranga, and Deborah Moore. "Adult Māori Patients’ Healthcare Experiences of the Emergency Department in a District Health Facility in New Zealand." International Journal of Indigenous Health 13, no. 1 (August 23, 2018): 87–103. http://dx.doi.org/10.32799/ijih.v13i1.30300.
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Globally, there are significant inequalities and disparities in health service delivery to Indigenous populations, including Māori in Aotearoa/New Zealand. This study explored the experiences of adult Māori patients in the emergency department (ED) of a district health facility in New Zealand. Qualitative research exploring the ED experiences of Māori patients is limited. Two semistructured interviews with 4 Māori participants were conducted, audio-recorded, transcribed, and thematically analysed with the help of the Māori health department within the hospital. The participants identified 3 main areas of improvements relating to (a) the ED environment, (b) the interactions with healthcare professionals (HCPs), and (c) the unique factors faced by the kaumātua (Māori elders). The main conclusions were that aspects of the ED environment, including the room layout and lack of privacy, could negatively influence Maori ED experiences. In addition, HCPs not adequately integrating the Māori view of health in their clinical practice also had a negative influence. The kaumātua faced unique challenges, including the language barrier and lack of sufficient information from HCPs during their patient journey. Educating HCPs and making the ED environment more sensitive to Māori could improve their experience.
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Prasad, Namrata, Adrian A. Trenholme, Q. Sue Huang, Jazmin Duque, Cameron C. Grant, and E. Claire Newbern. "Respiratory Virus-related Emergency Department Visits and Hospitalizations Among Infants in New Zealand." Pediatric Infectious Disease Journal 39, no. 8 (May 6, 2020): e176-e182. http://dx.doi.org/10.1097/inf.0000000000002681.
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Powell, Eleanor, Hatem Alkhouri, Sally McCarthy, John Mackenzie, Toby Fogg, John Vassiliadis, and Chris Cresswell. "A sequential case series of 23 intubations in a rural emergency department in New Zealand." Australian Journal of Rural Health 26, no. 1 (August 10, 2017): 48–55. http://dx.doi.org/10.1111/ajr.12366.
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Rees, Gareth H. "Organisational readiness and Lean Thinking implementation: Findings from three emergency department case studies in New Zealand." Health Services Management Research 27, no. 1-2 (February 2014): 1–9. http://dx.doi.org/10.1177/0951484814532624.
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Ong, Aaron P. C., Adam Watson, and Shanu Subbiah. "Rubeola keratitis emergence during a recent measles outbreak in New Zealand." Journal of Primary Health Care 12, no. 3 (2020): 289. http://dx.doi.org/10.1071/hc20013.
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ABSTRACT INTRODUCTIONMeasles is a highly contagious disease caused by the rubeola virus. It can result in ocular complications such as conjunctivitis and keratitis, which will be encountered in general practice. Cases usually resolve without sequelae, but may progress to corneal perforation if left untreated. AIMWe present two cases of rubeola keratitis secondary to measles infection. METHODSThis report is about a retrospective review of data from two patients who presented to the eye department with rubeola keratitis in the midst of the recent measles outbreak in New Zealand. RESULTSBoth patients presented with decreased visual acuity approximately 2 weeks after being diagnosed with measles. One of them was unvaccinated, whereas the other had no documentation of previous vaccination. Both were healthy and immunocompetent individuals. There was no evidence of corneal perforation or retinopathy on examination. Both patients regained their baseline visual acuity after treatment with fluorometholone eye drops. DISCUSSIONDespite the existence of a safe and effective vaccine, there were more than 2000 cases of measles in the recent outbreak in New Zealand. The lack of vaccination is one of the primary causes of rubeola keratitis. These cases highlight the effects of measles infection from an ophthalmology perspective and reinforce the paramount importance of getting vaccinated.
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Dawson, Pauline, Benoit Auvray, Crystal Jaye, Robin Gauld, and Jean Hay-Smith. "Social determinants and inequitable maternal and perinatal outcomes in Aotearoa New Zealand." Women's Health 18 (January 2022): 174550652210759. http://dx.doi.org/10.1177/17455065221075913.
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Objectives: Aotearoa New Zealand has demonstrable maternal and perinatal health inequity. We examined the relationships between adverse outcomes in a total population sample of births and a range of social determinant variables representing barriers to equity. Methods: Using the Statistics New Zealand Integrated Data Infrastructure suite of linked administrative data sets, adverse maternal and perinatal outcomes (mortality and severe morbidity) were linked to socio-economic and health variables for 97% of births in New Zealand between 2003 and 2018 (~970,000 births). Variables included housing, economic, health, crime and family circumstances. Logistic regression examined the relationships between adverse outcomes and social determinants, adjusting for demographics (socio-economic deprivation, education, parity, age, rural/urban residence and ethnicity). Results: Māori (adjusted odds ratio = 1.21, 95% confidence interval = 1.18–1.23) and Asian women (adjusted odds ratio 1.39, 95% confidence interval = 1.36–1.43) had poorer maternal or perinatal outcomes compared to New Zealand European/European women. High use of emergency department (adjusted odds ratio = 2.68, 95% confidence interval = 2.53–2.84), disability (adjusted odds ratio = 1.98, 95% confidence interval = 1.83–2.14) and lack of engagement with maternity care (adjusted odds ratio = 1.89, 95% confidence interval = 1.84–1.95) had the strongest relationship with poor outcomes. Conclusion: Maternal health inequity was strongly associated with a range of socio-economic and health determinants. While some of these factors can be targeted for interventions, the study highlights larger structural and systemic issues that affect maternal and perinatal health.
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Masters, Geoff, Sonj E. Hall, Martin Phillips, and Duncan Boldy. "Outcomes measurement for asthma following acute presentation to an emergency department." Australian Health Review 24, no. 3 (2001): 53. http://dx.doi.org/10.1071/ah010053.
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The Asthma Management Plan (AMP) was developed by the Thoracic Society of Australia and New Zealand in 1989to provide a more uniform approach to asthma care, aimed at reducing mortality, morbidity and emergencypresentations. The AMP is often supplemented with Asthma Clinical Pathways (CPs) within the emergencydepartment and hospital setting.This study was designed to evaluate the impact of these two instruments on asthma outcomes one month afterpresentation to the emergency department. The AMP and CP were both found to have had positive influences onasthma management. However, the study illustrates that there continue to be problems with asthma management,which would be improved by a more consistent use of these instruments.
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Balnaves, Edmund. "Health libraries innovation and the Gratisnet network." Journal of Health Information and Libraries Australasia 3, no. 1 (May 2, 2022): 18–23. http://dx.doi.org/10.55999/johila.v3i1.101.
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Gratisnet is a network of special libraries in Australia that commit to document exchange at no charge to each other, and without certainty of balance in supply. Over 250 special libraries in heath and allied fields are members of the network, many of which are too small to participate in the national Inter-library loan (ILL) network. Careful distribution of workloads helps to facilitate participation among large and small libraries. This co-operative model has subsequently been adopted by law, emergency services, transport and government library networks in Australia and New Zealand. This paper looks at the current state of play in Gratisnet and the cooperative factors that distinguish Gratisnet from the national ILL service.
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Martini, Nataly Dominica, Bert van der Werf, and Deborah Bassett-Clarke. "Primary medication non-adherence at Counties Manukau Health Emergency Department (CMH-ED), New Zealand: an observational study." BMJ Open 10, no. 7 (July 2020): e035775. http://dx.doi.org/10.1136/bmjopen-2019-035775.
