scholarly journals Contracting public health and social services: insights from complexity theory for Aotearoa New Zealand

2020 ◽  
pp. 1-16
Author(s):  
Judy Oakden ◽  
Mat Walton ◽  
Jeff Foote
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Social Services ◽  
Complexity Theory ◽  
Health And Social Services ◽  
Aotearoa New Zealand

Locking down behavioural compliance: The role of emotion and emotion regulation in breaches of COVID-19 mitigation measures in Aotearoa New Zealand

2021 ◽  
pp. 135910532110299
Author(s):  
Terise Broodryk ◽  
Kealagh Robinson
Keyword(s):  
Public Health ◽  
Young Adults ◽  
New Zealand ◽  
Health Behaviours ◽  
Mitigation Measures ◽  
Aotearoa New Zealand ◽  
High Knowledge ◽  
The Cost ◽  
Insight Into

Although anxiety and worry can motivate engagement with COVID-19 preventative behaviours, people may cognitively reframe these unpleasant emotions, restoring wellbeing at the cost of public health behaviours. New Zealand young adults ( n = 278) experiencing nationwide COVID-19 lockdown reported their worry, anxiety, reappraisal and lockdown compliance. Despite high knowledge of lockdown policies, 92.5% of participants reported one or more policy breaches ( M  = 2.74, SD = 1.86). Counter to predictions, no relationships were found between anxiety or worry with reappraisal or lockdown breaches. Findings highlight the importance of targeting young adults in promoting lockdown compliance and offer further insight into the role of emotion during a pandemic.

Health(y) education: A critical analysis of the role of public health regulation in and on tertiary education in Aotearoa New Zealand

2021 ◽  
pp. 147821032199501
Author(s):  
Susan Shaw ◽  
Keith Tudor
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Critical Analysis ◽  
Tertiary Education ◽  
Power Dynamics ◽  
Policy And Practice ◽  
Educational Design ◽  
Aotearoa New Zealand ◽  
Public Health Regulation

This article offers a critical analysis of the role of public health regulation on tertiary education in Aotearoa New Zealand and, specifically, the requirements and processes of Responsible Authorities under the Health Practitioners Competence Assurance Act for the accreditation and monitoring of educational institutions and their curricula (degrees, courses of studies, or programmes). It identifies and discusses a number of issues concerned with the requirements of such accreditation and monitoring, including, administrative requirements and costs, structural requirements, and the implications for educational design. Concerns with the processes of these procedures, namely the lack of educational expertise on the part of the Responsible Authorities, and certain manifested power dynamics are also highlighted. Finally, the article draws conclusions for changing policy and practice.

scholarly journals Genomic epidemiology reveals transmission patterns and dynamics of SARS-CoV-2 in Aotearoa New Zealand

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Jemma L. Geoghegan ◽  
Xiaoyun Ren ◽  
Matthew Storey ◽  
James Hadfield ◽  
Lauren Jelley ◽  
...  
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Health Interventions ◽  
Genomic Diversity ◽  
Reproductive Number ◽  
Genomic Epidemiology ◽  
Aotearoa New Zealand ◽  
Time Period ◽  
Essential Services ◽  
Health And Disease

AbstractNew Zealand, a geographically remote Pacific island with easily sealable borders, implemented a nationwide ‘lockdown’ of all non-essential services to curb the spread of COVID-19. Here, we generate 649 SARS-CoV-2 genome sequences from infected patients in New Zealand with samples collected during the ‘first wave’, representing 56% of all confirmed cases in this time period. Despite its remoteness, the viruses imported into New Zealand represented nearly all of the genomic diversity sequenced from the global virus population. These data helped to quantify the effectiveness of public health interventions. For example, the effective reproductive number, Re of New Zealand’s largest cluster decreased from 7 to 0.2 within the first week of lockdown. Similarly, only 19% of virus introductions into New Zealand resulted in ongoing transmission of more than one additional case. Overall, these results demonstrate the utility of genomic pathogen surveillance to inform public health and disease mitigation.

scholarly journals Differentiation of organizational climate and culture in public health and social services in Finland

2010 ◽  
Vol 19 (1) ◽  
pp. 39-47 ◽  
Author(s):  
Ilmari Rostila ◽  
Tarja Suominen ◽  
Paula Asikainen ◽  
Philip Green
Keyword(s):  
Public Health ◽  
Organizational Climate ◽  
Social Services ◽  
Health And Social Services

Gambling issues for Tongan people in Auckland, Aotearoa-New Zealand

2004 ◽  
Author(s):  
Sione Tu'itahi ◽  
Yvette Guttenbeil-Po'uhila ◽  
Jennifer Hand ◽  
Tin Htay
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Health Service ◽  
Public Health Service ◽  
Research Progress ◽  
Research Project ◽  
Aotearoa New Zealand ◽  
Regional Public Health ◽  
Future Plans

