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Issue

Vol 135 No 1552: 1 April 2022

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Issue Summary

Article

SUMMARY

Simulating the impact of vaccination rates on the initial stages of a COVID-19 outbreak in Aotearoa New Zealand with a stochastic model | OPEN ACCESS

Leighton M Watson

I use a mathematic model to simulate the spread of COVID-19 for a range of vaccination rates. The results clearly illustrate that high vaccination rates greatly reduce the spread of COVID-19 and limit the number of hospitalizations. The model was calibrated for the Delta variant and shows that unvaccinated individuals are 3.3x more likely to be infected and 25x more likely to be hospitalized. This work builds upon our existing knowledge to illustrate the importance of getting vaccinated. While the work was focused on Delta, vaccination (and boosters) remain the best tool to protect from Omicron.

Article

SUMMARY

A Delphi exercise with rheumatologists to identify consensus on essential components of a rheumatology service in district health boards of Aotearoa New Zealand

Hamish Nigel Gibbs, Rebecca Grainger

Rheumatology care is required to get good health outcomes for people with both common (rheumatoid arthritis, gout) and uncommon (vasculitis, Systemic Lupus erythematosus) rheumatic diseases. Surprisingly, there is no agreed description of what DHB rheumatology services should provide or do. There is evidence to suggest rheumatology care varies in different DHBs in Aotearoa New Zealand. This study identified 16 statements about best practice for a rheumatology service that rheumatologists in Aotearoa New Zealand agreed should be in all DHB rheumatology services. There were some statements that rheumatologists did not reach agreement on which included statements about use of telehealth, is some non-inflammatory diseases should be seen in rheumatology services and if some patients can be discharged back to their GP for ongoing care. Further work is needed to understand what patients want from rheumatology services and what rheumatology services at DHB in Aotearoa New Zealand actually provide.

Article

SUMMARY

Update on Canterbury Charity Hospital Trust activities 2013 to end of 2020: adapting to changing unmet secondary elective healthcare need

Philip Bagshaw, Lynne Briggs, Susan Bagshaw, Vivienne Levy, Carl Shaw, Averill Williamson, Anita Tuck, Alice Brown

This article outlines the updates that occurred to services and facilities at the Canterbury Charity Hospital Trust during the period 2013 until the end of 2020. It particularly focuses on the development of the endoscopy and dental services, the counselling service provided after the February 2011 Christchurch terror attacks and the effects on services due to the COVID-19 pandemic. It also lists the main clinical research activities untaken by the staff and volunteers at the Trust.

Article

SUMMARY

Perioperative leaders’ experience of COVID-19 in Aotearoa: a qualitative interview study | OPEN ACCESS

Professor Jennifer Weller, Vanessa Beavis, Kim Jamieson, Mataroria Lyndon, Jennifer Long

Undertaking surgical operations in the context of large-scale community spread of Covid-19 poses risks for staff and patients. In 2020 New Zealand’s perioperative services developed plans to contain viral spread, keep staff safe and maintain patient care. We interviewed perioperative leaders around the country to understand their experiences, reflections and the lessons learnt from this time. Participants described planning and managing staff in an environment of uncertainty, limited preparedness, information overload and high levels of staff stress and anxiety. They reflected on the importance of communication, caring for staff, collaboration, downtime to enable preparation, and the value of external resources to facilitate planning. Whilst each crisis is unique, these lessons may be applicable to future pandemic or disaster response efforts.

SUMMARY

X-ray misinterpretation in urgent care: where does it occur, why does it occur, and does it matter?

Crispian Wilson

This study analysed how commonly errors were made when interpreting X-rays in the urgent care clinic, and why these errors occurred. The results demonstrated that errors were uncommon, often did not affect how patients were treated, and rarely resulted in serious harm to the patient. Doctors with less urgent care training were more likely to make an error, and mistakes were more common when interpreting childrens’ X-rays.

Article

SUMMARY

Insulin pump special eligibility criteria in New Zealand: a survey of prescriber opinion and practice

Michaela Groves, Sara Styles, Martin de Bock

Currently, people with diabetes in New Zealand can only receive funded access to continuous infusion of insulin pumps (CSII) via PHARMAC. The special authority criteria allowing access to CSII has not been updated in the last ten years despite an increasing body of evidence showing their benefits both in terms of blood sugar control and quality of life. We surveyed all the CSII prescribers in New Zealand to gauge their opinion of the current criteria and their current prescribing practice. 88% of respondents believed the current criteria should be updated; only 33% of respondents strictly adhere to the current criteria and 60% of respondents do not believe the current special authority criteria promote health equity for Maori and Pasifika. We believe the current special authority criteria need to be updated to better reflect the evidence, improve patient outcomes and improve health equity for Maori and Pasifika in Aotearoa.

