Private and Public Bariatric Surgery Trends in New Zealand 2004–2017: Demographics, Cardiovascular Comorbidity and Procedure Selection

2020 ◽  
Vol 30 (6) ◽  
pp. 2285-2293 ◽  
Author(s):  
Monica Garrett ◽  
Katrina Poppe ◽  
Andrew Wooding ◽  
Rinki Murphy
Keyword(s):  
Bariatric Surgery ◽  
New Zealand ◽  
Cardiovascular Comorbidity ◽  
Procedure Selection ◽  
Private And Public

scholarly journals Preoperative bariatric surgery programme barriers facing Pacific patients in Auckland, New Zealand as perceived by health sector professionals: a qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e029525
Author(s):  
Tamasin Taylor ◽  
Wendy Wrapson ◽  
Ofa Dewes ◽  
Nalei Taufa ◽  
Richard J Siegert
Keyword(s):  
Bariatric Surgery ◽  
New Zealand ◽  
Health Literacy ◽  
Health Professionals ◽  
Health Sector ◽  
Publicly Funded ◽  
Attrition Rates ◽  
Pacific Health ◽  
Emotional Safety ◽  
Minority Ethnic

Minority ethnic patient groups typically have the highest bariatric surgery preoperative attrition rates and lowest surgery utilisation worldwide. Eligible patients of Pacific Island ethnicity (Pacific patients) in New Zealand (NZ) follow this wider trend.ObjectivesThe present study explored structural barriers contributing to Pacific patients’ disproportionately high preoperative attrition rates from publicly-funded bariatric surgery in Auckland, NZ.SettingPublicly-funded bariatric surgery programmes based in the wider Auckland area, NZ.DesignSemi-structured interviews with health sector professionals (n=21) were conducted.Data were analysed using an inductive thematic approach.ResultsTwo primary themes were identified: (1) Confidence negotiating the medical system, which included Emotional safety in clinical settings and Relating to non-Pacific health professionals and (2) Appropriate support to achieve preoperative goals, which included Cultural considerations, Practical support and Relating health information. Clinical environments and an under-representation of Pacific staff were considered to be barriers to developing emotional safety, trust and acceptance of the surgery process with patients and their families. Additionally, economic deprivation and lower health literacy impacted preoperative goals.ConclusionsHealth professionals’ accounts indicated that Pacific patients face substantial levels of disconnection in bariatric surgery programmes. Increasing representation of Pacific ethnicity by employing more Pacific health professionals in bariatric teams and finding novel solutions to implement preoperative programme components have the potential to reduce this disconnect. Addressing cultural competency of staff, increasing consultancy times and working in community settings may enable staff to better support Pacific patients and their families. Programme structures could be more accommodating to practical barriers of attending appointments, managing patients’ preoperative health goals and improving patients’ health literacy. Given that Pacific populations, and other patients from minority ethnic backgrounds living globally, also face high rates of obesity and barriers accessing bariatric surgery, our findings are likely to have broader applicability.

Using Google Trends to explore the New Zealand public's interest in bariatric surgery

2018 ◽  
Vol 88 (12) ◽  
pp. 1274-1278 ◽  
Author(s):  
Jamie-Lee Rahiri ◽  
Ahmed Barazanchi ◽  
Sai Furukawa ◽  
Andrew D. MacCormick ◽  
Matire Harwood ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
New Zealand ◽  
Google Trends

scholarly journals Portrayal of bariatric surgery in the New Zealand print news media

2019 ◽  
Vol 89 (6) ◽  
pp. 689-694 ◽  
Author(s):  
Jamie‐Lee Rahiri ◽  
Ahmed Barazanchi ◽  
Ashlea Gillon ◽  
Andrew MacCormick ◽  
Matire Harwood ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
New Zealand ◽  
News Media ◽  
Print News

