scholarly journals Management of Adults with Acute Oesophageal Soft Food Bolus and Foreign Body Obstructions at Two New Zealand District Health Boards

2021 ◽  
Vol Volume 14 ◽  
pp. 237-247
Author(s):  
Robert Hackett ◽  
Anthony Brownson ◽  
Jason Hill ◽  
Zoe Raos
Keyword(s):  
New Zealand ◽  
Foreign Body ◽  
Food Bolus ◽  
District Health ◽  
Health Boards

Variation in the adoption of patient safety practices among New Zealand district health boards

2012 ◽  
Vol 36 (2) ◽  
pp. 163 ◽  
Author(s):  
Antony Raymont ◽  
Patrick Graham ◽  
Philip N. Hider ◽  
Mary P. Finlayson ◽  
John Fraser ◽  
...  
Keyword(s):  
Patient Safety ◽  
New Zealand ◽  
Improve Patient Safety ◽  
Falls Prevention ◽  
Mortality Data ◽  
Quality And Safety ◽  
Structured Interviews ◽  
District Health ◽  
Safety Practices ◽  
Health Boards

Objective. To investigate the adoption and impact of quality improvement measures in New Zealand hospitals. Method. Structured interviews with quality and safety managers of District Health Boards (DHBs). Correlation of use of measures with adjusted 30-day mortality data. Results. Eighteen of New Zealand’s 21 DHBs participated in the survey. Structural or policy measures to improve patient safety, such as credentialing and event reporting procedures, had been introduced into all DHBs, whereas changes to general clinical processes such as medicine reconciliation, falls prevention interventions and disease-specific management guidelines were less consistently used. There was no meaningful correlation between risk-adjusted mortality rates for three common medical conditions and related quality measures. Conclusion. Widespread variation exists among New Zealand DHBs in their adoption of quality and safety practices, especially in relation to clinical processes of care. What is known about the topic? There are a significant number of adverse events which may affect hospital inpatients. Many of these are preventable. In response, quality and safety processes and measures are being adopted across the sector. What does this paper add? The paper provides a description of the frequency with which a range of processes and measures have been adopted and demonstrates that adoption of these by New Zealand hospitals is patchy and monitoring is uneven. It suggests that the measures implemented do not appear to have impacted common mortality outcomes, though the findings may reflect the limits of feasible measurement of a probabilistic system. What are the implications for practitioners? Managers should monitor the implementation of quality and safety measures and evaluate them in terms of their direct effects.

An application of PCA-DEA with the double-bootstrap approach to estimate the technical efficiency of New Zealand District Health Boards

2021 ◽  
pp. 1-25
Author(s):  
Antony Andrews
Keyword(s):  
New Zealand ◽  
Technical Efficiency ◽  
Health Care Providers ◽  
Average Length ◽  
Principal Component ◽  
Care Providers ◽  
District Health ◽  
Bootstrap Approach ◽  
Double Bootstrap ◽  
Health Boards

Abstract Using yearly panel data from 2011 to 2017 on New Zealand District Health Boards (DHBs), this study combines principal component analysis and data envelopment intertemporal analysis with the double-bootstrap approach to estimate the technical efficiency of health care providers along with the trend of efficiency performances. The results show that although most large DHBs have improved their level of technical efficiency between 2011 and 2017, the majority of medium- and small-sized DHBs have not seen any noticeable improvement in their level of technical efficiency. The results also show that large and tertiary DHBs operate at a high level of technical efficiency. In contrast, most of the medium- and small-sized DHBs posted some of the lowest technical efficiency scores. Furthermore, the results show that medium- and small-sized DHBs have a higher average length of hospital stays which is found to be associated with decreasing levels of technical efficiency scores.

Did Geographical Inequalities in Suicide Among Men Aged 15–44 in New Zealand Increase During the Period 1980–2001?

2007 ◽  
Vol 41 (4) ◽  
pp. 359-365 ◽  
Author(s):  
Jamie Pearce ◽  
Ross Barnett ◽  
Sunny Collings ◽  
Irfon Jones
Keyword(s):  
New Zealand ◽  
Suicide Rate ◽  
Economic Change ◽  
Age Group ◽  
Small Reduction ◽  
District Health ◽  
Deprivation Score ◽  
Suicide Rates ◽  
Geographical Inequalities ◽  
Health Boards

Objective: It has previously been reported that rates of suicide among men aged 15–44 increased rapidly during the 1980s and 1990s. The present study examines whether geographical inequalities in suicide rates among men in this age group rose during the period 1980–2001 in New Zealand. Methods: Age-standardized rates of suicide for men aged 15–44 were calculated for District Health Boards (DHBs) and in deprivation quintiles (using the 2001 New Zealand deprivation score) for the periods 1980–1982, 1985–1987, 1990–1992, 1995–1997 and 1999–2001. Geographical inequality was measured by calculating the ratio of the suicide rate deprivation quintile 5 to quintile 1. Results: Age-standardized rates of suicide among men aged 15–44 increased in all but two DHBs between 1980 and 2001. The ratio of inequality in suicide between the least deprived and most deprived areas of New Zealand rose from 1.68 in 1980–1982 to a high of 1.94 in 1990–1992, followed by a small reduction to 1.86 by the end of the study period. Conclusions: Geographical inequalities in suicide among men aged 15–44 grew during the period 1980–2001 and remain at high levels. The greatest increase in inequality was during the late 1980s and early 1990s, a period of rapid social and economic change to New Zealand society.

scholarly journals Estimating the probability of New Zealand regions being free from COVID-19 using a stochastic SEIR model

2020 ◽  
Author(s):  
Rafal Bogacz
Keyword(s):  
New Zealand ◽  
Historical Data ◽  
District Health ◽  
Seir Model ◽  
Stochastic Version ◽  
Highly Correlated ◽  
Health Boards

AbstractThis report describes a method for estimating the probability that there are no infected or pre-symptomatic individuals in a populations on a basis of historical data describing the number of cases in consecutive days. The method involves fitting a stochastic version of Susceptible Exposed Infected Recovered model, and using the model to calculate the probability that the number of both exposed and infected individuals is equal to 0. The model is used to predict the current probabilities for all District Health Boards in New Zealand. These probabilities are highly correlated with the number of days with no new cases of COVID-19.

Decentralizing Resource Allocation: Early Experiences with District Health Boards in New Zealand

2008 ◽  
Vol 13 (2) ◽  
pp. 109-115 ◽  
Author(s):  
Toni Ashton ◽  
Tim Tenbensel ◽  
Jacqueline Cumming ◽  
Pauline Barnett
Keyword(s):  
Resource Allocation ◽  
New Zealand ◽  
District Health ◽  
Early Experiences ◽  
Health Boards
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