scholarly journals Stakeholder views on factors influencing the wellbeing and health sector engagement of young Asian New Zealanders

2016 ◽  
Vol 8 (1) ◽  
pp. 35 ◽  
Author(s):  
Roshini Peiris-John ◽  
Agnes Wong ◽  
Amritha Sobrun-Maharaj ◽  
Shanthi Ameratunga
Keyword(s):  
New Zealand ◽  
Health Research ◽  
Help Seeking ◽  
Health Care Services ◽  
Parental Influence ◽  
Service Providers ◽  
Health Sector ◽  
Stakeholder Views ◽  
Professional Activities ◽  
Asian Youth

ABSTRACT INTRODUCTION In New Zealand, while the term ‘Asians’ in popular discourse means East and South-east Asian peoples, Statistics New Zealand’s definition includes people of many nationalities from East, South and South-east Asia, all with quite different cultural norms, taboos and degrees of conservatism. In a context where ‘Asian’ youth data are typically presented in aggregate form, there are notable gaps in knowledge regarding the contextual determinants of health in this highly heterogeneous group. This qualitative study explored key stakeholder views on issues that would be most useful to explore on the health and wellbeing of Asian youth and processes that would foster engagement of Asian youth in health research. METHODS Interviews were conducted with six key stakeholders whose professional activities were largely focused on the wellbeing of Asian people. The general inductive approach was used to identify and analyse themes in the qualitative text data. FINDINGS Six broad themes were identified from the key stakeholder interviews framed as priority areas that need further exploration: cultural identity, integration and acculturation; barriers to help-seeking; aspects to consider when engaging Asian youth in research (youth voice, empowerment and participatory approach to research); parental influence and involvement in health research; confidentiality and anonymity; and capacity building and informing policy. CONCLUSION With stakeholders strongly advocating the engagement of Asian youth in the health research agenda this study highlights the importance of engaging youth alongside service providers to collaborate on research and co-design responsive primary health care services in a multicultural setting. KEYWORDS Asian youth; New Zealand; health research; minority health; Community and social participation

scholarly journals Studying the issues around the reporting of complete and quality data by private hospitals across New Zealand

2021 ◽  
Author(s):  
◽  
Urwashi Singh
Keyword(s):  
New Zealand ◽  
Service Providers ◽  
Health Sector ◽  
Clinical Information ◽  
Healthcare Sector ◽  
Quality Data ◽  
Health Improvement ◽  
Ministry Of Health ◽  
Private Hospitals ◽  
Improvement Programs

<p>The policies of the Ministry of Health (MOH) around information collection and reporting are mainly focused on DHBs, who are allocated more than three quarters of the health funding and are responsible for planning, purchasing and providing health services within their regions (Ministry of Health, 2014a). The focus of the national health collections therefore, has always been to collect information about publically funded hospital services. Due to this weighted focus on public health service providers, over four hundred private hospitals across New Zealand (NZ) are under-represented in the National Minimum Data Set (NMDS) (Ross, 2012). MOH has a strong focus on providing New Zealanders with better health care through improved health information (Ministry of Health, 2013b), thus discharge data is extensively used by them in a number of applications to achieve this goal. For optimal success, it is vital for MOH to improve their own datasets and to ensure that their data is put to its best use by researchers and analysts. Part of this improvement requires a push towards ensuring better data collection from the private healthcare sector of NZ.  This study explored the views of private hospitals staff on improving the quantity and quality of the data reported by private hospitals across NZ. Semi structured interviews with 12 participants covering 32 private hospitals across NZ were conducted to collect the data. The data was analysed using thematic framework analysis.  The participants acknowledged that reporting full clinical information around each patient’s condition, especially for surgeries, would involve a change in traditional ways of entering and coding the clinical information. This is because their work is influenced by the mode of funding they receive and the type of treatment they provide to their patients. Most of the participants supported the idea of having full patient clinical information in the National Collections; however, since full patient diagnosis information is only usually accessible by the GP, specialist or the surgeon, they questioned how easily they as private hospitals could access and enter this information into their system with their current resources. Added to this is the fact that they do not employ clinical coders. This is because hiring the coders to record information which is not required for their funding or operational purposes is of no value to their business.  Different options for motivating the hospitals to maintain a minimal level of reporting were discussed. Participants emphasised the need for an increased level of collaboration from the Ministry in terms of feedback to their data as well as consideration of private hospitals as part of healthcare community. There was also a strong emphasis on the need to unify private and public sectors in order to reach the full potential of the whole healthcare sector. The participants’ view on the change included a desire to better understand the benefits to them from reporting which they hoped would lead to an improved level of engagement between MOH and the private surgical sector. Above all they saw a need to implement new ideas and methods of collaboration with the health sector as a whole that take into account both the service providers and patients.  The reporting of full datasets is both an issue of information availability and cost for private hospitals. Policy initiatives which combine private hospitals with the rest of the health sector are likely to meet with the challenges posed by the health improvement programs required to achieve improved healthcare for the whole nation.</p>

scholarly journals Studying the issues around the reporting of complete and quality data by private hospitals across New Zealand

