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Issue

Vol 130 No 1459: 21 July 2017

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Issue Summary

SUMMARY

Demographic and psychological correlates of satisfaction with healthcare access in New Zealand

Carol HJ Lee, Chris G Sibley

This study found that the majority of New Zealanders were highly satisfied with their access to healthcare when needed (68.4%), while 25.3% were moderately satisfied and 6.1% expressed low satisfaction. Additionally, we found that younger individuals, those of Ma0304ori, Pacific, or Asian ethnicity, and those with higher deprivation and lower income were less satisfied with their healthcare access. Conversely, those with a partner, living in an urban area and non-parents showed greater satisfaction. Personality traits were also associated with differences in level of satisfaction. Those who scored higher on Extraversion, Agreeableness, Conscientiousness and Honesty-Humility, but lower on Neuroticism and Openness were found to express higher satisfaction.

SUMMARY

Where to from here? Posthumous healthcare data, digital e(lectronic)-mortality and New Zealand’s healthcare future

Katie Hoeksema, Richman Wee, Alastair Macdonald, Parry Guilford, Jesse Wall, Jon Cornwall

Digitisation and utilisation of large healthcare data sets is becoming increasingly common around the world, with such use leading to benefits in healthcare and disease prevention. The largest and arguably most important healthcare data set will become posthumous healthcare data sets. New Zealand is increasingly digitising and centralising healthcare records, and there would be benefit to utilising posthumous healthcare records for research and management purposes. However, there is a lack of clarity surrounding the regulatory control around such data sets, and therefore it is unclear how to best utilise such data for the benefit of all New Zealanders. This paper explores an issue which is becoming increasingly relevant to all New Zealanders.

SUMMARY

30-day mortality after percutaneous coronary intervention in New Zealand public hospitals (ANZACS-QI 18)

Andrew J Kerr, Michael Williams, Harvey White, Corina Grey, Yannan Jiang, Chris Nunn, on behalf of the ANZACS-QI investigators

Cardiovascular disease (CVD) is a leading cause of death in New Zealand, and the most common form of CVD is coronary artery disease. Various treatments are recommended for patients with coronary artery disease, including lifestyle changes, medication and interventional procedures. The most common interventional procedure performed on patients with coronary artery disease is percutaneous coronary intervention (PCI), which involves using balloons and stents to open up narrowed or blocked arteries. We used data from the All New Zealand Acute Coronary Syndrome Quality Improvement programme (ANZACS-QI) registry to provide hospitals in New Zealand with feedback regarding their own outcomes for these PCI procedures to allow them to examine the quality of their own care, compare it both with other New Zealand units and with international comparison data, and identify opportunities for improvement in their quality of care. After correcting for differences in the characteristics of the patients treated at each hospital we found that mortality rates in the first 30 days after a PCI are low and comparable across New Zealand public hospitals. The New Zealand outcomes are also comparable with the New York State experience.

SUMMARY

A cross-disciplinary assessment of student loans debt, financial support for study and career preferences upon graduation

Craig S Webster, Christopher Ling, Mark Barrow, Phillippa Poole, Marcus Henning

We explored relationships between student loans debt, financial support and career preferences upon graduation in 2,405 students across all healthcare disciplines offered at the Faculty of Medical and Health Sciences, University of Auckland. Students in health sciences, nursing and pharmacy typically accrue levels of student loans debt of around $15,000 to $29,999, while optometry students accrue debt around $15,000 higher. Medical students show debt distributed around both ends of the scale at $0 and $90,000 or more. All students typically access three sources of financial support during study. Career preferences at graduation were found to reduce to four categories for all health disciplines, and five significant effects were found, involving students in health sciences, medicine and pharmacy, relating the number of sources of financial support to a category of career preference. No significant effects were found related to level of student loans debt. Our results suggest that financial support is a more strongly determining factor in career choices than the level of student loans debt.

SUMMARY

Appendicitis presenting as the first manifestation of colorectal carcinoma: a 13-year retrospective study

Rebecca J Shine, Abigail Zarifeh, Chris Frampton, Jeremy Rossaak

This is the first study of its kind conducted in Australasia. This study found patients 545 years who present with appendicitis have significantly increased risk of underlying colorectal cancer. Until further research is conducted the authors recommend clinicians consider colonic investigation for older adults following a diagnosis of appendicitis.

ALL ARTICLES
SUMMARY

Demographic and psychological correlates of satisfaction with healthcare access in New Zealand

Carol HJ Lee, Chris G Sibley

The Diabesity Crisis

Jim Mann, Rachael Taylor, Wayne Cutfield

The thumb sign

Satvinder Bakshi

A villous adenoma of bladder/urachus origin located in the perineum

Calum Fraser, Frank Frizelle

Neuraminidase inhibitors during pregnancy and risk of adverse neonatal outcomes and congenital malformations

Where to from here? Posthumous healthcare data, digital e(lectronic)-mortality and New Zealand’s healthcare future

Katie Hoeksema, Richman Wee, Alastair Macdonald, Parry Guilford, Jesse Wall, Jon Cornwall

