129.037 Mahitahi Hauora Annual Report 2023-24 v8 - Low Res Spreads - Flipbook - Page 32
Mahitahi Hauora Annual Report - 2023/2024
Oranga Pūmau
Ageing Well
Introduction
Pre-diabetes Pilot
Long Term Conditions (LTCs)
signi昀椀cantly contribute towards
poor health and early death and
are especially prevalent among
Māori. We are leading service
delivery projects targeting
chronic conditions where we see
inequities in health outcomes
based on need, ethnicity, and
socioeconomic deprivations.
In July 2023 Mahitahi Hauora
embarked on a project focussed
on reversing pre-diabetes in
priority groups.
Our LTCs programme supports
the early detection, early
intervention, and overall
wellbeing of patients in Tai
Tokerau who are living with
chronic conditions. Our funding
also allows us to support
members of our general practice
teams with education and
accreditation opportunities,
helping them to work at the top
of the scope.
Dr Sue Ward
Clinical Director of Network
Clinical Hub and Network
Enablement Services
Patients received weekly group
health-coaching sessions and
access to online resources around
key themes such as nutrition,
exercise, mental well-being and
stress, alcohol education, and
sleep. We saw a statistically and
clinically signi昀椀cant reduction
in HBA1c for engaged patients.
77% of patients who completed
the programme were no longer
prediabetic. This group also
achieved a signi昀椀cant average
reduction (-13.8) in systolic blood
pressure. 81% of all participants
said that the programme helped
them learn more about prediabetes.
73%
74%
of all eligible patients have
had a CVD risk assessment
in the last 5 years,
69% for Māori
of funded spirometry
services are now
performed in practice
60%
of patients receiving
spirometry assessment
were Māori
32.
Trialling the 6-week PREKURE
Health Coach Programme, which
had seen promising results in
Auckland trials, we worked with
teams at Whakapiri Ora, Te Hiku
Hauora Community Outreach and
Hauora Hokianga.
150
patients receiving a funded
annual COPD review,
69% Māori
Since the pilot, Mahitahi Hauora
supported The Whakapiri Ora
team at Te Hiku Hauora to design
and run a Te Ao Māori version
of the programme, which has
continued to help patients reverse
their pre-diabetes.
Spirometry
Coordination Services
Mahitahi Hauora’s Spirometry
Coordination service supports inpractice access to spirometry by
funding accreditation and clinical
activity.
As a result of the work done this
year, we estimate that 76% of
our practices will have clinicians
that have attended spirometry
training, as of 1 July 2024. 365
spirometry investigations were
funded between July 2023
to June 2024, 74% of which
were completed within general
practice.
60% of patients receiving
spirometry assessment within
Mahitahi Hauora general practices
were Māori. (equitable access).
613
referrals to the Gout Stop
Programme, 64% Māori
58%
of all eligible patients have had
a Diabetes Annual Review in the
last year, 58% for Māori
equitable access