2021 ◽  
Author(s):  
◽  
Urwashi Singh
Keyword(s):  
New Zealand ◽  
Service Providers ◽  
Health Sector ◽  
Clinical Information ◽  
Healthcare Sector ◽  
Quality Data ◽  
Health Improvement ◽  
Ministry Of Health ◽  
Private Hospitals ◽  
Improvement Programs

<p>The policies of the Ministry of Health (MOH) around information collection and reporting are mainly focused on DHBs, who are allocated more than three quarters of the health funding and are responsible for planning, purchasing and providing health services within their regions (Ministry of Health, 2014a). The focus of the national health collections therefore, has always been to collect information about publically funded hospital services. Due to this weighted focus on public health service providers, over four hundred private hospitals across New Zealand (NZ) are under-represented in the National Minimum Data Set (NMDS) (Ross, 2012). MOH has a strong focus on providing New Zealanders with better health care through improved health information (Ministry of Health, 2013b), thus discharge data is extensively used by them in a number of applications to achieve this goal. For optimal success, it is vital for MOH to improve their own datasets and to ensure that their data is put to its best use by researchers and analysts. Part of this improvement requires a push towards ensuring better data collection from the private healthcare sector of NZ.  This study explored the views of private hospitals staff on improving the quantity and quality of the data reported by private hospitals across NZ. Semi structured interviews with 12 participants covering 32 private hospitals across NZ were conducted to collect the data. The data was analysed using thematic framework analysis.  The participants acknowledged that reporting full clinical information around each patient’s condition, especially for surgeries, would involve a change in traditional ways of entering and coding the clinical information. This is because their work is influenced by the mode of funding they receive and the type of treatment they provide to their patients. Most of the participants supported the idea of having full patient clinical information in the National Collections; however, since full patient diagnosis information is only usually accessible by the GP, specialist or the surgeon, they questioned how easily they as private hospitals could access and enter this information into their system with their current resources. Added to this is the fact that they do not employ clinical coders. This is because hiring the coders to record information which is not required for their funding or operational purposes is of no value to their business.  Different options for motivating the hospitals to maintain a minimal level of reporting were discussed. Participants emphasised the need for an increased level of collaboration from the Ministry in terms of feedback to their data as well as consideration of private hospitals as part of healthcare community. There was also a strong emphasis on the need to unify private and public sectors in order to reach the full potential of the whole healthcare sector. The participants’ view on the change included a desire to better understand the benefits to them from reporting which they hoped would lead to an improved level of engagement between MOH and the private surgical sector. Above all they saw a need to implement new ideas and methods of collaboration with the health sector as a whole that take into account both the service providers and patients.  The reporting of full datasets is both an issue of information availability and cost for private hospitals. Policy initiatives which combine private hospitals with the rest of the health sector are likely to meet with the challenges posed by the health improvement programs required to achieve improved healthcare for the whole nation.</p>

Pathways ahead for New Zealand hill country farming

2016 ◽  
Vol 78 ◽  
pp. 73-82 ◽  
Author(s):  
F.G. Scrimgeour
Keyword(s):  
New Zealand ◽  
Rural Communities ◽  
New Technologies ◽  
Service Providers ◽  
Farming Systems ◽  
Hill Country ◽  
The Status ◽  
And Performance ◽  
Hill Farming ◽  
The Hill

This paper provides a stocktake of the status of hill country farming in New Zealand and addresses the challenges which will determine its future state and performance. It arises out of the Hill Country Symposium, held in Rotorua, New Zealand, 12-13 April 2016. This paper surveys people, policy, business and change, farming systems for hill country, soil nutrients and the environment, plants for hill country, animals, animal feeding and productivity, and strategies for achieving sustainable outcomes in the hill country. This paper concludes by identifying approaches to: support current and future hill country farmers and service providers, to effectively and efficiently deal with change; link hill farming businesses to effective value chains and new markets to achieve sufficient and stable profitability; reward farmers for the careful management of natural resources on their farm; ensure that new technologies which improve the efficient use of input resources are developed; and strategies to achieve vibrant rural communities which strengthen hill country farming businesses and their service providers. Keywords: farming systems, hill country, people, policy, productivity, profitability, sustainability

Information-seeking to Support Personal and Community Wellbeing: Report of a study of New Zealand Men Using Focus Groups

2016 ◽  
Author(s):  
Peta Wellstead
Keyword(s):  
New Zealand ◽  
Focus Groups ◽  
Support Services ◽  
Information Seeking ◽  
Service Providers ◽  
Structural Constraints ◽  
Health And Wellbeing ◽  
Study Results ◽  
Groupes De Discussion

