Ministry of Health Library
Health Improvement and Innovation Digest
Issue 149 - 17 August 2017
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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More Heart and Diabetes Checks (International)
Screening for gestational diabetes mellitus based on different risk profiles and settings for improving maternal and infant health
Gestational diabetes mellitus (GDM) is a form of diabetes that occurs in pregnancy. Although GDM usually resolves following birth, it is associated with significant morbidities for mothers and their infants in the short and long term. There is strong evidence to support treatment for GDM. However, there is uncertainty as to whether or not screening all pregnant women for GDM will improve maternal and infant health and if so, the most appropriate setting for screening. The objective of this Cochrane Review was to assess the effects of screening for gestational diabetes mellitus based on different risk profiles and settings on maternal and infant outcomes.
Effectiveness of self-management programmes in diabetes management: A systematic review
Diabetes is a major noncommunicable disease, which is increasing, and approximately 415 million people are affected around the globe. Since diabetes is a lifelong disease, patients require better understanding and knowledge of the condition to become self-reliant in making diabetes-related decisions. This systematic review, published in the International Journal of Nursing Practice, was performed to assess the effectiveness of diabetes self-management programs in people with type 2 diabetes.
Low glycaemic index diets for cardiovascular disease
The glycaemic index (GI) is a measure of the ability of a carbohydrate (for example sugar or starch) to affect blood sugar levels. This Cochrane Review assessed the effects of low GI diets compared to diets with a similar composition but a higher GI on cardiovascular disease events and levels of cholesterol in the blood or blood pressure (major risk factors for cardiovascular disease, such as heart attacks or stroke).
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Primary Health Care (International)
Telehealth and patient satisfaction: a systematic review and narrative analysis
The use of telehealth steadily increases as it has become a viable modality to patient care. Early adopters attempt to use telehealth to deliver high-quality care. Patient satisfaction is a key indicator of how well the telemedicine modality met patient expectations. The objective of this systematic review and narrative analysis, published in BMJ Open, is to explore the association of telehealth and patient satisfaction in regards to effectiveness and efficiency.
Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease
Chronic Obstructive Pulmonary Disease (COPD) self-management interventions should be structured but personalised and often multi-component, with goals of motivating, engaging and supporting the patients to positively adapt their behaviour(s) and develop skills to better manage disease. Exacerbation action plans are considered to be a key component of COPD self-management interventions. Studies assessing these interventions show contradictory results. In this Cochrane Review, the authors compared the effectiveness of COPD self-management interventions that include action plans for acute exacerbations of COPD (AECOPD) with usual care.
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Key Ministry of Health Publications
New Zealand Antimicrobial Resistance Action Plan
Antimicrobial resistance is a growing global public health threat which affects patients, communities and threatens to undermine the modern health system. Antimicrobial resistance can also have serious negative impacts on animal health, welfare and production. The New Zealand Antimicrobial Resistance Action Plan was jointly developed by the Ministry of Health, Ministry for Primary Industries and representatives from across the human health, animal health and agriculture sectors.
New Zealand Influenza Pandemic Plan: A framework for action
The New Zealand Influenza Pandemic Plan: A framework for action (NZIPAP) sets out the all-of-government measures to be taken to prepare for and respond to an influenza pandemic. It updates the New Zealand Influenza Pandemic Action Plan 2010.
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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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