Issue 259 - 18 August 2022
Welcome to the fortnightly Health Improvement and Innovation Digest. The Digest has links to key evidence of interest, with access to new content arranged by topic. You can forward this newsletter to others who may be interested in receiving it. They can register and subscribe here. You can also access other recent issues of the digest
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Article AccessFor 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.
Health Equity (New Zealand)
Health Equity (International)
Inequity in Access and Delivery of Virtual Care Interventions: A Scoping Review
The objectives of this review, published in the International Journal of Environmental Research and Public Health, were to map and summarize the existing evidence from a global perspective about inequity in access and delivery of virtual care interventions and to identify strategies that may be adopted by virtual care services to address these inequities.
Quality Improvement (International)
Fostering a just culture in healthcare organizations: experiences in practice
A just culture is regarded as vital for learning from errors and fostering patient safety. Key to a just culture after incidents is a focus on learning rather than blaming. Existing research on just culture is mostly theoretical in nature. This study, published in BMC Health Services Research, aims to explore requirements and challenges for fostering a just culture within healthcare organizations.
Hospital Productivity (New Zealand)
The role of communication in successful outpatient attendance in a New Zealand Hospital, a qualitative study
There are significant implications for both patients and providers when patients do not attend (DNA) outpatient specialist appointments. Non-attendance has an impact on the efficiency of health care, provider resources, and patient health outcomes. This qualitative study, published in Internal Medicine Journal, aimed to gather insights on how Dunedin Hospital notifies patients about their appointments, the implications for the hospital and for patients, and how the system could be improved.
Hospital Productivity (International)
Lean Design of the Pediatric Intensive Care Unit Patient Room for Efficient and Safe Care Delivery
The pediatric intensive care unit (PICU) is an environment where seriously ill children receive complex care, delivered mostly by specialty-trained nurses (registered nurses [RNs]) who must perform multiple high-level tasks. With stressors on healthcare systems at an all-time high, design that optimizes RN workflow has taken on a renewed imperative. The objective of this study, published in HERD was to employ a multimodal approach to identify environmental factors in the PICU patient room that contribute to caregiver workflow inefficiencies.
Cancer Services (International)
mHealth Interventions to Improve Cancer Screening and Early Detection: Scoping Review of Reviews
Cancer screening provision in resource-constrained settings tends to be opportunistic, and uptake tends to be low, leading to delayed presentation and treatment and poor survival. The aim of this study, published in the Journal of Medical Internet Research, was to identify, review, map, and summarize findings from different types of literature reviews on the use of mobile health (mHealth) technologies to improve the uptake of cancer screening.
Emergency Department Services (International)
Cardiovascular Disease and Diabetes (New Zealand)
Perspectives and experiences of Māori and Pasifika peoples living with cardiac inherited disease: a qualitative study
Cardiac inherited diseases can have considerable psychosocial effects, including lifestyle limitations, anxiety and depression. Most research to date on patient experiences of CID has been conducted with people from Western cultures, yet culture can shape patient views and experiences of health. The aim of this research, published in Psychology & Health, was to explore the experiences and perspectives of Māori and Pasifika living with a cardiac inherited disease. Diabetes podiatry services for Māori in Aotearoa: a step in the right direction?
Māori with diabetes are at a 65% greater risk of amputation compared to non-Māori with diabetes. Despite evidence to support the role of podiatrists in reducing diabetes-related lower limb amputations. This study, published in the Journal of Foot and Ankle Research, looked at the effectiveness of diabetes podiatry services at the community and secondary level for Māori.
Cardiovascular Disease and Diabetes (International)
Primary Health Care (New Zealand)
Primary Health Care (International)
More than signposting: Findings from an evaluation of a social prescribing service
This paper, published in Health & Social Care in the Community, presents findings from an evaluation of a social prescribing service, undertaken between January 2019 and December 2020. Digital Health Technologies Enabling Partnerships in Chronic Care Management: Scoping Review
An increasing number of patients expect and want to play a greater role in their treatment and care decisions. This emphasizes the need to adopt collaborative health care practices, which implies collaboration among interprofessional health care teams and patients, their families, caregivers, and communities. In recent years, digital health technologies that support self-care and collaboration between the community and health care providers (ie, participatory health technologies) have received increasing attention. However, knowledge regarding the features of such technologies that support effective patient-professional partnerships is still limited. This study, published in the Journal of Medical Internet Research, aimed to map and assess published studies on participatory health technologies intended to support partnerships among patients, caregivers, and health care
professionals in chronic care, focusing specifically on identifying the main features of these technologies. Technology-Delivered Adaptations of Motivational Interviewing for the Prevention and Management of Chronic Diseases: Scoping Review
Motivational interviewing (MI) can increase health-promoting behaviors and decrease health-damaging behaviors. However, MI is often resource intensive, precluding its use with people with limited financial or time resources. Mobile health–based versions of MI interventions or technology-delivered adaptations of MI (TAMIs) might increase reach. This review, published in the Journal of Medical Internet Research, aimed to understand the characteristics of existing TAMIs.
Primary Mental Health (New Zealand)
Primary Mental Health (International)
Weight Management (International)
Overview of systematic reviews of health interventions that aim to prevent and treat overweight and obesity among children
Childhood overweight and obesity is a global public health issue. Although there is evidence of a reduced prevalence in some countries, there is still much controversy about the efficacy of health interventions that aim to prevent and treat obesity in this specific population. The objective of this study, published in Systematic Reviews, is to develop an overview of systematic reviews (OSRs) that assesses the effects of school-based, family, and multi-component health interventions for the prevention and treatment of obesity, change in physical activity, dietary, and/or hydration behaviours, and change in metabolic risk factors in school-aged children.
Key Ministry of Health Publications
Health Sector InitiativeTeaming up to save lives
Counties Manukau and Waitemata have joined forces to deliver a bowel screening education workshop for the Chinese community in Pakuranga which can save lives. With the uptake of the National Bowel Screening Programme within the Asian community found to be low, the two districts have come together under the Te Whatu Ora umbrella to host education sessions and better utilise resources.
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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