This paper reports part of an ongoing study exploring the information behaviour of New Zealand men during periods of diminished health and wellbeing. Focus groups were used for this iteration of the study. Results indicate that New Zealand men face both personal and structural constraints to their information-seeking during periods when their health and wellbeing may be compromised. This study highlights that service providers need to develop more effective information delivery mechanisms and support services for men. These services need to be appealing to men and reflect men’s information seeking preferences. The role of LIS professionals in supporting this endeavour is discussed. Cet article présente une étude en cours explorant le comportement informationnel d’ hommes néo-zélandais durant des périodes où leur état de santé et de bien-être est amoindri. Des groupes de discussion ont été utilisés pour cette itération de l'étude. Les résultats indiquent que les hommes en Nouvelle-Zélande font face à des contraintes à la fois  personnelles et structurelles dans leur recherche d'information pendant les périodes où leur santé et leur bien-être peuvent être affaiblis. Cette étude met en évidence le besoin pour les fournisseurs de services de développer des mécanismes de diffusion de l'information plus efficaces et des services de soutien pour les hommes. Ces services doivent être attrayants et refléter les préférences des hommes dans leurs recherches d’information. Le rôle des professionnels de l'information dans le soutien à cette entreprise est discuté.

Health Care Services and EU Competition Law

2020 ◽  
Author(s):  
Okeoghene Odudu
Keyword(s):  
Market Power ◽  
Healthcare Service ◽  
Health Care Services ◽  
Service Providers ◽  
Competition Law ◽  
Healthcare Services ◽  
System Matrix ◽  
Member States ◽  
Eu Member States ◽  
Care Services

This chapter investigates how, within a number of European Union (EU) Member States, competition law has been used to address problems of market power in the healthcare services sector. It summarizes the relevant EU and national competition laws and considers the experience of applying those laws to providers of healthcare services. The chapter is chiefly concerned with healthcare services in England, although examples are drawn for other EU Member States. Examination of the English experience provides a view of the use of competition law to address market power problems in most elements of the health system matrix. The chapter then considers three challenges that emerge from that experience of using competition law to address problems of market power in healthcare service markets. The first challenges the applicability of competition law to healthcare service providers operating in each or every element of the healthcare system matrix. The second, accepting applicability, questions the appropriateness of the substantive rules to healthcare services. The third, a battle of authority and autonomy, considers whether decisions made by healthcare service providers should be subject to external review and the type of review that competition law offers.

scholarly journals 32.K. Skills building seminar: Using participatory health research to optimise psycho-oncological patient information material

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Patient Information ◽  
Health Research ◽  
Service Providers ◽  
Complex Interventions ◽  
User Participation ◽  
End Users ◽  
Vulnerable Groups ◽  
Participatory Health Research ◽  
Practical Instrument

Abstract Patient information material (PIM) is omnipresent in healthcare. It is used to convey information or to familiarize potential end-users to offers of support. PIM recaps or elaborates on relevant information and offers recommendation for action. However, the quality of available PIM varies. When the formal and content-related quality of PIM is suboptimal, it not only fails to be effective but can also lead to uncertainty, misunderstandings, resistance or ignorance (e.g. of a support offer). Highly complex information requires much attention on the quality of the PIM, especially with respect to end-users (e.g. vulnerable groups). Excellent communication through the use of PIM is thus essential within complex interventions. Checklists, such as 'Discern' or 'PEMAT', as well as criteria catalogues or evidence-based patient information standards, may assist in the development, quality assessment and optimization of PIM. The inclusion of the end-users is recommended but for various reasons does not often take place. The innovative “integrated, cross-sectional Psycho-Oncology” (isPO) programme, offers needs-driven, professional support to all adult, newly diagnosed cancer patients early in their sickness trajectory. IsPO was developed in 2018. It was implemented and a formative evaluated in 2019. When developing this programme, different PIM were created top-down by the programme designers. During implementation, it became evident that these PIM materials required further improvement. A testing and optimization process started using the participatory health research (PHR) approach and was completed in a five-month period. A PIM-optimisation team was founded, which included the project partners involved in the network support, self-help organisations and the external evaluation institute. A practical instrument (PIM-checklist) for optimising the isPO-PIM was designed, piloted and used for testing by end-users, isPO service providers, and experts. Based on the recommendations in the checklist, the material was revised accordingly. Additionally, the PIM was completed with the design of two new components. Four optimisation rounds were conducted. The optimized PIM was tested on its comprehensibility (for end-users) and its usability (for service providers). During the presentations, the audience is invited to comment on critical questions that may appear during optimization (e.g. timing). Afterwards, there will be a skill building part with a focus on collaborative learning (45 minutes). First, we will focus on the requirements for a practical instrument that is handy for end-users, service providers and experts (mind mapping exercise). Finally, participants will be able to explore the following topics “World Café” discussion: (1) how to plan, conduct and communicate the development of optimization of PIM in a CI program, (2) what needs to be considered for the optimization (e.g. team composition, resources), and (3) how to continuously achieve end-userś participation. Key messages Excellent PIM are essential for a complex interventiońs success in practice and must include information and foster actionability. the iterative PIM design processes benefits from high user participation.

