scholarly journals The New Zealand Podiatry profession – a workforce in crisis?

2020 ◽  
Author(s):  
Matthew Carroll ◽  
Hannah Jepson ◽  
Prue Molyneux ◽  
Angela Brenton-Rule
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Private Practice ◽  
Sports Medicine ◽  
Online Survey ◽  
Health Sector ◽  
New Graduates ◽  
The North ◽  
New Graduate ◽  
Survey Responses

Abstract Background This is the first study to explore workforce data from the Podiatrists Board of New Zealand. The study analysed data from an online survey which New Zealand podiatrists complete as part of their application for an Annual Practising Certificate.Methods Survey responses between 2015 and 2019 were analysed. Data was related to work setting, employment status, work hours, location, professional affiliations, and number of graduates entering practice. Survey data was downloaded by a second party who provide data security for the Podiatrists Board of New Zealand workforce data. All data supplied for analysis were deidentified and could not be re-linked to an individual practitioner.Results In 2019 there were 430 podiatrists who held an Annual Practising Certificate. Eighty percent of podiatrists who work in New Zealand are in private practice, with 8% employed in the public health sector. Podiatrist’s work is a mix of general podiatry, diabetes care and sports medicine. The majority are self-employed (40%) or business owners (19%). Approximately 40% work between 31 to 40 hours per week and 46 to 50 weeks per year. The majority are female (67%) with most practising in the North Island (69%) and located in the Auckland region (33%). On average 76% of new graduates were issued an Annual Practising Certificate between 2015 and 2019.Conclusion The New Zealand podiatry profession is small and growing at a slow rate, consequently there is evidence of a workforce shortage. To maintain a per-capita ratio of podiatrists approximate to Australia and the United Kingdom an additional 578 podiatrists are required in the New Zealand workforce. There are not enough new graduate practitioners entering the workforce and once practising, the majority enter private practice in the face of limited public health employment opportunities.

scholarly journals The New Zealand podiatry profession – a workforce in crisis?

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Matthew Carroll ◽  
Hannah Jepson ◽  
Prue Molyneux ◽  
Angela Brenton-Rule
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Private Practice ◽  
Sports Medicine ◽  
Online Survey ◽  
Health Sector ◽  
New Graduates ◽  
The North ◽  
New Graduate ◽  
Survey Responses

Abstract Background This is the first study to explore workforce data from the Podiatrists Board of New Zealand. The study analysed data from an online survey which New Zealand podiatrists complete as part of their application for an Annual Practising Certificate. Methods Survey responses between 2015 and 2019 were analysed. Data was related to work setting, employment status, work hours, location, professional affiliations, and number of graduates entering practice. Survey data was downloaded by a second party who provide data security for the Podiatrists Board of New Zealand workforce data. All data supplied for analysis were deidentified and could not be re-linked to an individual practitioner. Results In 2019 there were 430 podiatrists who held an Annual Practising Certificate. Eighty percent of podiatrists who work in New Zealand are in private practice, with 8% employed in the public health sector. Podiatrist’s work is a mix of general podiatry, diabetes care and sports medicine. The majority are self-employed (40%) or business owners (19%). Approximately 40% work between 31 to 40 h per week and 46 to 50 weeks per year. The majority are female (67%) with most practising in the North Island (69%) and located in the Auckland region (33%). On average 76% of new graduates were issued an Annual Practising Certificate between 2015 and 2019. Conclusion The New Zealand podiatry profession is small and growing at a slow rate, consequently there is evidence of a workforce shortage. To maintain a per-capita ratio of podiatrists approximate to Australia and the United Kingdom an additional 578 podiatrists are required in the New Zealand workforce. There are not enough new graduate practitioners entering the workforce and once practising, the majority enter private practice in the face of limited public health employment opportunities.

scholarly journals The New Zealand Podiatry Profession – A Workforce in Crisis?

2020 ◽  
Author(s):  
Matthew Carroll ◽  
Hannah Jepson ◽  
Prue Molyneux ◽  
Angela Brenton-Rule
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Private Practice ◽  
Sports Medicine ◽  
Online Survey ◽  
Health Sector ◽  
New Graduates ◽  
The North ◽  
New Graduate ◽  
Survey Responses