Article

SUMMARY

Clinical features of patients hospitalised with COVID-19 from February to October 2020, during the early waves of the pandemic in New Zealand | OPEN ACCESS

Aliya Bryce, Lydia Foley, Juliette Phillipson, Sandy Slow, Malina Storer, Jonathan Williman, Richard Beasley, Hasan Bhally, Cat L Chang, Jack Dummer, Michael Epton, Mary Furniss, Kathryn Gracie, Robert J Hancox, Thomas Hills, Stephen Hogg, Sandra Hotu, Nethmi Kearns, Susan Morpeth, David Murdoch, Nigel Raymond, Stephen Ritchie, Conroy Wong, and Michael J Maze

This study reviewed the records of people admitted to hospitals in New Zealand with COVID-19 in 2020, to determine risk factors for severe illness and use of key hospital resources. We reviewed the records of 84 patients at 8 District Health Boards. We found that half of those admitted were discharged within four days, but some required hospital care for up to 44 days. More than half of patients experienced a complication such as shock, delirium, kidney injury or heart arrhythmias. Nearly one in four died or were admitted to an intensive care unit.

Article

SUMMARY

Hospitalisation during lockdown–patients’ beds-eye views | OPEN ACCESS

Kyu Hyun Lee, Bernard Wong, Seif El-Jack, Guy Armstrong, Ruth Newcombe, Li Ma, John Ramos

It has been reported that patterns of hospital presentations for various illnesses changed during the COVID-19 pandemic, and many have tried to explain this phenomenon with different hypotheses. In our study, we have found evidence that the COVID-19 and lockdowns directly delayed and affected patient’s decision to present to hospital, likely due to perceived risk of the hospital environment during the pandemic. This was more likely to be the case in people under 70 years old. However once in hospital, majority of patients felt safe to stay in to receive necessary care.

Article

SUMMARY

Whānau experiences of patients’ deaths in Wellington Hospital during 2020 COVID-19 pandemic Levels 3 & 4 | OPEN ACCESS

Sinead Donnelly, Fiona McDonald, Cheryl Goodyer

Next of kin for 22 patients who had died in Wellington Hospital during Levels 3 & 4 of the 2020 COVID-19 pandemic (16/22 under General Medicine with an additional 6/22 who identified as Māori) from a total of 70 hospital deaths were interviewed. Whānau were asked to describe their experience of a relative dying. Whānau provided poignant and heartbreaking accounts of their experiences. The findings underscore the importance of whānau accompanying the dying patient, and non-abandonment. Pandemic policies should prioritise the needs of whānau and hospitalised patients who are dying of any illness, including: daily telephone/Zoom updates by doctors and/or nurses with whānau; having a bereavement whānau coordinator keeping in touch with relatives of patients who are dying; making follow-up telephone calls to whānau after the death; ensuring availability of Māori healthcare staff to support Māori patients and whānau; and observation of Māori tikanga around dying and death for Māori and their whānau.

Article

SUMMARY

Reducing healthcare inequities for Māori using Telehealth during COVID-19 | OPEN ACCESS

Erena Wikaire, Matire Harwood, Kayla Wikaire-Mackey, Sue Crengle, Rachel Brown, Anneka Anderson, Rawiri McKree Jansen, Rawiri Keenan

This Kaupapa Māori study looked at the experiences of Māori with Telehealth during the 2020 COVID-19 lockdown. We interviewed Māori whānau and primary health care providers about accessing healthcare during the lockdown, and whether they had used Telehealth. Participants told us that Telehealth was useful when it removed common barriers – such as lack of transport, consultation costs and having to take time off work/school – and in general improved access to healthcare. However, they also raised issues with Telehealth, and suggested ways to address these. Solutions focused on improved internet coverage, access to suitable Telehealth and health-monitoring equipment and support for Telehealth literacy.

