Ministry of Health Library
Health Improvement and Innovation Digest
Issue 174 - 13 September 2018
Welcome to the fortnightly Health Improvement and Innovation Digest (formerly the HIIRC digest). The Digest has links to key evidence of interest, with access to new content arranged by topic.
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If you have any queries, please email us at library@moh.govt.nz.
Have you heard about Grey Matter?
We'd like to introduce you to another newsletter that the Ministry of Health Library prepares. The Grey Matter newsletter provides monthly access to a selection of recent NGO, Think Tank, and International Government reports related to health. Information is arranged by topic, allowing readers to quickly find their areas of interest. If you'd like to subscribe to Grey Matter, email library@moh.govt.nz.
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Article access
For articles that aren't open access, contact your DHB library, or organisational or local library for assistance in accessing the full text. If your organisation has a subscription, you may be able to use the icon under full text links in PubMed to access the full article.
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Quality Improvement (New Zealand)
Opioid implementation package
The information in this implementation package, issued by the Health Quality & Safety Commission, is provided to assist health professionals with improving the safe use of opioids. The implementation package is based on the work undertaken through the Commission’s national formative opioid collaborative 2014–17 and the resultant How-to Guide.
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Primary Health Care (International)
Interventions to improve the appropriate use of polypharmacy for older people
The aim of this Cochrane Review was to find out which types of approaches can improve the use of suitable medicines in older people. Researchers collected and analysed all relevant studies to answer this question and included 32 trials in the review. This review examines studies in which healthcare professionals have taken action to make sure that older people are receiving the most effective and safest medicines for their illness.
Effectiveness and cost-effectiveness of proactive and multidisciplinary integrated care for older people with complex problems in general practice: an individual participant data meta-analysis
This purpose of this study, published in Age and Ageing, was to summarise the (cost-) effectiveness of proactive, multidisciplinary, integrated care programmes for older people in Dutch primary care.
Pharmacist services for non‐hospitalised patients
Pharmacists deliver a wide range of services to patients. We need to know which pharmacist services are effective in helping patients to improve their health. This Cochrane Review included studies of pharmacist services for a wide range of conditions including high blood pressure and diabetes. The review measured the effect of these services on benefits (improved health outcomes) as well as harms (unplanned hospital admissions, adverse drug effects).
Impact of community pharmacist-provided preventive services on clinical, utilization, and economic outcomes: An umbrella review
Preventable diseases and late diagnosis of disease impose great clinical and economic burden for health care systems, especially in the current juncture of rising medical expenditures. Under these circumstances, community pharmacies have been identified as accessible venues to receive preventive services. This umbrella review, published in Preventive Medicine, aims to examine existing evidence on the impact of community pharmacist-provided preventive services on clinical, utilization, and economic outcomes in the United States (US).
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Childhood Obesity (International)
The role and impact of community health workers in childhood obesity interventions: a systematic review and meta-analysis
One potential method for reducing childhood obesity disparities is to involve community health workers (frontline public health workers who are trusted members of and/or have an unusually close understanding of the community served). The purpose of this systematic review and meta-analysis, published in Obesity Reviews, was to explore the role and effectiveness of community health workers in childhood obesity interventions.
Characteristics of Effective Interventions Promoting Healthy Eating for Pre-Schoolers in Childcare Settings: An Umbrella Review
Early Childhood Education and Care (ECEC) settings have a pivotal role in shaping children’s dietary food habits by providing the contextual environment within which they develop these behaviours. This study, published in Nutrients, examines systematic reviews for (1) the effectiveness of interventions to promote healthy eating in children aged 2–5 years attending centre-based childcare; (2) intervention characteristics which are associated with promoting healthy eating and; (3) recommendations for child-health policies and practices.
Interventions aimed at preventing and reducing overweight/obesity among children and adolescents: a meta-synthesis
The growing body of research on weight-related interventions for youth has been summarized by several meta-analyses aiming to provide an overview of the effectiveness of interventions. Yet, the number of meta-analyses is expanding so quickly and overall results differ, making a comprehensive synopsis of the literature difficult. Published in Obesity Reviews, this meta-synthesis was conducted to draw informed conclusions about the state of the effectiveness of interventions targeting child and adolescent overweight.
Barriers and facilitators to health care professionals discussing child weight with parents: A meta-synthesis of qualitative studies
As parents play an important role in their children's weight-related behaviours, good communication between parents and health care professionals (HCPs) is essential. This systematic review, published in the British Journal of Health Psychology, provides a meta-synthesis of qualitative studies exploring the barriers and facilitators experienced by HCPs when discussing child weight with parents.
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The information available on or through this newsletter does not represent Ministry of Health policy. It is intended to provide general information to the health sector and the public, and is not intended to address specific circumstances of any particular individual or entity.
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