Non-medical prescribing in New Zealand: an overview of prescribing rights, service delivery models and training

Aim: In this paper, we aim to provide an updated source of information for nonmedical prescribing (NMP) in New Zealand (NZ). Methods: A variety of NZ sources were used to collect data: legislation, policy documents and information from professional and regulatory organizations, and education providers. Results: In NZ, the legal categories for prescribers include authorized, designated, and delegated prescribers. Authorized prescribers include dentists, midwives, nurse practitioners, and optometrist prescribers. Designated prescribers include pharmacist prescribers, registered nurse prescribers, and dietitian prescribers. There are no delegated prescribers in NZ at this time. There is variation in the regulation, educational programmes and prescribing competencies used by the different prescribing health professionals involved in NMP in NZ. Conclusion: This update collates relevant information relating to NMP in NZ into one consolidated document and provides policy makers with a current overview of prescribing rights, service delivery models, training requirements, and prescribing competencies used for NMP in NZ. As NMP in NZ continues to expand and evolve, this paper will form a baseline for future NMP research in NZ. NZ needs to develop overarching NMP policy to enable consistency in the various aspects of NMP, thereby delivering a safe and sustainable NMP service in NZ.

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Eye care delivery models to improve access to eye care for Indigenous people in high-income countries: protocol for a scoping review

BMJ Open ◽

10.1136/bmjopen-2019-029214 ◽

2019 ◽

Vol 9 (7) ◽

pp. e029214 ◽

Cited By ~ 1

Author(s):

Helen Burn ◽

Joanna Black ◽

Matire Harwood ◽

Iris Gordon ◽

Anthea M Burnett ◽

...

Keyword(s):

New Zealand ◽

Service Delivery ◽

Indigenous People ◽

High Income ◽

Indigenous Populations ◽

Eye Care ◽

Service Delivery Models ◽

Care Services ◽

Delivery Models ◽

Improve Access

IntroductionGlobally, there are an estimated 370 million Indigenous people across 90 countries. Indigenous people experience worse health compared with non-Indigenous people, including higher rates of avoidable visual impairment. Countries such as Australia and Canada have service delivery models aimed at improving access to eye care for Indigenous people. We will conduct a scoping review to identify and summarise these service delivery models to improve access to eye care for Indigenous people in high-income countries.Methods and analysisAn information specialist will conduct searches on MEDLINE, Embase and Global Health. All databases will be searched from their inception date with no language limits used. We will search the grey literature via websites of relevant government and service provider agencies. Field experts will be contacted to identify additional articles, and reference lists of relevant articles will be searched. All quantitative and qualitative study designs will be eligible if they describe a model of eye care service delivery aimed at Indigenous populations. Two reviewers will independently screen titles, abstracts and full-text articles; and complete data extraction. For each service delivery model, we will extract data on the context, inputs, outputs, Indigenous engagement and enabling health system functions. Where models were evaluated, we will extract details. We will summarise findings using descriptive statistics and thematic analysis.Ethics and disseminationEthical approval is not required, as our review will include published and publicly accessible data. This review is part of a project to improve access to eye care services for Māori in Aotearoa New Zealand. The findings will be useful to policymakers, health service managers and clinicians responsible for eye care services in New Zealand, and other high-income countries with Indigenous populations. We will publish our findings in a peer-reviewed journal and develop an accessible summary of results for website posting and stakeholder meetings.

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New Service Delivery Models: Connecting SLPs with Teachers and Curriculum

ASHA Leader ◽

10.1044/leader.scm1.15102010.22 ◽

2010 ◽

Vol 15 (10) ◽

pp. 22-22

Author(s):

Perry Flynn

Keyword(s):

Service Delivery ◽

Service Delivery Models ◽

Delivery Models

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Reimbursement and Telepractice

Perspectives on Telepractice ◽

10.1044/teles3.2.35 ◽

2013 ◽

Vol 3 (2) ◽

pp. 35-40

Author(s):

Carol Dudding

Keyword(s):

Service Delivery ◽

Healthcare Services ◽

Speech Language Pathology ◽

Delivery Method ◽

Quality Healthcare ◽

Service Delivery Models ◽

Private Lives ◽

Language Pathology ◽

Delivery Models

Whether in our professional or private lives, we are all aware of the system wide efforts to provide quality healthcare services while containing the costs. Telemedicine as a method of service delivery has expanded as a result of changes in reimbursement and service delivery models. The growth and sustainability of telehealth within speech-language pathology and audiology, like any other service, depends on the ability to be reimbursed for services provided. Currently, reimbursement for services delivered via telehealth is variable and depends on numerous factors. An understanding of these factors and a willingness to advocate for increased reimbursement can bolster the success of practitioners interested in the telehealth as a service delivery method.

