NEW ZEALAND MEDICAL JOURNAL最新文献_第10页

Value for money of reusable versus disposable ophthalmic instruments for intravitreal injections. 用于玻璃体内注射的可重复使用眼科器械与一次性眼科器械的性价比。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-08-02 DOI: 10.26635/6965.6557

Saghir Ahmed Sadiq, Sarah Winsloe

{"title":"Value for money of reusable versus disposable ophthalmic instruments for intravitreal injections.","authors":"Saghir Ahmed Sadiq, Sarah Winsloe","doi":"10.26635/6965.6557","DOIUrl":"https://doi.org/10.26635/6965.6557","url":null,"abstract":"Aim: The aim of this study was to follow the instruments' pathways and cost each segment to calculate whether reusable or disposable ophthalmic instruments offer better value for money for intravitreal injections.Methods: The cycles and costs of reusable and single-use disposable instruments used for intravitreal injections were mapped out, including purchase costs, transport to and from the place of use, opening and disposal, sterilisation, replacement, salary costs of staff involved, etc. results: The cost of using reusable instruments for intravitreal injections (NZ$29.00) was lower than the cost of using disposable instruments ($30.51) by $1.51 per patient.Conclusions: Intravitreal injections performed with reusable instruments offer better value for money than when performed with disposable instruments. This equates to a beneficial financial saving just for this one low-complexity case. Such savings can multiply significantly when considering the instruments used in a wider variety of ophthalmic procedures. There are of course trade-offs between safety, quality, cost and sustainability.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"137 1600","pages":"62-65"},"PeriodicalIF":1.2,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Speeding towards danger: the concerns and consequences of increasing speed limits on our roads. 超速驶向危险：提高道路限速的担忧和后果。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-08-02 DOI: 10.26635/6965.e1600

Christopher Wakeman, Shanthi Ameratunga, Teuila Percival, Braden Te Ao, Jamie Hosking

引用次数: 0

A hard pilsner to swallow: a case series of bottle cap foreign bodies in Canterbury over a 3-month period in 2023. 难以下咽的比尔森啤酒：2023 年坎特伯雷 3 个月内瓶盖异物病例系列。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-08-02 DOI: 10.26635/6965.6450

Asim Abdulhamid, Heidi Yi-Han Su, Steven Leslie Ding

引用次数: 0

Cribriform adenocarcinoma of the minor salivary glands: case report and literature review. 小唾液腺楔形腺癌：病例报告和文献综述。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-07-19 DOI: 10.26635/6965.6576

Maria van Kuijk, Harsha De Silva, Ling Chan, Guangzhao Guan

引用次数: 0

ANZACS-QI Heart Failure Registry: a new approach using age-stratified sampling of hospital discharges to guide quality improvement (ANZACS-QI 79). ANZACS-QI心力衰竭登记：一种利用出院病人年龄分层抽样指导质量改进的新方法（ANZACS-QI 79）。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-07-19 DOI: 10.26635/6965.6572

Daniel Zl Chan, Robert N Doughty, Mayanna Lund, Aleisha Easton, Katrina K Poppe, Daman Kaur, Lia Sinclair, Julie Chirnside, Catherine Malone, Helen McGrinder, Andy McLachlan, Jo Scott, Jennifer Roberts, Cara Wasywich, Gerry Devlin, Matire Harwood, Sue Wells, Wil Harrison, Andrew J Kerr

{"title":"ANZACS-QI Heart Failure Registry: a new approach using age-stratified sampling of hospital discharges to guide quality improvement (ANZACS-QI 79).","authors":"Daniel Zl Chan, Robert N Doughty, Mayanna Lund, Aleisha Easton, Katrina K Poppe, Daman Kaur, Lia Sinclair, Julie Chirnside, Catherine Malone, Helen McGrinder, Andy McLachlan, Jo Scott, Jennifer Roberts, Cara Wasywich, Gerry Devlin, Matire Harwood, Sue Wells, Wil Harrison, Andrew J Kerr","doi":"10.26635/6965.6572","DOIUrl":"https://doi.org/10.26635/6965.6572","url":null,"abstract":"Heart failure is a major healthcare problem in New Zealand. The Acute Decompensated Heart Failure (ADHF) Registry was introduced in 2015, and has identified the need for quality improvement strategies to improve care of patients hospitalised with heart failure. In this paper, we describe the implementation of the revised ANZACS-QI Heart Failure Registry, which has a primary aim to support evidence-based management of and quality improvement measures for patients who are hospitalised with heart failure in New Zealand. Taking the learnings from the initial experience with the ADHF Registry, the revised ANZACS-QI Heart Failure Registry i) utilises age-stratified sampling of hospital discharge coding to identify a representative heart failure cohort, ii) utilises existing ANZACS-QI infrastructure for data-linkage to reduce the burden of manual data entry, iii) receives governance from the Heart Failure Working Group, and iv) focusses on established quality improvement indicators for heart failure management.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"137 1599","pages":"88-102"},"PeriodicalIF":1.2,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum: Prevalence of urinary incontinence in New Zealand women from the cross-sectional Sexual and Reproductive Health module of the New Zealand Health Survey 2014/2015 勘误：2014/2015 年新西兰健康调查性健康和生殖健康横断面模块中新西兰妇女的尿失禁患病率

