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Issue

Vol 130 No 1454: 28 April 2017

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Issue Summary

SUMMARY

A critical exploration of a collaborative Kaupapa Māori consistent research project on physician-assisted dyin

Phillipa Malpas, Anneka Anderson, Julie Wade, Rawiri Wharemate, Dolly Paul, Pio Jacobs, Takawai Jacobs, Jim Rauwhero, Danielle Lunistra

This paper critically explored a research approach undertaken by Mori and tauiwi/non-Mori researchers within the context of physician-assisted dying. We describe the strengths and challenges of the collaborative research process.

SUMMARY

A multifaceted intervention to improve primary care radiology referral quality and value in Canterbury

Kieran Holland, Graham McGeoch, Carolyn Gullery

This article describes changes made to Canterburys community radiology service over a seven-year period to improve the quality and value of care delivered to patients. Changes included clearly defining access criteria according to patient need on the HealthPathways website, improvements to processes and systems, and analysis and feedback of referral data to general practitioners. Conserved resources were reallocated to support new community-based pathways for care.

SUMMARY

Ethnic disparities in the use of seclusion for adult psychiatric inpatients in New Zealand

Melissa McLeod, Paula King, James Stanley, Cameron Lacey, Ruth Cunningham

Within New Zealand inpatient mental health services, Mori adults are more likely than non-Mori adults to be placed in seclusion; where they are placed by themselves in an area or room that they cannot leave. We found that the higher use of seclusion for Mori was partly due to the Mori population being younger, and being admitted to the ward involuntarily. There is a push internationally and within New Zealand to reduce the use of seclusion in the inpatient set-ting. In addition, for Mori, there should be a focus on providing appropriate and high-quality community mental health services responsive to Mori needs, to keep people well in the com-munity, and reduce the need for hospital admissions.

SUMMARY

‘Everyone’s talking Jadelle’: the experiences and attitudes of service providers regarding the use of the contraceptive implant, Jadelle in young people in New Zealand

Meghan Sandle, P Tuohy

Health professionals who work with young people and provide contraception were interviewed about their experiences of the contraceptive implant Jadelle. Jadelle was thought to be effective and a good option for young people. There were, however, difficulties for some young people to get this type of contraception due costs, lack of appropriate services and fear of having a procedure.

SUMMARY

Accuracy of ethnicity data recorded in hospital-based patient clinical records and the Australia and New Zealand Dialysis and Transplant Registry

Matthew J Page, Emma H Wyeth, Ari Samaranayaka, Bronwen McNoe, Rachael C Walker, John Schollum, Mark R Marshall, Rob Walker, Sarah Derrett

Collecting accurate and consistent ethnicity data information is necessary for healthcare planning, provision and monitoring, especially to address health inequities. We investigated the accuracy of ethnicity data for a group of end-stage kidney patients using data from a clinical registry, hospital records and from a research project where these participants reported their own ethnicity/ethnicities. We found there were high levels of agreement between the three different ethnicity data sources. However, it is recommended that the same collection methods are used for all research and clinical activities in New Zealand.

SUMMARY

Ethnic inequality in diagnosis with depression and anxiety disorders

Carol HJ Lee, Isabelle M Duck, Chris G Sibley

Our results indicate an ethnic inequality in self-reported diagnosis of depression or an anxiety disorder by a doctor, relative to scores on the screening measure (ie, Kessler-6 scale) for these same forms of mental illness in a nationally representative sample of New Zealand adults. Mori, Pacific and Asian New Zealanders were more likely to score in the at risk range of the Kessler-6 scale, indicating an increased likelihood of depression or anxiety, relative to European New Zealanders. However, European New Zealanders reported the highest rate of actual diagnosis with depression or anxiety in the previous five-year period. This inequality may reflect ethnic group differences in access to, expectations from and style of communication with, medical professionals.

ALL ARTICLES
SUMMARY

Vitamins in humans: then, now and future global food and health

Anne-Thea McGill

A critical exploration of a collaborative Kaupapa Māori consistent research project on physician-assisted dyin

Phillipa Malpas, Anneka Anderson, Julie Wade, Rawiri Wharemate, Dolly Paul, Pio Jacobs, Takawai Jacobs, Jim Rauwhero, Danielle Lunistra

A multifaceted intervention to improve primary care radiology referral quality and value in Canterbury

Kieran Holland, Graham McGeoch, Carolyn Gullery

Ethnic disparities in the use of seclusion for adult psychiatric inpatients in New Zealand

Melissa McLeod, Paula King, James Stanley, Cameron Lacey, Ruth Cunningham

‘Everyone’s talking Jadelle’: the experiences and attitudes of service providers regarding the use of the contraceptive implant, Jadelle in young people in New Zealand