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ObjectivesTo measure primary medication non-adherence (failure to fill prescription medicines) in patients discharged from the emergency department (ED), and to determine whether sociodemographic factors, smoking status and access to a general practitioner affect prescription filling. Little is known about primary medication non-adherence in EDs, and less so in New Zealand (NZ). Identifying reasons for non-adherence will enable development of strategies to improve adherence and reduce morbimortality.Design and settingAn observational study based on patient data from the ED of a large public hospital in South Auckland, NZ.ParticipantsData were collected from 1600 patients discharged between 28 April–6 May and 28 July–9 August 2014. Data were included if patients were residents within the Auckland Regional Public Health Service boundaries, admitted to ED and discharged with a prescription. Data were excluded if patients were admitted to another ward, transferred to another hospital or left the ED without seeing a doctor.Results992 patients were included in the study, the majority were under 10 years (32.6%), of Pacific Island descent (42.8%), NZ-born (67.7%) and living in the most socioeconomically deprived areas (78.1%). Almost 50% of patients failed to fill all prescription medications. Simple linear regression analysis indicated that non-adherence was significant for those 10–24 years (n=236; adherence=47.2%; p<0.05), of NZ Māori ethnicity (n=175; 51.3%; p=0.01), unemployed (n=77; 46.8%; p<0.01), homemakers (n=66; 45.7%; p<0.01), students (n=228; 55.6%; p<0.05) and cigarette smokers (n=139; 50.3%; p<0.01). Following multivariable analysis, the strongest predictors for non-adherence were those aged between 10 and 17 years (n=116; p<0.01), the unemployed (n=77; p=0.01) and homemakers (n=66; p=0.01).ConclusionsAge and occupation were the greater predictors of non-adherence; however, no other significant differences were found. Since this study, changes to prescription co-payments have been made. Further research is warranted to assess whether this change has more recently affected the rates of non-adherence.
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Happell, Brenda, and Monica Summers. "Satisfaction with psychiatric services in the emergency department." International Psychiatry 1, no. 5 (July 2004): 3–4. http://dx.doi.org/10.1192/s1749367600006809.
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The move to provide psychiatric services within the general health care system has resulted in emergency departments becoming the means of access to acute psychiatric care in Australia (Gillette & Bucknell, 1996). Triage within the emergency departments ensures that patients are reviewed and treated in a timely manner, in accordance with the urgency of the presenting problem. The National Triage Scale was developed as a clinical tool for this purpose for use in Australia and New Zealand (Australasian College for Emergency Medicine, 1994). However, this scale tends to attach lower priority to psychiatric issues (Smart et al, 1998).
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Abbott, Victoria, Michaela Creighton, Janelle Hannam, Timothy Vincent, and Carolyn Coulter. "Access in New Zealand to antidotes for accidental and intentional drug poisonings." Journal of Primary Health Care 4, no. 2 (2012): 100. http://dx.doi.org/10.1071/hc12100.
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INTRODUCTION: Access to antidotes for the treatment of drug poisonings can impact on morbidity and mortality. Treatment for drug poisonings usually occurs at the nearest emergency department; however, health professionals working in primary care are often the first point of contact for patients. As New Zealand has a small, diffuse population, and poisonings are a rare event, it can be difficult to anticipate what antidotes are required. AIM: The aim of the study was to determine what antidotes are frequently used and stocked in hospital pharmacies. METHODS: A survey was sent out to all 25 hospital pharmacies, excluding private and satellite hospitals. The survey contained questions about the stocking, and prior use, of over 30 antidotes. Also included were open-ended questions asking about reasons for not stocking antidotes and procedures for procuring antidotes in an emergency. RESULTS: Twenty out of 25 hospital pharmacies completed the survey. Most hospital pharmacies were found to stock large quantities of commonly used antidotes and low quantities of uncommonly used antidotesbut in sufficient quantity to treat one to two patients. A low number of poisonings was the most common reason cited for not stocking antidotes, followed by high cost. Most hospitals had clear guidelines for procuring and lending antidotes in an emergency. DISCUSSION: New Zealand hospital pharmacies stock adequate quantities of most antidotes, including antidotes that are expensive and rarely required, but which may be needed urgently. Hospital pharmacies also have clear procurement procedures for obtaining other antidotes in an emergency. KEYWORDS: Antidote stocking; access to antidotes; drug poisoning
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O'Connor, Daniel W., David M. Clarke, and Ian Presnell. "How is Psychiatry Taught to Australian and New Zealand Medical Students?" Australian & New Zealand Journal of Psychiatry 33, no. 1 (February 1999): 47–52. http://dx.doi.org/10.1046/j.1440-1614.1999.00512.x.
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Objective: This study aimed to describe the amount, format and content of psychiatry teaching programs in all 12 Australian and New Zealand medical schools. Method: A structured questionnaire which included definitions and coding instructions was completed by class coordinators for the years of 1995 or 1996. Missing and inconsistent data were checked by coordinators and results were confirmed by heads of department. Results: Most departments of psychiatry taught throughout the undergraduate course. Only three made no contribution to pre-clinical teaching. The time devoted to clinical tuition ranged from 279 to 454 h per university with a mean of 353 h. Clinical attachments occupied most time (mean = 70%), followed by small group teaching (mean = 19%) and lectures (mean = 11%). Medical schools varied greatly in the attention given to history taking and mental state examination, psychological therapies and the sub-specialties of child and aged psychiatry. Clinical attachments were mostly to adult inpatient units. Private psychiatric hospitals and clinics were used infrequently as were consultation-liaison psychiatry services and primary care. Conclusion: There is a need to broaden the clinical experience of students to better equip them for future medical practice. There appears to be a serious mis-match between the settings in which most students are taught and the settings in which most will work later as non-psychiatric practitioners. It was disappointing that psychological therapies received so little attention given the central place of counselling in modern medical practice.
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Howard, Michael James, Charlotte N. L. Chambers, and Nicholas M. Mohr. "New Zealand Emergency Department COVID-19 Preparedness: a cross-sectional survey and narrative view." BMJ Open 12, no. 2 (February 2022): e053611. http://dx.doi.org/10.1136/bmjopen-2021-053611.
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ObjectiveOur objective was to assess the level of COVID-19 preparedness of emergency departments (EDs) in Aotearoa New Zealand (NZ) through the views of emergency medicine specialists working in district health boards around the country. Given the limited experience NZ hospitals have had with SARS-CoV-2, a comparison of current local practice with recent literature from other countries identifying known weaknesses may help prevent future healthcare worker infections in NZ.MethodsWe conducted a cross-sectional survey of NZ emergency specialists in November 2020 to evaluate preparedness of engineering, administrative policy and personal protective equipment (PPE) use.ResultsA total of 137 surveys were completed (32% response rate). More than 12% of emergency specialists surveyed reported no access to negative pressure rooms. N95 fit testing had not been performed in 15 (12%) of respondents. Most specialists (77%) work in EDs that cohort patients with COVID-19, about one-third (34%) do not use spotters during PPE doffing, and most (87%) do not have required space for physical distancing in non-patient areas. Initial PPE training, simulations and segregating patients were widespread but appear to be waning with persistent low SARS-CoV-2 prevalence. PPE shortages were not identified in NZ EDs, yet 13% of consultants do not plan to use respirators during aerosol-generating procedures on patients with COVID-19.ConclusionsNZ emergency specialists identified significant gaps in COVID-19 preparedness, and they have a unique opportunity to translate lessons from other locations into local action. These data provide insight into weaknesses in hospital engineering, policy and PPE practice in advance of future SARS-CoV-2 endemic transmission.