Māori experiences of bariatric surgery in South Auckland, New Zealand

2020 ◽  
Vol 16 (4) ◽  
pp. 300-308
Author(s):  
Jamie-Lee Rahiri (Ngāti Porou, Te Atihaunui-a-Pāpārangi, Ngāti Whātua ◽  
Ashlea Gillon (Ngāti Awa) ◽  
Jason Tuhoe (Ngāti Maru, Ngāti Pūkenga, Ngā Puhi) ◽  
Andrew D MacCormick ◽  
Andrew Hill ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
New Zealand ◽  
Gold Standard ◽  
Institutional Racism ◽  
Publicly Funded ◽  
Structured Interviews ◽  
Positive Health ◽  
Medical Interventions ◽  
Health Experiences ◽  
Kaupapa Māori

Access to publicly funded bariatric surgery in New Zealand is limited, but privileges patients who identify as New Zealand European or Other European. This example of institutional racism in the New Zealand health system further reiterates that Māori face inequitable access to gold standard medical interventions. This article analyses semi-structured interviews undertaken with Māori who had bariatric surgery at Counties Manukau Health which houses the largest public bariatric service. Thirty-one interviews were conducted, from which six themes were identified in relation to the stages of the bariatric journey. A thematic analysis of transcripts using an inductive approach was undertaken. Using Kaupapa Māori Research–aligned methodology, sites of racism, compassion, clinical barriers to positive health experiences and life-changing experiences were identified along the bariatric journey for Māori patients.

scholarly journals Canada's Telecommunications Policy Environment

2021 ◽  
Author(s):  
Catherine A. Middleton
Keyword(s):  
New Zealand ◽  
Consumer Choice ◽  
Service Providers ◽  
Developing Nations ◽  
Telecommunications Policy ◽  
Policy Environment ◽  
Telephone Companies ◽  
Uptake Rates ◽  
Private And Public ◽  
Wireless Markets

This paper provides an overview of the telecommunications policy environment in Canada. Like Milner's (2009) article on New Zealand, this paper offers insights on international approaches to telecommunications policy. Canada's telecommunications history reveals a mix of private and public sector investment in regionally-based service providers. Canada did not have a single, publicly owned telecommunications carrier as was the case in Australia. Liberalisation of the telecommunications marketplace encouraged the development of competing infrastructures, with cable companies (traditionally focused on broadcasting distribution) and telephone companies now both providing wireline and wireless, voice, Internet and television services. Competition for wireline services remains regionally based, while wireless providers compete nationally. Although competition is intense, the broadband and wireless markets are highly concentrated. Competition in these markets has not resulted in extensive consumer choice, low prices or innovative services. Most Canadian consumers have access to broadband connectivity, but uptake rates now lag other OECD countries, for services that are slower and more expensive than those available in many other locations. Mobile phone penetration in Canada is on par with that of developing nations. The paper explores the characteristics of Canada's telecommunication markets, discusses the policy environment and notes that government has not offered a vision of a digital future for Canada.

scholarly journals The State of Competitive Intelligence within  New Zealand Private and Public Sector Organisations: a Comparison Study of Competitive Intelligence within New Zealand in 2009

2021 ◽  
Author(s):  
◽  
Tony Skerrett
Keyword(s):  
New Zealand ◽  
The State ◽  
Competitive Intelligence ◽  
Research Report ◽  
Profound Change ◽  
Business Decisions ◽  
Global Companies ◽  
Private And Public ◽  
The Relationship ◽  
A Company

<p>Globalisation and rapid technology advancements are having a profound change on the competitiveness of local and global markets, and shaping the New Zealand marketplace. New Zealand companies are not just competing against other New Zealand companies, but are also competing against global companies. Competitive intelligence is critical for informing vital business decisions and potentially for the viability of a company. The purpose of this study was to research the state of competitive intelligence within the New Zealand private and public sectors and benchmark them against a similar study by Trengrove and Vryenhoek (1997). This research report further explores the relationship between knowledge management and competitive intelligence by examining the culture of competitive intelligence in an information (knowledge) economy through the analysis of competitive intelligence attitudes (Rouach and Santi 2001), 'Strategic Protection Factors' (Rothberg and Erickson, 2005), value and mindset of managing knowledge, and competitive intelligence within New Zealand companies.</p>

scholarly journals The State of Competitive Intelligence within  New Zealand Private and Public Sector Organisations: a Comparison Study of Competitive Intelligence within New Zealand in 2009

