Long-Term Conditions Network & Health Navigator Charitable Trust
ISSN: 1197-6693   No.51: August 2019
News and upfront
Achieving equity in health outcomes – Summary of a discovery process

This report by the Ministry of Health provides a brief summary of phase one of the Achieving Equity Work Programme: The Discovery Phase. The aim of the discovery phase was to identify where practical and coordinated effort could be undertaken to achieve a measurable shift in health equity in the next three to five years.

View the report here.
Progressing consumer engagement in primary care

Consumer engagement is not a new concept internationally or in New Zealand. This resource by the Health Quality & Safety Commission looks to crucial opportunities in the primary care sector to amplify the community voice and strengthen the overall health and disability system. 

View the publication here.
New Zealand Primary Healthcare Awards

For the very first time, GPs, nurses, practice managers and pharmacists have the chance to
show New Zealand who’s who in primary healthcare. The Health Media Ltd and the Pharmacy Guild of New Zealand Inc are thrilled to announce the inaugural New Zealand Primary Healthcare Awards | He Tohu Mauri Ora.

Find out more here
Useful resources
Palliative Outcome Initiative patient resources

Useful patient resources in 5 languages by the Northern Region Palliative Outcome Initiative. Current resources include: 
View the resources from the links above. 
Brain connections - How to sleep better, worry less and feel happier

This new book, by Dr Girseh Kanji explores the role of childhood trauma, stress, and the links between stress-related symptoms and fatigue, concentration and dementia. In the book, he outlines the five habits that reduce the activity of the stress brain and improve insomnia, anxiety and depression.

View the book here.
Cheap eats cookbook

A collection of recipes from Heart Foundation NZ that use everyday ingredients and will feed your family for less than $3 per serving without losing taste, quality or nutrition.

Download the cookbook here.
Blood pressure pamphlet

Heart Foundation NZ have taken a different, more informative approach to the topic of blood pressure. Following feedback from consumers and health professionals, they included more detail on the condition and tips for patients on reducing BP.

Download the pamphlet here
Heart attack warning signs poster

Updated for clarity and to reflect the change in the angina action plan. It is available in Māori, Tongan, Samoan, Chinese and Korean.

Download the poster here
Staying well with AF booklet

Updated and now includes a new section about catheter and surgical procedures to control heart rate. 

Download the booklet here
Take Charge one-pagers

A range of handouts and worksheets by Health Navigator ranging from early warning signs and acute plans to tips to improve your sleep. 

View all the resources here.
Training & CME updates
Goodfellow Gems

Find out a range of Goodfellow gems on different topics chosen by Dr Bruce Arroll, you can also sign up for fortnightly gems by entering your email.

Find out more here
Articles & trends of interest
Transitional Care Programs for Vulnerable Populations: New Evidence on the Benefits of a Person-Centered Approach

The Better Care Playbook recently spoke with Christine Schaeffer, MD, medical director of Northwestern Medicine Transitional Care, who described the core components of this transitional care program. She also shared important considerations for health systems interested in implementing person-centered transitional care to address gaps in care and reduce costs.

Article can be accessed here.
Effects of a Mediterranean Eating Plan on the Need for Glucose-Lowering Medications in Participants With Type 2 Diabetes: A Subgroup Analysis of the PREDIMED Trial

This study examines the effects of two Mediterranean eating plans (Med-EatPlans) versus a low-fat eating plan on the need for glucose-lowering medications.

Article can be accessed here.
Establishing the nurse practitioner workforce in rural New Zealand: barriers and facilitators

Nurse practitioners (NPs) deliver primary health care (PHC) services similar to general practitioner (GP) services, within a health equity and social justice paradigm. Despite GP workforce deficits, New Zealand has been slow to effectively utilise NPs.

This paper reports on the barriers and facilitators to becoming a NP in rural PHC.

Article can be accessed here.
Facilitating equitable prevention and management of gout for Māori in Northland, New Zealand, through a collaborative primary care approach

The Gout Stop Programme was developed for primary care in Northland, New Zealand, to address inequitable health outcomes for Māori and Pacific people with gout. This programme aims to make it easier for clinicians to prescribe urate-lowering treatment, facilitate patient adherence through education and support, and reduce barriers to gout prevention and long-term management.

Article can be accessed here.
Peer-delivered physical activity interventions: an overlooked opportunity for physical activity promotion

The purpose of this systematic review was to catalogue and synthesize published studies that have examined the effects of peer-delivered physical activity interventions on physical activity behavior.

Article can be accessed here.
Impact of ambulatory cardiac rehabilitation on cardiovascular outcomes: a long-term follow-up study 

This study showed, in a real-world population, the positive effects of ambulatory CR program in improving clinical outcomes and highlights the importance of a spread use of CR in order to reduce cardiovascular hospitalizations and cardiovascular mortality during a long-term follow-up.

Article can be accessed here.
Towards quality improvement at scale in the New Zealand primary care setting: Findings from consumer and health service engagement 

The Health Quality & Safety Commission is pleased to share the findings from consumer, health service and stakeholder engagement, to inform the future direction and priorities in our primary care programme.

The document can be accessed here.
Effect of a Home-Based Exercise Program on Subsequent Falls Among Community-Dwelling High-Risk Older Adults After a Fall

Among older adults receiving care at a fall prevention clinic after a fall, a home-based strength and balance retraining exercise program significantly reduced the rate of subsequent falls compared with usual care provided by a geriatrician. These findings support the use of this home-based exercise program for secondary fall prevention but require replication in other clinical settings.

Article can be assessed here
What's on
Acceptance and Commitment Therapy Workshops

Acceptance and Commitment Therapy, known as ‘ACT’ (pronounced as the word ‘act’) is a mindfulness based cognitive behavioural therapy that has a major emphasis on values, forgiveness, acceptance, compassion, living in the present moment, and accessing a transcendent sense of self. 

ACT has proven effective with a variety of problems including pain, addictions, depression, obsessive compulsive disorder, anxiety and stress. More information can be found on the event website
Māori Oral Health Equity Symposium

This Symposium will focus on the oral health issues confronting Aotearoa New Zealand today.  It will go beyond techical aspects of oral health, and by doing so, generate the critical discussion required to design and deliver an oral health system that works, equitably for all New Zealanders, for life. 

Wellington 3rd - 4th October 2019
More information can be found here
HINZ Conference 2019

Digital Health Week NZ features a range of events and workshops, catering to the various professions and topics within digital health.

The HiNZ Conference is New Zealand's largest digital health event. In 2018 over 1200 delegates attended HiNZ 2018 in Wellington.

Hamilton 18th - 22nd November 2019
More information can be found here
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Editors: Pat Flanagan and Dr Janine Bycroft
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