scholarly journals Travel Patterns of Women Giving Birth in the Southern District Health Board

2021 ◽  
Author(s):  
◽  
Pauline Dawson
Keyword(s):  
Rural Women ◽  
Spatial Modelling ◽  
Health Board ◽  
Complex Care ◽  
Travel Patterns ◽  
District Health ◽  
Safe Place ◽  
Birth Place ◽  
Southern District ◽  
Care Facilities

<p>The objective of this mixed method piece of descriptive research is to analyse travel patterns of New Zealand women relating to their selected place of birth, focusing on residents of the Southern District Health Board. It also explores the motivations of a sample of women in this area regarding their birth place choices.   Data extracted from Southern District Health Board 2013 electronic records, were analysed using geographic information system software. Spatial modelling was also conducted using this dataset. The second part of the study involved a questionnaire issued to women in Southern District Health Board maternity facilities during a three month period in 2014.   In the analysis of 2013 data that women appeared to be by-passing smaller primary maternity units in preference for larger complex care facilities. Spatial modelling examined some possible geographic reasons for this and improved service placement was also modelled based on 2013 demand. Survey results were congruent with other similar research, in that the main reasons for women choosing birth place were a combination of seeking out a safe place whilst remaining as close to home as possible. These priorities caused a tension of distance for rural women. There was no significant statistical variance in the responses between demographic groups.  Women are prioritising safety when they choose their birth place. In a large sparsely-populated District Health Board like Southern, this results in some women making long journeys to their chosen birth place as they select complex care facilities over closer primary maternity units or home.</p>

scholarly journals Travel Patterns of Women Giving Birth in the Southern District Health Board

2021 ◽  
Author(s):  
◽  
Pauline Dawson
Keyword(s):  
Rural Women ◽  
Spatial Modelling ◽  
Health Board ◽  
Complex Care ◽  
Travel Patterns ◽  
District Health ◽  
Safe Place ◽  
Birth Place ◽  
Southern District ◽  
Care Facilities

<p>The objective of this mixed method piece of descriptive research is to analyse travel patterns of New Zealand women relating to their selected place of birth, focusing on residents of the Southern District Health Board. It also explores the motivations of a sample of women in this area regarding their birth place choices.   Data extracted from Southern District Health Board 2013 electronic records, were analysed using geographic information system software. Spatial modelling was also conducted using this dataset. The second part of the study involved a questionnaire issued to women in Southern District Health Board maternity facilities during a three month period in 2014.   In the analysis of 2013 data that women appeared to be by-passing smaller primary maternity units in preference for larger complex care facilities. Spatial modelling examined some possible geographic reasons for this and improved service placement was also modelled based on 2013 demand. Survey results were congruent with other similar research, in that the main reasons for women choosing birth place were a combination of seeking out a safe place whilst remaining as close to home as possible. These priorities caused a tension of distance for rural women. There was no significant statistical variance in the responses between demographic groups.  Women are prioritising safety when they choose their birth place. In a large sparsely-populated District Health Board like Southern, this results in some women making long journeys to their chosen birth place as they select complex care facilities over closer primary maternity units or home.</p>

scholarly journals Use of aspirin and statins for cardiovascular risk reduction in New Zealand: The residential care story

2009 ◽  
Vol 1 (3) ◽  
pp. 184 ◽  
Author(s):  
Jae Bon Hoem ◽  
Ngaire Kerse ◽  
Shane Scahill ◽  
Simon Moyes ◽  
Charlotte Chen ◽  
...  
Keyword(s):  
New Zealand ◽  
General Practitioners ◽  
Residential Care ◽  
Prescribing Patterns ◽  
Health Board ◽  
District Health ◽  
Cardiovascular Risk Reduction ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Social Debate

INTRODUCTION : Cardiovascular disease (CVD) is one of the leading causes of morbidity and mortality for older New Zealanders. Medication prescribing for secondary prevention of cardiovascular events in residential care is unknown and prescribing patterns for aspirin and statins by general practitioners (GPs) in residential care facilities in Auckland, New Zealand are reported here. METHODS: A representative sample of residential care facilities, all residents over age 65 years and their GPs in one district health board region in Auckland were recruited. Prescribing and medical records were audited by a trained nurse and medications coded into classes according to a standardised process. Diagnoses from summary sheets and hospital letters were recorded. Descriptive statistics were used to show variability in proportion of residents prescribed aspirin and statins. RESULTS: Of a total of 24 facilities approached, 14 consented to participate (58%); 537 residents (88% of eligible) agreed to participate and 533 completed the study. Residents took on average 8.3 (standard deviation 2.4) medications. On average 2.64 (range 1–6) GPs serviced each facility with eight GPs working in more than one facility. On average 54% of residents with documented CVD were prescribed aspirin and 31% of those with CVD and/or dyslipidaemia were prescribed statins. Variability between prescribers and facilities was high. DISCUSSION: Prescribing in residential care does not appear to be guidelines-based. The reasons for this are unknown. Ongoing social debate about the role of prevention for older people and interventions for GPs and residential care facilities may impact prescribing rates. KEYWORDS: Cardiovascular diseases; residential care; aspirin; statins; prescribing patterns; general practitioners

