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ANZSVS Conference 2024

Driving Equity in Healthcare: Implementing a Mobile Nurse-Led Vascular Service in Te Tai Tokerau, New Zealand

Verbal Presentation
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Verbal Presentation

2:15 pm

18 October 2024

Conference Hall 3

EQUALITY

Disciplines

Nursing

Presentation Description

Institution: Health New Zealand - Te Tai Tokerau, Aotearoa New Zealand

There is a growing need to provide health services closer to home. Geographical remoteness, limited healthcare infrastructure, and financial barriers hinder our people from accessing timely and appropriate vascular assessment, leading to delayed diagnosis and treatment. It is imperative that we think outside the box and work on initiatives that break down barriers to access and ensure equitable healthcare. This has led to the development of a fully mobile diagnostic vascular nursing service for Te Tai Tokerau, New Zealand. Using qualitative research, we surveyed patients assessed on the mobile diagnostic van. The survey addressed barriers to access to conventional in-hospital services and overall satisfaction with the mobile service. A large proportion stated that the significant financial burden of long-distance travel meant assessment at our regional hospital was not an option for them. Te Tai Tokerau has a very high proportion of people in the most deprived section of the population with a Māori population well above the national average. The average yearly income for Te Tai Tokerau is consistently $30,000 less than the national average. This is significant when we consider that 50% of patients assessed, did not require further investigations and would have shouldered the significant cost of travelling approximately 300km to be told so. By bringing specialised care directly to patients' doorsteps, we can mitigate the challenges of geographical isolation and ensure equitable access to our service for some of our most vulnerable communities.

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