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Issue

Vol 128 No 1418: 24 July 2015

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Issue Summary

SUMMARY

Informed consent to breech birth in New Zealand

Rhonda Powell, Shawn Walker, Alison Barrett

When managing a breech pregnancy (with babys head at the top of the uterus), New Zealand maternity care providers have legal duties to provide full and unbiased information about risks and benefits of all options, including a planned vaginal breech birth. Information should be presented in a balanced and accessible way and not limited to the maternity care providers personal preferences. Women have legal rights to make an informed choice, to give or refuse consent, to a second opinion and to co-operation among providers. Clinical policies should include appropriate and non-coercive care for women who choose to birth their breech-presenting baby vaginally and consideration should be given to any institutional reforms or educational priorities needed to achieve this.

SUMMARY

Core Public Health Functions for New Zealand

Daniel Williams, Barbara Garbutt, Julia Peters

Public health services add value to the health sector by helping manage demand for health care services and by helping the sector understand how we can improve population health, and play a key role in managing emerging health risks. This special article defines the principles and key components of the public health services essential for a highly-functioning New Zealand health system.

SUMMARY

New Zealand university students’ knowledge and attitudes to organ and tissue donation

Jon Cornwall, Cyril Schafer, Navneet Lal, Rohit DCosta, Shyamala Nada-Raja

This article looks at New Zealand young adults attitudes and knowledge on organ and tissue donation. It examines this subject relating to both their own, and loved ones, donation. NZ has a poor rate of organ donation compared to similar countries. It is an important health issue given the necessity for organ donation is increasing. There has been a lot of media interest in NZ around organ donation recently, and this study explores concepts central to these pieces - and provides facts relevant to organ donation practise, as opposed to arguments and / or speculation which are sometimes key to many media pieces.

SUMMARY

Trauma training in New Zealand: A survey of General Surgical trainees

Hannah Hurst, Ian Civil, Li Hsee, on behalf of the RACS New Zealand Trauma Committee

Trauma training is important to provide good patient care of the injured. This paper surveyed the perception of trauma training among the surgical doctors in training. Most felt the exposure to trauma training is not adequate. This paper addressed some of these issues and provides solutions such as medical simulation and specialised courses to allow the trainees to gain more exposure.

SUMMARY

Service planning implications of estimating Primary Health Organisation enrolment rate based on a Health Service Utilisation population rather than a Census-derived population

Wing Cheuk Chan, Dean Papaconstantinou, Doone Winnard

Primary Health Organisation (PHO) enrolment is considered an important indicator of access to primary health care services. The standard method of estimating the PHO enrolment rate, using the estimated resident population from Statistics New Zealand as denominator, may not provide a reliable indicator to determine the true enrolment rate by ethnicity because of numerator and denominator mismatch. Using the Health Service Utilisation population (a proxy of health services need) as a denominator, PHO enrolment rates were similar across the selected ethnicities in the CMDHB population. The Health Service Utilisation population can potentially define a clear intervention pathway to better target people who are not yet enrolled in a PHO.

SUMMARY

Impact of the New Zealand 2011 Rugby World Cup on an urban emergency department

Mark Gardener, Tim Parke, Peter Jones

The 2011 Rugby World Cup generated some very busy evenings for the Adult Emergency Department at Auckland Hospital, with up to 25 ambulances arriving per hour around the time of the Opening Ceremony and the Final. Alcohol intoxication contributed significantly to the workload with up to 50% presentations on Final night being alcohol related. The Hospitals plans, which included $50,000 of additional medical staffing, coped well with the event and the Emergency Department waiting time target was met during this period. We hope that our experience in supporting what was a very successful tournament can help with the planning of future events, including the 2015 Rugby World Cup in England.

ALL ARTICLES
SUMMARY

Oseltamivir treatment for influenza in adults

Metastatic melanoma presenting as a testicular lump

Muazzam Tahir, Adam Davies

Informed consent to breech birth in New Zealand

Rhonda Powell, Shawn Walker, Alison Barrett

The abuse and use of hospitals

Core Public Health Functions for New Zealand

Daniel Williams, Barbara Garbutt, Julia Peters

Commentary on ‘Core public health functions for New Zealand’

Nick Wilson

Winners and losers during the 2011 Rugby World Cup

Michael Ardagh

Trauma training of general surgical trainees in New Zealand

Grant Christey

New Zealand university students’ knowledge and attitudes to organ and tissue donation