Article

SUMMARY

Likelihood of infecting or getting infected with COVID-19 as a function of vaccination status, as investigated with a stochastic model for Aotearoa New Zealand for Delta and Omicron variants | OPEN ACCESS

Leighton M Watson

I use a mathematical model to simulate the spread of COVID-19 and track the vaccination status of who causes each infection and who is infected. This provides useful information that cannot be determined from real-world data because, as the numbers of cases has increased, contact tracers are overwhelmed. Most new infections are caused by unvaccinated individuals (when normalized by population). For Delta, unvaccinated individuals cause 87% of all new infections whereas transmission between vaccinated individuals (two doses) makes up only 3% of infections. For Omicron, unvaccinated individuals cause 45% of all new infections, vaccinated (two doses) cause 39%, and boosted (three doses) cause only 15%. Transmission between boosted individuals is only 3%, indicating that three doses of the vaccine are effective at preventing infection and transmission.

Editorial

Vol 135 No 1552: 1 April 2022

Vaccine mandates in the time of Omicron | OPEN ACCESS

David C G Skegg, Maia Brewerton, Philip C Hill, Ella Iosua, David R Murdoch, Nikki Turner

There is often confusion about the term “vaccine mandate”. In the late 19th and early 20th centuries, vaccination of children against smallpox was compulsory in New Zealand, as in many other countries, but the mandate was not rigorously enforced.

Editorial

Vol 135 No 1552: 1 April 2022

The New Zealand Illicit Drug Harms Index: how can it inform a health-based approach to drug use? | OPEN ACCESS

Rose Crossin, Joseph M Boden, Chris Wilkins, Simon Adamson

Psychoactive drugs are widely available in Aotearoa New Zealand, and their use has potential to cause harm; either to the person using the drug, or to others. Drug harm is multi-factorial, and forms a complex health, equity, and public health issue.

Article

Vol 135 No 1552: 1 April 2022

Simulating the impact of vaccination rates on the initial stages of a COVID-19 outbreak in Aotearoa New Zealand with a stochastic model | OPEN ACCESS

Leighton M Watson

As restrictions ease and as COVID-19 spreads throughout New Zealand, there is a need to understand how different levels of vaccination will impact the initial stages of COVID-19 outbreaks that are seeded around the country.

Article

Vol 135 No 1552: 1 April 2022

A Delphi exercise with rheumatologists to identify consensus on essential components of a rheumatology service in district health boards of Aotearoa New Zealand

Hamish Nigel Gibbs, Rebecca Grainger

There are many guidelines that describe the evidence-based components of care for people with different rheumatic diseases aiming to achieve optimal health outcomes. These address many aspects of care including diagnosis and pharmacologic management, frequency and type of clinical care events, and the contribution of specific healthcare professionals (HCP) such as nurses, occupational therapists, psychologists and physiotherapists.

Article

Vol 135 No 1552: 1 April 2022

Update on Canterbury Charity Hospital Trust activities 2013 to end of 2020: adapting to changing unmet secondary elective healthcare need

Philip Bagshaw, Lynne Briggs, Susan Bagshaw, Vivienne Levy, Carl Shaw, Averill Williamson, Anita Tuck, Alice Brown

It is now generally accepted that there is a large amount of unmet healthcare need in Aotearoa New Zealand. This unmet need often go unrecognised and are not only due to inadequate accessibility to, and quality of, healthcare services but also to much wider problems of poverty, colonisation, racial discrimination and other aspects of socio-economic deprivation.

Article

Vol 135 No 1552: 1 April 2022

Perioperative leaders’ experience of COVID-19 in Aotearoa: a qualitative interview study | OPEN ACCESS

Professor Jennifer Weller, Vanessa Beavis, Kim Jamieson, Mataroria Lyndon, Jennifer Long

The COVID-19 pandemic has had an extraordinary effect on hospital staff. From a “standing start”, each hospital has dealt with uncertainty and fear to create new processes to limit the spread of the disease, care for patients, and ensure the wellbeing of staff. Health leaders, managers and frontline staff have developed a wealth of experience from what has been for many the most challenging event in their clinical experience to date.

Vol 135 No 1552: 1 April 2022

X-ray misinterpretation in urgent care: where does it occur, why does it occur, and does it matter?

Crispian Wilson

Within New Zealand, urgent care clinics exist as an effective community-based alternative to the emergency department in certain situations. Operating on a walk-in basis and containing full resuscitation facilities, the urgent care centre is a demanding and high-pressure work environment.

Article

Vol 135 No 1552: 1 April 2022

Insulin pump special eligibility criteria in New Zealand: a survey of prescriber opinion and practice

Michaela Groves, Sara Styles, Martin de Bock

One way of delivering insulin therapy is via a continuous subcutaneous infusion of insulin using a pump (CSII). CSII delivers a continuous infusion of rapid-acting insulin. It is cost-effective compared to multiple daily insulin injections and its use worldwide has been increasing steadily since its introduction.