Abstract BackgroundThis is the first study to explore workforce data from the Podiatrists Board of New Zealand. The study analysed data from an online survey, New Zealand podiatrists complete as part of their application for an Annual Practising Certificate.MethodsSurvey responses between 2015 and 2019 were analysed. Data was related to work setting, employment status, work hours, location, professional affiliations, and number of graduates entering practice. Survey data was downloaded by a second party who provide data security for the Podiatrists Board of New Zealand workforce data. All data supplied for analysis was deidentified and could not be re-linked to an individual practitioner.ResultsIn 2019 there were 430 podiatrists who held an Annual Practising Certificate. Eighty percent of New Zealand podiatrists work in private practice with 8% employed in the public health sector. Podiatrist’s work is a mix of general podiatry, diabetes care and sports medicine. The majority are self-employed (40%) or business owners (19%). Approximately 40% work between 31 to 40 hours per week and 46 to 50 weeks per year. The majority are female (67%) with most practising in the North Island (69%) and located in the Auckland region (33%). On average 76% of new graduates were issued an Annual Practising Certificate between 2015 and 2019.ConclusionThe New Zealand podiatry profession is small and growing at a slow rate, consequently there is evidence of a workforce shortage. To maintain a per-capita ratio of podiatrists approximate to Australia and the United Kingdom an additional 578 podiatrists are required in the New Zealand workforce. There are not enough new graduate practitioners entering the workforce and once practising, the majority enter private practice in the face of limited public health employment opportunities.

scholarly journals A tale of two parts of Switzerland: regional differences in the impact of the COVID-19 pandemic on parents

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Michelle Seiler ◽  
Georg Staubli ◽  
Julia Hoeffe ◽  
Gianluca Gualco ◽  
Sergio Manzano ◽  
...  
Keyword(s):  
Public Health ◽  
Regional Differences ◽  
Online Survey ◽  
Pediatric Emergency ◽  
The South ◽  
Public Health Agencies ◽  
The North ◽  
Regional Strategies ◽  
Health Agencies ◽  
The Impact

Abstract Background We aimed to document the impact of the coronavirus disease 2019 (COVID-19) pandemic on regions within a European country. Methods Parents arriving at two pediatric emergency departments (EDs) in North of Switzerland and two in South of Switzerland completed an online survey during the first peak of the pandemic (April–June 2020). They were asked to rate their concern about their children or themselves having COVID-19. Results A total of 662 respondents completed the survey. Parents in the South were significantly more exposed to someone tested positive for COVID-19 than in the North (13.9 and 4.7%, respectively; P <  0.001). Parents in the South were much more concerned than in the North that they (mean 4.61 and 3.32, respectively; P <  0.001) or their child (mean 4.79 and 3.17, respectively; P <  0.001) had COVID-19. Parents reported their children wore facemasks significantly more often in the South than in the North (71.5 and 23.5%, respectively; P <  0.001). Conclusion The COVID-19 pandemic resulted in significant regional differences among families arriving at EDs in Switzerland. Public health agencies should consider regional strategies, rather than country-wide guidelines, in future pandemics and for vaccination against COVID-19 for children.

scholarly journals Detection of Virulence Genes in Multidrug Resistant Enterococci Isolated from Feedlots Dairy and Beef Cattle: Implications for Human Health and Food Safety

2019 ◽  
Vol 2019 ◽  
pp. 1-13 ◽  
Author(s):  
Frank Eric Tatsing Foka ◽  
Collins Njie Ateba
Keyword(s):  
Public Health ◽  
Antibiotic Resistance ◽  
Virulence Genes ◽  
Efflux Pump ◽  
Health Sector ◽  
Multidrug Resistant ◽  
North West ◽  
The North ◽  
Vancomycin Resistant ◽  
The Impact

The misuse/abuse of antibiotics in intensive animal rearing and communities led to the emergence of resistant isolates such as vancomycin-resistant enterococci (VREs) worldwide. This has become a major source of concern for the public health sector. The aim of this study was to report the antibiotic resistance profiles and to highlight the presence of virulence genes in VREs isolated from feedlots cattle of the North-West Province of South Africa. 384 faecal samples, 24 drinking troughs water, and 24 soil samples were collected aseptically from 6 registered feedlots. Biochemical and molecular methods were used to identify and categorise the enterococci isolates. Their antibiotic resistance profiles were assessed and genotypic methods were used to determine their antibiotic resistance and their virulence profiles. 527 presumptive isolates were recovered, out of which 289 isolates were confirmed asEnterococcussp. Specifically,E. faecalis(9%),E. faecium(10%),E. durans(69%),E. gallinarum(6%),E. casseliflavus(2%),E. mundtii(2%), andE. avium(2%) were screened after molecular assays.VanA(62%),vanB(17%), andvanC(21%) resistance genes were detected in 176Enterococcussp., respectively. Moreover,tetK(26),tetL(57),msrA/B(111), andmefA(9) efflux pump genes were detected in 138 VRE isolates.Multiple antibiotic resistances were confirmed in all the VRE isolates of this study; the most common antibiotic resistance phenotype wasTETR-AMPR-AMXR-VANR-PENR-LINR-ERYR.CylA,hyl,esp,gelE, andasa1virulence genes were detected in 86 VREs with the exception of vancomycin-resistantE. mundtiiisolates that did not display any virulence factor. Most VRE isolates had more than one virulence genes but the most encountered virulence profile wasgelE-hyl. Potentially pathogenic multidrug resistant VREs were detected in this study; this highlights the impact of extensive usage of antimicrobials in intensive animal rearing and its implications on public health cannot be undermined.

