Ministry of Health Library

Health Improvement and Innovation Digest

Issue 186 - 14 March 2019

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.

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.

Quality Improvement (New Zealand)

Developing a regional cancer service: lessons from the Waitemata Cancer Patient Experience Survey
This investigation, published in the New Zealand Medical Journal, summarises the results of a survey of oncology patients and the impact oncology clinical nurse specialists (CNS) had on cancer patient experience.

Zero seclusion measurement: a family of measures
Health care systems are complex. We need a range of measures to capture this complexity when aiming to improve parts of the system. This document, published by the Health Quality & Safety Commission, describes the 'family of measures' used in the Commission's mental health and addiction quality improvement programme.

New Zealand national maternity early warning system (MEWS) preparation and implementation guide
This guide, published by the Health Quality & Safety Commission, helps project leads and teams prepare for and implement a nationally consistent maternity early warning system (MEWS). It sets out the aim of the national MEWS programme, components to implement, available support, and recommended activities during the prepare, implement and sustain periods.

Quality Improvement (International)

Dimensions of service quality in healthcare: a systematic review of literature
This study, published in the International Journal for Quality in Health Care, presents an updated meaningful review of the extensive research that has been conducted on measuring dimensions of healthcare service quality.

Bacterial contamination of medical providers' white coats and surgical scrubs: a systematic review
This study, published in the American Journal of Infection Control, reviewed studies of bacterial contamination of, or dissemination of, bacteria from physician, nursing, or trainee attire, with a specific focus on white coats and surgical scrubs.

Disability Sector Quality Improvement (New Zealand)

Do you really see me or just my disability? Engaging with patients with disabilities/tāngata whaikaha
This booklet, published by the Bay of Plenty District Dealth Board, is designed to improve the way staff communicate with patients living with disabilities (tāngata whaikaha).

Disability Sector Quality Improvement (International)

Interventions in pain management for persons with an intellectual disability
This article, published in the Journal of Intellectual Disabilities, focuses on pharmacological and non-pharmacological pain management for individuals with intellectual disability.

Hospital Productivity (International)

Time–motion analysis examining of the impact of Medic Bleep, an instant messaging platform, versus the traditional pager: a prospective pilot study
This study, published in Digital Health, aimed to examine the impact of Medic Bleep, a National Health Service (NHS) information governance-compliant instant messaging application, in an NHS Hospital Trust. The authors examined Medic Bleep’s impact on participant time and workflow using time-motion methodology.

Shorter Stays In Emergency Departments (International)

Emergency department care for patients with mental health problems, a longitudinal registry study and a before and after intervention study
The objective of this study, published in International Emergency Nursing, was to describe the numbers and length of stay (LOS) of patients with mental health (MH) problems at a Dutch emergency department (ED) and the effect of a psychiatric intervention team (PIT) on patient flow.

Cardiovascular Disease and Diabetes (International)

Are office-based workplace interventions designed to reduce sitting time cost-effective primary prevention measures for cardiovascular disease? A systematic review and modelled economic evaluation
The objective of this study, published in the International Journal of Environmental Research and Public Health, was to assess the cost-effectiveness of workplace-delivered interventions designed to reduce sitting time as primary prevention measures for cardiovascular disease (CVD) in Australia.

Intervention strategies for prevention of comorbid depression among individuals with Type 2 diabetes: a scoping review
Given the vast field of research on the association between Type 2 diabetes (T2D) and depression, and the unknown status of prevention efforts for the latter, the goal of this scoping review, published in Frontiers in Public Health, was to conduct a synopsis of intervention strategies specifically targeting the prevention of depression among adults with T2D.

Primary Health Care (New Zealand)

Acceptability of self‐taken vaginal HPV sample for cervical screening among an under‐screened Indigenous population
This study, published in the Australian and New Zealand Journal of Obstetrics and Gynaecology, aimed to explore the potential acceptability of HPV self-testing for never/under-screened (self-reported no cervical screen in 4+ years, aged 25+) Māori women by Kaupapa Māori (by, with and for Māori) mixed methods, involving hui (focus groups/interviews) and survey.