Article

Vol 135 No 1552: 1 April 2022

Clinical features of patients hospitalised with COVID-19 from February to October 2020, during the early waves of the pandemic in New Zealand | OPEN ACCESS

Whilst knowledge regarding patient risk factors, clinical progression and treatments for COVID-19 in hospitalised patients has progressed rapidly from international large-scale studies, there is a paucity of local data.

Article

Vol 135 No 1552: 1 April 2022

Hospitalisation during lockdown–patients’ beds-eye views | OPEN ACCESS

Kyu Hyun Lee, Bernard Wong, Seif El-Jack, Guy Armstrong, Ruth Newcombe, Li Ma, John Ramos

In response to the pandemic, New Zealand hospitals’ alert responses adopted strict regulations on patient screening and significant limitations on visitation.

Article

Vol 135 No 1552: 1 April 2022

Whānau experiences of patients’ deaths in Wellington Hospital during 2020 COVID-19 pandemic Levels 3 & 4 | OPEN ACCESS

Sinead Donnelly, Fiona McDonald, Cheryl Goodyer

This study explored whānau bereavement experiences when patients died of COVID-19 (1 patient) and non-COVID-19 (21 patients) illnesses in Wellington Hospital during this time. The principal investigator (SD) has a strong background in qualitative research on the experience of deaths in hospitals.

Article

Vol 135 No 1552: 1 April 2022

Reducing healthcare inequities for Māori using Telehealth during COVID-19 | OPEN ACCESS

Erena Wikaire, Matire Harwood, Kayla Wikaire-Mackey, Sue Crengle, Rachel Brown, Anneka Anderson, Rawiri McKree Jansen, Rawiri Keenan

Health inequities between Māori and non-Māori are due to differential access to the determinants of wellbeing including timely healthcare and differences in the quality of healthcare.

Article

Vol 135 No 1552: 1 April 2022

Likelihood of infecting or getting infected with COVID-19 as a function of vaccination status, as investigated with a stochastic model for Aotearoa New Zealand for Delta and Omicron variants | OPEN ACCESS

Leighton M Watson

The 2021 Delta outbreak of COVID-19 in New Zealand caused the Government to transition from an elimination strategy to suppression, which relies heavily on vaccination rates. Since the detection of the Delta outbreak on 17 August 2021, double-dose vaccination rates have increased from approximately 22% of the eligible (over 12 years old) population to 93% on 22 January 2022, prior to the detection of Omicron in the community.[[1,2,3]] As a result, the COVID-19 pandemic is turning into a pandemic of the unvaccinated; only 11% of hospitalisations in the Delta outbreak were fully vaccinated (defined as more than one week since the second dose of the two-dose Pfizer-BioNTech vaccine).

Viewpoint

Vol 135 No 1552: 1 April 2022

Musty Records: The Story of the New Zealand Obstetrical and Gynaecological Society

Ronald W Jones

The first Minutes record the “Aims of the Society should be the scientific study of obstetrical work in NZ and to give the art of obstetrical practice the dignity and status it rightly deserved, but at present lacked”.

Viewpoint

Vol 135 No 1552: 1 April 2022

The responsibilities of medical students in providing advice on the COVID-19 vaccination programme | OPEN ACCESS

Lynley Anderson, Simon Walker, Tony Zaharic, Kristin Kenrick, Rathan M Subramaniam

Having active COVID-19 within the community raises complex questions about the roles and responsibilities of medical students in a time of the global pandemic. COVID-19 has had many adverse effects on medical student learning by disrupting teaching opportunities and limiting clinical contact, particularly during the most stringent lockdowns.

Letter

Vol 135 No 1552: 1 April 2022

The answer is more investment in health and welfare—not more rationing of healthcare!

Philip Bagshaw, Sue Bagshaw, Pauline Barnett, Gary Nicholls, Stuart Gowland, Carl Shaw

High levels of unmet need and a creaking healthcare system should suggest a need to examine the underlying reasons for both and should not rely on a managerialist technical solution.

Letter

Vol 135 No 1552: 1 April 2022

Comprehensive healthcare system needed

Gil Barbezat

Abiding by the principles of the Treaty of Waitangi could be life-saving. Care of the community is far more important than the rights of individuals.

