4 results for Arcus, K

  • RLTS 2010 Health Impact Assessment

    Field, Adrian; Macmillan, Alexandra; Lindsay, Andrew; Tunks, M; Arcus, K; Jayasekera, N (2009-10)

    Report
    The University of Auckland Library

    Purpose The following four reports have been prepared to assist the Auckland Regional Transport Committee with preparation of the Auckland Regional Land Transport Strategy 2010 the reports include: • Auckland Regional Land Transport Strategy Health and Wellbeing Impact Assessment – Appraisal Report • Auckland Regional Land Transport Strategy Health Impact Assessment – Scoping Workshop Report • Auckland Regional Land Transport Strategy Health Impact Assessment – Literature Review • Auckland Regional Land Transport Strategy Health Impact Assessment – Area Profile Report

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  • Clinical guidelines for weight management in New Zealand children and young people

    Jull, Andrew; Lawes, Carlene; Eyles, H; Gorton, D; Maddison, Ralph; Turley, Maria; Chua, S; Arcus, K; Stephenson, P; Chee, N; Dewes, O; Chhichhia, P; Sunkara, V (2009-12-23)

    Report
    The University of Auckland Library

    The Ministry of Health commissioned the development of the Guidelines in 2008 for the management of overweight and obese adults, children and young people, with a focus on Māori, Pacific and South Asian populations. Obesity is considered a major risk factor for many chronic, debilitating and life-threatening diseases. Over the past two decades the prevalence of obesity has more than doubled in New Zealand adults. Obesity is more common in Māori, Pacific and South Asian populations compared with other New Zealanders. The aim of this guideline is to provide evidence-based guidance for the management of overweight and obesity in children and young people. It is expected that this guideline will be used principally in primary care and community-based initiatives. Primary prevention of overweight and obesity, although vitally important, is outside the contracted scope of this guideline. This guideline stands alongside a clinical guideline developed for weight management in adults. The Guidelines were developed by the Clinical Trials Research Unit (University of Auckland) with technical advice and guidance from the Guidelines Technical Advisory Group. Development also included key informant interviews, road testing with frontline health providers and primary health organisations, consultation with Māori and Pacific caucuses and literature reviews on best practice information for Māori and Pacific.

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  • Chronic care management evolves towards integrated care in Counties Manukau, New Zealand

    Rea, Harold; Kenealy, Timothy; Wellingham, John; Moffitt, A; Sinclair, G; Barker, Susan; Goodman, M; Arcus, K (2007)

    Journal article
    The University of Auckland Library

    Despite anecdotes of many chronic care management and integrated care projects around New Zealand, there is no formal process to collect and share relevant learning within (but especially between) District Health Boards (DHBs). We wish to share our experiences and hope to stimulate a productive exchange of ongoing learning. We define chronic care management and integrated care, then summarise current theory and evidence. We describe national policy development (relevant to integrated care, since 2000) including the New Zealand Health Strategy, the NZ Primary Care Strategy, the development of Primary Health Organisations (PHOs), capitation payments, Care Plus, and Services to Improve Access funding. We then describe chronic care management in Counties Manukau, which evolved both prior to and during the international refinement of theory and evidence and the national policy development and implementation. We reflect on local progress to date and opportunities for (and barriers to) future improvements, aided by comparative reflections on the United Kingdom (UK). Our most important messages are addressed as follows: To policymakers and funders—a fragile culture change towards teamwork in the health system is taking place in New Zealand; this change needs to be specifically and actively supported. To PHOs—general practices need help to align their internal (within-practice) financial signals with the new world of capitation and integrated care. To primary and secondary care doctors, nurses, and other carers—systematic chronic care management and integrated care can improve patient quality of life; and if healthcare structures and systems are properly managed to support integration, then healthcare provider professional and personal satisfaction will improve.

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  • Clinical guidelines for weight management in New Zealand adults, children and young people

    Jull, Andrew; Lawes, CLL; Eyles, Helen; Maddison, Ralph; Gorton, D; Arcus, K; Chee, N; Taylor, B; Mann, J (2011)

    Journal article
    The University of Auckland Library

    This paper summarises the treatment algorithms and key messages from the "Clinical guidelines for weight management in New Zealand adults, children and young people" prepared for the Ministry of Health. The guidelines aim to provide support to weight management providers in primary care and the community. As a ministerial advisory committee has recommended that the consent to distribute the weight-loss drug sibutramine in New Zealand is revoked after its own review confirmed the risks outweigh the benefits of using the prescription medicine, this summary paper has been updated to exclude sibutramine from the algorithm and key messages. The full guidelines and methods can be downloaded from the Ministry website: http://www.moh.govt.nz.

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