Ministry of Health Library
Health Improvement and Innovation Digest
Issue 128 - 6 October 2016
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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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. You can use this link to subscribe to Grey Matter.
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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)
Checklists, briefings and debriefings: an evidence summary
This Health and Quality Safety Commission publication provides evidence for the use of checklists, briefings and debriefings, providing an overview of research and studies undertaken in various hospitals.
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Shorter Waits for Cancer Treatment (International)
Relation of comorbidities and patient navigation with the time to diagnostic resolution after abnormal cancer screening
Whether patient navigation improves outcomes for patients with comorbidities is unknown. The aims of this study, published in Cancer, were to determine the effect of comorbidities on the time to diagnostic resolution after an abnormal cancer screening test and to examine whether patient navigation improves the timeliness and likelihood of diagnostic resolution for patients with comorbidities in comparison with no navigation.
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Primary Health Care (New Zealand)
The rural medical generalist workforce: The Royal New Zealand College of General Practitioners’ 2014 workforce survey results
Previous surveys have revealed a New Zealand rural medical generalist workforce that is mainly male, older and dependent on international medical graduates (IMGs). The aims of this study, published in the Journal of Primary Health Care, were to provide a snapshot of the New Zealand rural medical generalist workforce in 2014 and to make comparisons with the urban medical generalist workforce.
Rural women’s perspectives of maternity services in the Midland Region of New Zealand
Rural women face many challenges with regards to maternity services. Many rural primary birthing facilities in New Zealand have closed. The Lead Maternity Carer (LMC) model of maternity care, introduced in 1990, has moved provision of rural maternity care from doctors to independent midwifery services. Shortages of rural midwives in the Midland region led to rural maternity care being seen as a vulnerable service. The aim of this study, published in the Journal of Primary Health Care, was to understand the views and experiences of rural women concerning maternity care, to inform the future design and provision of rural maternity services.
Risk stratification of New Zealand general practice patients for emergency admissions in the next year: adapting the PEONY model for use in New Zealand
Patient-centred case management programmes in general practice are needed for patients at high risk for emergency admissions to hospital. The aim of this study, published in the Journal of Primary Health Care, was to adapt and assess the Predicting Emergency Admissions Over the Next Year (PEONY) model for use in New Zealand to provide risk stratification of general practice patients aged greater or equal to 40 years for emergency hospital admissions in the next year.
Measuring care alignment in general practice consultations for people with long-term conditions: an exploratory study
Chronic care Model (CCM) aims to make the care of people with long term conditions (LTC) planned, proactive and patient-centred. The patient assessment of chronic care (PACIC) and our recently developed modified PACIC (MPACIC) allow patient and provider views to be compared. The aim of this study, published in the Journal of Primary Health Care, was to explore the use of measures of care provision and receipt in primary care long-term conditions management and to assess congruity between patient and provider views of support.
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Primary Health Care (International)
Which positive factors determine the GP satisfaction in clinical practice? A systematic literature review
Looking at what makes General Practitioners (GPs) happy in their profession, may be important in increasing the GP workforce in the future. This literature review, published in BMC Family Practice, explored how the satisfaction of GPs had been studied.
The impact of substituting general practitioners with nurse practitioners on resource use, production and health-care costs during out-of-hours: a quasi-experimental study
The pressure in out-of-hours primary care is high due to an increasing demand for care and rising health-care costs. During the daytime, substituting general practitioners (GPs) with nurse practitioners (NPs) shows positive results to contribute to these challenges. However, there is a lack of knowledge about the impact during out-of-hours. The current study, published in BMC Family Practice, aims to provide an insight into the impact of substitution on resource use, production and direct health-care costs during out-of-hours.
Developing interprofessional care plans in chronic care: a scoping review
The number of people suffering from one or more chronic conditions is rising, resulting in an increase in patients with complex health care demands. Interprofessional collaboration and the use of shared care plans support the management of complex health care demands of patients with chronic illnesses. This study, published in BMC Family Practice, aims to get an overview of the scientific literature on developing interprofessional shared care plans.
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Better Help for smokers to Quit (International)
Electronic cigarettes for smoking cessation
Electronic cigarettes (ECs) are electronic devices that heat a liquid into an aerosol for inhalation. The liquid usually comprises propylene glycol and glycerol, with or without nicotine and flavours, and stored in disposable or refillable cartridges or a reservoir. Since ECs appeared on the market in 2006 there has been a steady growth in sales. Smokers report using ECs to reduce risks of smoking, but some healthcare organizations, tobacco control advocacy groups and policy makers have been reluctant to encourage smokers to switch to ECs, citing lack of evidence of efficacy and safety. Smokers, healthcare providers and regulators are interested to know if these devices can help smokers quit and if they are safe to use for this purpose. This Cochrane Review evaluates the safety and effect of using ECs to help people who smoke achieve long-term smoking abstinence.
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Weight Management (International)
Brief Primary Care Obesity Interventions: A Meta-analysis
Although practice guidelines suggest that primary care providers working with children and adolescents incorporate BMI surveillance and counseling into routine practice, the evidence base for this practice is unclear. The objective of this study, published in Pediatrics, wast o determine the effect of brief, primary care interventions for pediatric weight management on BMI.
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Oral Health (International)
Community-based population-level interventions for promoting child oral health
Dental caries and gingival and periodontal disease are commonly occurring, preventable chronic conditions The objective of this Cochrane Review was to determine the effectiveness of community-based population-level oral health promotion interventions in preventing dental caries and gingival and periodontal disease among children from birth to 18 years of age.
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Māori Innovation
Ngā Reanga o ngā Tapuhi: Generations of Māori nurses
The aim of this study, published in AlterNative, was to explore the experiences of Māori nurses and student nurses in Aotearoa New Zealand who combine culturally specific customary obligations in all areas of whānau (family), hapū (kinship group) and iwi (wider kinship group) life (in particular, caregiving responsibilities) with working or studying.
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Key Ministry of Health Publications
National Healthy Food and Drink Policy
It is important that our health care system shows leadership in providing healthier food and drink environments because many of the diseases that result in people needing hospital care are associated with what we eat and drink. This Policy aims to demonstrate commitment to the health and wellbeing of staff, visitors and the general public by providing healthy food and drink options, consistent with the Eating and Activity Guidelines.
Pathways to child health, development and wellbeing: Optimal environments for orchids and dandelions. An overview of the evidence
This review discusses the findings of a rapid review of some of the latest evidence on the pathways to optimal health and wellbeing for children from birth to age 14 years, through the developmental periods of infancy, early and middle childhood and early adolescence.
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