Ministry of Health Library
Health Improvement and Innovation Digest
Issue 223 - 3 December 2020
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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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)
Factors associated with overall satisfaction with care at the end‐of‐life: Caregiver voices in New Zealand
In New Zealand, as in other industrialised societies, an ageing population has led to an increased need for palliative care services. In this study, published in Health and Social Care in the Community, a cross‐sectional postal survey of bereaved carers was conducted in order to describe both bereaved carer experience of existing services in the last 3 months of life, and to identify factors associated with overall satisfaction with care.
Kōrero mai site case studies
Between July 2017 and June 2018, the Health Quality & Safety Commission (HQSC) worked with Ko Awatea’s Dr Lynne Maher and the four Kōrero mai lead sites to co-design patient, family and whānau escalation of care processes. HQSC asked the sites to develop case studies about their co-design approach and what worked for their consumers and hospitals.
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Quality Improvement (International)
Towards a New System for the Assessment of the Quality in Care Pathways: An Overview of Systematic Reviews
Clinical or care pathways are developed by a multidisciplinary team of healthcare practitioners, based on clinical evidence, and standardized processes. The evaluation of their framework/content quality is unclear. The aim of this study, published in the International Journal of Environmental Research and Public Health, was to describe which tools and domains are able to critically evaluate the quality of clinical/care pathways.
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Primary Health Care (International)
The Importance of Taking a Patient-Centered, Community-Based Approach to Preventing and Managing Frailty: A Public Health Perspective
Across the world, life expectancy is increasing. However, the years of life gained do not always correspond to healthy life years, potentially leading to an increase in frailty. Given the extent of population aging, the association between frailty and age and the impact of frailty on adverse outcomes for older people, frailty is increasingly being recognized to be a significant public health concern. The purpose of this paper, published in Frontiers in Public Health, is to offer an overview of the concept of frailty for a public health audience in order to raise awareness of the multidimensional aspects of frailty and on how these should be addressed using an integrated and holistic approach to care.
Impact of social prescribing to address loneliness: A mixed methods evaluation of a national social prescribing programme
Loneliness is considered a global public health issue because of its detrimental impact on physical and mental health but little is known about which interventions can reduce loneliness. One potential intervention is social prescribing, where a link worker helps service‐users to access appropriate support such as community activities and social groups. Some qualitative studies have identified that social prescribing may help to reduce service‐users’ loneliness. Given this, the British Red Cross (a third sector organisation) developed and delivered a national social prescribing service in the United Kingdom to support people who were experiencing, or at risk of, loneliness. Service‐users could receive up to 12 weeks of support from a link worker. This mixed methods study, published in Health and Social Care in the Community, was conducted to understand the impact of the support
on loneliness, and to identify the facilitators and barriers to service delivery.
Integrated health and social care in the community: A critical integrative review of the experiences and well‐being needs of service users and their families
A need for people‐centred health and social support systems is acknowledged as a global priority. Most nations face challenges in providing safe, effective, timely, affordable, coordinated care around the needs and preferences of people who access integrated health and social care (IHSC) services. Much of the current research in the field focuses on describing and evaluating specific models for delivering IHSC. Fewer studies focus on person‐centred experiences, needs and preferences of people who use these services. However, current international guidance for integrated care sets a precedence of person‐centred integrated care that meets the health and well‐being needs of people who access IHSC services. This review, published in Health and Social Care in the Community, aims to better understand the experiences and health and well‐being needs of people who use IHSC services in a
community setting.
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Primary Mental Health (International)
Cognitive behavioural therapy for anxiety disorders in children and adolescents
Previous Cochrane Reviews have shown that cognitive behavioural therapy (CBT) is effective in treating childhood anxiety disorders. However, questions remain regarding the following: up‐to‐date evidence of the relative efficacy and acceptability of CBT compared to waiting lists/no treatment, treatment as usual, attention controls, and alternative treatments; benefits across a range of outcomes; longer‐term effects; outcomes for different delivery formats; and amongst children with autism spectrum disorders (ASD) and children with intellectual impairments. The objective of this Cochrane Review was to examine the effect of CBT for childhood anxiety disorders, in comparison with waitlist/no treatment, treatment as usual (TAU), attention control, alternative treatment, and medication.
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District Health Board Initiative
Innovative dental schemes delivering dramatic results and bringing healthy smiles back to Eastern Bay students
Dental pain isn't just a health issue for young Eastern Bay students, says one high school principal, it affects their education and their futures. Addressing that issue is just one of the motivating factors behind some innovative dental health schemes launched at schools across the region. The school has worked closely with the Bay of Plenty District Health Board (BOPDHB) to address issues with access to dental care and address the disparity in health outcomes.
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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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