Exploring the complex pathway of the primary health care response to intimate partner violence in New Zealand
This study, published in Health Research Policy and Systems, focused on what affects a sustainable response to intimate partner violence within New Zealand primary health care settings.

Primary Health Care (International)

Factors influencing national implementation of innovations within community pharmacy: a systematic review applying the Consolidated Framework for Implementation Research
Community pharmacy is increasingly considered a setting through which innovations can be implemented to achieve positive service and clinical outcomes. Small-scale pilot programmes often need scaled up nation-wide to affect population level change. This systematic review, published in Implementation Science, aims to identify facilitators and barriers to the national implementation of community pharmacy innovations.

Primary Mental Health (International)

Physical health outcomes and implementation of behavioural health homes: a comprehensive review
Behavioural health homes (BHHs) integrate primary care into specialty mental healthcare settings with the goal of improving management of physical health conditions among people with serious mental illness. This comprehensive review, published in the International Review of Psychiatry, summarized the available evidence on the effects of BHHs on physical healthcare delivery and outcomes and identified perceived barriers and facilitators that have arisen during implementation to-date.

Better Help for smokers to Quit (International)

Efficacy of mobile phone–delivered smoking cessation interventions for socioeconomically disadvantaged individuals: a randomized clinical trial
The objective of this study, published in JAMA Internal Medicine, was to assess the efficacy of mobile phone–delivered cessation interventions targeted to smokers at neighborhood sites serving racial/ethnic minority and socioeconomically disadvantaged individuals.

Childhood Obesity (New Zealand)

Trends in weight-related attitudes and behaviours among New Zealand adolescents, between 2007 and 2012
The aim of this study, published in the Journal of Paediatrics and Child Health, was to explore secular trends of adolescent weight control concerns and behaviours, between 2007 and 2012, and determine if these vary by body size.

Childhood Obesity (International)

Sleep duration and obesity in children and adolescents
A large, and growing, body of research indicates that inadequate sleep duration is linked to obesity. This study, published in the Canadian Journal of Diabetes, reviews the extant literature concerning sleep duration and obesity in children and adolescents by reviewing current theories of obesity as well as available literature specifically evaluating the relationship of obesity and sleep in children and adolescents, including epidemiologic, experimental and intervention research.

Oral Health (New Zealand)

A scoping review of caries risk management protocols in Australia and New Zealand
This scoping review, publsihed in the Australian Dental Journal, was carried out with the objective of identifying and mapping the caries risk management protocols with multiple strategies, which have been used in Australia and New Zealand and reported in the existing literature.

Key Ministry of Health Publications

Bowel Cancer Quality Improvement Report 2019
This report measures the quality of care and outcomes for people diagnosed and treated for bowel cancer in New Zealand and provides a baseline for ongoing quality improvement.
This publication presents the first results using the Ministry’s National Collections to calculate quality performance indicators for bowel cancer. The report identifies opportunities to drive quality improvement in bowel cancer diagnosis and treatment services leading to better outcomes for people with bowel cancer.

Bowel Cancer Quality Performance Indicator Specifications
These technical data specifications will help analysts or clinicians seeking to understand the indicator results presented in the Bowel Cancer Quality Improvement Report 2019 and how the indicators were calculated from national data collections. The quality performance indicators will be used to improve the diagnosis, treatment and care of people with bowel cancer in New Zealand.

Bowel Cancer Quality Performance Indicators: Descriptions 2019
Quality performance indicators were identified for bowel cancer by the National Bowel Cancer Working Group together with the Ministry of Health and other cancer experts. This process involved clinical engagement, consensus and wide consultation with stakeholders within the health sector. The quality performance indicators will be used to improve the diagnosis, treatment and care of people with bowel cancer.

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.