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Crouth, Madeleine, Alison McIntosh, and Tracy Harkison. "Hospitality education in New Zealand prisons." Hospitality Insights 5, no. 2 (December 22, 2021): 7–8. http://dx.doi.org/10.24135/hi.v5i2.110.
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New Zealand has one of the highest imprisonment rates per capita when compared to the rest of the developed world. People who offend in New Zealand have a 43% chance of reoffending within the first 24 months of their release [1]. It is estimated that approximately 60% of people who offend have literacy and numeracy skills lower than the NCEA Level 1 competency, and 66% of adults have no formal qualifications [2, 3]. A focus on literacy and numeracy, support through baseline education, and specific trades like hospitality, can start to refine the options of a person who offends, further enabling them to start developing goals that will support their futures [4].
Since 2014, the Department of Corrections/Ara Poutama Aotearoa has been upgrading the prison-based educational programmes available to people who offend to achieve this. Goals have been set to integrate the in-prison education with the nationally recognised level of education along with practical elements such as kitchen work, housekeeping and other service-based vocations such as hairdressing and customer service. The courses are relatively short, ranging from six to 12 weeks, and provide key skills and the foundations for further study. Evidence from overseas has found that hospitality and, specifically, catering programmes are a tool that positively impacts the way people who offend engage with their rehabilitation; creating an experience through the sharing and giving of food is seen as a way to reintegrate and regain a sense of achievement and being of service through meaningful social connections and employment.
Our study carried out a systematic literature review of the effectiveness of hospitality training and education in correctional facilities. Evidence was found of the effectiveness of educational programmes within prisons and their positive impact on recidivism. It was also found that hospitality training initiatives, such as those provided in prison training restaurants open to the public for dining, could offer a unique opportunity that allows people who offend to change the negative public perceptions held about them. In New Zealand, we have unique tikanga-based initiatives that support people who offend to reintegrate back into the public environment and their families, with reduced reoffending [5]. The literature showed, convincingly, that education leads to opportunities for post-release employment and the ability to manage work-life balance, reintegration into society, and gain skills that support long-term prosperity [3]. Czerniawski [6] sees education as a key step in making a positive change in the lives of people who offend, especially if followed by a period of post-release support.
Our study also revealed the challenges of providing hospitality education in prisons. Prison security risks, risk of lockdowns, student mental health, lack of educational resources and support services, and lack of set-up and sustainable funding for educational programmes were seen as hindrances to the success of prison education programmes. Lack of post-release support and the negative stigma of people who offend perceived by the public and employers were further noted issues of concern. Likewise, prison culture, staff retention, general misconduct and mistrust were also cited as aspects of concern [7]. Giousmpasoglou and colleagues [8] suggested that people who offend would prefer education programmes that were carried out by external facilitators over in-prison programmes. The importance of networks between educators, support workers and employers are important in this regard.
With the hospitality industry facing a skills shortage and with its low barriers to entry, there is potential to build upon the success of existing hospitality education programmes to build skills, pride and a second chance for those who are engaging in rehabilitation. There is also an opportunity to consider tertiary pathways for these hospitality graduates and entrepreneurs. Furthermore, the Department of Corrections/Ara Poutama Aotearoa could consider the success of initiatives such as The Clink Charity training restaurants in the UK in supporting rehabilitation through hospitality training and work.
Corresponding author
Madz Crouth can be contacted at: madz.crouth@aut.ac.nz
References
(1) Boomen, M. Where New Zealand Stands Internationally: A Comparison of Offence Profiles and Recidivism Rates. Practice: The New Zealand Corrections Journal 2018, 6 (1), 87–96. https://www.corrections.govt.nz/__data/assets/pdf_file/0005/33449/Practice_Journal_Vol6_Iss1_July_2018_WEB.pdf (accessed Dec 1, 2021).
(2) Corrections. Prison Facts and statistics – December 2020, 2020. https://www.corrections.govt.nz/resources/statistics/quarterly_prison_statistics/prison_stats_december_2020 (accessed Dec 1, 2021).
(3) Corrections. Prison Facts and Statistics – March 2020, 2020. https://www.corrections.govt.nz/resources/statistics/quarterly_prison_statistics/prison_stats_march_2020 (accessed Dec 1, 2021).
(4) Harkison, T.; McIntosh, A. Hospitality Training for Prisoners. Hospitality Insights 2019, 3 (1), 5–6. https://doi.org/10.24135/hi.v3i1.52
(5) Hamer, P.; Paul, J.; Hunia, M. Hōkai Rangi: Context and Background to the Development of Ara Poutama Aotearoa Strategy 2019–2024. Practice: The New Zealand Corrections Journal 2021, 8 (1), 18–22. https://www.corrections.govt.nz/__data/assets/pdf_file/0017/43208/Practice_Journal_2021_Final_Web_Version.pdf (accessed Dec 1, 2021).
(6) Czerniawski, G. A. Race to the Bottom – Prison Education and the English and Welsh Policy Context. Journal of Education Policy 2016, 31 (2), 198–212. https://doi.org/10.1080/02680939.2015.1062146
(7) Chui, W. H.; Cheng, K. K.-Y. The Mark of an Ex-Prisoner: Perceived Discrimination and Self-Stigma of Young Men after Prison in Hong Kong. Deviant Behavior 2013, 34 (8), 671–684. https://doi.org/10.1080/01639625.2013.766532
(8) Giousmpasoglou, C.; Brown, L.; Marinakou, E. Training Prisoners as Hospitality Workers: The Case of the CLINK Charity; Paper presented at the Travel & Tourism Research Association (TTRA) 2019: European Chapter Conference, 2019. http://eprints.bournemouth.ac.uk/31827/1/Giousmpasoglou-Brown-Marinakou_TTRA19_conference_Final.pdf (accessed Dec 1, 2021).
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Brinded, Philip M. J., Alexander I. F. Simpson, Tannis M. Laidlaw, Nigel Fairley, and Fiona Malcolm. "Prevalence of Psychiatric Disorders in New Zealand Prisons: A National Study." Australian & New Zealand Journal of Psychiatry 35, no. 2 (April 2001): 166–73. http://dx.doi.org/10.1046/j.1440-1614.2001.00885.x.
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Objective: The paper describes the methodologies and results obtained on a large cohort of prison inmates in New Zealand who were screened for psychiatric disorder. Method: All women and remanded male inmates in New Zealand prisons, and a randomly selected cohort of 18% of sentenced male inmates were interviewed. Interviewers used the Composite International Diagnostic Interview –Automated to establish DSM-IV diagnoses, and the Personality Disorders Questionnaire to identify personality disorder. All prisons in New Zealand were visited. Results: The results indicate markedly elevated prevalence rates for major mental disorder in the prison population when compared with community samples. This is especially the case for substance misuse, psychotic disorders, major depression, bipolar disorder, obsessive–compulsive disorder and posttraumatic stress disorder. Of particular concern is not only the increased prevalence rates for schizophrenia and related disorders but also the high level of comorbidity with substance misuse disorders demonstrated by this group. While 80.8% of inmates diagnosed with bipolar disorder were receiving psychiatric treatment in the prison, only 46.4% of depressed inmates and 37% of those suffering from psychosis were receiving treatment. Maori inmates were grossly overrepresented in the remand, female and male sentenced inmate population compared with the general population. Conclusions: A significant increase in provision of mental health services is required to cope with the high number of mentally ill inmates. The level of need demonstrated by this study requires a level of service provision that is quite beyond the capacity of current forensic psychiatry services, Department of Corrections Psychological Services or the prison nursing and medical officers. The elevated rates of common mental disorders argues for the use of improved psychiatric screening instruments, improved assessment and treatment capacities in the prison and an increased number of forensic psychiatric inpatient facilities to care for those psychotic inmates who are too unwell to be treated in the prison.
