Ministry of Health Library
Health Improvement and Innovation Digest
Issue 169 - 7 June 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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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 (International)
Education of healthcare professionals for preventing pressure ulcers
Pressure ulcers, also known as bed sores or pressure sores, are localised areas of tissue damage arising due to excess pressure and shearing forces. Education of healthcare staff has been recognised as an integral component of pressure ulcer prevention. These educational programmes are directed towards influencing behaviour change on the part of the healthcare professional, to encourage preventative practices with the aim of reducing the incidence of pressure ulcer development. The objective of this Cochrane Review was to assess the effects of educational interventions for healthcare professionals on pressure ulcer prevention.
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Cardiovascular Disease and Diabetes (International)
Future cost-effectiveness and equity of the NHS Health Check cardiovascular disease prevention programme: Microsimulation modelling using data from Liverpool, UK
Aiming to contribute to prevention of cardiovascular disease (CVD), the National Health Service (NHS) Health Check programme has been implemented across England since 2009. The programme involves cardiovascular risk stratification—at 5-year intervals—of all adults between the ages of 40 and 74 years, excluding any with preexisting vascular conditions (including CVD, diabetes mellitus, and hypertension, among others), and offers treatment to those at high risk. However, the cost-effectiveness and equity of population CVD screening is contested. This study, published in PLOS Medicine, aimed to determine whether the NHS Health Check programme is cost-effective and equitable in a city with high levels of deprivation and CVD.
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Primary Health Care (International)
Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives
Primary care is changing rapidly to meet the needs of an ageing and chronically ill population. New ways of working are called for yet the introduction of innovative service interventions is complicated by organisational challenges arising from its scale and diversity and the growing complexity of patients and their care. One such intervention is the multi-strand, single platform, Patient Safety Toolkit developed to help practices provide safer care in this dynamic and pressured environment where the likelihood of adverse incidents is increasing. This study, published in BMC Family Practice, describes the attitudes of staff toward these tools and how their implementation was shaped by a number of contextual factors specific to each practice.
Transforming Integration through General Practice: Learning from a UK Primary Care Improvement Programme
This article, published in the International Journal of Integrated Care, addresses the challenge of how to implement integration within primary care services. It shares learning from a UK based improvement programme which reflected international interest in transferring activities from hospital and community and developing holistic primary care that responds to the needs of the local community.
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Primary Mental Health (International)
Psychological therapies for treatment-resistant depression in adults
Antidepressants are a first-line treatment for adults with moderate to severe major depression. However, many people prescribed antidepressants for depression don't respond fully to such medication, and little evidence is available to inform the most appropriate 'next step' treatment for such patients, who may be referred to as having treatment-resistant depression (TRD). The objective of this Cochrane Review was to assess the effectiveness of psychotherapies for adults with TRD.
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Childhood Obesity (International)
Factors that contribute to effective nutrition education interventions in children: a systematic review
Establishing healthy dietary practices at an early age is crucial, as dietary behaviours in childhood track to adulthood. The purpose of this systematic review, published in Nutrition Reviews, was to identify factors associated with successful nutrition education interventions conducted in children and published between 2009 and 2016.
Interventions for increasing fruit and vegetable consumption in children aged five years and under
Insufficient consumption of fruits and vegetables in childhood increases the risk of future non-communicable diseases, including cardiovascular disease. Interventions to increase consumption of fruit and vegetables, such as those focused on specific child-feeding strategies and parent nutrition education interventions in early childhood may therefore be an effective strategy in reducing this disease burden. The objective of this Cochrane Review was to assess the effectiveness, cost effectiveness and associated adverse events of interventions designed to increase the consumption of fruit, vegetables or both amongst children aged five years and under.
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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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