Historical Context and Current Status of the Intersection of Physical Activity and Public Health: Results of the 2015 American Kinesiology Association’s Opportunities for Kinesiology Survey

2015 ◽  
Vol 4 (4) ◽  
pp. 329-345 ◽  
Author(s):  
Bradley J. Cardinal ◽  
Minsoo Kang ◽  
James L. Farnsworth ◽  
Gregory J. Welk
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Online Survey ◽  
Overall Response Rate ◽  
Historical Context ◽  
Community Outreach ◽  
Current Status ◽  
Survey Results ◽  
Survey Responses ◽  
Program Options

Kinesiology leaders were surveyed regarding their views of the (re)emergence of physical activity and public health. Their views were captured via a 25-item, online survey conducted in 2014. The survey focused on four areas: (a) types of affiliation with public health; (b) program options and course coverage; (c) outreach programming; and (d) perspectives on integration. Member and nonmember institutions of the American Kinesiology Association received the survey. Responses were received from 139 institutional leaders, resulting in an overall response rate of 21.4%. Key findings included that the combination of physical activity and public health was seen as both a stand-alone subdisciplinary area within kinesiology and also an area that has a great deal of potential for collaboration, the acquisition of external funding, and further strengthening of community outreach and engagement. The survey results are placed in historical context and interpreted with various caveats and limitations in mind.

scholarly journals Would employment-based health savings accounts help Medicare

1999 ◽  
Vol 22 (4) ◽  
pp. 3 ◽  
Author(s):  
Don Hindle ◽  
Ian McAuley
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Private Practice ◽  
Health Sector ◽  
Public Health Services ◽  
Health Savings Accounts ◽  
Savings Accounts ◽  
The Social ◽  
Pro Bono ◽  
British Health

The health systems of Australia and New Zealand are built on common foundations which largely reflect the social and institutional underpinnings of the British health sector. Both countries initially relied upon a combination of privately-funded services for those who could afford them and charitable support for those who were less well off. They introduced formalised regulation and licensing of health professionals and government-funded and delivered public health services. Senior medical staff divided their time between fee-earning private practice and pro bono work in the charitable/voluntary sector, and so on.

scholarly journals Health Needs Assessment: Impact on Planning and Purchasing in the Public Health Sector in New Zealand

2021 ◽  
Author(s):  
◽  
Gregor David Coster
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Needs Assessment ◽  
Health Sector ◽  
Document Analysis ◽  
Health Needs ◽  
Health Needs Assessment ◽  
The Public ◽  
Strategic Plans ◽  
The Impact

<p>Health needs assessment (HNA) is one of the features of the New Zealand health system established by the New Zealand Public Health and Disability Act 2000. District Health Boards (DHBs) are to conduct HNAs, and planning of health services is intended to take into account the health needs of the population. Key questions for research relate to the impact of HNA on DHB planning and purchasing in a political/bureaucratic model of governance. This research was undertaken within a public policy framework that focused on evaluating the reforms against policy goals and expectations, and particularly against the influences that might be predicted from the HNA and prioritisation policy. Consideration was given to the range and effectiveness of past HNAs as well as the expectations and experiences of the DHB model in regard to HNA. Document analysis and 34 interviews were conducted regarding 50 HNAs conducted in the public health sector from 1991-2000 to assess their impact on service delivery, decision-making, and policy. Document analysis was undertaken on DHB HNAs, prioritisation frameworks, board priorities, District Strategic Plans, and District Annual Plans for each of 20 DHBs. Planning and Funding managers were interviewed using semi-structured interview techniques to ascertain their experiences and views regarding the use of HNAs in planning. Grounded theory approaches were mainly used for the interview analysis. Case studies of five DHBs provided an in-depth understanding of the connections between health needs assessment, prioritisation, District Strategic Plans and District Annual Plans. Collection of contextual data provided an understanding of the influence of other policy decisions made locally or nationally. Using triangulation, conclusions were drawn regarding the effectiveness and impact of HNA and prioritisation on planning and health service purchasing by DHBs. The implications for public policy were then considered. Recent needs assessments conducted by DHBs mostly met the minimum requirements of the Ministry of Health, but the quality was variable. DHB Planning and Funding Managers were unanimously positive regarding the usefulness of HNAs, and felt that there were good connections between them and the planning process (Connection Score). However, the impact of HNAs on planning and purchasing measured using document analysis (Impact Factor) was lower than expected. A number of barriers to effective use were identified. More focused HNA by DHBs is recommended with the use of mixed scanning approaches and service development groups directed towards specific service planning areas. Recommendations are made regarding future policy for HNA and prioritisation.</p>

