Ministry of Health Library
Health Improvement and Innovation Digest
Issue 137 - 2 March 2017
Welcome to the fortnightly Health Improvement and Innovation Digest (HIID). The Digest has links to key evidence of interest, with access to new content arranged by topic.
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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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Shorter Waits for Cancer Treatment (International)
Interventions for raising breast cancer awareness in women
Breast cancer continues to be the most commonly diagnosed cancer in women globally. Early detection, diagnosis and treatment of breast cancer are key to better outcomes. The objective of this Cochrane Review was to assess the effectiveness of interventions for raising breast cancer awareness in women.
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Shorter Stays In Emergency Departments (International)
Emergency Department redirection to primary care: a prospective evaluation of practice
Non-urgent Emergency Department presentations contribute to overcrowding, which can adversely affect patient care. Redirecting patients to a more appropriate service is an option to help address this. The authors of this study, published in the Scottish Medical Journal, conducted a prospective evaluation of a major Scottish hospital's Emergency Department redirection policy to assess its safety.
Walk-in clinics versus physician offices and emergency rooms for urgent care and chronic disease management
Walk-in clinics are growing in popularity around the world as a substitute for traditional medical care delivered in physician offices and emergency rooms, but their clinical efficacy is unclear. The objective of this Cochrane Review was to assess the quality of care and patient satisfaction of walk-in clinics compared to that of traditional physician offices and emergency rooms for people who present with basic medical complaints for either acute or chronic issues.
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Primary Health Care (International)
Cost-effectiveness analysis for a tele-based health coaching program for chronic disease in primary care
The burden of chronic disease and multimorbidity is rapidly increasing. Self-management support interventions are effective in reduce cost, especially when targeted at a single disease group; however, economical evidence of such complex interventions remains scarce. The objective of this study, published in BMC Health Services Research, was to evaluate a cost-effectiveness analysis of a tele-based health-coaching intervention among patients with type 2 diabetes (T2D), coronary artery disease (CAD) and congestive heart failure (CHF).
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Primary Mental Health (International)
Common Factors in Community Mental Health Intervention: A Scoping Review
While there is considerable research and commentary devoted to common factors in psychotherapy, their implications for community mental health interventions are much less clear. This scoping review, published in the Community Mental Health Journal, explores the evidence base for common factors in community mental health interventions.
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Better Help for smokers to Quit (International)
System change interventions for smoking cessation
System change interventions for smoking cessation are policies and practices designed by organizations to integrate the identification of smokers and the subsequent offering of evidence-based nicotine dependence treatments into usual care. Such strategies have the potential to improve the provision of smoking cessation support in healthcare settings, and cessation outcomes among those who use them. The objective of this Cochrane Review was to assess the effectiveness of system change interventions within healthcare settings, for increasing smoking cessation or the provision of smoking cessation care, or both.
Psychosocial interventions for supporting women to stop smoking in pregnancy
Tobacco smoking remains one of the few preventable factors associated with complications in pregnancy, and has serious long-term implications for women and babies. Smoking in pregnancy is decreasing in high-income countries, but is strongly associated with poverty and is increasing in low- to middle-income countries. This aim of this Cochrane Review was to assess the effects of smoking cessation interventions during pregnancy on smoking behaviour and perinatal health outcomes.
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Childhood Obesity (International)
Validity of a simplified screening instrument for assessing overweight children in a dental setting: a cross sectional study
Obesity, with its rising prevalence among Canadians and its estimated cost of $2 billion annually in Canada, is no longer considered a cosmetic issue, but a major health issue that imposes a great burden on the healthcare system and economy. This cross sectional study, published in BMC Pediatrics, aims to evaluate the feasibility of identifying the weight status of 6 to 11 year-old children in a university dental clinic using a simplified overweight screening instrument.
Associations between children's diet quality and watching television during meal or snack consumption: A systematic review
Studies have identified an association between watching television (TV) and childhood obesity. This review, published in Maternal & Child Nutrition, adds context to existing research by examining the associations between TV viewing, whilst eating, and children's diet quality.
A description of an 'obesogenic' eating style that promotes higher energy intake and is associated with greater adiposity in 4.5year-old children: Results from the GUSTO cohort
Recent findings confirm that faster eating rates support higher energy intakes within a meal and are associated with increased body weight and adiposity in children. The current study, published in Physiology & Behavior, sought to identify the eating behaviours that underpin faster eating rates and energy intake in children, and to investigate their variations by weight status and other individual differences.
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Oral Health (New Zealand)
Social inequalities in tooth loss: A multinational comparison
The objective of this study, published in Community Dentistry and Oral Epidemiology, was to conduct cross-national comparison of education-based inequalities in tooth loss across Australia, Canada, Chile, New Zealand and the United States.
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Key Ministry of Health Publications
Faiva Ora 2016–2021 National Pasifika Disability Plan
Approximately 6 percent of people who were allocated Ministry-funded disability support and services in 2016 identified as Pacific peoples. Yet, overall, Pacific disabled people remain under-represented in disability support services. To address this under-representation, the Ministry of Health Disability Support Services have been working with Pacific disabled people, Pacific communities and disability support services to develop the Faiva Ora National Pasifika Disability Plan 2016–2021.
Mental Health and Addiction Workforce Action Plan 2017–2021
The Mental Health and Addiction Workforce Action Plan is part of an outcomes approach. It contributes to achieving the vision of the New Zealand Health Strategy. For mental health and addiction, this means enabling people to thrive and experience wellbeing wherever they live and whatever their circumstances.
Summary of Public Consultation on the Update of the Health of Older People Strategy
The Ministry of Health consulted widely to develop the Healthy Ageing Strategy. The strategy began its journey as an update to 2002’s Health of Older People Strategy. Between 13 July and 7 September 2016, the Ministry of Health consulted the public on the draft update. The Summary of Consultation document presents the Ministry’s analysis of the main feedback from that consultation.
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