Letter

Vol 135 No 1552: 1 April 2022

In defence of mātauranga Māori: a response to the ‘seven academics’

Waikaremoana Waitoki

On 28 July 2021, a group of academics from the University of Auckland published a letter in the Listener, a well-known, non-academic magazine. The letter writers expressed their moral outrage that the Government’s NCEA curriculum working group proposed that science would be taught to Māori students along with its colonising history.

Letter

Vol 135 No 1552: 1 April 2022

Response to the health crisis is responsible investment, not more rationing

Sarah Dalton, Lyndon Keene

Dr Saxon Connor describes well the mounting pressures on our health system that are creating impossible conditions for services to operate effectively. But the answer to this is not in more rationing which, aside from causing additional suffering, would simply shift the cost of ill health elsewhere.

Letter

Vol 135 No 1552: 1 April 2022

Reply to letters to editor re: “Is it time to ration access to acute secondary care health services to save the Aotearoa health system?”

Saxon Connor

Some of Aotearoa New Zealand’s most prominent advocates for the Aotearoa public health system have responded to my editorial regarding the current state of the Aotearoa secondary care health system. There is no doubt that this is a complex problem with many drivers and no easy solution.

100 Years Ago in the NZMJ

Vol 135 No 1552: 1 April 2022

Medical Education in New Zealand

NZMJ

April 1922. The medical faculty in the School of Medicine at Otago University deserves great praise for the steady progress that has been made year by year in the medical school.

Article

SUMMARY

Simulating the impact of vaccination rates on the initial stages of a COVID-19 outbreak in Aotearoa New Zealand with a stochastic model | OPEN ACCESS

Leighton M Watson

Article

SUMMARY

A Delphi exercise with rheumatologists to identify consensus on essential components of a rheumatology service in district health boards of Aotearoa New Zealand

Hamish Nigel Gibbs, Rebecca Grainger

Article

SUMMARY

Update on Canterbury Charity Hospital Trust activities 2013 to end of 2020: adapting to changing unmet secondary elective healthcare need

Philip Bagshaw, Lynne Briggs, Susan Bagshaw, Vivienne Levy, Carl Shaw, Averill Williamson, Anita Tuck, Alice Brown

Article

SUMMARY

Perioperative leaders’ experience of COVID-19 in Aotearoa: a qualitative interview study | OPEN ACCESS

Professor Jennifer Weller, Vanessa Beavis, Kim Jamieson, Mataroria Lyndon, Jennifer Long

SUMMARY

X-ray misinterpretation in urgent care: where does it occur, why does it occur, and does it matter?

Crispian Wilson

Article

SUMMARY

Insulin pump special eligibility criteria in New Zealand: a survey of prescriber opinion and practice

Michaela Groves, Sara Styles, Martin de Bock

Article

SUMMARY

Clinical features of patients hospitalised with COVID-19 from February to October 2020, during the early waves of the pandemic in New Zealand | OPEN ACCESS

Article

SUMMARY

Hospitalisation during lockdown–patients’ beds-eye views | OPEN ACCESS

Kyu Hyun Lee, Bernard Wong, Seif El-Jack, Guy Armstrong, Ruth Newcombe, Li Ma, John Ramos

Article

SUMMARY

Whānau experiences of patients’ deaths in Wellington Hospital during 2020 COVID-19 pandemic Levels 3 & 4 | OPEN ACCESS

Sinead Donnelly, Fiona McDonald, Cheryl Goodyer

Article

SUMMARY

Reducing healthcare inequities for Māori using Telehealth during COVID-19 | OPEN ACCESS

Erena Wikaire, Matire Harwood, Kayla Wikaire-Mackey, Sue Crengle, Rachel Brown, Anneka Anderson, Rawiri McKree Jansen, Rawiri Keenan

Article

SUMMARY

Likelihood of infecting or getting infected with COVID-19 as a function of vaccination status, as investigated with a stochastic model for Aotearoa New Zealand for Delta and Omicron variants | OPEN ACCESS

Leighton M Watson

Vol 135 No 1552: 1 April 2022

Issue Summary

Simulating the impact of vaccination rates on the initial stages of a COVID-19 outbreak in Aotearoa New Zealand with a stochastic model | OPEN ACCESS

A Delphi exercise with rheumatologists to identify consensus on essential components of a rheumatology service in district health boards of Aotearoa New Zealand

Update on Canterbury Charity Hospital Trust activities 2013 to end of 2020: adapting to changing unmet secondary elective healthcare need

Perioperative leaders’ experience of COVID-19 in Aotearoa: a qualitative interview study | OPEN ACCESS

X-ray misinterpretation in urgent care: where does it occur, why does it occur, and does it matter?