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O'Brien, Anthony John, Brian G. McKenna, and Alexander I. F. Simpson. "Health professionals and the monitoring of Taser use." Psychiatric Bulletin 31, no. 10 (October 2007): 391–93. http://dx.doi.org/10.1192/pb.bp.106.014175.
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Although electromuscular incapacitation devices (Tasers or ‘stun guns') have been in use for over a decade, concern about potential health effects has not been resolved. Moreover, public policy decisions have expanded the availability of Tasers and require wide consultation with the health sector as well as other stakeholders. In the past 5 years sales of Tasers have grown considerably, with numbers of US law enforcement agencies using the devices growing from 1700 in 2001 to 8700 in 2005 (US Department of Justice, personal communication). Jenkinson et al (2006) recently argued, as have the UK Police Federation, that Tasers should be issued to all front line British police, a move that would see a considerable proliferation of Tasers in the UK. A current trial in four districts may pave the way for Tasers to be used nationwide in New Zealand (New Zealand Police, 2006). These developments make it imperative that health professionals monitor the physical and mental health implications of Tasers, and ensure health considerations are part of the public policy debate on their deployment. In this paper we review the existing literature on the use of Tasers, and note that the psychological effects of Taser use have not been investigated.
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Macindoe, Claire. "Mothers Need To Know Better: Radio, the Department of Health, and improving the Nation." Back Story Journal of New Zealand Art, Media & Design History, no. 10 (June 24, 2022): 7–26. http://dx.doi.org/10.24135/backstory.vi10.68.
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When radio broadcasting first crackled onto the airwaves it was met with great enthusiasm from the wider public. Although we may now associate it more with late night talkback sessions and music’s top forty, educational broadcasting was a key feature of early radio and helped to establish a deeply ingrained listening culture within New Zealand. Educational broadcasts helped to legitimise radio as more than just a source of light entertainment. Women were a key target for many radio-based educational efforts, viewed as both the main consumers of broadcast content and in the greatest need of instruction within the domestic sphere. Health and the idea of ‘scientific motherhood’ were a key component of these efforts. When World War Two required the Department of Health to adopt new methods of connecting with the public, radio was deemed the most effective option. Women were responsible for the health of the family, and there was already a well-established culture of educating women within the domestic sphere via the radio.
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Seabrook-Davidson, Mark N. H., and Dianne H. Brunton. "Public attitude towards conservation in New Zealand and awareness of threatened species." Pacific Conservation Biology 20, no. 3 (2014): 286. http://dx.doi.org/10.1071/pc140286.
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A survey was conducted amongst a sample (n = 3 000) of the New Zealand public to gauge their perception of government spending on conservation. The survey also obtained an understanding of the level of awareness the public has of New Zealand threatened species. Respondents ranked eight areas of government spending, namely health, education, superannuation, law and order, defence, conservation of native species, primary industry research & development and tourism. From a response rate of n = 131 (4.5%), health and education were ranked the highest, followed by law and order with conservation in fourth position. Except for conservation of native species, these rankings by respondents closely aligned with priorities of average annual government spending. Awareness was the highest for endemic species such as kiwi Apteryx spp, Hector’s dolphin Cephalorhynchus hectori, kokako Callaeas cinerea cinerea, kakapo Strigops habroptilus, takahe Porphyrio mantelli, Maui’s dolphin Cephalorhynchus hectori maui and tuatara Sphenodon punctatus. The awareness for these prominent species may suggest that the Department of Conservation is achieving some success in its advocacy role to increase the public’s awareness of species threatened with extinction. With awareness of threatened species and the moderate ranking given to conservation expenditure, it is evident there is a level of public support for expenditure on protection of biodiversity and natural heritage.
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Carter, Jane C., and Alexander L. Garden. "The gap between attitudes and processes related to ‘family-friendly’ practices in anaesthesia training in New Zealand: A survey of anaesthesia supervisors of training and departmental directors." Anaesthesia and Intensive Care 48, no. 6 (November 2020): 454–64. http://dx.doi.org/10.1177/0310057x20958716.
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Gender inequity persists within the anaesthetic workforce, despite approaching numerical parity in Australia and New Zealand. There is evidence, from anaesthesia and the wider health workforce, that domestic gender norms regarding parental responsibilities contribute to this. The creation of ‘family-friendly’ workplaces may be useful in driving change, a concept reflected in the gender equity action plan developed by the Australian and New Zealand College of Anaesthetists. This study aimed to explore the extent to which a family-friendly culture exists within anaesthesia training in New Zealand, from the perspective of leaders in anaesthesia departments. An electronic survey composed of quantitative and qualitative questions was emailed to all supervisors of training, rotational supervisors and departmental directors at Australian and New Zealand College of Anaesthetists accredited training hospitals in New Zealand. Twenty-eight of the 71 eligible participants responded (response rate 39%). The majority (61%) agreed with the statement ‘our department has a “family friendly” approach to anaesthesia trainees’; however, there was a discrepancy between views about how departments should be and how they actually are. Several barriers contributing to this discrepancy were identified, including workforce logistics, governance, departmental structures and attitudes. Uncertainty in responses regarding aspects of working hours, parental leave and the use of domestic sick leave reflect gaps in understanding, with scope for further enquiry and education. To redress gender bias seriously through the development of family-friendly policies and practices requires supportive governance and logistics, along with some cultural change.
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Warren, Melissa, Jon Emery, Mei Krishnasamy, Anne O'Donnell, and Karla Gough. "Pre-diagnostic routes to colorectal cancer in Central New Zealand: factors that lead to emergency presentation and longer diagnostic intervals at primary and secondary level care." Journal of Primary Health Care 14, no. 1 (April 13, 2022): 48–56. http://dx.doi.org/10.1071/hc21107.
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Introduction Although international large-scale studies have investigated routes to diagnosis for colorectal cancer, there is limited information on how New Zealanders seek help for bowel symptoms across different pre-diagnostic routes. Aim To better understand pre-diagnostic routes for colorectal cancer, including the characteristics of patients and key events associated with each route. Methods This study was a retrospective audit of hospital administrative and medical records for 120 patients with a confirmed diagnosis of colorectal cancer between 2016 and 2017. All patients were receiving care at one of two hospitals in central New Zealand; one urban and one rural. Extracted data were used to: categorise pre-diagnostic routes for colorectal cancer; describe the characteristics of people who presented by each route; and compare key events in the diagnostic and treatment intervals for people who presented by each route. Results Six routes to the diagnosis of colorectal cancer were identified. The three main routes included: routine general practitioner (GP) referral (28%, 95% CI: 21–37%), emergency presentation (27%, 95% CI: 20–35%), and other outpatient services (26%, 95% CI: 19–34%). Patients diagnosed by routine GP referral had the longest time to diagnosis, impacting on timeliness of treatment. Discussion This study has generated detailed insights about pre-diagnostic routes for colorectal cancer in New Zealand and shown consistency with findings from previously published international research. The granular findings can now inform areas for person- and system-level interventions that, in turn, could be tested in future studies to minimise emergency department and late presentations for colorectal cancer treatment in New Zealand.