Meghan Sandle, P Tuohy

Accuracy of ethnicity data recorded in hospital-based patient clinical records and the Australia and New Zealand Dialysis and Transplant Registry

Matthew J Page, Emma H Wyeth, Ari Samaranayaka, Bronwen McNoe, Rachael C Walker, John Schollum, Mark R Marshall, Rob Walker, Sarah Derrett

“The iron is hot” for alcohol-related policy changes in New Zealand

Benjamin Riordan

Albee s Bonegraft Operation for Tubercular Disease of the Spine

By ALFRED C. SANDSTON, M.D., F.R.C.S.E. Hon. Surgeon and Surgeon to Genito-Urinary Out-Patients, Christchurch Hospital

Ethnic inequality in diagnosis with depression and anxiety disorders

Carol HJ Lee, Isabelle M Duck, Chris G Sibley

Mesh, graft or standard repair for women having prolapse surgery

SUMMARY

A critical exploration of a collaborative Kaupapa Māori consistent research project on physician-assisted dyin

Phillipa Malpas, Anneka Anderson, Julie Wade, Rawiri Wharemate, Dolly Paul, Pio Jacobs, Takawai Jacobs, Jim Rauwhero, Danielle Lunistra

This paper critically explored a research approach undertaken by Mori and tauiwi/non-Mori researchers within the context of physician-assisted dying. We describe the strengths and challenges of the collaborative research process.

SUMMARY

A multifaceted intervention to improve primary care radiology referral quality and value in Canterbury

Kieran Holland, Graham McGeoch, Carolyn Gullery

This article describes changes made to Canterburys community radiology service over a seven-year period to improve the quality and value of care delivered to patients. Changes included clearly defining access criteria according to patient need on the HealthPathways website, improvements to processes and systems, and analysis and feedback of referral data to general practitioners. Conserved resources were reallocated to support new community-based pathways for care.

SUMMARY

Ethnic disparities in the use of seclusion for adult psychiatric inpatients in New Zealand

Melissa McLeod, Paula King, James Stanley, Cameron Lacey, Ruth Cunningham

Within New Zealand inpatient mental health services, Mori adults are more likely than non-Mori adults to be placed in seclusion; where they are placed by themselves in an area or room that they cannot leave. We found that the higher use of seclusion for Mori was partly due to the Mori population being younger, and being admitted to the ward involuntarily. There is a push internationally and within New Zealand to reduce the use of seclusion in the inpatient set-ting. In addition, for Mori, there should be a focus on providing appropriate and high-quality community mental health services responsive to Mori needs, to keep people well in the com-munity, and reduce the need for hospital admissions.

SUMMARY

‘Everyone’s talking Jadelle’: the experiences and attitudes of service providers regarding the use of the contraceptive implant, Jadelle in young people in New Zealand

Meghan Sandle, P Tuohy

Health professionals who work with young people and provide contraception were interviewed about their experiences of the contraceptive implant Jadelle. Jadelle was thought to be effective and a good option for young people. There were, however, difficulties for some young people to get this type of contraception due costs, lack of appropriate services and fear of having a procedure.

SUMMARY

Accuracy of ethnicity data recorded in hospital-based patient clinical records and the Australia and New Zealand Dialysis and Transplant Registry

Matthew J Page, Emma H Wyeth, Ari Samaranayaka, Bronwen McNoe, Rachael C Walker, John Schollum, Mark R Marshall, Rob Walker, Sarah Derrett

Collecting accurate and consistent ethnicity data information is necessary for healthcare planning, provision and monitoring, especially to address health inequities. We investigated the accuracy of ethnicity data for a group of end-stage kidney patients using data from a clinical registry, hospital records and from a research project where these participants reported their own ethnicity/ethnicities. We found there were high levels of agreement between the three different ethnicity data sources. However, it is recommended that the same collection methods are used for all research and clinical activities in New Zealand.

SUMMARY

Ethnic inequality in diagnosis with depression and anxiety disorders

Carol HJ Lee, Isabelle M Duck, Chris G Sibley

Our results indicate an ethnic inequality in self-reported diagnosis of depression or an anxiety disorder by a doctor, relative to scores on the screening measure (ie, Kessler-6 scale) for these same forms of mental illness in a nationally representative sample of New Zealand adults. Mori, Pacific and Asian New Zealanders were more likely to score in the at risk range of the Kessler-6 scale, indicating an increased likelihood of depression or anxiety, relative to European New Zealanders. However, European New Zealanders reported the highest rate of actual diagnosis with depression or anxiety in the previous five-year period. This inequality may reflect ethnic group differences in access to, expectations from and style of communication with, medical professionals.

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