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dc.contributor.authorO'Connor, Louise
dc.date.accessioned2021-06-02T18:15:03Z
dc.date.available2021-06-02T18:15:03Z
dc.date.issued2020
dc.identifier.urihttps://hdl.handle.net/10652/5339
dc.description.abstractBACKGROUND: Bowel cancer is one of the most commonly diagnosed and also one of the deadliest cancers in the world. New Zealand’s bowel cancer rates are one of the highest in the world, particularly for females. Both Māori and Pasifika populations are more likely to have a more unfortunate health outcome following a diagnosis of bowel cancer compared with other ethnicities in New Zealand. AIMS This research had four goals. Firstly, to quantify the number and types of patients currently using Hawke’s Bay bowel screening services. Secondly, to analyse the collated data for evidence of gender and ethnicity equity. Thirdly, to identify trends to predict future demand for labour-intensive colonoscopy services. And finally, to provide recommendations for Hawke’s Bay bowel screening based on the evidence from the first three aims. METHOD: Data was collected from the medical records of bowel screening participants from 9 October 2018 to 9 April 2019. Gender and ethnicity of participants who returned a negative, positive or spoilt faecal immunochemical test (FIT) kit were compared. Regression models were to identify current and future trends for colonoscopy services. The number of histology samples taken were analysed by gender and ethnicity. Findings: Pasifika returned a more significant proportion of spoilt FIT kits than Europeans (P<0.0001, Chi-square=50.51) or Māori (P<0.0001, Chi-square=38.83). For colonoscopy, while Māori are not currently under-represented (p=0.7954), they are likely to be under-represented in the next six months (p=0.0001) from the study end date. Males had a more significant (p=0.0060) number of histology specimens sent to the laboratory than females. CONCLUSION: For FIT kit participation, Pasifika may be disadvantaged compared to other ethnicities. Although colonoscopy participant rates are increasing overall, the current service may not be benefiting Māori compared to other ethnicities. Recommendations are suggested to facilitate a more equitable Hawke’s Bay bowel screening programme.en_NZ
dc.language.isoenen_NZ
dc.rightsAll rights reserveden_NZ
dc.subjectHawke's Bay (N.Z.)en_NZ
dc.subjectNew Zealanden_NZ
dc.subjectMāori cancer patientsen_NZ
dc.subjectPasifika cancer patientsen_NZ
dc.subjectcancer patientsen_NZ
dc.subjectNational Bowel Screening Programme (N.Z.)en_NZ
dc.subjectbowel canceren_NZ
dc.subjectscreeningen_NZ
dc.subjectcolonoscopyen_NZ
dc.subjectdelivery of health careen_NZ
dc.subjectmedical uptakeen_NZ
dc.subjectsurveysen_NZ
dc.titleRetrospective analysis of National Bowel Screening Programme outcomes in Hawke’s Bay : the need to achieve equityen_NZ
dc.typeMasters Thesisen_NZ
dc.rights.holderAuthoren_NZ
thesis.degree.nameMaster of Nursingen_NZ
thesis.degree.levelMastersen_NZ
thesis.degree.grantorEastern Institute of Technology (EIT)en_NZ
dc.subject.marsden1112 Oncology and Carcinogenesisen_NZ
dc.subject.marsden111709 Health Care Administrationen_NZ
dc.identifier.bibliographicCitationO’Connor, L. (2020). Retrospective analysis of National Bowel Screening Programme outcomes in Hawke’s Bay : the need to achieve equity. (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Nursing). Eastern Institute of Technology (EIT), New Zealand. Retrieved from https://hdl.handle.net/10652/5339en
unitec.pages64en_NZ
unitec.institutionEastern Institute of Technology (EIT)en_NZ
dc.contributor.affiliationEastern Institute of Technology (EIT)en_NZ
dc.subject.tukutukuMate whēkau pukupukuen_NZ
unitec.publication.placeNew Zealanden_NZ
unitec.advisor.principalDearing, Chey
unitec.advisor.associatedJagroop-Dearing, Anita
unitec.institution.studyareaNursingen_NZ


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