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Thaker, Jagadish. "The Persistence of Vaccine Hesitancy: COVID-19 Vaccination Intention in New Zealand." Journal of Health Communication 26, no. 2 (February 1, 2021): 104–11. http://dx.doi.org/10.1080/10810730.2021.1899346.
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Miller, Andrew A., and Aaron K. Phillips. "A Contemporary Case Study Illustrating the Integration of Health Information Technologies into the Organisation and Clinical Practice of Radiation Oncology." Health Information Management 34, no. 4 (December 2005): 136–45. http://dx.doi.org/10.1177/183335830503400407.
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The development of software in radiation oncology departments has seen the increase in capability from the Record and Verify software focused on patient safety to a fully-fledged Oncology Information System (OIS). This paper reports on the medical aspects of the implementation of a modern Oncology Information System (IMPAC MultiAccess®, also known as the Siemens LANTIS®) in a New Zealand hospital oncology department. The department was successful in translating paper procedures into electronic procedures, and the report focuses on the changes in approach to organisation and data use that occurred. The difficulties that were faced, which included procedural re-design, management of change, removal of paper, implementation cost, integration with the HIS, quality assurance and datasets, are highlighted along with the local solutions developed to overcome these problems.
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Molina-García, Javier, Ana Queralt, Charlotte Flaherty, Enrique García Bengoechea, and Sandra Mandic. "Correlates of the intention to use a bike library system among New Zealand adolescents from different settlement types." Journal of Transport & Health 34 (January 2024): 101740. http://dx.doi.org/10.1016/j.jth.2023.101740.
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Ghebreab, Luam, Bridget Kool, Arier Lee, and Susan Morton. "Prospective longitudinal study investigating predictors of childhood injuries from Growing Up in New Zealand cohort: study protocol." Injury Prevention 28, no. 2 (December 23, 2021): 197–202. http://dx.doi.org/10.1136/injuryprev-2021-044414.
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BackgroundInjury is one of the leading causes of mortality and morbidity worldwide and yet preventable and predictable. In New Zealand (NZ), unintentional injury is the leading cause of emergency department visits, hospitalisations and death among children, making it a significant public health concern.ObjectiveTo identify the factors that place young children in NZ at an increased risk of unintentional injury.MethodsThis study will investigate injuries among children from the prospective Growing Up in NZ birth cohort of 6853 children and their families. The primary outcome of interest is injury events where medical treatment was sought. The data sources include parental reports of child injury and Accident Compensation Corporation—NZ’s no-fault injury compensation system—injury claims. The linked datasets will be utilised to examine the distribution of life course exposures and outcome data using descriptive statistics. A temporal multilevel model will then be developed to examine relationships between neighbourhood, child and family characteristics and injury from birth to 5 years of age for all children for whom parental consent to link data were obtained.DiscussionThe findings of this research will help to identify how the multiplicity of influences between children, family and their broader societal context acting across time affect their risk of experiencing a preschool injury. This information will provide an evidence base to inform context-relevant strategies to reduce and prevent childhood injuries.
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Nanayakkara, Shane, Heike Weiss, Michael Bailey, Allison van Lint, Peter Cameron, and David Pilcher. "Admission time to hospital: a varying standard for a critical definition for admissions to an intensive care unit from the emergency department." Australian Health Review 38, no. 5 (2014): 575. http://dx.doi.org/10.1071/ah13244.
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Objective Time spent in the emergency department (ED) before admission to hospital is often considered an important key performance indicator (KPI). Throughout Australia and New Zealand, there is no standard definition of ‘time of admission’ for patients admitted through the ED. By using data submitted to the Australian and New Zealand Intensive Care Society Adult Patient Database, the aim was to determine the differing methods used to define hospital admission time and assess how these impact on the calculation of time spent in the ED before admission to an intensive care unit (ICU). Methods Between March and December of 2010, 61 hospitals were contacted directly. Decision methods for determining time of admission to the ED were matched to 67787 patient records. Univariate and multivariate analyses were conducted to assess the relationship between decision method and the reported time spent in the ED. Results Four mechanisms of recording time of admission were identified, with time of triage being the most common (28/61 hospitals). Reported median time spent in the ED varied from 2.5 (IQR 0.83–5.35) to 5.1 h (2.82–8.68), depending on the decision method. After adjusting for illness severity, hospital type and location, decision method remained a significant factor in determining measurement of ED length of stay. Conclusions Different methods are used in Australia and New Zealand to define admission time to hospital. Professional bodies, hospitals and jurisdictions should ensure standardisation of definitions for appropriate interpretation of KPIs as well as for the interpretation of studies assessing the impact of admission time to ICU from the ED. What is known about the topic? There are standards for the maximum time spent in the ED internationally, but these standards vary greatly across Australia. The definition of such a standard is critically important not only to patient care, but also in the assessment of hospital outcomes. Key performance indicators rely on quality data to improve decision-making. What does this paper add? This paper quantifies the variability of times measured and analyses why the variability exists. It also discusses the impact of this variability on assessment of outcomes and provides suggestions to improve standardisation. What are the implications for practitioners? This paper provides a clearer view on standards regarding length of stay in the ICU, highlighting the importance of key performance indicators, as well as the quality of data that underlies them. This will lead to significant changes in the way we standardise and interpret data regarding length of stay.
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Hoysted, Claire, Franz E. Babl, Nancy Kassam-Adams, Markus A. Landolt, Laura Jobson, Sarah Curtis, Anupam B. Kharbanda, et al. "Perspectives of hospital emergency department staff on trauma-informed care for injured children: An Australian and New Zealand analysis." Journal of Paediatrics and Child Health 53, no. 9 (August 6, 2017): 862–69. http://dx.doi.org/10.1111/jpc.13644.
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Babl, Franz E., Mark D. Lyttle, Silvia Bressan, Meredith L. Borland, Natalie Phillips, Amit Kochar, Sarah Dalton, et al. "Penetrating head injuries in children presenting to the emergency department in Australia and New Zealand: A PREDICT prospective study." Journal of Paediatrics and Child Health 54, no. 8 (March 26, 2018): 861–65. http://dx.doi.org/10.1111/jpc.13903.
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Maddison, P., P. Golay, and S. J. Muncer. "Latent class analysis of the health of the nation outcome scales: A comparison of Swiss and English profiles and exploration of their predictive utility." European Psychiatry 48, no. 1 (2018): 1–5. http://dx.doi.org/10.1016/j.eurpsy.2017.10.006.
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The Health of the nation outcome scales (HoNOS) [1] were designed to measure the health and social functioning of adults with severe mental health problems. They form part of the English mental health minimum data set and are recommended by the department of health and are part of the attempt to develop “payment by results” (PbR) for mental health [2]. They are also widely used in Australia, New Zealand and Canada [3, 4], and have also been used in Europe [5]. Although they are widely used there are still questions about their psychometric validity and their ability to predict anything useful.
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Ralph, Anna P., Rachel Webb, Nicole J. Moreland, Reuben McGregor, Anthony Bosco, David Broadhurst, Timo Lassmann, et al. "Searching for a technology-driven acute rheumatic fever test: the START study protocol." BMJ Open 11, no. 9 (September 2021): e053720. http://dx.doi.org/10.1136/bmjopen-2021-053720.
