,A ,W9D[ ON ,4ABIL;Y ,JUNE #BJBF ,TE ,K_AWANATANGAO ,AOTEAROA ,NEW ,Z1L& ,GOV]N;T ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N ,TE ,T_AH_U ,HAUORA @.<,? ,UNIFI$ ,5GLI% ,BRL DOCU;T 0 PRODUC$ ON #CA ,JULY #BJBF BY ,A3ESSIBLE ,9=MA;N & ,COMMUNICA;NS ,LIMIT$1 #B_/#AC ,UPL& ,ROAD1 ,REMUERA1 ,AUCKL& #AJEJ4 ,PH"O #JI #CBJ #DAGC4 ,EMAIL M>Y@AAICOMMS4CO4NZ4 ,WEBSITE HTTPS3_/_/WWW4AICOMMS4CO4NZ_/4 ,9 ? DOCU;T "! >E L9KS TO L;G WEBSITE ,,URL,'S4 ,WE SET ^! UP Z %ORT L9KS 9 ! =M AICOMMS4NZ_/ FOLL[$ BY F\R DIGITS4 ,:5 Y BR[SE TO "O ( ^! ,,URL,'S1 YR BR[S] W AUTOMATICALLY R$IRECT TO ! ORIG9AL L;G ,,URL4 ,"S PR9T PAGE NUMB]S 9 ? A3ESSIBLE =MAT V].N MAY 2 DI6]5T F ! PUBLI%$ V].N Z WE 7 N ABLE TO "W F ! PUBLI%$ V].N4 ,! ;,ALT TEXT = EA* FIGURE HAS #A BE5 SUPPLI$ BY ,,HQSC4 ,FE$BACK HELPS ! ,BRL PRODUC] IMPROVE ! QUAL;Y ( ! S]VICE4 ,PL1SE RAISE ANY ,BRL QU]IES ) EI ,M>Y ,S*NACK5B]G1 OR ! ,*AIR ( ,! ,BRL ,AU?OR;Y ( ,NEW ,Z1L& ,AOTEAROA ,TRU/1 EMAIL *AIR@ABANZAT4ORG4NZ4@.> ,A ,W9D[ ON ,4ABIL;Y ,JUNE #BJBF @.<,COV] IMAGE3 ,AN AB/RACT IMAGE MADE ( B"RLY COL\R$ P5 /ROKES1 & B"RLY COL\R$ CIRCLES OV] ! P5 /ROKES4@.> ,TE ,K_AWANATANGAO ,AOTEAROA ,NEW ,Z1L& ,GOV]N;T ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N ,TE ,T_AH_U ,HAUORA ,COV] >T"W BY ,SA%A ,WELLS1 ,DUN$91 #AIHF4 ,SA%A ,WELLS IS A ,/UDIO#B >TI/4 ,SA%A LIKES TO DRAW DOGS & CATS1 US+ DI6]5T COL\RS TO LAY] PA9T1 P5S1 & COL\R$ #B P5CILS4 ,SA%A 5JOYS COM+ TO ,/UDIO#B 2C X'S FUN,-8,? IS A PICTURE ( SLEEP+ DOGS40 ,/UDIO#B IS A CR1TIVE /UDIO SPACE 9 ,_OTEPOTI ,DUN$91 ": 4ABL$ >TI/S >E SUPPORT$ TO CR1TE >T"W1 EXP]I;T ) A RANGE ( MAT]IALS1 & DEVELOP _! [N >TI/IC /YLES & PR(ILES4 ,PUBLI%$ ,JUNE #BJBF BY ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N ,TE ,T_AH_U ,HAUORA1 ,,PO ,BOX #BEDIF1 ,WELL+TON1 #FADF4 ,,ISBN3 #IGH-#A-#IIAABB-#DD-#E " ,AVAILABLE ONL9E AT WWW4HQSC4GOVT4NZ ,5QUIRIES TO3 9FO@AHQSC4GOVT4NZ ,? "W IS LIC5S$ "U ! ,CR1TIVE ,COMMONS ,ATTRIBU;N,NON,COMM]CIAL,%>E,ALIKE #D4J ,9T]NA;NAL "<,,CC ,,BY-,,NC-,,SA #D4J">4 ,TO VIEW A COPY ( ? LIC;E1 VISIT AICOMMS4NZ_/#GHAA #C ,3T5TS #B ,AC"KL$GE;TS """""""""""""""""""""""" #H ,EXECUTIVE ,SUMM>Y """""""""""""""""" #I ,RECOMM5DA;NS """""""""""""""""""""" #AC ,9TRODUC;N3 ,A ,W9D[ ON ,4ABIL;Y """ #AE ,*APT] #A3 ,4ABIL;Y1 DATA & :AT WE C "K """"""""""""""""""""""""""" #AF ,:O IS 4ABL$ 9 ,AOTEAROA8 """""""" #AF ,4ABIL;Y IS ALM 9VISIBLE 9 \R H1L? C>E DATA """""""""""""""" #AH ,S1 :AT DID WE D8 ,9NOVATIVE APPROA*ES TO DATA """""""""""" #AH ,:AT ? REPORT DOES """"""""""""""" #BJ ,\R COLLABORATORS """""""""""""""" #BJ ,AN OP5+ EXAMPLE """"""""""""""""" #BA ,AN IMPORTANT NOTE3 ,? IS N A COMP5DIUM """""""""""""""""""" #BB ,A QK1 HI<-LEVEL VIEW ( H1L? C>E USE BY 4ABL$ P """"""""""""""" #BC ,UNMET NE$ = C>E """"""""""""""""" #BF ,:AT DOES ? HI<-LEVEL VIEW ( 4ABL$ P'S H1L? C>E USE M1N8 "" #CA ,JAC9TA ,TEVAGA """""""""""""""""" #CA ,*APT] #B3 ,LIFE-C\RSE /AGE,- #D ,MAT]N;Y & BIR? """""""""" #CC A#B ,A HI<-LEVEL SUMM>Y ( ! F9D+S """" #CC ,CAV1TS ON ? MAT]N;Y DATA """""""" #CC ,L1D MAT]N;Y C>] 5ROL;T """""""""" #CD ,PRE-T]M BIR?S """"""""""""""""""" #CH ,4ABL$ P'S EXP]I;ES ( ! MAT]N;Y SY/EM """""""""""""""""""""""" #CI ,HELP$ TO USE ! BA?ROOMS """"""""" #DB ,4ABL$ P'S SATISFAC;N ) MAT]N;Y C>E """""""""""""""""""""""""" #DC ,3CLU.N """""""""""""""""""""""""" #DE ,TAMARA ,GRANT """"""""""""""""""" #DE ,*APT] #C3 ,LIFE-C\RSE /AGE,-,*N & Y\? """""""""""""""""""""""""""" #DH ,A HI<-LEVEL SUMM>Y ( ! F9D+S """" #DH ,IMMUNISA;NS = 4ABL$ *N """""""""" #DI ,ORAL H1L? 9 4ABL$ *N """""""""""" #EA ,DR ,MI*AEL ,BROSNAN """"""""""""" #ED ,AS?MA 9 4ABL$ *N,-MANAGE;T & HOSPITALISA;NS """"""""""""""" #EG ,*N & ,,A% """"""""""""""""""""""" #EI ,*N1 4ABIL;Y & UNMET NE$ """"""""" #FJ ,Y\?,-HUMAN PAPILLOMAVIRUS "<,,HPV"> VA39A;NS """"""""""" #FA ,KIMB]LY & ,F9LAY'S /ORY,-! #E TRANSI;N F PA$IATRIC TO B#B ADULT C>E """""""""""""""""""" #FC ,*APT] #D3 ,LIFE-C\RSE /AGE,- ,ADULTS """""""""""""""""""""""" #FE ,A