Quality of hospital care for Māori patients in New Zealand: retrospective cross-sectional assessment

The Lancet ◽  
2006 ◽  
Vol 367 (9526) ◽  
pp. 1920-1925 ◽  
Author(s):  
Peter Davis ◽  
Roy Lay-Yee ◽  
Lorna Dyall ◽  
Robin Briant ◽  
Andrew Sporle ◽  
...  
Keyword(s):  
New Zealand ◽  
Hospital Care ◽  
Cross Sectional

scholarly journals Characteristics of fast-food/takeaway-food and restaurant/café-food consumers among New Zealand adults

2013 ◽  
Vol 17 (10) ◽  
pp. 2368-2377 ◽  
Author(s):  
Claire Smith ◽  
Andrew Robert Gray ◽  
Elizabeth Ann Fleming ◽  
Winsome Ruth Parnell
Keyword(s):  
Young Adults ◽  
New Zealand ◽  
Food Consumption ◽  
Urban Areas ◽  
Fast Food ◽  
Alcoholic Beverages ◽  
Nutrition Survey ◽  
Cross Sectional ◽  
Fast Food Consumption

AbstractObjectiveTo investigate: (i) the percentage of the New Zealand (NZ) population reporting fast food/takeaway food and restaurant/café food per day; (ii) examine demographic factors associated with their use; (iii) quantify their contribution to energy intake; and (iv) describe the specific types of foods reported from both sources.DesignTwenty-four hour diet recalls from the cross-sectional 2008/09 NZ Adult Nutrition Survey were used to identify fast-food and restaurant-food consumers.SettingNZ households.SubjectsAdults aged 15 years and older (n 4721).ResultsOverall 28 % reported consuming at least one fast food and 14 % a restaurant food within the 24 h diet recall. Fast-food consumption was not associated with level of education or an area-based measure of socio-economic status, but a higher education was positively associated with restaurant-food consumption. Individual factors such as ethnicity, household size, age, sex and marital status were found to be important influences on the use of fast food and restaurant food. Fast-food consumption was more prevalent among participants living in urban areas, young adults (19–30 years) and Māori compared with NZ European and Others. The most frequently reported fast foods were bread-based dishes, potatoes (including fries) and non-alcoholic beverages.ConclusionsGiven the high reported consumption of fast food by young adults, health promotion initiatives both to improve the nutritional quality of fast-food menus and to encourage healthier food choices would likely make a large impact on the overall diet quality of this group.

scholarly journals Prevalence and associated factors of elder abuse in a community-dwelling population of Aotearoa New Zealand: A cross-sectional study

2015 ◽  
Vol 27 (3) ◽  
pp. 29-43 ◽  
Author(s):  
Polly Yeung ◽  
Lareen Cooper ◽  
Michael Dale
Keyword(s):  
Quality Of Life ◽  
New Zealand ◽  
Associated Factors ◽  
Satisfaction With Life ◽  
Elder Abuse ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Aotearoa New Zealand

The purpose of this cross-sectional study was to investigate the prevalence and associated factors of elder abuse in a representative sample of older people in Aotearoa New Zealand. Analysis was conducted on responses from the second wave of the New Zealand Longitu- dinal Study of Ageing (NZLSA) omnibus survey of 3,923 adults aged 50-87 years. Using the elder mistreatment screening questions, the sample was split between those who identified of having experienced elder abuse (n = 529) and those who did not (n = 2417) from a large population-based study to compare on 19 variables (i.e. age, gender, marital status, living arrangement, education levels, ethnicity, personal income, total number of health conditions, physical health, mental health, ability to get around, economic wellbeing, loneliness, social and emotional loneliness, depression, happiness, satisfaction with life and quality of life). Significant differences were found on 16 of the variables assessed. Results suggested that those who have experienced elder abuse had a higher level of loneliness and poor economic wellbeing. They were more likely to experience depression, have poorer mental health and be less happy. The experience of abuse had significant impact on their satisfaction with life and overall quality of life. A better understanding of these risk factors associated with elder abuse in aging population will assist with both prevention and intervention. 

scholarly journals Examining reliability of WHOBARS: a tool to measure the quality of administration of WHO surgical safety checklist using generalisability theory with surgical teams from three New Zealand hospitals

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e022625
Author(s):  
Oleg N Medvedev ◽  
Alan F Merry ◽  
Carmen Skilton ◽  
Derryn A Gargiulo ◽  
Simon J Mitchell ◽  
...  
Keyword(s):  
New Zealand ◽  
Measurement Errors ◽  
Rating Scale ◽  
Random Effect ◽  
Cross Sectional ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Surgical Teams ◽  
Generalisability Theory