scholarly journals The Power of Partnerships: State Public Health Department Multisector Collaborations in Major Chronic Disease Program Areas

2021 ◽  
Author(s):  
Edward Tsai ◽  
Peg Allen ◽  
Louise F Saliba ◽  
Ross C Brownson
Keyword(s):  
Public Health ◽  
Cardiovascular Disease ◽  
Chronic Disease ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Online Survey ◽  
Health Sector ◽  
Determinants Of Health ◽  
Public Health Department ◽  
Work Unit

Abstract Background Multisector collaboration between state health departments (SHDs) and diverse community partners is increasingly recognized as important for promoting positive public health outcomes, addressing social determinants of health, and reducing health inequalities. This study investigates collaborations between SHDs and different types of organizations addressing chronic disease in and outside of the health sector. Methods SHD employees were randomly selected from the National Association of Chronic Disease Directors membership list for participation in an online survey. Participants were asked about their primary chronic disease work unit (cancer, obesity, tobacco, diabetes, cardiovascular disease, and others), as well as their work unit collaborations (exchange of information/cooperation in activities) with organizations in health and non-health sectors. As a measure of the different organizations SHDs collaborated with in health and non-health sectors, a collaboration heterogeneity score for each program area was calculated. One-way ANOVA with Tukey’s post hoc tests were used to assess differences in collaborator heterogeneity between program areas. Results A total of 574 participants were surveyed. Results indicated the cancer program area, along with diabetes and cardiovascular disease, had significantly less collaboration heterogeneity with organizations outside of the health sector compared to the obesity and tobacco program areas. Conclusions Evidence suggests that to address social determinants of health and promote health equity, increased public health collaborations with diverse non-health sector community-based settings is critical.

Engaged, overextended, or burned out: What is the state of the disaster response workforce?

2021 ◽  
Vol 19 (9) ◽  
pp. 159-168
Author(s):  
Kelsey L. Merlo, PhD ◽  
Kayla C. Jones, MA ◽  
Katrina M. Conen, BA ◽  
Elizabeth A. Dunn, MPH, CPH ◽  
Blake L. Scott, MPH ◽  
...  
Keyword(s):  
Public Health ◽  
Cluster Analysis ◽  
Emotional Exhaustion ◽  
Disaster Response ◽  
Online Survey ◽  
Initial Study ◽  
System Level ◽  
Personal Efficacy ◽  
Study Results ◽  
Survey Responses

The prolonged coronavirus-2019 (COVID-19) pandemic and co-occurring disasters during 2020 took a toll on everyone, taxing public health and disaster management personnel particularly. This initial study evaluated levels of exhaustion, cynicism, and professional efficacy among a broad array of the disaster workforce responding to these events through an online survey. Responses were compared to normative standards from an international dataset using a one-sample t-test and described using k-means cluster analysis. Results from 111 emergency management and disaster services, public health, healthcare, first responders, and other professionals and volunteers indicated high levels of emotional exhaustion and cynicism, along with high levels of personal efficacy compared to normative samples. Perceptions of the heightened risk of contracting COVID-19 were significantly associated with increased emotional exhaustion and cynicism. Cluster analysis results indicated three different patterns of burnout: half of the respondents were overextended (high levels of emotional exhaustion, cynicism, and efficacy) or burned out (high emotional exhaustion and cynicism, low efficacy), while 50 percent were engaged (low emotional exhaustion, low cynicism, and high personal efficacy). This suggests that despite the COVID-19 pandemic, a substantial proportion of the disaster response workforce is still thriving. However, a large proportion is burned out or at high risk (overextended). Limitations of this study include a lack of diversity in the sample, which, although similar to the demographic characteristics of the emergency manager population, may limit the generalizability of the study results. System-level planners can use this information to develop comprehensive workforce approaches, policies, and procedures to prevent burnout for these essential personnel working behind the scenes.

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