title: A formative evaluation of the Waikato Family Safe Network Pilot

authors: Robertson, Neville

abstract: Family violence (FV) is a significant issue in New Zealand. Where it is present, it has significant implications for all family members but women and children typically bear the greatest costs to their health and well‐being. Family violence is largely hidden from view and thrives in the privacy enforced by the abuser. This makes it important to maximise the chances of effective intervention when it does come to notice. To be effective, such interventions often need to be multi‐faceted to address the diverse and sometimes complex needs of the various family members. At the same time, the interventions need to be aligned, focused on common objectives.  Therefore, interagency collaboration is imperative for effective, comprehensive intervention.

text: A formative evaluation of the Waikato Family Safe Network Pilot Family violence (FV) is a significant issue in New Zealand. Where it is present, it has significant implications for all family members but women and children typically bear the greatest costs to their health and well‐being. Family violence is largely hidden from view and thrives in the privacy enforced by the abuser. This makes it important to maximise the chances of effective intervention when it does come to notice. To be effective, such interventions often need to be multi‐faceted to address the diverse and sometimes complex needs of the various family members. At the same time, the interventions need to be aligned, focused on common objectives.  Therefore, interagency collaboration is imperative for effective, comprehensive intervention.

year: 2015

title: Effect of multimorbidity on health service utilisation and health care experiences

authors: Millar, Elinor

subjects: Multimorbidity

abstract: Introduction: Multimorbidity, the co-existence of two or more long-term conditions, is associated with poor quality of life, high health care costs and contributes to ethnic health inequality in New Zealand (NZ). Health care delivery remains largely focused on management of single diseases, creating major challenges for patients and clinicians. 
Aim: To understand the experiences of people with multimorbidity in the NZ health care system.
Methods: A questionnaire was sent to 758 people with multimorbidity from two primary health care organisations (PHOs). Outcomes were compared to general population estimates from the NZ Health Survey. 
RESULTS Participants (n = 234, 31% response rate) reported that their general practitioners (GPs) respected their opinions, involved them in decision-making and knew their medical history well. The main barriers to effective care were short GP appointments, availability and affordability of primary and secondary health care, and poor communication between clinicians. Access issues were higher than for the general population. 
DISCUSSION Participants generally had very positive opinions of primary care and their GP, but encountered structural issues with the health system that created barriers to effective care. These results support the value of ongoing changes to primary care models, with a focus on patient-centred care to address access and care coordination.

text: Effect of multimorbidity on health service utilisation and health care experiences Introduction: Multimorbidity, the co-existence of two or more long-term conditions, is associated with poor quality of life, high health care costs and contributes to ethnic health inequality in New Zealand (NZ). Health care delivery remains largely focused on management of single diseases, creating major challenges for patients and clinicians. 
Aim: To understand the experiences of people with multimorbidity in the NZ health care system.
Methods: A questionnaire was sent to 758 people with multimorbidity from two primary health care organisations (PHOs). Outcomes were compared to general population estimates from the NZ Health Survey. 
RESULTS Participants (n = 234, 31% response rate) reported that their general practitioners (GPs) respected their opinions, involved them in decision-making and knew their medical history well. The main barriers to effective care were short GP appointments, availability and affordability of primary and secondary health care, and poor communication between clinicians. Access issues were higher than for the general population. 
DISCUSSION Participants generally had very positive opinions of primary care and their GP, but encountered structural issues with the health system that created barriers to effective care. These results support the value of ongoing changes to primary care models, with a focus on patient-centred care to address access and care coordination.

year: 2018

title: Development and care of pā harakeke in 19th century New Zealand: Voices from the past

authors: McAllum, Priscilla M

subjects: Raranga

abstract: Māori weaving is experiencing a resurgence. Some weavers are involved in the planting of pā harakeke so that they have a high quality resource on hand ready for use.  A number of recent scientific publications, undertaken jointly with weavers, have explored the unique fibre qualities of different harakeke varieties along with specific aspects of Māori use of these varieties. In this paper, I examine Māori planting practices of pā harakeke and other aspects of resource management as revealed in literature sources from the late 18th to the early 20th centuries.  Although some of the practices outlined here may have fallen into disuse over time, they may, nevertheless, continue to be appropriate for contemporary pā harakeke. It is hoped, therefore, that the information provided here will be of interest to contemporary weavers.

text: Development and care of pā harakeke in 19th century New Zealand: Voices from the past Māori weaving is experiencing a resurgence. Some weavers are involved in the planting of pā harakeke so that they have a high quality resource on hand ready for use.  A number of recent scientific publications, undertaken jointly with weavers, have explored the unique fibre qualities of different harakeke varieties along with specific aspects of Māori use of these varieties. In this paper, I examine Māori planting practices of pā harakeke and other aspects of resource management as revealed in literature sources from the late 18th to the early 20th centuries.  Although some of the practices outlined here may have fallen into disuse over time, they may, nevertheless, continue to be appropriate for contemporary pā harakeke. It is hoped, therefore, that the information provided here will be of interest to contemporary weavers.

year: 2005-02