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IntroductionThe absence of a diagnostic test for acute rheumatic fever (ARF) is a major impediment in managing this serious childhood condition. ARF is an autoimmune condition triggered by infection with group A Streptococcus. It is the precursor to rheumatic heart disease (RHD), a leading cause of health inequity and premature mortality for Indigenous peoples of Australia, New Zealand and internationally.Methods and analysis‘Searching for a Technology-Driven Acute Rheumatic Fever Test’ (START) is a biomarker discovery study that aims to detect and test a biomarker signature that distinguishes ARF cases from non-ARF, and use systems biology and serology to better understand ARF pathogenesis. Eligible participants with ARF diagnosed by an expert clinical panel according to the 2015 Revised Jones Criteria, aged 5–30 years, will be recruited from three hospitals in Australia and New Zealand. Age, sex and ethnicity-matched individuals who are healthy or have non-ARF acute diagnoses or RHD, will be recruited as controls. In the discovery cohort, blood samples collected at baseline, and during convalescence in a subset, will be interrogated by comprehensive profiling to generate possible diagnostic biomarker signatures. A biomarker validation cohort will subsequently be used to test promising combinations of biomarkers. By defining the first biomarker signatures able to discriminate between ARF and other clinical conditions, the START study has the potential to transform the approach to ARF diagnosis and RHD prevention.Ethics and disseminationThe study has approval from the Northern Territory Department of Health and Menzies School of Health Research ethics committee and the New Zealand Health and Disability Ethics Committee. It will be conducted according to ethical standards for research involving Indigenous Australians and New Zealand Māori and Pacific Peoples. Indigenous investigators and governance groups will provide oversight of study processes and advise on cultural matters.
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Kennedy, Jonathan Donald, Serena Moran, Sue Garrett, James Stanley, Jenny Visser, and Eileen McKinlay. "Refugee-like migrants have similar health needs to refugees: a New Zealand post-settlement cohort study." BJGP Open 4, no. 1 (February 18, 2020): bjgpopen20X101013. http://dx.doi.org/10.3399/bjgpopen20x101013.
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BackgroundRefugees and asylum seekers have specific health and social care needs on arrival in a resettlement country. A third group — migrants with a refugee-like background (refugee-like migrants) — are less well defined or understood.AimUsing routinely collected data, this study compared demographics, interpreter need, and healthcare utilisation for cohorts of refugee-like migrants and refugees.Design & settingA retrospective cohort study was undertaken in Wellington, New Zealand.MethodData were obtained for refugee-like migrants and refugees accepted under the national quota system (quota refugees), who enrolled in a New Zealand primary care practice between 2011 and 2015. Data from the primary care practice and nationally held hospital and outpatient service databases, were analysed. Age and sex standardisation adjusted for possible differences in cohort demographic profiles.ResultsThe cohorts were similar in age, sex, deprivation, and interpreter need. Refugee-like migrants were found to have similar, but not identical, health and social care utilisation to quota refugees. Primary care nurse utilisation was higher for refugee-like migrants. Clinical entries in the primary care patient record were similar in rate for the cohorts. Emergency department utilisation and hospital admissions were similar. Hospital outpatient utilisation was lower for refugee-like migrants.ConclusionThis research suggests that health, social care, and other resettlement services should be aligned for refugee-like migrants and quota refugees. This would mean that countries accepting quota refugees should plan for health and social care needs of subsequent refugee-like migrant family migration. Further research should investigate matched larger-scale national health and immigration datasets, and qualitatively explore factors influencing health-seeking behaviour of refugee-like migrants.
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Rosales, Brenda, James Hedley, Nicole De La Mata, Claire M. Vajdic, Patrick Kelly, Kate Wyburn, and Angela C. Webster. "Safety and Biovigilance in Organ Donation (SAFEBOD): Protocol for a Population-Based Cohort Study." JMIR Research Protocols 9, no. 10 (October 26, 2020): e18282. http://dx.doi.org/10.2196/18282.
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Background Tension lies between the need to increase access to organ transplantation and the equally urgent need to prevent inadvertent transmission of infectious diseases or cancer from organ donors. Biovigilance, or the evaluation of potential donors, is often time-pressured and may be based on incomplete information. Objective The Safety and Biovigilance in Organ Donation (SAFEBOD) study aims to improve estimates of infection and cancer transmission risk and explore how real-time data access could support decision-making. Methods We will link existing donor referral, actual donor, recipient, and health-outcome data sets from 2000-2015 in New South Wales. Organ donor data sets will include the Organ Donor Characterizing Risk-Profile of Donors Study, the National Organ Matching System, the Australian and New Zealand Organ Donor Register, and the Australian and New Zealand Living Donor Kidney Register. Recipient data sets will include the Australian and New Zealand Dialysis and Transplant Register, the Australian and New Zealand Cardiothoracic Register, the Australian and New Zealand Islet and Pancreas Register, and the Australian and New Zealand Liver Transplant Register. New South Wales health outcome data sets will include HIV and AIDS Notifications and Surveillance Data, the Notifiable Conditions Information Management System, Admitted Patient Data Collection, Emergency Department Data Collection, the Central Cancer Registry, and the Cause of Death Data Collection. We will link organ donors to transplant recipients and health outcomes data sets using probabilistic data-matching based on personal identifiers. Transmission and nontransmission events will be determined by comparing previous cases in donors and posttransplant cases in recipients. We will compare the perceived-risk at referral with the verified risk from linked health outcome data sets and the odds of cancer or contracting an infectious disease in organ recipients from donors based on their transmission-risk profile and estimate recipient survival by donor transmission risk group. Results Data were requested from each of the listed registries in September 2018, and data collection is ongoing. Linked data from all listed data sets are expected to be complete in September 2020. Conclusions The SAFEBOD study will overcome current limitations in organ donation by accessing comprehensive information on referred organ donors and recipients in existing data sets. The study will provide robust estimates of disease transmission and nontransmission events based on recent data. It will also describe the agreement between perceived risk estimated at the time of referral and verified risk when all health outcome data are accessible. The improved understanding of transmission and nontransmission events will inform clinical decisions and highlight where current policies can be revised to broaden the acceptance of deceased donors. International Registered Report Identifier (IRRID) DERR1-10.2196/18282
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Tonkin, Shirley. "On Listening to Parents: The Sudden Infant Death Syndrome Over 25 Years." Pediatrics 97, no. 6 (June 1, 1996): 896–97. http://dx.doi.org/10.1542/peds.97.6.896.
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I have been watching the sudden infant death syndrome (SIDS) epidemic in New Zealand over 25 years. I've seen it both coming and going. As a medical officer with the government Department of Health, I had access to official statistics from 1960. New Zealand has a small, circumscribed, stable population, a good universal public health system, a good standard of infant health, and almost full employment. However, in 1970, because New Zealand had a high postneonatal infant mortality rate in comparison with other countries such as the United States, I decided to home visit each family in Auckland (population 500 000) where an infant's death had occurred. I expected to learn of such deaths from hospital records, and although I had learned that there were approximately 80 such deaths in Auckland annually, the hospital could supply me with the names of only 10. This lack of deaths occurring in hospital explains why pediatricians were unaware of the situation. "The coroner may know of some deaths that have happened in people's homes," I was told. The coroner gave me a long list. In that year over 70 babies had died unexpectedly in their own homes, unattended by any medical practitioner. I checked the death certificates. Twenty of these home deaths were inevitable from severe congenital defects, 25 had died of unrecognized infections, but the other 25 had not been sick. They had been well cared for. They had simply been found dead after having been put down for sleep in the usual manner.
