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NZMJ 1480.Indd Journal of the New Zealand Medical Association Vol 131 | No 1480 | 17 August 2018 First, do no harmony: an examination of attitudes to music played in operating theatres Antipsychotic prescribing in New Zealand between 2008 and 2015 Ethnic disparities in community antibacterial dispensing in New Zealand, 2015 A genome project for Māori and Pasi ka: charting Is there a place for day Provincial or Tertiary Surgical a path to equity in genomic hospitals in older persons Treatment for Rectal Cancer in medicine for Aotearoa mental health care? New Zealand? Publication Information published by the New Zealand Medical Association NZMJ Editor NZMA Chair Professor Frank Frizelle Dr Kate Baddock NZMJ Production Editor NZMA Communications Manager Rory Stewart Diana Wolken Other enquiries to: NZMA To contribute to the NZMJ, fi rst read: PO Box 156 www.nzma.org.nz/journal/contribute The Terrace Wellington 6140 © NZMA 2018 Phone: (04) 472 4741 To subscribe to the NZMJ, email [email protected] Subscription to the New Zealand Medical Journal is free and automatic to NZMA members. Private subscription is available to institutions, to people who are not medical practitioners, and to medical practitioners who live outside New Zealand. Subscription rates are below. All access to the NZMJ is by login and password, but IP access is available to some subscribers. Read our Conditions of access for subscribers for further information www.nzma.org.nz/journal/subscribe/conditions-of-access If you are a member or a subscriber and have not yet received your login and password, or wish to receive email alerts, please email: [email protected] The NZMA also publishes the NZMJ Digest. This online magazine is sent out to members and subscribers 10 times a year and contains selected material from the NZMJ, along with all obituaries, summaries of all articles, and other NZMA and health sector news and information. Subscription rates for 2018 New Zealand subscription rates Overseas subscription rates Individuals* $306 Individual $426 Institutions $530 Institutions $571 Individual article $25 Individual article $25 *NZ individual subscribers must not be doctors (access is via NZMA Membership) New Zealand rates include GST. No GST is included in international rates. Note, subscription for part of a year is available at pro rata rates. Please email [email protected] for more information. Individual articles are available for purchase by emailing [email protected] NZMJ 17 August 2018, Vol 131 No 1480 ISSN 1175-8716 © NZMA 2 www.nzma.org.nz/journal CONTENTS EDITORIALS 32 8 What keeps Northland general A genome project for Māori and practitioners working in Pasi ka: c harting a path to equity Northland? in genomic medicine for Aotearoa Tanya Quin, Kyle Eggleton Martin A Kennedy 38 11 A media content analysis of Is there a place for day hospitals in New Zealand’s district health older persons mental health care? board Population-Based Funding Matthew Croucher Formula Aaron N Chester, Erin C Penno, Robin DC 14 Gauld Provincial or Tertiary Surgical Treatment for Rectal Cancer in 50 New Zealand? Ethnic disparities in community Ian Bissett antibacterial dispensing in New Zealand, 2015 ARTICLES Naomi Whyler, Andrew Tomlin, Murray 17 Tilyard, Mark Thomas Psychogeriatric day hospital 61 reduces depression and anxiety Antipsychotic prescribing in New symptoms and improves quality of Zealand between 2008 and 2015 life Sam Wilkinson, Roger T Mulder Petra Ann Hoggarth 68 23 First, do no harmony: an A multicentre, benchmarking examination of attitudes to music study of rectal cancer played in operating theatres management in provincial New Anantha Narayanan, Andrew R Gray Zealand hospitals Michael J O’Grady, Josephine O’Grady, 75 Rebecca Shine, Gerard Bonnet, An audit of regular medication Tim Eglinton compliance prior to presentation for elective surgery Daniel Wood, Nicholas Lightfoot NZMJ 17 August 2018, Vol 131 No 1480 ISSN 1175-8716 © NZMA 3 www.nzma.org.nz/journal CONTENTS VIEWPOINT LETTER 81 94 Genomic medicine must reduce, A new report on the effects of a not compound, health inequities: policy used to restrict access to the case for hauora-enhancing elective inguinal hernia surgery genomic resources for New Zealand Philip Bagshaw Stephen P Robertson, Jennie Harré Hindmarsh, Sarah Berry, Vicky A METHUSELAH Cameron, Murray P Cox, Ofa Dewes, 96 Robert N Doughty, George Gray, Jessie Five-year risk of stroke a er TIA or C Jacobsen, Albert Laurence, Elizabeth Matisoo-Smith, Susan Morton, Andrew minor ischemic stroke N Shelling, Dianne Sika-Paotonu, Anna 100 YEARS AGO Rolleston, Jonathan R Skinner, Russell G Snell, Andrew Sporle, Cristin Print, Tony R 97 Merriman, Maui Hudson, Philip Wilcox A Case of Adherent Meckel’s Diverticulum Causing Fatal CLINICAL CORRESPONDENCE