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Issue

Vol 124 No 1334: 13 May 2011

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Issue Summary

SUMMARY

Throat swabbing for the primary prevention of rheumatic fever following health information

Janine Mardani, Lester Calder, Julia Haydon-Carr, Gordon Purdie, Nicholas F Jones

Health promotion efforts to raise awareness of the preventable nature of rheumatic fever and the importance of seeking help for sore throats are particularly important in high-risk communities like Flaxmere (in Hawke's Bay). This paper found that health promotion interventions can increase throat swabbing of children in a high-risk community. Given that M ori and Pacific children are at greatest risk within communities like Flaxmere it is important that health promotion efforts are appropriate for M ori and Pacific families. The health promotion approach used in Flaxmere during 2009 had an equal impact on M ori/Pacific children and non-M ori/non-Pacific children. This suggests that the approach was effective for the most vulnerable populations.

SUMMARY

Leave provision for Canterbury District Health Board’s resident medical officers with sick leave analyses

John Morton

Resident Medical Officers (RMO) leave entitlements including annual (AL), sick (SL), bereavement, parental, special, medical education (MEL), jury service, union and conference leave (CL) are specified in the collective agreement between the New Zealand Resident Doctors Association and the Canterbury District Health Board (CDHB). This study reports an analysis of the leave taken, over a 12-month period by Canterbury District Health Board Registrars and House Officers.

SUMMARY

What risk do consumers face when seeking medical advice from health food stores?

Llifon Edwards, Sarah Jefferies, Bridget Healy, Mark Weatherall, Richard Beasley, Philippa Shirtcliffe

This study sought to highlight the general risk that a consumer may face when they seek medical advice from someone promoting a complementary and alternative medicine (CAM) product. It is the third in a series by the Medical Research Institute of New Zealand that has found such advice to be wanting, especially from health food stores, and once again calls for better regulation of staff and CAM products. To provide safe and quality advice to consumers, staff who are promoting CAM products need to not only obtain relevant history but also give accurate information regarding possible interactions with current medications. They should also be prepared to refer back to mainstream medical services.

SUMMARY

Achieving equitable outcomes for Māori women with cervical cancer in New Zealand: health provider views

Melissa McLeod, Donna Cormack, Ricci Harris, Bridget Robson, Peter Sykes, Sue Crengle

Cervical cancer incidence, mortality and survival for both M ori and non-M ori women is improving in New Zealand. Health providers identified a number of developments in the management of cervical cancer which may have contributed to improved outcomes for cervical cancer including national social marketing campaigns; standard setting in screening, diagnosis and treatment; and M ori providers contributing to improved access for M ori women. Despite the improvement to date further effort is required to achieve equitable outcomes for M ori, particularly in the areas of prevention and early detection.

SUMMARY

Sociodemographic differences in prevalence of diagnosed coronary heart disease in New Zealand estimated from linked national health records

Simon Thornley, Wing Cheuk Chan, Sue Crengle, Tania Riddell, Shanthi Ameratunga, Suneela Mehta, Dudley Gentles, Sue Wells, Roger Marshall, Rod Jackson

Our findings highlight the considerable burden of heart disease among people over 50 years of age, M ori, Pacific and South Asian men and women. For doctors who see patients, this information supports raising heart disease risk calculations for people who identify as M ori, Pacific and South Asian peoples.

SUMMARY

Unmet need of GP services in Pacific people and other New Zealanders

Megan J Pledger, Jacqueline Cumming, Mili Burnette, Jacob Daub 00e9

This article tries to understand what factors are present when a person doesnt go to see a GP when they think they need too. Things that are associated with last year unmet GP need are age, sex, ethnicity, educational level, deprivation level, self-rated health, asthma, spinal disorders, smoking and body mass index (BMI). Pacific People are more likely to have greater unmet need than Other New Zealanders, Part of the difference is because Pacific People are more likely to have greater deprivation and because Other New Zealanders are more likely to be in higher educational levels. Those with unmet GP need with greater deprivation cite financial constraints while those with high educational levels cite time constraints.

ALL ARTICLES
SUMMARY

Managing obstructive sleep apnoea and achieving equity: implications for health

Sarah-Jane Paine, Ricci B Harris, Kara M Mihaere

Throat swabbing for the primary prevention of rheumatic fever following health information

Janine Mardani, Lester Calder, Julia Haydon-Carr, Gordon Purdie, Nicholas F Jones

Proceedings of the Waikato Clinical School Biannual Research Seminar, 10 March 2011

Why so many stillbirths?

Ronald W Jones

Medical image. Pathognomonic rash

Ramesh Pandey, Catherine Greengrass, Nik 0161a Drinkovic

Reducing a striking health inequality

Jonathan Jarman

Three Deaths from Exophthalmic Goitre (Graves' Disease)

Melanoma Summit highlights best practice and priorities for action

Gary Duncan, Graham Stevens, Chris Boberg, Richard Harman, Mike Eccles, Betsy Marshall, Iain Potter, Marius Rademaker; for the MelNet Establishment Committee

The challenge of reducing socioeconomic and ethnic differences in cardiovascular disease

Ralph A H Stewart

Does health evidence support or undermine our regulatory approach to air quality?

Ian Longley, Simon Hales

Leave provision for Canterbury District Health Board’s resident medical officers with sick leave analyses

John Morton

What risk do consumers face when seeking medical advice from health food stores?