ObjectivesTo extend reliability of WHO Behaviourally Anchored Rating Scale (WHOBARS) to measure the quality of WHO Surgical Safety Checklist administration using generalisability theory. In this context, extending reliability refers to establishing generalisability of the tool scores across populations of teams and raters by accounting for the relevant sources of measurement errors.DesignCross-sectional random effect measurement design assessing surgical teams by the five items on the three Checklist phases, and at three sites by two trained raters simultaneously.SettingThe data were collected in three tertiary hospitals in Auckland, New Zealand in 2016 and included 60 teams observed in 60 different cases with an equal number of teams (n=20) per site. All elective and acute cases (adults and children) involving surgery under general anaesthesia during normal working hours were eligible.ParticipantsThe study included 243 surgical staff members, 138 (50.12%) women.Main outcome measureAbsolute generalisability coefficient that accounts for variance due to items, phases, sites and raters for the WHOBARS measure of the quality of WHO Surgical Safety Checklist administration.ResultsThe WHOBARS in its present form has demonstrated good generalisability of scores across teams and raters (G absolute=0.83). The largest source of measurement error was the interaction between the surgical team and the rater, accounting for 16.7% (95% CI 16.4 to 16.9) of the total variance in the data. Removing any items from the WHOBARS led to a decrease in the overall reliability of the instrument.ConclusionsAssessing checklist administration quality is important for promoting improvement in its use, and WHOBARS offers a reliable approach for doing this.

scholarly journals Junk Food on Demand: A Cross-Sectional Analysis of the Nutritional Quality of Popular Online Food Delivery Outlets in Australia and New Zealand

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3107
Author(s):  
Stephanie R. Partridge ◽  
Alice A. Gibson ◽  
Rajshri Roy ◽  
Jessica A. Malloy ◽  
Rebecca Raeside ◽  
...  
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Young People ◽  
Nutritional Quality ◽  
Population Level ◽  
Food Delivery ◽  
Dietary Guidelines ◽  
Cross Sectional ◽  
Food Outlets

The demand for convenience and the increasing role of digital technology in everyday life has fueled the use of online food delivery services (OFD’s), of which young people are the largest users globally. OFD’s are disrupting traditional food environments, yet research evaluating the public health implications of such services is lacking. We evaluated the characteristics and nutritional quality of popular food outlets on a market-leading platform (UberEATS®) in a cross-sectional observational study conducted in two international cities: Sydney (Australia) and Auckland (New Zealand). A systematic search using publicly available population-level data was used to identify geographical areas with above-average concentrations (>30%) of young people (15–34-years). A standardized data extraction protocol was used to identify the ten most popular food outlets within each area. The nutritional quality of food outlets was assessed using the Food Environment Score (FES) (range: −10 ‘unhealthiest’ to 10 ‘healthiest’). Additionally, the most popular menu items from each food outlet were classified as discretionary or core foods/beverages according to the Australian Dietary Guidelines. The majority of popular food outlets were classified as ‘unhealthy’ (FES range −10 to −5; 73.5%, 789/1074) and were predominately takeaway franchise stores (59.6%, 470/789, e.g., McDonald’s®). 85.9% of all popular menu items were discretionary (n = 4958/5769). This study highlights the pervasion and accessibility of discretionary foods on OFD’s. This study demonstrated that the most popular food outlets on the market-leading online food delivery service are unhealthy and popular menu items are mostly discretionary foods; facilitating the purchase of foods of poor nutritional quality. Consideration of OFD’s in public health nutrition strategies and policies in critical.

Potential survivability of prehospital injury deaths in New Zealand: a cross-sectional study

2020 ◽  
pp. injuryprev-2019-043408
Author(s):  
Bridget Kool ◽  
Rebbecca Lilley ◽  
Gabrielle Davie ◽  
Brandon de Graaf ◽  
Pararangi Reid ◽  
...  
Keyword(s):  
New Zealand ◽  
Hospital Care ◽  
Cross Sectional Study ◽  
Insufficient Information ◽  
Injury Death ◽  
Cross Sectional ◽  
Advanced Level ◽  
Physical Injuries ◽  
Level Hospital ◽  
Do So

IntroductionAcknowledging a notable gap in available evidence, this study aimed to assess the survivability of prehospital injury deaths in New Zealand.MethodsA cross-sectional review of prehospital injury death postmortems (PM) undertaken during 2009–2012. Deaths without physical injuries (eg, drownings, suffocations, poisonings), where there was an incomplete body, or insufficient information in the PM, were excluded. Documented injuries were scored using the AIS and an ISS derived. Cases were classified as survivable (ISS <25), potentially survivable (ISS 25–49) and non-survivable (ISS >49).ResultsOf the 1796 cases able to be ISS scored, 11% (n=193) had injuries classified as survivable, 28% (n=501) potentially survivable and 61% (n=1102) non-survivable. There were significant differences in survivability by age (p=0.017) and intent (p<0.0001). No difference in survivability was observed by sex, ethnicity, day of week, seasonality or distance to advanced-level hospital care. ‘Non-survivable’ injuries occurred more commonly among those with multiple injuries, transport-related injuries and aged 15–29 year. The majority of ‘survivable’ cases were deceased when found. Among those alive when found, around half had received either emergency medical services (EMS) or bystander care. One in five survivable cases were classified as having delays in receiving care.DiscussionIn New Zealand, the majority of injured people who die before reaching hospital do so from non-survivable injuries. More than one third have either survivable or potentially survivable injuries, suggesting an increased need for appropriate bystander first aid, timeliness of EMS care and access to advanced-level hospital care.

