Simon Horsburgh

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OBJECTIVES To investigate healthcare professional perceptions of local implementation of a national clinical governance policy in New Zealand. DESIGN Respondent comments written at the end of a national healthcare professional survey designed to assess implementation of core components of the clinical governance policy. SETTING The written comments were(More)
BACKGROUND Agricultural workers experience high rates of occupational injury. There is a lack of analytic studies which provide detailed occupational exposure information to inform intervention development. METHODS A feasibility study simulating a six month prospective cohort study was designed and undertaken. The levels of farm and worker participation(More)
OBJECTIVES Although antibiotic use in the community is a significant contributor to resistance, little is known about social patterns of use. This study aimed to explore the use of antibiotics by age, gender, ethnicity, socio-economic status and rurality. METHODS Data were obtained on all medicines dispensed to ambulatory patients in one isolated town for(More)
PURPOSE Pharmacy dispensing databases provide a comprehensive source of data on medicines use free from many of the biases inherent in administrative databases. There are challenges associated with using pharmacy databases however. This paper describes the methods we used, and their performance, so that other researchers considering using pharmacy databases(More)
BACKGROUND Clinical governance has become a core component of health policy and services management in many countries in recent years. Yet tools for measuring its development are limited. We therefore created the Clinical Governance Development Index (CGDI), aimed to measure implementation of expressed government policy in New Zealand. METHODS We(More)
BACKGROUND At 44%, New Zealand has the highest proportion of international medical graduates (IMGs) in its workforce amongst OECD member countries. Around half of New Zealand's IMGs come from the UK NHS, yet only around 50% stay longer than 1 year post-registration with significant costs to the New Zealand health care system. Why these doctors go to New(More)
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