This paper focuses on a research project on gambling issues within the Tongan community in Auckland, New Zealand that was conducted by the Auckland Regional Public Health Service (ARPHS). It outlines the background and rationale for the research, progress as of the time of writing, preliminary findings, and future plans.

scholarly journals Integration of Health and Social Services at the Systems Level: A Framework for Addressing Funding and Jurisdictional Silos

2020 ◽  
Vol 110 (S2) ◽  
pp. S197-S203
Author(s):  
J. Mac McCullough ◽  
Jonathon P. Leider ◽  
Megan A. Phillips
Keyword(s):  
Public Health ◽  
Social Services ◽  
Social Service ◽  
Service Integration ◽  
Health Spending ◽  
County Government ◽  
Social Service Agencies ◽  
Health And Social Services ◽  
Mixed Methods Case Study ◽  
Per Capita

Objectives. To examine spending and resource allocation decision-making to address health and social service integration challenges within and between governments. Methods. We performed a mixed methods case study to examine the integration of health and social services in a large US metropolitan area, including a city and a county government. Analyses incorporated annual budget data from the city and the county from 2009 to 2018 and semistructured interviews with 41 key leaders, including directors, deputies, or finance officers from all health care–, health-, or social service–oriented city and county agencies; lead budget and finance managers; and city and county executive offices. Results. Participants viewed public health and social services as qualitatively important, although together these constituted only $157 or $1250 total per capita spending in 2018, and per capita public health spending has declined since 2009. Funding streams can be siloed and budget approaches can facilitate or impede service integration. Conclusions. Health and social services should be integrated through greater attention to the budgetary, jurisdictional, and programmatic realities of health and social service agencies and to the budget models used for driving the systems-level pursuit of population health.

The Epidemiology of Māori Suicide in Aotearoa/New Zealand

2000 ◽  
Vol 12 ◽  
pp. 1-12
Author(s):  
Nicole M. Coupe
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Suicide Rate ◽  
Age Groups ◽  
Public Health Problem ◽  
Epidemiological Data ◽  
Public Health Issue ◽  
Major Public Health Problem ◽  
Age Group ◽  
Aotearoa New Zealand

AbstractSuicide is a Māori Public Health Issue. Suicide rates in Aotearoa/New Zealand are amongst the highest in OECD countries in the 15-24 year age group and second only to Hungary in other age groups (WHO, 1996; Disley & Coggan, 1996). Suicide is the leading cause of death for young people under the age of 25 years in Aotearoa/New Zealand and a major public health problem (Coggan, 1997). Approximatel, 540 New Zealanders kill themselves each year (Rose, Hatcher, & Koelmeyer, 1999). The total Māori suicide rate (per 100 000) increased to 17.5 in 1997, compared to non-Māori (13.1), and the Māori youth suicide rate (33.9) far exceeded the equivalent non-Māori rate (24.3), reflecting the disparity between Māori and non-Māori (Ministry of Health, 1997). This paper aims to present epidemiological data on Māori suicide and then use the existing literature to discuss possible reasons for the high Māori rate.

scholarly journals Evaluation designs of outpatient health centres focusing on vulnerable patient groups

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Winkler ◽  
I Reinsperger
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Status ◽  
Social Services ◽  
Complex Interventions ◽  
Health And Social Services ◽  
Vulnerable Patient ◽  
Patient Groups ◽  
Health Institutions ◽  
The Impact

Abstract Background Homeless and non-insured persons experience worse physical and mental health than comparable populations. Outpatient (public) health institutions, which are easily accessible, contribute considerably to the medical treatment of vulnerable patient groups. Sound evaluation methods, indicators and instruments are necessitated to target patients’ needs and to enable strategic health and social policy planning. Methods We conducted a systematic literature search in several databases (PubMed, EMBASE, PsycINFO etc.) for studies from 2000 to 2019 reporting on evaluations in outpatient health institutions for homeless and/ or non-insured patients. In addition, we contacted 5 Austrian public health/ research institutions dealing with complex interventions for relevant publications. Results 12 evaluation studies and 7 evaluation reports met our inclusion criteria. Evaluation designs mostly considered various target groups and nearly all assessments pursued a ’mixed-method’ approach. 13 publications assessed socio-demographic data, 11 the use of health and social services and 7 patients’ health status. Further indicators related to ’satisfaction issues’ such as patients’ satisfaction with the provided range of health and social services (n = 7). 6 publications reported on health economic indicators. In total, 7 out of 19 studies reported on evaluation instruments; most instruments (n = 6) were on patients’ mental health status. Conclusions Patients represented the major target group in the included evaluations. There is little research on evaluation indicators directing on health professionals. Evaluations focusing on the intersectional levels (e.g. the impact of health programmes for vulnerable groups on various institutions) are lacking. Key messages Evaluation designs involving ‘hardly to reach populations’ shall consider a ‘participatory assessment approach’ to avoid drop-outs and to create a trustworthy evaluation situation. Hence, evaluation indicators shall be commonly selected and adequately reflect patients’ realities.

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