scholarly journals Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States

BMJ ◽  
2012 ◽  
Vol 344 (mar20 2) ◽  
pp. e1717-e1717 ◽  
Author(s):  
L. H. Aiken ◽  
W. Sermeus ◽  
K. Van den Heede ◽  
D. M. Sloane ◽  
R. Busse ◽  
...  
Keyword(s):  
United States ◽  
Patient Safety ◽  
Hospital Care ◽  
The United States ◽  
Cross Sectional

scholarly journals New Zealand Medical Students Have Positive Attitudes and Moderate Confidence in Providing Nutrition Care: A Cross-Sectional Survey

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Jennifer Crowley ◽  
Lauren Ball ◽  
Dug Yeo Han ◽  
Bruce Arroll ◽  
Michael Leveritt ◽  
...  
Keyword(s):  
New Zealand ◽  
Medical Students ◽  
Nutrition Education ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Nutrition Care ◽  
Positive Attitudes ◽  
Students Attitudes ◽  
Inadequate Nutrition

Throughout the world, medical students and doctors report inadequate nutrition education and subsequently lack of knowledge, attitude, and skills to include nutrition in patient care. This study described New Zealand’s students’ attitudes to and self-perceived skills in providing nutrition care in practice as well as perceived quantity and quality of nutrition education received in training. 183 medical students from New Zealand’s largest medical school (response rate 52%) completed a 65-item questionnaire, partially validated, using 5-point Likert scales. Students believed incorporating nutrition care into practice is important, yet they were less confident patients improve nutrition behaviours after receiving this care. Students were confident in skills related to nutrition in health and disease but less confident in skills related to general food knowledge. Greater quantity and quality of nutrition education received was associated with greater self-perceived skills in providing nutrition care to patients but not with attitudes towards incorporating nutrition care into practice. This cohort of New Zealand medical students places similarly high importance on nutrition care as students and doctors from other countries. Further investigations beyond graduation are required to inform whether additional nutrition education is warranted for these doctors.

scholarly journals General hospital specialists’ attitudes toward psychiatry: a cross-sectional survey in seven countries

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e054173
Author(s):  
Inoka Koshali Wimalaratne ◽  
Jane McCarthy ◽  
Birit F P Broekman ◽  
Klaas Nauta ◽  
Samudra Kathriarachchi ◽  
...  
Keyword(s):  
Quality Of Care ◽  
New Zealand ◽  
The Netherlands ◽  
General Hospital ◽  
Significant Finding ◽  
Practice Setting ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hospital Doctors

ObjectivePsychiatric comorbidities are common in physical illness and significantly affect health outcomes. Attitudes of general hospital doctors toward psychiatry are important as they influence referral patterns and quality of care. Little is known about these attitudes and their cultural correlates. The aim of this study was to identify attitudes toward psychiatry among general hospital specialists in relation to culture of the practice setting and other clinician factors (gender, age, seniority and specialty).MethodsA cross-sectional, descriptive study was carried out in seven countries (New Zealand, China, Sri Lanka, Russia, Israel, Brazil, the Netherlands). Data were collected from senior medical staff of various disciplines using an updated version of Mayou and Smith’s (1986) self-administered questionnaire.ResultsA total of 889 hospital doctors participated. While favourable attitudes toward both psychiatric consultation and management were endorsed by a majority, significant differences were also observed between countries. Subgroup differences were mostly confined to gender, acuity of practice setting and specialty. For example, female doctors in Russia (χ2=7.7, p=0.0056), China (χ2=9.2, p=0.0025) and the Netherlands (χ2=5.7, p=0.0174) endorsed more positive attitudes compared with their male counterparts, but this gender effect was not replicated in the total sample. Chronic care specialists were overall more inclined to manage patients’ emotional problems compared with those working in acute care (χ2=70.8, p (adjusted)<0.0001), a significant finding seen also in individual countries (China, New Zealand, the Netherlands, Russia). Physicians were more favourably disposed toward psychiatry compared with other specialists, especially surgeons, in all countries except Israel.ConclusionsThis study adds to evidence for the association of medical attitudes with individual clinician factors and demonstrates that the influence of these factors varies by country. Understanding these issues may help to overcome barriers and improve quality of care provided to general hospital patients.

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