Older adults abuse: analysis of a New Zealand national dataset

2020 ◽  
Vol 32 (8) ◽  
pp. 1003-1008
Author(s):  
Yvette Hall ◽  
Philippa Greco ◽  
Kenny Hau ◽  
Yoram Barak
Keyword(s):  
New Zealand ◽  
Assessment Instrument ◽  
Health Board ◽  
District Health ◽  
Preliminary Screening ◽  
Decision Making Capacity ◽  
Southern District ◽  
Care Assessment ◽  
Resident Assessment ◽  
Resident Assessment Instrument

ABSTRACTOlder adult abuse (OAA), defined as abuse, neglect, or mistreatment of persons aged 65 years or older, is a globally pervasive concern, with severe consequences for its victims. While internationally reported rates of OAA are in the range of 5–20% per annum, New Zealand lacks the necessary data to quantify the issue. However, with a growing aging population, an increase in the prevalence of OAA is predicted. We investigated the extent of OAA in New Zealand, utilizing the mandatory interRAI-HC (International Resident Assessment Instrument-home care assessment) dataset, which included 18,884 interviewees from the Southern District Health Board between 2013 and 2019. Findings confirmed our hypothesis that the interRAI assessment is neither sufficiently sensitive nor specific capturing only 3% from a population of increased frailty and thus at higher risk of abuse. We characterized OAA victims as relatively younger males, depressed, and with impaired decision-making capacity. If the interRAIs were to serve as a preliminary screening tool for OAA in New Zealand, it would be germane to implement changes to improve its detection rate. Further studies are urgently called for to test changes in the interRAI that will aid in identifying often missed cases of OAA better and thus offer protection to this vulnerable population.

scholarly journals The Persistence of Neutralising Antibodies up to 11 months after SARS-CoV-2 Infection in the Southern Region of New Zealand

2021 ◽  
Author(s):  
Reuben McGregor ◽  
Alyson Craigie ◽  
Susan Jack ◽  
Arlo Upton ◽  
Nicole J. Moreland ◽  
...  
Keyword(s):  
New Zealand ◽  
Natural Infection ◽  
Antibody Responses ◽  
Health Board ◽  
District Health ◽  
Neutralising Antibodies ◽  
Southern District ◽  
Infection Event ◽  
Community Transmission ◽  
Serious Disease

SummaryDuring the first wave of SARS-CoV-2 infection in New Zealand a cohort of 78 PCR-confirmed COVID-19 cases was recruited in the Southern District Health Board region. Here we report on this unique cohort nearly 1-year after infection. There was no known community transmission in the region over the study period due to New Zealand’s elimination status at the time, nor had any participants received a COVID-19 vaccine. In the absence of re-exposure, antibody reactivity to the viral spike protein, as well as neutralising antibodies to both the ancestral strain and the delta variant remained relatively stable between 8 and 11 months post-infection. This suggests long-lived antibody responses can be generated from a single natural infection event. However, given the risks of serious disease associated with SARS-CoV-2 infection, vaccination is still strongly recommended.

Women at Work: Innkeeping in the Highlands and Islands of Scotland 1790–1840

2017 ◽  
Vol 37 (2) ◽  
pp. 155-176 ◽  
Author(s):  
Theresa Mackay
Keyword(s):  
Rural Women ◽  
Popular Fiction ◽  
Travel Patterns ◽  
Economic Diversity

Between 1790 and 1840 Scotland's Highlands and Islands saw a rise in the number of travellers due to transportation changes, war on the Continent, and popular fiction. Consequently, the number of inns increased in response to this shift in local travel patterns and influx of visitors. By examining where the growth in inns happened, who managed them, and what services were offered, this article argues that the Highlands and Islands economy was both complex and commercial. It establishes that rural women were innkeepers of multifaceted hospitality operations responding to market demands and enabling economic diversity in their communities, the result of which was the hospitality infrastructure for tourism.

Registered nurse prescribing: A descriptive survey of prescribing practices in a single district health board in Aotearoa New Zealand

2020 ◽  
Vol 36 (3) ◽  
pp. 61-72
Author(s):  
Melinda McGinty ◽  
◽  
Betty Poot ◽  
Jane Clarke ◽  
◽  
...  
Keyword(s):  
Primary Care ◽  
New Zealand ◽  
Registered Nurse ◽  
Health Conditions ◽  
Health Board ◽  
Prescribing Practices ◽  
District Health ◽  
Survey Tool ◽  
Aotearoa New Zealand ◽  
Descriptive Survey

The expansion of prescribing rights in Aotearoa New Zealand has enabled registered nurse prescribers (RN prescribers) working in primary care and specialty teams, to enhance nursing care, by prescribing medicines to their patient population. This widening of prescribing rights was to improve the population’s access to medicines and health care; however, little is known about the medications prescribed by RN prescribers. This paper reports on a descriptive survey of self-reported RN prescribers prescribing in a single district health board. The survey tool used was a Microsoft Excel spreadsheet to record nurse’s area of practice, patient demographic details, health conditions seen, and medicines prescribed and deprescribed. Simple data descriptions and tabulations were used to report the data. Eleven RN prescribers consented to take part in the survey and these nurses worked in speciality areas of cardiology, respiratory, diabetes, and primary care. Findings from the survey demonstrated that RN prescribers prescribe medicines within their area of practice and within the limits of the list of medicines for RN prescribers. Those working in primary care saw a wider range of health conditions and therefore prescribed a broader range of medications. This survey revealed that the list of medications available for RN prescribers needs to be updated regularly to align with the release of evidence-based medications on the New Zealand Pharmaceutical Schedule. It is also a useful record for both educational and clinical settings of the types of medications prescribed by RN prescribers.

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