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Sandiford, Peter, Lifeng Zhou, Micol Salvetto, and Lannes Johnson. "Measuring unexplained variation in acute hospital use by patients enrolled with northern New Zealand general practices." Journal of Primary Health Care 6, no. 2 (2014): 93. http://dx.doi.org/10.1071/hc14093.
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INTRODUCTION: There is increasing concern worldwide at the steady growth in acute inpatient admissions and emergency department (ED) attendances. AIM: To develop measures of variation in acute hospital use between populations enrolled at different general practices that are independent of the sociodemographic characteristics of those populations. METHODS: Two consecutive years of hospital discharge and ED attendance data were combined with primary health organisation (PHO) registers from 385 practices of over 1.5 million people to develop and test two measures of unplanned hospital use: the standardised acute hospital admission ratio (SAAR) and the standardised ED attendance ratio (SEAR). Disease-specific measures were also produced for inpatient events. RESULTS: The enrolled populations of a high proportion of practices had significantly higher or lower than expected acute use of hospitals and this was consistent over both years studied. Practices whose population made unexpectedly high use of acute hospital care for one condition tended to do so for others. Differences in health needs between practice populations as measured by clinical complexity, comorbidities and length of stay did not explain a significant portion of the overall variation in hospital admissions. The enrolled populations average travelling time to a 24-hour ED accounted for some of the practice variation in unplanned utilisation of hospital services. DISCUSSION: This study confirms that there is considerable unexplained practice variation in acute hospital use. Further development of the SAAR and SEAR measures may be possible to use these to identify modifiable practice-level factors associated with high unplanned hospital use. KEYWORDS: Access to health care; emergency medical services; general practice; health services needs and demand; hospital costs; patient admissions
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Hariadi, Agung, and Rizca Defriyani. "STRATEGI LAYANAN DINAS PERPUSTAKAAN DAN KEARSIPAN KOTA DUMAI DALAM KEGIATAN STORYTELLING DI MASA NORMAL BARU." Fihris: Jurnal Ilmu Perpustakaan dan Informasi 18, no. 1 (February 1, 2024): 58. http://dx.doi.org/10.14421/fhrs.2023.181.58-71.
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The library service is the backbone of the library. Without services, the collection of library materials cannot be optimally utilized. One of the services provided by the Library and Archives Department of Dumai City is storytelling services. Storytelling service is a service conducted to convey a story through words, pictures, photos, or sound. Challenges arising from the impact of the pandemic have resulted in the library services being less optimal. Nevertheless, the Library and Archives Department of Dumai City strategically conducts activities as a form of prime service to library users through innovative storytelling services. The method used in this research is qualitative descriptive. Data collection is done through observation and survey, including direct field monitoring and interviews with the research subjects. The research results state that the strategy and innovation of storytelling service activities during the pandemic are effectively carried out online by utilizing social media. When there are policies related to easing activities in the new normal, face-to-face interactions can provide a very interesting impression and receive a very positive response, even when adhering to health protocols.
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Yates, K. M. "Towards Better Written Discharge Information: Health Literacy and the Comprehension of Head Injury Advice Sheets in a New Zealand Emergency Department." Academic Emergency Medicine 11, no. 5 (May 1, 2004): 485–86. http://dx.doi.org/10.1197/j.aem.2004.02.514.
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Kelly, Veronica. "The Globalized and the Local: Theatre in Australia and Aotearoa/New Zealand Enters the New Millennium." Theatre Research International 26, no. 1 (March 2001): 1–14. http://dx.doi.org/10.1017/s0307883301000013.
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Late in 1999 the Commonwealth of Australia's Department of Communications, Information Technology and the Arts released Securing the Future, the final Report of the Major Performing Arts Enquiry chaired by Helen Nugent (commonly referred to as the Nugent Report). The operations of the committee and the findings of the Report occasioned considerable public debate in the Australian arts world in the late 1990s, as the Enquiry solicited and analysed information and opinion on the financial health and artistic practices of thirty-one national major performing arts companies producing opera, ballet, chamber and orchestral music as well as theatre. The Report saw the financial viability of Australian live performance as deeply affected by the impact of globalization, especially by what elsewhere has been called ‘Baumol's disease’ – escalating technical, administrative and wage costs but fixed revenue – which threaten the subsidized state theatre companies of Brisbane, Adelaide and Perth with their relatively small population bases. The structural implementation recommended a considerable financial commitment by Commonwealth and State Governments to undertake a defined period of stabilizing and repositioning of companies. Early in 2000 both levels of Government committed themselves to this funding – in fact increasing Nugent's requested $52 million to $70 million – and to the principle of a strengthened Australia Council dispensing arms-length subsidy. In an economically philistine political environment, these outcomes are a tribute to Nugent's astute use of economic rhetoric to gain at least a symbolic victory for the performing arts sector. In 2000 New Zealand arts gained a similar major injection of funding, while a commissioned Heart of the Nation report, advocating the dilution of the principle of arm's-length funding through the abolition of the national funding organization Creative New Zealand, was rejected by Prime Minister Helen Clark.
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Smith, Shantelle, Margaret Brand, Susan Harden, Lisa Briggs, Lillian Leigh, Fraser Brims, Mark Brooke, et al. "Development of an Australia and New Zealand Lung Cancer Clinical Quality Registry: a protocol paper." BMJ Open 12, no. 8 (August 2022): e060907. http://dx.doi.org/10.1136/bmjopen-2022-060907.
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IntroductionLung cancer is the leading cause of cancer mortality, comprising the largest national cancer disease burden in Australia and New Zealand. Regional reports identify substantial evidence-practice gaps, unwarranted variation from best practice, and variation in processes and outcomes of care between treating centres. The Australia and New Zealand Lung Cancer Registry (ANZLCR) will be developed as a Clinical Quality Registry to monitor the safety, quality and effectiveness of lung cancer care in Australia and New Zealand.Methods and analysisPatient participants will include all adults >18 years of age with a new diagnosis of non-small-cell lung cancer (NSCLC), SCLC, thymoma or mesothelioma. The ANZLCR will register confirmed diagnoses using opt-out consent. Data will address key patient, disease, management processes and outcomes reported as clinical quality indicators. Electronic data collection facilitated by local data collectors and local, state and federal data linkage will enhance completeness and accuracy. Data will be stored and maintained in a secure web-based data platform overseen by registry management. Central governance with binational representation from consumers, patients and carers, governance, administration, health department, health policy bodies, university research and healthcare workers will provide project oversight.Ethics and disseminationThe ANZLCR has received national ethics approval under the National Mutual Acceptance scheme. Data will be routinely reported to participating sites describing performance against measures of agreed best practice and nationally to stakeholders including federal, state and territory departments of health. Local, regional and (bi)national benchmarks, augmented with online dashboard indicator reporting will enable local targeting of quality improvement efforts.
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Truax, Morgan Lorraine, Carol Connolly, and Connie Winther. "Transforming a Library Service within a Provincial Healthcare Organization: Forging a New Path." Journal of the Canadian Health Libraries Association / Journal de l'Association des bibliothèques de la santé du Canada 39, no. 3 (November 23, 2018): 146–51. http://dx.doi.org/10.29173/jchla29376.