Llifon Edwards, Sarah Jefferies, Bridget Healy, Mark Weatherall, Richard Beasley, Philippa Shirtcliffe

Mind the Gap: ethical issues of private treatment in the public health system

Elizabeth Fenton

Hand hygiene practices at a hospital entrance after the 2009 influenza pandemic: observational study over 1 year

Stephanie Manning, Tasmin Barry, Michael G Baker, Nick Wilson

Response to letter from Prof Shaun Holt calling for doctors not to practice homeopathy

Clive Stuart

Health inequities are rising unseen in New Zealand

Don Matheson, Belinda Loring

Against anterior cruciate ligament reconstructions—and response by orthopaedic surgeon

Nicholas Cooper, Gary Hooper

Achieving equitable outcomes for Māori women with cervical cancer in New Zealand: health provider views

Melissa McLeod, Donna Cormack, Ricci Harris, Bridget Robson, Peter Sykes, Sue Crengle

Medical image. A left atrial myxoma presenting as angina

Andrew King, David Adlam, Rebecca Inglis, Christopher Hayes, Nicos Spyrou

Sociodemographic differences in prevalence of diagnosed coronary heart disease in New Zealand estimated from linked national health records

Simon Thornley, Wing Cheuk Chan, Sue Crengle, Tania Riddell, Shanthi Ameratunga, Suneela Mehta, Dudley Gentles, Sue Wells, Roger Marshall, Rod Jackson

Unmet need of GP services in Pacific people and other New Zealanders

Megan J Pledger, Jacqueline Cumming, Mili Burnette, Jacob Daub 00e9

Contribution of hepatitis B vaccination programmes initiated by Alexander Milne and Dr Christopher Moyes to the decline in prevalence of hepatitis B infection in pregnant women in the Midlands region of the North Is, New Zealand

Deborah Jowitt

SUMMARY

Throat swabbing for the primary prevention of rheumatic fever following health information

Janine Mardani, Lester Calder, Julia Haydon-Carr, Gordon Purdie, Nicholas F Jones

Health promotion efforts to raise awareness of the preventable nature of rheumatic fever and the importance of seeking help for sore throats are particularly important in high-risk communities like Flaxmere (in Hawke's Bay). This paper found that health promotion interventions can increase throat swabbing of children in a high-risk community. Given that M ori and Pacific children are at greatest risk within communities like Flaxmere it is important that health promotion efforts are appropriate for M ori and Pacific families. The health promotion approach used in Flaxmere during 2009 had an equal impact on M ori/Pacific children and non-M ori/non-Pacific children. This suggests that the approach was effective for the most vulnerable populations.

SUMMARY

Leave provision for Canterbury District Health Board’s resident medical officers with sick leave analyses

John Morton

Resident Medical Officers (RMO) leave entitlements including annual (AL), sick (SL), bereavement, parental, special, medical education (MEL), jury service, union and conference leave (CL) are specified in the collective agreement between the New Zealand Resident Doctors Association and the Canterbury District Health Board (CDHB). This study reports an analysis of the leave taken, over a 12-month period by Canterbury District Health Board Registrars and House Officers.

SUMMARY

What risk do consumers face when seeking medical advice from health food stores?

Llifon Edwards, Sarah Jefferies, Bridget Healy, Mark Weatherall, Richard Beasley, Philippa Shirtcliffe

This study sought to highlight the general risk that a consumer may face when they seek medical advice from someone promoting a complementary and alternative medicine (CAM) product. It is the third in a series by the Medical Research Institute of New Zealand that has found such advice to be wanting, especially from health food stores, and once again calls for better regulation of staff and CAM products. To provide safe and quality advice to consumers, staff who are promoting CAM products need to not only obtain relevant history but also give accurate information regarding possible interactions with current medications. They should also be prepared to refer back to mainstream medical services.

SUMMARY

Achieving equitable outcomes for Māori women with cervical cancer in New Zealand: health provider views

Melissa McLeod, Donna Cormack, Ricci Harris, Bridget Robson, Peter Sykes, Sue Crengle

Cervical cancer incidence, mortality and survival for both M ori and non-M ori women is improving in New Zealand. Health providers identified a number of developments in the management of cervical cancer which may have contributed to improved outcomes for cervical cancer including national social marketing campaigns; standard setting in screening, diagnosis and treatment; and M ori providers contributing to improved access for M ori women. Despite the improvement to date further effort is required to achieve equitable outcomes for M ori, particularly in the areas of prevention and early detection.

SUMMARY

Sociodemographic differences in prevalence of diagnosed coronary heart disease in New Zealand estimated from linked national health records

Simon Thornley, Wing Cheuk Chan, Sue Crengle, Tania Riddell, Shanthi Ameratunga, Suneela Mehta, Dudley Gentles, Sue Wells, Roger Marshall, Rod Jackson

Our findings highlight the considerable burden of heart disease among people over 50 years of age, M ori, Pacific and South Asian men and women. For doctors who see patients, this information supports raising heart disease risk calculations for people who identify as M ori, Pacific and South Asian peoples.

SUMMARY

Unmet need of GP services in Pacific people and other New Zealanders

Megan J Pledger, Jacqueline Cumming, Mili Burnette, Jacob Daub 00e9

This article tries to understand what factors are present when a person doesnt go to see a GP when they think they need too. Things that are associated with last year unmet GP need are age, sex, ethnicity, educational level, deprivation level, self-rated health, asthma, spinal disorders, smoking and body mass index (BMI). Pacific People are more likely to have greater unmet need than Other New Zealanders, Part of the difference is because Pacific People are more likely to have greater deprivation and because Other New Zealanders are more likely to be in higher educational levels. Those with unmet GP need with greater deprivation cite financial constraints while those with high educational levels cite time constraints.

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