Global Implications From the Rise and Recession of Telehealth in Aotearoa New Zealand Mental Health Services During the COVID-19 Pandemic: Mixed Methods Study (Preprint) DOI
Benjamin Werkmeister, Anne M. Haase, Theresa Fleming

et al.

Published: July 3, 2023

BACKGROUND The COVID-19 pandemic accelerated the adoption of telehealth services for remote mental health care provision. Although studies indicate that can enhance efficiency service delivery and might be favored or even preferred by certain clients, its use varied after pandemic. Once pandemic-related restrictions eased, some regions curtailed their offerings, whereas others sustained them. Understanding factors influenced these decisions offer valuable insights evidence-based decision-making concerning future in services. OBJECTIVE This study explored associated with uptake retreat from across a multiregional outpatient Aotearoa New Zealand. We aimed to contribute understanding influencing clinicians’ inform policy practice. METHODS Applying an interpretive description methodology, this sequential mixed methods involved semistructured interviews 33 clinicians, followed time-series analysis population-level quantitative data on clinician appointment activities before throughout were thematically analyzed, select themes reframed testing. was conducted using administrative explore extent which supported themes. In total, 4,117,035 observations analyzed between October 1, 2019, August 2022. findings then synthesized through rereview qualitative RESULTS rise recession related 3 overarching themes: preparedness role suitability, population determinants, capability. Participants spoke about importance familiarity training but noted differences specialist roles. Quantitative further suggested based form offered (eg, audiovisual telephone). addition, age, gender, ethnicity; however, clinicians recognized effective enabled flexibility client choice. turn, system such as usability digital exclusion underpinned daily functionality telehealth. CONCLUSIONS For thrive when they are not required circumstances pandemic, investment is needed infrastructure, resources teams. strength lies consideration operating range reflect voice variety including teams within specific cultural perspectives.

Language: Английский

Reclaiming Indigenous systems of healing: experiences of disabled Māori of Māori-centric health service responses in Aotearoa New Zealand during the COVID-19 pandemic DOI Creative Commons
Michael Roguski, Tara N. Officer, Gretchen Good

et al.

BMC Health Services Research, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 6, 2025

Abstract Background The impact of the pandemic on Indigenous and disabled people's access to healthcare has resulted in significant disruptions exacerbated longstanding inequitable service delivery. Research within Aotearoa New Zealand demonstrated that there been success provision by Māori for their community; however, experiences tāngata whaikaha Māori, have yet be considered researchers. Methods Underpinned an empowerment theory Kaupapa methodology, this research explores lived realities or primary caregivers. Twenty in-depth interviews gathered participants’ experiences, a discursive lens was brought narratives who accessed, received, culturally responsive services during pandemic. Results Positive accessing secondary were associated with Māori-centred seamless engagement support founded upon active dismantling structural inequities prioritisation cultural values care delivery, inclusive tino rangatiratanga (sovereignty), mātauranga (Māori knowledge). Conclusions This study provides novel solid foundation comprehending how can realigned cater requirements populations.

Language: Английский

Citations

0
Messages from rainbow rangatahi to mental health professionals in training DOI Creative Commons
Sarah Bowen, Alex Ker,

Kate E. McLeod

et al.

Kōtuitui New Zealand Journal of Social Sciences Online, Journal Year: 2024, Volume and Issue: 19(4), P. 483 - 503

Published: Jan. 29, 2024

Past research has shown significant inequities in mental health outcomes between rainbow and non-rainbow people, particularly for youth. Rainbow youth report mixed experiences when accessing support, signalling the need increased competency training professionals (MHPs). While previous explored of young little sought direct messages from to MHPs. The current study presents a thematic analysis rangatahi (14–24 years) We identify six themes: (1) check your assumptions, (2) treat us with empathy respect, (3) earn our trust, (4) you self-reflect, (5) balance getting know me educating yourself, (6) hear stories. Participants' responses describe their within sector life, recommendations what practitioners should both implement avoid practice. reflect on whether MHPs working people align these messages. Finally, we discuss possibility personal narratives enacting social change. findings cultural training, grounded voices become mandatory all

Language: Английский

Citations

2
Systems Are Overstretched from the COVID-19 Pandemic: An Interpretive Description of Disabled People’s Access to Healthcare and Disability Support in New Zealand DOI Open Access
Solmaz Nazari Orakani, Tara N. Officer, Gretchen Good

et al.

Healthcare, Journal Year: 2024, Volume and Issue: 12(3), P. 387 - 387

Published: Feb. 2, 2024

The COVID-19 pandemic disrupted healthcare and support services, creating challenges for disabled people. New Zealand implemented a range of policies to prevent limit viral transmission COVID-19. This study investigates people’s experiences accessing disability services during the pandemic, based on this analysis, implications public health policy decisions in are explicated. A qualitative design underpinned by interpretive description methodology guided study. total 64 people or parents children participated semi-structured interviews. team researchers then engaged an iterative thematic approach which led three key themes: (1) protective personal factors, assisted access (2) immediate impacts, including legislative changes, created additional barriers people, (3) exacerbating compounding vulnerabilities, overstretched systems, impact vaccine mandate, worsened already limited overwhelmed stretched system, resulting service disruptions with negative consequences wellbeing. Future development needs be disability-centred its inclusion lived experience consideration populations. first step process could include planning co-design ensure continuum availability individuals when disrupted. In addition, formal informal should recognised as fundamental human right services.