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Introduction: Prior to 2011, libraries within Alberta Health Services (AHS) operated using a variety of self-determining service models across 19 locations. Evaluation of library services demonstrated significant gaps in service delivery and access to resources, cost inefficiencies and variation in library service standards across the province. National and international trends reflected ongoing library closures and challenges to demonstrate library contributions to organizational goals and improvements in health information literacy.
Description: In January 2011, all AHS library services were aligned under the Knowledge Management Department to capitalize on the natural fit between libraries as conduits to evidence and knowledge management practices that support the use of evidence in practice. The mandate was to develop enterprise-wide library resources and services to support clinical decision-making and quality patient care under the umbrella of the Knowledge Resource Service (KRS). The Business Case for KRS Optimization guided this initiative.
Outcome: KRS is now a focal point for access to, and expertise in, healthcare information resources and services. Organization-wide evaluations conducted in 2011 and 2014 show increased user satisfaction, while utilization analytics reflect continued growth.
Discussion: The KRS Optimization Initiative was a proactive, internally driven effort to extend library services and resources beyond the traditional library space, streamline ‘back-office’ functions and allow staff to contribute to organizational initiatives. The path has been winding yet lessons learnt include the value of dedicated staff, teamwork, and maintaining a focus on improving service for all AHS staff and clinicians.
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Hart, Odette, Shirley Jansen, Robert Fitridge, and Manar Khashram. "Protocol for a prospective observational study: the Australia and New Zealand Diabetic and Ischaemic Foot Outcomes Study (ANZ-DIFOS)." BMJ Open 11, no. 9 (September 2021): e050833. http://dx.doi.org/10.1136/bmjopen-2021-050833.
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Introduction Diabetic foot disease is a common condition globally and is over-represented in indigenous populations. The propensity for patients with diabetic foot disease to undergo minor or major limb amputation is a concern. Diabetic foot disease and lower limb amputation are debilitating for patients and have a substantial financial impact on health services. The purpose of this multicentre study is to prospectively report the presentation, management and outcomes of diabetic foot disease, to validate existing scoring systems and assess long term outcomes for these patients particularly in relation to major limb amputation. Methods and analysis This is a multisite, international, prospective observational study, being undertaken at Waikato Hospital, New Zealand (NZ); Sir Charles Gairdner Hospital, the Royal Adelaide Hospital and the Queen Elizabeth Hospital, Australia. Consecutive participants with diabetic foot disease that meet inclusion criteria and agree to participate will be recruited from multidisciplinary team diabetic foot clinic, vascular clinic, dialysis and admission to hospital. Follow-up of participants will occur at 1, 3, 6 and 12 months. At recruitment and follow-up reviews, information about service details, demographic and clinical history, wound data and discharge information will be recorded. The primary outcomes are the time to wound healing, major amputation, overall mortality and amputation-free survival at 12 months. This study started in NZ in August 2020 and will commence in Australian sites in early 2021. Ethics and dissemination New Zealand Central Health and Disability Ethics Committee (20/CEN/122), Waikato DHB Research Department (RDO020044), Quality Improvement HoD Sir Charles Gairdner Hospital (39715) and the Central Adelaide Local Health Network (CALHN) Human Research Ethics Committee (13928). Results will be presented at international conferences and published in peer-reviewed journals. Trial registration number Australian New Zealand Clinical Trials Registry (ACTRN12621000337875).
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Duffield, Anna J., and Christine D. Thomson. "A comparison of methods of assessment of dietary selenium intakes in Otago, New Zealand." British Journal of Nutrition 82, no. 2 (August 1999): 131–38. http://dx.doi.org/10.1017/s0007114599001282.
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The aims of the present study were (1) to compare three methods of assessment of dietary Se intake, i.e. chemical analysis of duplicate diets, diet records and a food-frequency questionnaire (FFQ) designed specifically for Se, and (2) to determine dietary Se intakes of residents of Otago, New Zealand. The FFQ was completed by 110 free-living adults. Diet records (3 d) and duplicate diet collections were carried out by forty-three of these subjects chosen on the basis of low blood Se concentration, and during a period when consumption of the high-Se foods fish, kidney, liver and Brazil nuts was discouraged. Mean Se intakes were similar for duplicate diet analysis (29 (sd 13) μg/d) and diet record assessments (28 (sd 15) μg/d). Estimates of intakes from the FFQ for the subgroup of forty-three subjects were higher (51 (sd 26) μg/d) than those from duplicate diets and diet records. Values from duplicate diet analysis and diet record assessments were strongly correlated (r0·7,P= 0·0001), but difference plots indicated a lack of agreement between the two methods. Thus, diet record assessment was not adequate for predicting dietary Se intakes of individuals. Significant correlations were found for relationships between Se intake from duplicate diets (μg/kg body weight per d) and plasma Se, Se intake from diet records (μg/d and μg/kg body weight per d) and plasma Se; and Se intake from the FFQ and whole-blood Se. Se intakes from duplicate diets and diet records were similar to those reported previously for New Zealanders, but lower than the recommended intakes in the USA (National Research Council, 1989), Australia (Truswellet al.1990) and the UK (Department of Health, 1991) and the World Health Organization/Food and Agriculture Organization/International Atomic Energy Agency (1996) normative requirement.
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Walker, Clara, Tahmina Begum, Jacqueline A. Boyle, James Ward, and Federica Barzi. "Preconception Health of Indigenous Peoples in Australia, Canada, New Zealand, and the United States: A Scoping Review." International Journal of Environmental Research and Public Health 21, no. 3 (March 14, 2024): 345. http://dx.doi.org/10.3390/ijerph21030345.
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Background: There is increasing recognition of the importance of the preconception period for addressing reproductive and intergenerational health inequities and supporting improved maternal and child health outcomes. This study aimed to understand the extent and type of evidence that exists in relation to preconception health for Indigenous peoples living in high-income countries with similar experiences of colonisation, namely, Australia, New Zealand, Canada, and the United States. Methods: This review was conducted as per the JBI methodology and PRISMA Extension for Scoping Reviews. A comprehensive search of PubMed, CINAHL [EBSCO], Ovid Embase, Scopus, and the Wiley Cochrane Library was conducted using keywords and index terms. We included research in English published between January 2010 and June 2023 on quantitative and qualitative primary studies. Data were extracted using a standardised tool, and the analysis included quantitative descriptions and qualitative content analysis. Results: We identified 360 potential studies and included 57 articles in the review. Most studies were from the United States (n = 36, 63.2%) and Australia (n = 13, 22.8%), and they commonly reported associations between preconception health risk factors and maternal or child health outcomes (n = 27, 48.2%) or described the development, implementation, or evaluation of preconception health interventions (n = 26, 46.4%). Common preconception health areas were pre-pregnancy body mass index or weight (n = 34), alcohol (n = 16), diet (n = 14), physical activity (n = 12), and diabetes (n = 11). Most studies focused exclusively on women (n = 46, 80.7%), and very few included men (n = 3, 5.3%). The study populations were mostly urban and rural (n = 25, 43.9%) or rural only (n = 14, 24.6%); however, the geographical remoteness was often unclear (n = 14, 24.6%). Conclusions: While there was some research relating to the preconception health of Indigenous peoples, this review identified considerable research gaps. There is a need for dedicated research into preconception health risk factors and reproductive health outcomes, attitudes and awareness of preconception health, and preconception health interventions for Indigenous peoples.