Jon Cornwall, Cyril Schafer, Navneet Lal, Rohit DCosta, Shyamala Nada-Raja

The economic burden of colorectal cancer in New Zealand

John P Dunn

An uncommon complication of post trans-sphenoidal surgery for pituitary adenoma

Hiang Leng Tan, Kurien John

Trauma training in New Zealand: A survey of General Surgical trainees

Hannah Hurst, Ian Civil, Li Hsee, on behalf of the RACS New Zealand Trauma Committee

Service planning implications of estimating Primary Health Organisation enrolment rate based on a Health Service Utilisation population rather than a Census-derived population

Wing Cheuk Chan, Dean Papaconstantinou, Doone Winnard

Impact of the New Zealand 2011 Rugby World Cup on an urban emergency department

Mark Gardener, Tim Parke, Peter Jones

Physician assisted dying—a survey of Waikato General Practitioners

Jack Havill

SUMMARY

Informed consent to breech birth in New Zealand

Rhonda Powell, Shawn Walker, Alison Barrett

When managing a breech pregnancy (with babys head at the top of the uterus), New Zealand maternity care providers have legal duties to provide full and unbiased information about risks and benefits of all options, including a planned vaginal breech birth. Information should be presented in a balanced and accessible way and not limited to the maternity care providers personal preferences. Women have legal rights to make an informed choice, to give or refuse consent, to a second opinion and to co-operation among providers. Clinical policies should include appropriate and non-coercive care for women who choose to birth their breech-presenting baby vaginally and consideration should be given to any institutional reforms or educational priorities needed to achieve this.

SUMMARY

Core Public Health Functions for New Zealand

Daniel Williams, Barbara Garbutt, Julia Peters

Public health services add value to the health sector by helping manage demand for health care services and by helping the sector understand how we can improve population health, and play a key role in managing emerging health risks. This special article defines the principles and key components of the public health services essential for a highly-functioning New Zealand health system.

SUMMARY

New Zealand university students’ knowledge and attitudes to organ and tissue donation

Jon Cornwall, Cyril Schafer, Navneet Lal, Rohit DCosta, Shyamala Nada-Raja

This article looks at New Zealand young adults attitudes and knowledge on organ and tissue donation. It examines this subject relating to both their own, and loved ones, donation. NZ has a poor rate of organ donation compared to similar countries. It is an important health issue given the necessity for organ donation is increasing. There has been a lot of media interest in NZ around organ donation recently, and this study explores concepts central to these pieces - and provides facts relevant to organ donation practise, as opposed to arguments and / or speculation which are sometimes key to many media pieces.

SUMMARY

Trauma training in New Zealand: A survey of General Surgical trainees

Hannah Hurst, Ian Civil, Li Hsee, on behalf of the RACS New Zealand Trauma Committee

Trauma training is important to provide good patient care of the injured. This paper surveyed the perception of trauma training among the surgical doctors in training. Most felt the exposure to trauma training is not adequate. This paper addressed some of these issues and provides solutions such as medical simulation and specialised courses to allow the trainees to gain more exposure.

SUMMARY

Service planning implications of estimating Primary Health Organisation enrolment rate based on a Health Service Utilisation population rather than a Census-derived population

Wing Cheuk Chan, Dean Papaconstantinou, Doone Winnard

Primary Health Organisation (PHO) enrolment is considered an important indicator of access to primary health care services. The standard method of estimating the PHO enrolment rate, using the estimated resident population from Statistics New Zealand as denominator, may not provide a reliable indicator to determine the true enrolment rate by ethnicity because of numerator and denominator mismatch. Using the Health Service Utilisation population (a proxy of health services need) as a denominator, PHO enrolment rates were similar across the selected ethnicities in the CMDHB population. The Health Service Utilisation population can potentially define a clear intervention pathway to better target people who are not yet enrolled in a PHO.

SUMMARY

Impact of the New Zealand 2011 Rugby World Cup on an urban emergency department

Mark Gardener, Tim Parke, Peter Jones

The 2011 Rugby World Cup generated some very busy evenings for the Adult Emergency Department at Auckland Hospital, with up to 25 ambulances arriving per hour around the time of the Opening Ceremony and the Final. Alcohol intoxication contributed significantly to the workload with up to 50% presentations on Final night being alcohol related. The Hospitals plans, which included $50,000 of additional medical staffing, coped well with the event and the Emergency Department waiting time target was met during this period. We hope that our experience in supporting what was a very successful tournament can help with the planning of future events, including the 2015 Rugby World Cup in England.

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