2021 ◽  
Author(s):  
◽  
Tony Skerrett
Keyword(s):  
New Zealand ◽  
The State ◽  
Competitive Intelligence ◽  
Research Report ◽  
Profound Change ◽  
Business Decisions ◽  
Global Companies ◽  
Private And Public ◽  
The Relationship ◽  
A Company

<p>Globalisation and rapid technology advancements are having a profound change on the competitiveness of local and global markets, and shaping the New Zealand marketplace. New Zealand companies are not just competing against other New Zealand companies, but are also competing against global companies. Competitive intelligence is critical for informing vital business decisions and potentially for the viability of a company. The purpose of this study was to research the state of competitive intelligence within the New Zealand private and public sectors and benchmark them against a similar study by Trengrove and Vryenhoek (1997). This research report further explores the relationship between knowledge management and competitive intelligence by examining the culture of competitive intelligence in an information (knowledge) economy through the analysis of competitive intelligence attitudes (Rouach and Santi 2001), 'Strategic Protection Factors' (Rothberg and Erickson, 2005), value and mindset of managing knowledge, and competitive intelligence within New Zealand companies.</p>

scholarly journals Sea Summation : How Waterfront Urbanisation can use Hydrological Strategies While Facilitating For Climate Change

2021 ◽  
Author(s):  
◽  
Zarah Sahib
Keyword(s):  
Climate Change ◽  
New Zealand ◽  
Sea Level Rise ◽  
Public Space ◽  
Sea Level ◽  
Great Level ◽  
Storm Events ◽  
Climate Conditions ◽  
Global Issues ◽  
Private And Public

<p>Urban inclination has unfavourably allowed for urban development throughout New Zealand to be found either along once naturally ecologically established and natural defensive coastal shorelines, waterfronts or along reclaimed shores to be developed on top of. Through reclamation, it has shown fundamentals of how we want to live closer to the water’s edge, however in this process the lack of social and ecological space is diminishing and being catalyst residential and high end luxury private space (Dianne Menzez). Urban inclination should propose that urban waterfronts become multifunctional and facilitate towards a great public space. However with a deep attachment for the water’s edge, we orientate living ourselves towards the water which also shows an interesting argument between the city and coast relationship that also comes with increasing climate change conditions.   Climate change has been under extensive focus for frequent years, conditions of notably large New Zealand urban sites remain under threat of infringing sea level rise and storm events which are in need for proper systematic infrastructure for this adaption purpose. With significant numbers of infrastructural systems situated in close proximity to waterfront environments, the rising numbers of communities orientated towards this face vulnerability to such global issues. In events of future sea level rise, increasing flooding will definitely impact the prone waterfronts Wellington City is one of New Zealand’s most vulnerable sites to sea level rise due to its proximity to coastal edges. Its low lying surface and unsustainable infrastructure and design promotes flooding through deficient water networks.   This thesis identifies the Wellington’s post-industrial site; Centerport with proposals for intended residential development. There is however a great level of susceptibility the site does not meet needs for protection from arising climate conditions, and its current poor social relation to the wider waterfront, which this thesis intends to investigate and resolve.   Centerport remains vulnerable to being a crucial domain for connectivity to the harbor edge and coastal hazard impact compared to other waterfronts. Through the means of researching adaptive water technological systems, this thesis hopes it will provide and conceptualise an impact within private and public communities through addressing coastal resilience, waterfront resilience and provide permeable adaptive waterfront design for the arising climate conditions.</p>

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