30-day mortality after percutaneous coronary intervention in New Zealand public hospitals (ANZACS-QI 18)

Andrew J Kerr, Michael Williams, Harvey White, Corina Grey, Yannan Jiang, Chris Nunn, on behalf of the ANZACS-QI investigators

Proceedings of the scientific meetings of the Health Research Society of Canterbury

A cross-disciplinary assessment of student loans debt, financial support for study and career preferences upon graduation

Craig S Webster, Christopher Ling, Mark Barrow, Phillippa Poole, Marcus Henning

Mobilisation of the Profession

PROPOSALS OF THE MINISTER OF PUBLIC HEALTH

Appendicitis presenting as the first manifestation of colorectal carcinoma: a 13-year retrospective study

Rebecca J Shine, Abigail Zarifeh, Chris Frampton, Jeremy Rossaak

Do robots get burnout?

Frank Frizelle, Roger Mulder

SUMMARY

Demographic and psychological correlates of satisfaction with healthcare access in New Zealand

Carol HJ Lee, Chris G Sibley

This study found that the majority of New Zealanders were highly satisfied with their access to healthcare when needed (68.4%), while 25.3% were moderately satisfied and 6.1% expressed low satisfaction. Additionally, we found that younger individuals, those of Ma0304ori, Pacific, or Asian ethnicity, and those with higher deprivation and lower income were less satisfied with their healthcare access. Conversely, those with a partner, living in an urban area and non-parents showed greater satisfaction. Personality traits were also associated with differences in level of satisfaction. Those who scored higher on Extraversion, Agreeableness, Conscientiousness and Honesty-Humility, but lower on Neuroticism and Openness were found to express higher satisfaction.

SUMMARY

Where to from here? Posthumous healthcare data, digital e(lectronic)-mortality and New Zealand’s healthcare future

Katie Hoeksema, Richman Wee, Alastair Macdonald, Parry Guilford, Jesse Wall, Jon Cornwall

Digitisation and utilisation of large healthcare data sets is becoming increasingly common around the world, with such use leading to benefits in healthcare and disease prevention. The largest and arguably most important healthcare data set will become posthumous healthcare data sets. New Zealand is increasingly digitising and centralising healthcare records, and there would be benefit to utilising posthumous healthcare records for research and management purposes. However, there is a lack of clarity surrounding the regulatory control around such data sets, and therefore it is unclear how to best utilise such data for the benefit of all New Zealanders. This paper explores an issue which is becoming increasingly relevant to all New Zealanders.

SUMMARY

30-day mortality after percutaneous coronary intervention in New Zealand public hospitals (ANZACS-QI 18)

Andrew J Kerr, Michael Williams, Harvey White, Corina Grey, Yannan Jiang, Chris Nunn, on behalf of the ANZACS-QI investigators

Cardiovascular disease (CVD) is a leading cause of death in New Zealand, and the most common form of CVD is coronary artery disease. Various treatments are recommended for patients with coronary artery disease, including lifestyle changes, medication and interventional procedures. The most common interventional procedure performed on patients with coronary artery disease is percutaneous coronary intervention (PCI), which involves using balloons and stents to open up narrowed or blocked arteries. We used data from the All New Zealand Acute Coronary Syndrome Quality Improvement programme (ANZACS-QI) registry to provide hospitals in New Zealand with feedback regarding their own outcomes for these PCI procedures to allow them to examine the quality of their own care, compare it both with other New Zealand units and with international comparison data, and identify opportunities for improvement in their quality of care. After correcting for differences in the characteristics of the patients treated at each hospital we found that mortality rates in the first 30 days after a PCI are low and comparable across New Zealand public hospitals. The New Zealand outcomes are also comparable with the New York State experience.

SUMMARY

A cross-disciplinary assessment of student loans debt, financial support for study and career preferences upon graduation

Craig S Webster, Christopher Ling, Mark Barrow, Phillippa Poole, Marcus Henning

We explored relationships between student loans debt, financial support and career preferences upon graduation in 2,405 students across all healthcare disciplines offered at the Faculty of Medical and Health Sciences, University of Auckland. Students in health sciences, nursing and pharmacy typically accrue levels of student loans debt of around $15,000 to $29,999, while optometry students accrue debt around $15,000 higher. Medical students show debt distributed around both ends of the scale at $0 and $90,000 or more. All students typically access three sources of financial support during study. Career preferences at graduation were found to reduce to four categories for all health disciplines, and five significant effects were found, involving students in health sciences, medicine and pharmacy, relating the number of sources of financial support to a category of career preference. No significant effects were found related to level of student loans debt. Our results suggest that financial support is a more strongly determining factor in career choices than the level of student loans debt.

SUMMARY

Appendicitis presenting as the first manifestation of colorectal carcinoma: a 13-year retrospective study

Rebecca J Shine, Abigail Zarifeh, Chris Frampton, Jeremy Rossaak

This is the first study of its kind conducted in Australasia. This study found patients 545 years who present with appendicitis have significantly increased risk of underlying colorectal cancer. Until further research is conducted the authors recommend clinicians consider colonic investigation for older adults following a diagnosis of appendicitis.

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