Measuring patient‐centredness in publicly funded fertility care: A New Zealand validation and international comparison of the Patient‐Centred Questionnaire‐Infertility

2018 ◽  
Vol 59 (2) ◽  
pp. 265-271
Author(s):  
Selma M. Mourad ◽  
Cate Curtis ◽  
Guy Gudex ◽  
Margaret Merrilees ◽  
John Peek ◽  
...  
Keyword(s):  
New Zealand ◽  
International Comparison ◽  
Publicly Funded ◽  
Patient Centredness

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.

Research for the Upstream Petroleum Sector: The Crown Research Institute Concept

1995 ◽  
Vol 13 (2-3) ◽  
pp. 245-252
Author(s):  
J M Beggs
Keyword(s):  
New Zealand ◽  
Oil And Gas ◽  
Sedimentary Basins ◽  
Source Rocks ◽  
Publicly Funded ◽  
Petroleum Systems ◽  
Oil And Gas Resources ◽  
Petroleum Sector ◽  
Geological Sciences ◽  
Research Institute

New Zealand's scientific institutions have been restructured so as to be more responsive to the needs of the economy. Exploration for and development of oil and gas resources depend heavily on the geological sciences. In New Zealand, these activities are favoured by a comprehensive, open-file database of the results of previous work, and by a historically publicly funded, in-depth knowledge base of the extensive sedimentary basins. This expertise is now only partially funded by government research contracts, and increasingly undertakes contract work in a range of scientific services to the upstream petroleum sector, both in New Zealand and overseas. By aligning government-funded research programmes with the industry's knowledge needs, there is maximum advantage in improving the understanding of the occurrence of oil and gas resources. A Crown Research Institute can serve as an interface between advances in fundamental geological sciences, and the practical needs of the industry. Current publicly funded programmes of the Institute of Geological and Nuclear Sciences include a series of regional basin studies, nearing completion; and multi-disciplinary team studies related to the various elements of the petroleum systems of New Zealand: source rocks and their maturation, migration and entrapment as a function of basin structure and tectonics, and the distribution and configuration of reservoir systems.

The repatriation of human remains – problem or opportunity?

Antiquity ◽  
2004 ◽  
Vol 78 (300) ◽  
pp. 404-413 ◽  
Author(s):  
Laurajane Smith
Keyword(s):  
New Zealand ◽  
North America ◽  
Indigenous Peoples ◽  
Legal Status ◽  
Culture Media ◽  
Human Remains ◽  
Indigenous Communities ◽  
Publicly Funded ◽  
Cultural Groups ◽  
Historical Continuity

The editor’s question “who do human skeletons belong to?” (Antiquity 78: 5) can be answered positively, but it must be answered in context. The question was prompted by reports from the Working Group on Human Remains established by the British government’s Department for Culture, Media and Sport (DCMS) in 2001 to review the current legal status of human remains held in all publicly funded museums and galleries, and to consider and review submissions on the issue of the return of non-UK human remains to their descendent communities (DCMS 2003: 1-8). In effect, the report was primarily concerned with human remains from Indigenous communities, using a definition which follows the UN Draft Declaration on the Rights of Indigenous Peoples as “distinct cultural groups having a historical continuity with pre-colonial societies that developed on their territories” (DCMS 2003:7). Consequently, the report deals primarily with the Indigenous communities of Australia, New Zealand and North America.

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 Seeing Themselves:  Cultural Identity and New Zealand Produced  Children's Television

2021 ◽  
Author(s):  
◽  
Ngaire Shepherd
Keyword(s):  
Discourse Analysis ◽  
New Zealand ◽  
Social Construction ◽  
Cultural Identity ◽  
Children's Television ◽  
Publicly Funded ◽  
Similarities And Differences ◽  
Children's Programming

<p>The New Zealand television environment is a complex one, and its ability to instil a sense of 'cultural identity' for New Zealand viewers has been regularly debated. Local children's programming is an area that can sometimes be overlooked in these important discussions. Children's programming in New Zealand is almost entirely publicly funded and is therefore legislatively tied to 'reflecting' cultural identity for a New Zealand child audience. This raises questions about how cultural identity is defined and understood within this industry,  especially considering the inherent differences between a child audience and adult programme makers. These questions are engaged with through an examination of how cultural identity is discussed by funders, producers and audiences of four locally produced television brands: What Now?, Sticky TV, Studio 2 and Pukana. This thesis considers cultural identity to be a social construction that is both fluid and, in a New Zealand context, tied to certain expectations of 'New Zealandness'. This fluidity is examined through a discourse analysis of how funders, producers and audiences talk about each programme as well as cultural identity, in order to examine similarities and differences in how each group conceptualises this important funding concept. The argument is formed that cultural identity is understood in different terms: for children cultural identity is foremost about belonging to and 'seeing themselves' in a larger community of New Zealand children, while programme makers are concerned with the problematic notion of 'reflecting' "kids' worlds".</p>

scholarly journals Disclosure of treatment injury in New Zealand's no-fault compensation system

2007 ◽  
Vol 31 (1) ◽  
pp. 116 ◽  
Author(s):  
Laurence Malcolm ◽  
Pauline Barnett
Keyword(s):  
New Zealand ◽  
Telephone Interview ◽  
Publicly Funded ◽  
District Health ◽  
Hospital System ◽  
Fault Compensation ◽  
Preventable Harm ◽  
High Level ◽  
Disclosure Practice ◽  
Detailed Questionnaire

In July 2005 New Zealand became the first country to establish comprehensive no fault coverage for all treatment injury. This paper reports on a study of disclosure policies and practices related to treatment injury within the New Zealand hospital system. All 21 district health boards (DHBs), which provide publicly funded hospital services, were asked to complete a detailed questionnaire, with 90% responding. This was followed by an extended telephone interview with the chief clinical advisers and quality managers of 11 DHBs. Most respondents reported that their boards had an established policy or were developing one. DHBs reported a high level of disclosure practice, even for preventable harm. All indicated that disclosure was now felt to be safer than non-disclosure, although this view was not shared by all grassroots clinicians. The New Zealand experience may point to ways of achieving fairer and accessible compensation for patients.

Kumara Kai or the Big Mac Pak? Television for Six- to 12-Year-Olds in New Zealand

1999 ◽  
Vol 93 (1) ◽  
pp. 91-102 ◽  
Author(s):  
Ruth Zanker
Keyword(s):  
New Zealand ◽  
Public Service ◽  
Small Population ◽  
Publicly Funded ◽  
Service Channel ◽  
Local Television ◽  
Funding Mechanisms

The producers of local television for children in New Zealand face daunting challenges. No public-service channel exists in New Zealand's deregulated television environment and the country has a small population of 3 million. This paper draws on a year-long production case-study of a publicly funded flagship magazine program for six- to 12-year-olds and considers the strategies used by a range of other productions targeting the same audience. This paper raises questions about the rationale of current funding mechanisms.

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