title: Ha ora: Improving access to early diagnosis of lung cancer for Maori and rural communities. Understanding patient experiences in General Practice

authors: Lawrenson, Ross

abstract: There were two main objectives for this report. The first was to identify the barriers to early diagnosis of lung cancer experienced by Māori lung cancer patients and whānau. Second was to co-design a multi-pronged intervention alongside rural Māori communities to improve early diagnosis of lung cancer for whānau in their localities.
The team worked in the Waikato, Lakes, Bay of Plenty and Tairāwhiti districts of the Midland Region. Semi-structured interviews were carried out with 23 Māori lung cancer patients and whānau recruited through respiratory or cancer nurse specialists (CNSs) based at the hospitals of each district. Nine community hui (focus groups) and nine primary healthcare provider hui were carried out in five rural localities: Te Kuiti, Opōtiki, Te Kaha, Rotorua and Gisborne. Community hui included cancer patients, whānau, and other community members. Healthcare provider hui comprised staff members at the local primary healthcare centre, including General Practitioners and nurses. Study data were thematically analysed.
Findings of the study highlight:
1. Barriers in primary care, including symptom ambiguity, accumulating costs, barriers and enablers relating to GP – patient relationships
2. Barriers in secondary care, including a lack of access to diagnostic tests, long waiting times, barriers and enablers relating to communication between HCPs and patients.
3. The importance of whānau as carers and advocates for Māori patients on their lung cancer journey.
The interventions co-designed with each community included a Hā Ora website, a series of lung cancer awareness videos (entitled ‘wharo wharo wharo’), a kaiawhina training programme and a ‘pou pupuru oranga’ (cancer navigator).
We suggest strategies that aim to improve early diagnosis of lung cancer for rural Māori communities. We welcome your feedback to us regarding these recommendations.

text: Ha ora: Improving access to early diagnosis of lung cancer for Maori and rural communities. Understanding patient experiences in General Practice There were two main objectives for this report. The first was to identify the barriers to early diagnosis of lung cancer experienced by Māori lung cancer patients and whānau. Second was to co-design a multi-pronged intervention alongside rural Māori communities to improve early diagnosis of lung cancer for whānau in their localities.
The team worked in the Waikato, Lakes, Bay of Plenty and Tairāwhiti districts of the Midland Region. Semi-structured interviews were carried out with 23 Māori lung cancer patients and whānau recruited through respiratory or cancer nurse specialists (CNSs) based at the hospitals of each district. Nine community hui (focus groups) and nine primary healthcare provider hui were carried out in five rural localities: Te Kuiti, Opōtiki, Te Kaha, Rotorua and Gisborne. Community hui included cancer patients, whānau, and other community members. Healthcare provider hui comprised staff members at the local primary healthcare centre, including General Practitioners and nurses. Study data were thematically analysed.
Findings of the study highlight:
1. Barriers in primary care, including symptom ambiguity, accumulating costs, barriers and enablers relating to GP – patient relationships
2. Barriers in secondary care, including a lack of access to diagnostic tests, long waiting times, barriers and enablers relating to communication between HCPs and patients.
3. The importance of whānau as carers and advocates for Māori patients on their lung cancer journey.
The interventions co-designed with each community included a Hā Ora website, a series of lung cancer awareness videos (entitled ‘wharo wharo wharo’), a kaiawhina training programme and a ‘pou pupuru oranga’ (cancer navigator).
We suggest strategies that aim to improve early diagnosis of lung cancer for rural Māori communities. We welcome your feedback to us regarding these recommendations.

year: 2021

title: Te Kahautu Maxwell on Te Kooti and Ringatu (Interviewed by Tama Muru)

authors: Maxwell, Te Kahautu

abstract: In October 1869 musket fire erupted at Te Porere about sixty kilometres north of here, in the shadow of Mount Tongariro in the last major battle of the New Zealand wars. 

