Ministry of Health Library Health Improvement and Innovation Digest

on 14 November

Issue 288 - 9 November 2023

Welcome to the fortnightly Health Improvement and Innovation Digest. The Digest has links to key evidence of interest, with access to new content arranged by topic.

You can forward this newsletter to others who may be interested in receiving it. They can register and subscribe here. You can also access other recent issues of the digest here.

If you have any queries, please email us at


Article Access

For articles that aren't open access, contact your DHB library, or organisational or local library for assistance in accessing the full text. If your organisation has a subscription, you may be able to use the icon under full text links in PubMed to access the full article.


Māori Innovation

‘E koekoe te Tūī, e ketekete te Kākā, e kuku te Kererū, The Tūī chatters, the Kākā cackles, and the Kererū coos’: Insights into explanatory factors, treatment experiences and recovery for Māori with eating disorders – A qualitative study
Eating disorders are as common in Māori, the Indigenous people of Aotearoa-New Zealand, as they are in non-Māori; however, research has focused on the experiences of non-Māori. This paper, published in the Australian & New Zealand Journal of Psychiatry will describe explanatory factors, treatment experiences and what helps with recovery for Māori, using Kaupapa Māori research methodology to inform the methods and analysis. 

Whakawhanaungatanga—Building trust and connections: A qualitative study indigenous Māori patients and whānau (extended family network) hospital experiences. 
This study, published in the Journal of Advanced Nursing investigated the experiences of Māori (the Indigenous peoples of Aotearoa, New Zealand) patients and whānau (extended family network) engaging with acute hospital inpatient services and their priorities for a Māori‐centred model of relational care. A qualitative Māori‐centred research design using a Thought Space Wānanga (learning through in‐depth group discussion, deliberation and consideration) approach was utilised. 


Health Equity (New Zealand)

Health providers’ experiences of health technologies within Te Tai Tokerau, Aotearoa New Zealand. 
An understanding of the perspectives of Māori healthcare providers to the emergence of new health technologies is essential for developing technologies that respond to patient need. In Aotearoa New Zealand, inequities in health outcomes fall unevenly on Māori, who experience worse health outcomes than other New Zealanders. This includes access to technologies that might mitigate some of the worst health outcomes. While health technology is a broad field, this study, published in Kōtuitui, aims to explore the experiences of health technologies of predominantly Māori health providers across the region of Te Tai Tokerau, a region characterised by its high Māori population. 


Health Equity (International)

Coming together for something good: recommendations from a scoping review for dissemination and implementation science to improve indigenous substance use disorder treatment. 
Dissemination and Implementation (D&I) science is growing among Indigenous communities. Indigenous communities are adapting and implementing evidence-based treatments for substance use disorders (SUD) to fit the needs of their communities. D&I science offers frameworks, models, and theories to increase implementation success, but research is needed to center Indigenous knowledge, enhancing D&I so that it is more applicable within Indigenous contexts. In this scoping review, published in Frontiers in Public Health, the current state of D&I science for SUD interventions among Indigenous communities and identified best-practice SUD implementation approaches was examined. 

A systematic review of diversity, equity, and inclusion and antiracism training studies: Findings and future directions.
A growing number of organizations are prioritizing diversity, equity, and inclusion (DEI) and antiracism in the workplace, including investing resources in DEI or antiracism training. However, such trainings vary widely in curriculum, objectives, delivery, and evaluation, with little known about the efficacy of existing trainings. The aim of this systematic review, published in Translational Behavioral Medicine, is to evaluate training characteristics, measures, and results of peer-reviewed studies (published between 2000 and 2022) testing DEI or antiracism trainings. 

The UN Sustainable Development Goals, national values, and Indigenous self-determination: Australian perspectives. 
Australia endorsed the UN Sustainable Development Goals in 2015. In 2017, its Senate established a committee to satisfy itself of the goals, benefits, opportunities, and costs to the country. Although beyond its terms of reference, the committee also found that the goals were consistent with ill-defined national values. This article, published in AlterNative, uses the committee’s report as a framework for assessing the relationship between normative political values and the practical scope that exists for Indigenous self-determination. 


Cardiovascular Disease and Diabetes (New Zealand)

Upholding te mana o te wā: Māori patients and their families' experiences of accessing care following an out-of-hospital cardiac event. 
The purpose of this study, published in the American Heart Journal Plus: Cardiology Research and Practice was to explore the experiences of Māori patients and their families accessing care for an acute out-of-hospital cardiac event and to identify any barriers or enablers of timely access to care.

