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This Issue in the Journal
Maternal and demographic
factors associated with non-immunisation of Pacific infants living in New
Zealand
J Paterson, T Percival, S Butler, M Williams The Pacific Islands Families study found that 27% of mothers
(n=1376) had not had their infant immunised at approximately 6 weeks of age. The
factors that were associated with non-immunisation of Pacific infants were
ethnic group, maternal birthplace, parity, difficulty with transport, and age of
the baby at the time of the interview. These findings demonstrate the need for
education about the importance of the primary immunisation series and the
current schedules.
Decades of disparity:
widening ethnic mortality gaps from 1980 to 1999
T Blakely, S Ajwani, B Robson, M Tobias, M Bonné Maori and Pacific deaths have been undercounted in the
mid-1980s and first half of 1990s. Correcting for this undercount, the gaps
between Maori and non-Maori non-Pacific mortality widened over the 1980s and
1990s due to steadily declining non-Maori non-Pacific mortality rates and
stagnant Maori mortality rates. Likewise, the gaps between Pacific and non-Maori
non-Pacific mortality widened. It seems likely that the structural reforms, and
the varying impact of these reforms on ethnic groups, was at least partially
responsible for the widening gap.
Population need and
geographical access to general practitioners in rural
New Zealand L Brabyn, R Barnett Population based travel times to general practitioners were
calculated, and this information showed how access to GPs varies across New
Zealand. Travel times based on the use of private vehicles were also calculated
by different population groups classified by ethnicity, age, and deprivation.
The research shows that many rural regions in New Zealand have high travel times
to GPs and that, in some regions, a high percentage of the population with poor
access are Maori and poor. This analysis uses computer-based geographical
information systems (GIS).
Maori responsiveness in
health and medical research: key issues for researchers
(part 1) A Sporle, J Koea Applications for contestable government research funding
require researchers to outline how the intended research proposal contributes to
Maori health. This has created difficulties for both researchers and Maori. This
paper outlines nine key issues for researchers (to address in the formulation of
research proposals) in the hope that this will be of assistance to both
researchers and Maori.
Maori responsiveness in
health and medical research: clarifying the roles of the researcher and the
institution (part 2)
A Sporle, J Koea Applications for contestable government research funding
require researchers to outline how the intended research proposal contributes to
Maori health. This has created difficulties for both researchers and Maori. This
paper outlines the historical development of the focus on Maori research
responsiveness and the legislation underpinning it. It is also argued that
research institutions, rather than researchers, need to take a lead role in
consulting on research issues with Maori organisations.
Clinical practice
guidelines’ development and use in New Zealand: an evolving
process
E McKinlay, D McLeod, A Dowell, C Marshall Internationally, there is considerable writing about the
development of evidence-based guidelines and use by clinicians. This study
describes the history of guideline development in New Zealand (NZ)—and
explores NZ general practitioners’ attitudes towards, and use of,
guidelines. Implementation of recommendations (made as a result of this study)
are reported on, and further questions about the NZ guideline movement are
raised.
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