scholarly journals Contemplating Help-Seeking in Perinatal Psychological Distress—A Meta-Ethnography

2021 ◽  
Vol 18 (10) ◽  
pp. 5226
Author(s):  
Minna Anneli Sorsa ◽  
Jari Kylmä ◽  
Terese Elisabet Bondas
Keyword(s):  
Psychological Distress ◽  
Help Seeking ◽  
Critical Appraisal ◽  
Service Providers ◽  
Perinatal Period ◽  
Linear Process ◽  
Small Children ◽  
Complex Process ◽  
Seeking Help ◽  
Critical Appraisal Skills

Perinatal psychological distress (PPD) may cause delays in help-seeking in the perinatal period, which is crucial for families with small children. Help-seeking theories focus on rational processes of behavior wherein ‘help-seeking’ is viewed as a decision-making process, in which action is preceded by recognizing a problem. We identified the phase prior to actual help-seeking actions as a life situation and a phenomenon through which to gain a deeper understanding from women’s own perspectives. The aim of this study was to integrate and synthesize knowledge of women’s experiences of contemplating seeking help for PPD. We chose interpretative meta-ethnography by Noblit and Hare (1988) and implemented eMERGe guidelines in reporting. The search was performed systematically, and the 14 included studies were evaluated with Critical Appraisal Skills Programme checklist (CASP). We identified seven themes and a metaphor in a lines-of-argument synthesis, showing that contemplating help-seeking is a multidimensional phenomenon. We did not observe a straightforward and linear process (as previous research suggests) but instead a complex process of contemplating help-seeking. A clinical implication is that service providers should work with outreach and develop their tools to connect with mothers with PPD. Another suggestion is to improve training in mental health literacy prior to or during pregnancy.

scholarly journals Development of clinical guidelines for service provision of functional electrical stimulation to support walking: mixed method exploration of stakeholder views

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
C Bulley ◽  
C Meagher ◽  
T Street ◽  
A Adonis ◽  
C Peace ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Clinical Guidelines ◽  
Service Provision ◽  
Clinical Guideline ◽  
Service Providers ◽  
Delphi Consensus ◽  
Stakeholder Views ◽  
Key Stakeholders ◽  
The Uk

Abstract Background Over the past 20 years Functional Electrical Stimulation (FES) has grown in clinical use to support walking in people with lower limb weakness or paralysis due to upper motor neuron lesions. Despite growing consensus regarding its benefits, provision across the UK and internationally is variable. This study aimed to explore stakeholder views relating to the value of a clinical guideline focusing on service provision of FES to support walking, how people might use it and what should be included. Methods A mixed methods exploration sought the views of key stakeholders. A pragmatic online survey (n = 223) focusing on the study aim was developed and distributed to the email distribution list of the UK Association for Chartered Physiotherapists Interested in Neurology (ACPIN). In parallel, a qualitative service evaluation and patient public involvement consultation was conducted. Two group, and seven individual interviews were conducted with: FES-users (n = 6), their family and carers (n = 3), physiotherapists (n = 4), service providers/developers (n = 2), researchers (n = 1) and distributors of FES (n = 1). Descriptive analysis of quantitative data and framework analysis of qualitative data were conducted. Results Support for clinical guideline development was clear in the qualitative interviews and the survey results. Survey respondents most strongly endorsed possible uses of the clinical guideline as ensuring best practice and supporting people seeking access to a FES service. Data analysis and synthesis provided clear areas for inclusion in the clinical guidelines, including current research evidence and consensus relating to who is most likely to benefit and optimal service provision as well as pathways to access this. Specific areas for further investigation were summarised for inclusion in the first stage of a Delphi consensus study. Conclusions Key stakeholders believe in the value of a clinical guideline that focuses on the different stages of service provision for FES to support walking. A Delphi consensus study is being planned based on the findings.

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.

Accounting systems and systems of accountability in the New Zealand health sector

1997 ◽  
Vol 10 (5) ◽  
pp. 665-683 ◽  
Author(s):  
S. Lawrence ◽  
M. Alam ◽  
D. Northcott ◽  
T. Lowe
Keyword(s):  
New Zealand ◽  
Health Sector ◽  
Accounting Systems
Sign in / Sign up

Export Citation Format

Share Document