Associations between type 1 diabetes and educational outcomes: an Aotearoa/New Zealand nationwide birth cohort study using the Integrated Data Infrastructure
Type 1 diabetes is one of the most common chronic diseases of childhood. It is hypothesised that the metabolic and psychosocial consequences of type 1 diabetes may affect educational outcomes; however, existing literature presents conflicting results. This study, published in Diabetologia, aimed to assess whether educational outcomes differ for young people with and without type 1 diabetes in Aotearoa/New Zealand (NZ). 


Primary Health Care (New Zealand)

Nurse practitioner led telehealth services: A scoping review 
This review paper, published in the Journal of Clinical Nursing, aimed to explore the educational preparation of nurse practitioners to deliver telehealth services and their impact on access to care within Australia, New Zealand, United States, Canada, United Kingdom, and Ireland.


Primary Mental Health (New Zealand)

Mental health promotion practice in Aotearoa New Zealand: findings from a qualitative study.
Mental health promotion (MHP) is integral to improving the overall health and well being of individuals, communities, and populations. However, knowledge and reporting about MHP which occurs throughout Aotearoa New Zealand (NZ) is limited. This article, published in Health Promotion International, reports findings from a qualitative study that sought to understand NZ health promotion practitioners’ MHP practice. 


Primary Mental Health (International)

Community-based programs for youth with mental health conditions: a scoping review and practical implications. 
Approximately 14% of all adolescents globally cope with mental health conditions. However, community-based psychosocial services for adolescents with mental health conditions are scarce and under-researched. Scant scholarly attention has been paid to leisure and/or social activities in community-based rehabilitation services for adolescents with mental health conditions. This scoping review, published in Frontiers in Public Health, aims to begin to fill this gap.


Public Health (New Zealand)

When the implementation of water safety plans fail: rethinking the approach to water safety planning following a serious waterborne outbreak and implications for subsequent water sector reforms. 
Water suppliers in New Zealand have been preparing the water safety plans (WSPs) since 2005; large drinking water-associated outbreaks of campylobacteriosis occurred in Darfield in 2012 and in Havelock North in 2016. This paper, published in the Journal of Water and Health, reviews the WSP that was in place for Havelock North, and analyses why it failed to prevent this outbreak. 


Public Health (International)

Assessing resilience of a health system is difficult but necessary to prepare for the next crisis. 
Health systems responses to covid-19 can help to identify factors within and outside of the health system that affect its resilience to shocks, suggest the authors of this paper, published in the BMJ. Health systems must constantly prepare for crises that threaten their operations. The concept of resilience has often been invoked in discussions of health system preparedness and response to crises. However, with this increased interest comes confusion about what health system resilience actually is and how it can be applied and measured to decide if a health system is resilient.


Key Ministry of Health Publications

Manatū Hauora | Ministry of Health Annual Report for the year ended 30 June 2023.
The 2022/23 Annual Report summarises the Ministry’s progress towards our 2022–26 strategic intentions, and reports on our financial and non-financial performance for 2022/23 as required under the Public Finance Act 1989.

Ratonga Whakatahe i Aotearoa | Abortion Services Aotearoa New Zealand: Annual Report 2023 
This report provides an overview of the abortion services work of Manatū Hauora between October 2022 and September 2023


Ministry of Health Consultations & Events

Proposed updates to the Guideline on the Regulation of Therapeutic Products in New Zealand: Pharmacovigilance.
This consultation is aimed at sponsors of medicines that are approved for use in New Zealand and organisations involved in pharmacovigilance activities (ie, on behalf of sponsors). Medsafe is seeking your feedback on proposed updates to the Guideline on the Regulation of Therapeutic Products in New Zealand: Pharmacovigilance (the Guideline).


Health Sector Initiative

Blood cancer treatment breakthrough | Te Whatu Ora - Capital, Coast, and Hutt Valley
This week saw the announcement of a major breakthrough in the treatment of an incurable blood cancer, B-cell non-Hodgkin lymphoma, which involved Capital, Coast and Hutt Valley clinical and research teams in a very successful trial.

Changing Lives Thanks To Better Breathing | Te Whatu Ora - Te Tai Tokerau.
Undertaking activities that most of us take for granted like walking, dressing, gardening and cleaning, have become more achievable for several Northlanders with chronic lung disease thanks to our Better Breathing Programme. Participants referred to the pulmonary rehabilitation programme offered in Whangārei and Kaikohe by their GP or specialist undergo an assessment by a physiotherapist to create an individual programme based on what they want to achieve before they begin the seven-week Programme.


The information available on or through this newsletter does not represent Ministry of Health policy. It is intended to provide general information to the health sector and the public, and is not intended to address specific circumstances of any particular individual or entity.

Back to blog entries

Areas of Interest