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Teachers' and Psychologists' Satisfaction With School Psychological Service Delivery Models

PsycEXTRA Dataset ◽

10.1037/e664742011-001 ◽

2011 ◽

Author(s):

Priscilla A. Bade-White ◽

Richard J. Morris ◽

Deborah Levine-Donnerstein

Keyword(s):

Service Delivery ◽

Service Delivery Models ◽

Psychological Service ◽

Delivery Models

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Service Delivery Models to Maximize Quality of Life for Older People at the End of Life: A Rapid Review

Milbank Quarterly ◽

10.1111/1468-0009.12373 ◽

2019 ◽

Vol 97 (1) ◽

pp. 113-175 ◽

Cited By ~ 14

Author(s):

CATHERINE J. EVANS ◽

LUCY ISON ◽

CLARE ELLIS‐SMITH ◽

CAROLINE NICHOLSON ◽

ALESSIA COSTA ◽

...

Keyword(s):

Quality Of Life ◽

Service Delivery ◽

Older People ◽

End Of Life ◽

Rapid Review ◽

Service Delivery Models ◽

Delivery Models

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Minority Alcoholism Programs: Issues in Service Delivery Models

International Journal of the Addictions ◽

10.3109/10826088309033065 ◽

1983 ◽

Vol 18 (7) ◽

pp. 987-1001 ◽

Cited By ~ 5

Author(s):

Donald E. Maypole ◽

Ruth Anderson

Keyword(s):

Service Delivery ◽

Service Delivery Models ◽

Delivery Models

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Eye care delivery models to improve access to eye care for Indigenous peoples in high-income countries: a scoping review

BMJ Global Health ◽

10.1136/bmjgh-2020-004484 ◽

2021 ◽

Vol 6 (3) ◽

pp. e004484

Author(s):

Helen Burn ◽

Lisa Hamm ◽

Joanna Black ◽

Anthea Burnett ◽

Matire Harwood ◽

...

Keyword(s):

Diabetic Retinopathy ◽

Service Delivery ◽

Indigenous Peoples ◽

Indigenous Communities ◽

High Income ◽

Eye Care ◽

Service Delivery Models ◽

Care Services ◽

Delivery Models ◽

Improve Access

PurposeGlobally, there are ~370 million Indigenous peoples. Indigenous peoples typically experience worse health compared with non-Indigenous people, including higher rates of avoidable vision impairment. Much of this gap in eye health can be attributed to barriers that impede access to eye care services. We conducted a scoping review to identify and summarise service delivery models designed to improve access to eye care for Indigenous peoples in high-income countries.MethodsSearches were conducted on MEDLINE, Embase and Global Health in January 2019 and updated in July 2020. All study designs were eligible if they described a model of eye care service delivery aimed at populations with over 50% Indigenous peoples. Two reviewers independently screened titles, abstracts and full-text articles and completed data charting. We extracted data on publication details, study context, service delivery interventions, outcomes and evaluations, engagement with Indigenous peoples and access dimensions targeted. We summarised findings descriptively following thematic analysis.ResultsWe screened 2604 abstracts and 67 studies fulfilled our eligibility criteria. Studies were focused on Indigenous peoples in Australia (n=45), USA (n=11), Canada (n=7), New Zealand (n=2), Taiwan (n=1) and Greenland (n=1). The main disease focus was diabetic retinopathy (n=30, 45%), followed by ‘all eye care’ (n=16, 24%). Most studies focused on targeted interventions to increase availability of services. Fewer than one-third of studies reported involving Indigenous communities when designing the service. 41 studies reflected on whether the model improved access, but none undertook rigorous evaluation or quantitative assessment.ConclusionsThe geographical and clinical scope of service delivery models to improve access to eye care for Indigenous peoples in high-income countries is narrow, with most studies focused on Australia and services for diabetic retinopathy. More and better engagement with Indigenous communities is required to design and implement accessible eye care services.

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