Strangulation 90 Redundant laparoscopic adjustable gastric band tubing causing internal hernia and small bowel obstruction Erika Fernandes, James Tan, Glenn Farrant, Karl Kodeda NZMJ 17 August 2018, Vol 131 No 1480 ISSN 1175-8716 © NZMA 4 www.nzma.org.nz/journal SUMMARIES Psychogeriatric day hospital reduces depression and anxiety symptoms and improves quality of life Petra Ann Hoggarth Day hospitals are outpatient clinics where groups of patients attend for several hours and receive comprehensive treatment from an interdisciplinary team of health professionals. Only one psychogeriatric day hospital exists in New Zealand, at the Canterbury District Health Board. Self-report measures of depression, anxiety, and life satisfaction and quality were completed at intake and discharge in a sample of 185 older adults attending he day hospital. Statistically and clinically signifi cant improvements were found on all measures. This is the fi rst step in demonstrating that New Zealand psychogeriatric day hospitals may be an effective way of treating older adults. This is an important consideration given the increased need for effective and effi cient mental health services for the burgeoning older adult population. A multicentre, benchmarking study of rectal cancer management in provincial New Zealand hospitals Michael J O’Grady, Josephine O’Grady, Rebecca Shine, Gerard Bonnet, Tim Eglinton This study compared patients who received care for their rectal cancer in provincial verses main centre hospitals. It shows that patients who receive treatment for rectal cancer in provincial hospitals achieve similar results to those in the main centres. This is important because some international studies have shown inferior outcomes in smaller hospitals. What keeps Northland general practitioners working in Northland? Tanya Quin, Kyle Eggleton In response to understanding Northland’s GP workforce issues, this paper used face-to-face interviews with Northland GPs to explore why Northland GPs work in Northland. To answer this question the interview information was grouped together to fi nd common reasons. Devel- oping a personal connection to the region explained why Northland GPs work in Northland. This paper explores that connection. A media content analysis of New Zealand’s district health board Population-Based Funding Formula Aaron N Chester, Erin C Penno, Robin DC Gauld The fi ndings suggest general discontent with the PBFF model across the DHB sector and a sense that the PBFF has failed to address various challenges facing DHBs. The geographic imbalance in reporting volume suggests that frustration with the PBFF is particularly keenly felt in the South Island. Although the PBFF is a lightning rod for frustrations over limited health funding, the fi ndings point to the need to improve transparency and dialogue around the formula and to monitor of the impact of PBFF allocations throughout the country. NZMJ 17 August 2018, Vol 131 No 1480 ISSN 1175-8716 © NZMA 5 www.nzma.org.nz/journal SUMMARIES Ethnic disparities in community antibacterial dispensing in New Zealand, 2015 Naomi Whyler, Andrew Tomlin, Murray Tilyard, Mark Thomas Compared with many other countries, the level of antibiotic consumption by people in the community in New Zealand is very high, encouraging the spread of antibiotic resistant bacteria in New Zealand, and threatening the effectiveness of many antibiotic medicines in the coming years. One of the goals of the Antimicrobial Resistance Action Plan, developed by the NZ Ministry of Health, is to optimise the use of antimicrobial medicines in human health by encouraging appropriate antbiotic prescribing and discouraging inappropriate prescribing. However, there are large differences between the ethnic groups in New Zealand with regard to the rates of various infectious diseases, including rheumatic fever, pneu- monia, and skin infections, and interventions to improve antibiotic prescribing need to take account of these ethnic differences in the rates of infectious diseases. This study has shown that Pacifi c and Maori people, who have very much higher rates of many infectious diseases, have only moderately higher rates of dispensing of antibiotics, when compared with people of European, Middle Eastern, Latin American or African, or Asian ethnicity. General practi- tioners and other health care workers caring for patients in the community need to reduce antibiotic prescribing for all population groups, but particularly for those groups with lower rates of serious infectious diseases. Antipsychotic prescribing in New Zealand between 2008 and 2015 Sam Wilkinson, Roger T Mulder We looked at antipsychotic prescribing for the whole population of New Zealand using Ministry of Health data. Antipsychotic prescribing rose by 49% over
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