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-07-19 DOI: 10.26635/6965.er1599

引用次数: 0

Review of the Health and Disability Commissioner Act and Code-your chance to have your say. 审查《健康与残疾事务专员法》和《守则》--您有机会发表意见。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-07-19 DOI: 10.26635/6965.e1599

Frank Frizelle

引用次数: 0

Use of medications for migraine in Aotearoa New Zealand. 新西兰奥特亚罗瓦偏头痛患者的用药情况。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-07-19 DOI: 10.26635/6965.6586

Fiona Imlach, Sue Garrett

{"title":"Use of medications for migraine in Aotearoa New Zealand.","authors":"Fiona Imlach, Sue Garrett","doi":"10.26635/6965.6586","DOIUrl":"https://doi.org/10.26635/6965.6586","url":null,"abstract":"Aim: To document and assess acute and preventive medication use in people with migraine disease in Aotearoa New Zealand.Methods: Online survey of people with migraine in Aotearoa New Zealand (n=530), run from 22 August to 7 October 2022, including questions on current and previous acute and preventive medication use, reasons for medication discontinuation and use of new migraine medications.Results: Most respondents had used simple analgesics for acute treatment; 55% were currently using a triptan; 27% were currently using an opioid. Overall, 27% of survey respondents had over-used at least one acute medication in the last month. Half of respondents were taking at least one preventive medication but only 57% of those eligible for preventive treatment were currently taking it. In those who had previously tried preventives, side effects and lack of efficacy were common reasons for stopping. Cost, lack of knowledge and awareness were the main barriers to use of new migraine medications.Conclusion: Many people with migraine in Aotearoa New Zealand are not receiving optimal treatment, which increases the burden and cost of migraine disease. More effective and tolerable acute and preventive medications are needed that are affordable and available in Aotearoa New Zealand. Greater awareness of best practice prescribing is also needed.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"137 1599","pages":"65-87"},"PeriodicalIF":1.2,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Regulation of physician associates in Aotearoa New Zealand mitigates a medical practitioner workforce crisis and leads to stronger, diversified healthcare teams. 对新西兰奥特亚罗瓦地区医生助理的监管缓解了执业医师队伍的危机，并带来了更强大、多样化的医疗团队。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-07-19 DOI: 10.26635/6965.6616

Lisa deWolfe, Shelly Collins

引用次数: 0

Characteristics of low, moderate and high severity trauma hospitalisations in a health region of Aotearoa New Zealand-10-year review. 新西兰奥特亚罗瓦健康地区低度、中度和高度严重创伤住院病人的特征--10 年回顾。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-07-19 DOI: 10.26635/6965.6428

Grant Christey, Ishani Soysa, Alastair Smith

{"title":"Characteristics of low, moderate and high severity trauma hospitalisations in a health region of Aotearoa New Zealand-10-year review.","authors":"Grant Christey, Ishani Soysa, Alastair Smith","doi":"10.26635/6965.6428","DOIUrl":"10.26635/6965.6428","url":null,"abstract":"Aim: To describe the incidence, characteristics, outcomes and hospital costs of patients admitted to hospital following trauma in a health region in Aotearoa New Zealand over a 10-year period.Methods: A retrospective, observational study used data from the Te Manawa Taki (TMT) regional trauma registry to identify patients of all ages and injury severities that were admitted to hospital following injuries from 2013 to 2022, inclusive. This study reports on incidence of injuries with regard to age, gender, ethnicity, injury severity score (ISS), injury characteristics and direct cost to TMT facilities.Results: Searches identified 60,753 trauma events leading to patient admission to hospitals in the TMT region. Of these, 81.9% were low-severity trauma, 10.2% were moderate-severity trauma and 7.9% were high-severity trauma. There were statistically significant relationships between gender, ethnicity and ISS category. Males were more likely to be hospitalised for any traumatic injuries. High-severity trauma is dominated by road traffic injuries and low-severity trauma is dominated by falls. Advanced age was associated with higher injury severity. The direct cost of trauma care to TMT hospitals increased by 122% during the 10-year period.Conclusions: The study has identified the incidence, demographic features, severity, costs and outcomes for trauma patients admitted to hospitals in the TMT region of Aotearoa New Zealand over a continuous 10-year period. The volumes and costs of injury represent a significant burden on the health system, individuals and communities. Detailed understanding of the causes and costs of injuries of all severities will inform prevention activities, clinical quality improvement and health service planning.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"137 1599","pages":"37-48"},"PeriodicalIF":1.2,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0