Armed constabulary and Maori fighters, clashed with the forces of the prophet Te Kooti Arikinui Te Turiki who had built an earth redoubt at Te Porere.  It was overwhelmed during the battle, but Te Kooti and his surviving followers escaped. 

Today the site is a tourist attraction but what also endured is the Ringatu Church, founded by Te Kooti. In 2018 it celebrated its 150th anniversary. 

Ringatu mixes the Bible with Maori custom and, like Matariki, follows annual cycles such as Te Huamata in June for planting and Te Pure, the harvest, each November. 

We spoke to Professor Te Kahautu Maxwell , a minister in the Ringatu Church and a senior academic in Maori and Indigenous Studies at the University of Waikato.

text: Te Kahautu Maxwell on Te Kooti and Ringatu (Interviewed by Tama Muru) In October 1869 musket fire erupted at Te Porere about sixty kilometres north of here, in the shadow of Mount Tongariro in the last major battle of the New Zealand wars. 

Armed constabulary and Maori fighters, clashed with the forces of the prophet Te Kooti Arikinui Te Turiki who had built an earth redoubt at Te Porere.  It was overwhelmed during the battle, but Te Kooti and his surviving followers escaped. 

Today the site is a tourist attraction but what also endured is the Ringatu Church, founded by Te Kooti. In 2018 it celebrated its 150th anniversary. 

Ringatu mixes the Bible with Maori custom and, like Matariki, follows annual cycles such as Te Huamata in June for planting and Te Pure, the harvest, each November. 

We spoke to Professor Te Kahautu Maxwell , a minister in the Ringatu Church and a senior academic in Maori and Indigenous Studies at the University of Waikato.

year: 2025

title: Accounting for the costs of recruiting and training

authors: Twiname, Linda J.

abstract: We investigate the investments made by accounting firms into recruiting and training new employees into entry-level positions. This includes developing a model to capture both the direct and indirect investments/ costs associated with recruitment and training. We quantify time, effort, resources, and associated opportunity costs, on entry-level recruits. The model was converted into a quantitative questionnaire and administered to accounting firms. We administered it to twelve accounting firms. The findings from this study build upon earlier studies (Bliss, 2001; Hansen, 1997; Phillips, 1990) which estimated the cost to recruit and train new employees at approximately 150% of their annual salary. Results revealed that the true investment in recruitment and training is significantly greater for the accountants in our study. On average accountants in our study invest an additional 241% of new employees’ annual salary. The findings provide insight into the true financial investments firms make during recruitment and the first year of employee training for entry-level positions. Our model is a simple tool which managers can use to quantify their investments in new employees during their first year of employment. It has proved insightful for accounting firms and has potential for use in other industries. Further, we found that generally new employees do not reach full productivity within their first year of employment. This highlights the importance for employers to retain new employees to maximise their returns on investment.

text: Accounting for the costs of recruiting and training We investigate the investments made by accounting firms into recruiting and training new employees into entry-level positions. This includes developing a model to capture both the direct and indirect investments/ costs associated with recruitment and training. We quantify time, effort, resources, and associated opportunity costs, on entry-level recruits. The model was converted into a quantitative questionnaire and administered to accounting firms. We administered it to twelve accounting firms. The findings from this study build upon earlier studies (Bliss, 2001; Hansen, 1997; Phillips, 1990) which estimated the cost to recruit and train new employees at approximately 150% of their annual salary. Results revealed that the true investment in recruitment and training is significantly greater for the accountants in our study. On average accountants in our study invest an additional 241% of new employees’ annual salary. The findings provide insight into the true financial investments firms make during recruitment and the first year of employee training for entry-level positions. Our model is a simple tool which managers can use to quantify their investments in new employees during their first year of employment. It has proved insightful for accounting firms and has potential for use in other industries. Further, we found that generally new employees do not reach full productivity within their first year of employment. This highlights the importance for employers to retain new employees to maximise their returns on investment.

year: 2011-06-27