Language: Английский

Citations

2
Global Implications From the Rise and Recession of Telehealth in Aotearoa New Zealand Mental Health Services During the COVID-19 Pandemic: Mixed Methods Study DOI Creative Commons
Benjamin Werkmeister, Anne M. Haase, Theresa Fleming

et al.

JMIR Formative Research, Journal Year: 2023, Volume and Issue: 7, P. e50486 - e50486

Published: Aug. 20, 2023

The COVID-19 pandemic accelerated the adoption of telehealth services for remote mental health care provision. Although studies indicate that can enhance efficiency service delivery and might be favored or even preferred by certain clients, its use varied after pandemic. Once pandemic-related restrictions eased, some regions curtailed their offerings, whereas others sustained them. Understanding factors influenced these decisions offer valuable insights evidence-based decision-making concerning future in services.

Language: Английский

Citations

2
Environmental Factors for Sustained Telehealth Use in Mental Health Services: A Mixed Methods Analysis DOI Creative Commons
Benjamin Werkmeister, Anne M. Haase, Theresa Fleming

et al.

International Journal of Telemedicine and Applications, Journal Year: 2024, Volume and Issue: 2024(1)

Published: Jan. 1, 2024

Background: The mental health service delivery gap remains high globally. Appropriate telehealth use may increase capacity through flexible remote care provision. Despite the historical lack of integration into publicly funded services, during COVID‐19 lockdowns, services rapidly switched to telephone and audiovisual In Aotearoa New Zealand (NZ), this was abandoned when no longer required by restrictions. This study explores environmental factors associated with implementation ongoing or discontinuation across a multiregional outpatient service. work contributes understanding system‐level influencing thus informs policy practice in postpandemic environments. Methods: mixed methods applied an interpretive description methodology. Semistructured interviews 33 clinicians were thematically analysed. Qualitative findings reframed evaluated using time series analyses population‐level quantitative data (prior throughout pandemic). Findings synthesised qualitative themes develop contributing use. Results: highlighted clients assessed declining clinician numbers, pressure placed on clinicians. There culture supporting telehealth, including limited awareness, leadership, champions facilitate implementation. Some teams provided suited telehealth; other subspeciality had applications for telehealth. general guidelines support technical unfamiliar software. Conclusion: Disorganised adoption regions provides insight wider drivers affecting uptake. For become workable mode following COVID‐19, stewardship shifts are required, development, support, resources clinical teams. Telehealth address growing demand improving interfaces primary providing timely access specialist input.

Language: Английский

Citations

0
Health inequities in dialysis care: A scoping review DOI
L. Purcell,

J. Schnitker,

Ty Moore

et al.

Seminars in Dialysis, Journal Year: 2023, Volume and Issue: 36(6), P. 430 - 447

Published: Sept. 21, 2023

Abstract Main Problem We aim to look at potential gaps in current dialysis literature on inequities and explore future research that could contribute more equitable care. Methods Following guidelines from the Joanna Briggs Institute (JBI) Preferred Reporting Items for Systematic reviews Meta Analyses extension Scoping Reviews (PRISMA‐ScR), we conducted a scoping review of health dialysis. PubMed Ovid Embase were searched July 2022 articles published between 2016 examined least one following NIH defined inequities: race/ethnicity, sex/gender, LGBTQ+ identity, underserved rural populations, education level, income, occupation status. Frequencies each inequity as well trends over time four most analyzed. Results In our sample 69 included studies, identified identity patient education. Inequities pertaining income sufficiently reported. No investigated identified. Conclusions Our found concerning patients with lower levels To help fill these gaps, possibly alleviate additional burden patients, recommend cultural competency training providers center staff community‐based educational programs improve patients' literacy.

Language: Английский

Citations

1
Global Implications From the Rise and Recession of Telehealth in Aotearoa New Zealand Mental Health Services During the COVID-19 Pandemic: Mixed Methods Study (Preprint) DOI
Benjamin Werkmeister, Anne M. Haase, Theresa Fleming

et al.

Published: July 3, 2023

BACKGROUND The COVID-19 pandemic accelerated the adoption of telehealth services for remote mental health care provision. Although studies indicate that can enhance efficiency service delivery and might be favored or even preferred by certain clients, its use varied after pandemic. Once pandemic-related restrictions eased, some regions curtailed their offerings, whereas others sustained them. Understanding factors influenced these decisions offer valuable insights evidence-based decision-making concerning future in services. OBJECTIVE This study explored associated with uptake retreat from across a multiregional outpatient Aotearoa New Zealand. We aimed to contribute understanding influencing clinicians’ inform policy practice. METHODS Applying an interpretive description methodology, this sequential mixed methods involved semistructured interviews 33 clinicians, followed time-series analysis population-level quantitative data on clinician appointment activities before throughout were thematically analyzed, select themes reframed testing. was conducted using administrative explore extent which supported themes. In total, 4,117,035 observations analyzed between October 1, 2019, August 2022. findings then synthesized through rereview qualitative RESULTS rise recession related 3 overarching themes: preparedness role suitability, population determinants, capability. Participants spoke about importance familiarity training but noted differences specialist roles. Quantitative further suggested based form offered (eg, audiovisual telephone). addition, age, gender, ethnicity; however, clinicians recognized effective enabled flexibility client choice. turn, system such as usability digital exclusion underpinned daily functionality telehealth. CONCLUSIONS For thrive when they are not required circumstances pandemic, investment is needed infrastructure, resources teams. strength lies consideration operating range reflect voice variety including teams within specific cultural perspectives.

Language: Английский

Citations

0