Insulin pump special eligibility criteria in New Zealand: a survey of prescriber opinion and practice

Clinical features of patients hospitalised with COVID-19 from February to October 2020, during the early waves of the pandemic in New Zealand | OPEN ACCESS

Hospitalisation during lockdown–patients’ beds-eye views | OPEN ACCESS

Whānau experiences of patients’ deaths in Wellington Hospital during 2020 COVID-19 pandemic Levels 3 & 4 | OPEN ACCESS

Reducing healthcare inequities for Māori using Telehealth during COVID-19 | OPEN ACCESS

Likelihood of infecting or getting infected with COVID-19 as a function of vaccination status, as investigated with a stochastic model for Aotearoa New Zealand for Delta and Omicron variants | OPEN ACCESS

Vaccine mandates in the time of Omicron | OPEN ACCESS

The New Zealand Illicit Drug Harms Index: how can it inform a health-based approach to drug use? | OPEN ACCESS

Simulating the impact of vaccination rates on the initial stages of a COVID-19 outbreak in Aotearoa New Zealand with a stochastic model | OPEN ACCESS

A Delphi exercise with rheumatologists to identify consensus on essential components of a rheumatology service in district health boards of Aotearoa New Zealand

Update on Canterbury Charity Hospital Trust activities 2013 to end of 2020: adapting to changing unmet secondary elective healthcare need

Perioperative leaders’ experience of COVID-19 in Aotearoa: a qualitative interview study | OPEN ACCESS

X-ray misinterpretation in urgent care: where does it occur, why does it occur, and does it matter?

Insulin pump special eligibility criteria in New Zealand: a survey of prescriber opinion and practice

Clinical features of patients hospitalised with COVID-19 from February to October 2020, during the early waves of the pandemic in New Zealand | OPEN ACCESS

Hospitalisation during lockdown–patients’ beds-eye views | OPEN ACCESS

Whānau experiences of patients’ deaths in Wellington Hospital during 2020 COVID-19 pandemic Levels 3 & 4 | OPEN ACCESS

Reducing healthcare inequities for Māori using Telehealth during COVID-19 | OPEN ACCESS

Likelihood of infecting or getting infected with COVID-19 as a function of vaccination status, as investigated with a stochastic model for Aotearoa New Zealand for Delta and Omicron variants | OPEN ACCESS

Musty Records: The Story of the New Zealand Obstetrical and Gynaecological Society

The responsibilities of medical students in providing advice on the COVID-19 vaccination programme | OPEN ACCESS

The answer is more investment in health and welfare—not more rationing of healthcare!

Comprehensive healthcare system needed

In defence of mātauranga Māori: a response to the ‘seven academics’

Response to the health crisis is responsible investment, not more rationing

Reply to letters to editor re: “Is it time to ration access to acute secondary care health services to save the Aotearoa health system?”

Medical Education in New Zealand

Simulating the impact of vaccination rates on the initial stages of a COVID-19 outbreak in Aotearoa New Zealand with a stochastic model | OPEN ACCESS

A Delphi exercise with rheumatologists to identify consensus on essential components of a rheumatology service in district health boards of Aotearoa New Zealand

Update on Canterbury Charity Hospital Trust activities 2013 to end of 2020: adapting to changing unmet secondary elective healthcare need

Perioperative leaders’ experience of COVID-19 in Aotearoa: a qualitative interview study | OPEN ACCESS

X-ray misinterpretation in urgent care: where does it occur, why does it occur, and does it matter?

Insulin pump special eligibility criteria in New Zealand: a survey of prescriber opinion and practice

Clinical features of patients hospitalised with COVID-19 from February to October 2020, during the early waves of the pandemic in New Zealand | OPEN ACCESS

Hospitalisation during lockdown–patients’ beds-eye views | OPEN ACCESS

Whānau experiences of patients’ deaths in Wellington Hospital during 2020 COVID-19 pandemic Levels 3 & 4 | OPEN ACCESS

Reducing healthcare inequities for Māori using Telehealth during COVID-19 | OPEN ACCESS

Likelihood of infecting or getting infected with COVID-19 as a function of vaccination status, as investigated with a stochastic model for Aotearoa New Zealand for Delta and Omicron variants | OPEN ACCESS

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