It’s about who they are and what they can do: Māori perspectives on frailty in later life | OPEN ACCESS
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There are pervasive health disparities between Māori and non-Māori in Aotearoa New Zealand, and frailty is no exception. Māori experience frailty more often and at a younger age than non-Māori New Zealanders,[[1,2]] with Māori aged 65–70 years being as likely to be frail as non-Māori in their early 80s.[[3]]
There is general agreement that frailty represents an elevated state of risk or vulnerability to a sudden decline in health and other negative outcomes.[[4,5]] There is less agreement about the operationalisation and assessment of frailty. One approach views frailty as a physical syndrome with an underlying biological cause,[[6]] while an alternative approach views frailty as an accumulation of medical deficits.[[7]] Moreover, there have been calls for a more holistic approach to frailty to better inform personalised care and management
The potential of school-based physical education to increase physical activity in Aotearoa New Zealand children and young people: a modelling study
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Regular physical activity is critical for children and young people’s health and wellbeing; it contributes to the development of healthy cardiovascular and musculoskeletal systems and the maintenance of a healthy body weight, and it is associated with positive psychological and cognitive benefits.1 In New Zealand, the Ministry of Health recommends that young people aged 5–17 years accumulate at least one hour of moderate to vigorous physical activity per day,2 which is in line with international guidelines.1 As few of 7% of young New Zealanders are currently doing enough physical activity at a sufficient frequency to meet these recommendations,3 with nearly half failing to achieve a sufficient total volume of physical activity on a weekly basis.4 This suggests that urgent action is required.
Impact of burnout on empathy
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Burnout a syndrome that is characterised by emotional exhaustion, depersonalisation and low sense of personal accomplishment has been associated with a higher frequency of medical errors, lapses in professionalism, impeded learning, problematic alcohol use and suicidal ideation. Burnout is important because it can damage doctors and impair patient care. Burnout is defined as “a state of physical, emotional and mental exhaustion that results from long-term involvement in work situations that are emotionally demanding.”1 Many variables contribute to the development of burnout, such as long hours of work, work-home conflicts, resourcing, managerialism and interpersonal relationships.2,3
New Zealand’s vocational Rural Hospital Medicine Training Programme: the first ten years
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Targeted rural postgraduate training pathways are recognised internationally as playing a critical role both in recruitment and retention of a rural medical workforce and in reducing inequity of care and opportunity for people living away from urban centres.1–4
In New Zealand, though data are limited, indications are that people living rurally have poorer health outcomes than people living in urban areas, and this is accentuated for Māori.5,6 Around 19% of New Zealand’s population rely on rural health services, and around 15% rely on rural hospitals for their healthcare.5,7,8