HI<-LEVEL SUMM>Y ( ! F9D+S """" #FE ,PATI5T EXP]I;E,-:AT "W+-AGE 4ABL$ P REPORT AB A3ESS TO PRIM>Y H1L? C>E """""""""""""" #FF ,B>RI]S TO A3ESS+ C>E """""""""""" #FF ,4ABL$ ADULTS' M5TAL H1L? """""""" #FH ,ABEL1 ,T_ANE ,M_AORI1 ,HE TANGATA TURI "<,M_AORI ,D1F MALE"> """"""""""""""""""""""" #GD ,4ABIL;Y & ELECTIVE SURG]Y """"""" #GF ,4ABIL;Y & ORAL H1L? """"""""""""" #HJ ,DR ,SUNE?RA ,T5NEKOON """"""""""" #HC ,4ABIL;Y & DIABETES """""""""""""" #HC ,C.ER & 4ABIL;Y """""""""""""""""" #HE ,! UNMET NE$ ( 4ABL$ ADULTS """""" #IJ ,ADULT 4ABL$ P 9 L;G-T]M C>E FACILITIES """"""""""""""""""" #IC ,H1L? & ,4ABIL;Y ,COMMIS.N] COMPLA9TS & 4ABIL;Y """""""""" #IC ,WAATA ,HOUIA - TR1T U Z EQUAL """ #ID ,*APT] #E3 ,LIFE-C\RSE /AGE,-,OLD] #F ADULTS """"""""""""""""""" #IF C#B ,A HI<-LEVEL SUMM>Y ( ! F9D+S """" #IG ,ROBYN ,HUNT,-4ABIL;Y & ! 8SILV] TSUNAMI0 """"""""""""""""""""" #IG ,HOSPITALISA;NS ( OLD] 4ABL$ P & EM]G5CY DE"P;T USE """"""""""" #II ,DIABETES 9 OLD] ADULTS """"""""" #AJA ,EXP]I;E ( HOME & COMMUN;Y SUPPORT S]VICES """"""""""""" #AJB ,*APT] #F3 ,3CLU.N & RECOMM5DA;NS #AJH ,APP5DICES """""""""""""""""""""""" #AAA ,APP5DIX #A3 ,A BRIEF HI/ORY ( 4ABIL;Y DATA 9 ,NEW ,Z1L& """ #AAA ,APP5DIX #B3 ,MODELS1 3TEXTS & /RATEGIES = 4ABIL;Y """"""""" #AAD ,APP5DIX #C3 ,"W=CE REPRES5TA;N #AAI ,APP5DIX #D3 ,GLOSS>Y """"""""""" #ABJ ,5DNOTES """""""""""""""""""""""""" #ABB --------------------------------------#C ,LI/ ( FIGURES ,FIGURE #A3 ,4ABL$ POPULA;N F ! ,H\SEHOLD ,4ABIL;Y ,SURVEY "1 P :O RCV ,4ABIL;Y ,SUPPORT ,S]VICES & P ID5TIFI$ Z 4ABL$ )9 ! ,9TEGRAT$ ,DATA #G ,9FRA/RUCTURE "<,,IDI">1 #BJBC A#C """"""""""""""""""""""""""""" #AG ,FIGURE #B3 ,! ,9TEGRAT$ ,DATA ,9FRA/RUCTURE "<,,IDI"> """""""""" #AI ,FIGURE #C3 ,DONALD ,B1SLEY ,9/ITUTE REPRES5TATIVES """""""""" #BJ ,FIGURE #D3 ,NI*OLSON ,3SULT+ REPRES5TATIVES """"""""""""""""""" #BJ ,FIGURE #E3 ,AM5ABLE MORTAL;Y RATE P] #AJJ1JJJ POPULA;N1 AGES #E-#FD YE>S1 BY 4ABIL;Y /ATUS1 #BJAI & #BJBJ """""""""""""""""""""""""""" #BA ,FIGURE #F3 ,AM5ABLE MORTAL;Y RATE P] #AJJ1JJJ POPULA;N1 AGES #E-#FD YE>S1 BY 4ABIL;Y /ATUS & E?NIC;Y1 #BJAI & #BJBJ ,FIGURE #G3 ,P]C5TAGE ( P 5ROLL$ ) A ,,GP1 BY 4ABIL;Y /ATUS1 #BJAI- #BJBD """""""""""""""""""""""""""" #BB ,FIGURE #H3 ,P]C5TAGE ( P 5ROLL$ ) A ,,GP1 BY E?NIC;Y1 #BJAI-#BJBD "" #BC ,FIGURE #I3 ,,PHO 5ROL;T ( 4ABL$ P1 BY AGE GR\P1 #BJBC """"""""""""""" #BE ,FIGURE #AJ3 ,,PHO 5ROL;T ( NON- 4ABL$ P1 BY AGE GR\P1 #BJBC #H ,FIGURE #AA3 ,P]C5TAGE ( 4ABL$ P B#C :O _H UNMET H1L? C>E NE$S1 BY H1L? C>E PR(ES.N1 #BJBC """""""""" #BE ,FIGURE #AB3 ,R1SONS = 4ABL$ P'S UNMET NE$ TO SEE A H1L? PR(ES.NAL1 #BJBC """"""""""""""""" #BF ,FIGURE #AC3 ,RATE ( ,,$ PRES5TA;NS P] #A1JJJ POPULA;N1 BY 4ABIL;Y /ATUS1 #BJAH-#BJBC """"""""""""""" #BG ,FIGURE #AD3 ,RATE ( ,,$ PRES5TA;NS P] #A1JJJ POPULA;N1 BY E?NIC;Y1 #BJAH-#BJBC """""""""""""""""""""" #BG ,FIGURE #AE3 ,RATE ( ,,$ PRES5TA;NS P] #A1JJJ POPULA;N1 AGES #DJ-#FD YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC """""""""""""""""""""" #BH ,FIGURE #AF3 ,RATE ( HOSPITALISA;NS P] #A1JJJ POPULA;N1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC """"""""""" #BI ,FIGURE #AG3 ,RATE ( HOSPITALISA;NS P] #A1JJJ POPULA;N1 BY AGE GR\P & 4ABIL;Y /ATUS1 #BJAH- #BJBC """""" #CJ ,FIGURE #AH3 ,AV]AGE L5G? ( /AY 9 HOSPITAL 9 "DS1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC """""" #CJ #I ,FIGURE #AI3 ,P]C5TAGE ( P 5ROLL$ C#C ) AN ,,LMC 9 TRIME/] "O ( PREGNANCY1 BY 4ABIL;Y /ATUS1 #BJAH-#BJBB """""""""""""""""""""" #CD ,FIGURE #BJ3 ,P]C5TAGE ( P 5ROLL$ ) AN ,,LMC 9 TRIME/] "O ( PREGNANCY1 BY NUMB] ( IMPAIR;TS1 #BJBB """""""""""""""""""""""""""" #CE ,FIGURE #BA3 ,P]C5TAGE ( P 5ROLL$ ) AN ,,LMC 9 TRIME/] "O ( PREGNANCY1 BY 4ABIL;Y /ATUS & E?NIC;Y1 #BJBB """"""""""""""""""" #CF ,FIGURE #BB3 ,P]C5TAGE ( P 5ROLL$ ) AN ,,LMC 9 TRIME/] "O ( PREGNANCY1 BY ,,WG-,,SS 4ABIL;Y DOMA91 #BJBB """"""""""""""""""""" #CG ,FIGURE #BC3 ,RATE ( PRE-T]M BIR?S P] #A1JJJ BIR?S1 BY 4ABIL;Y /ATUS1 #BJAH-#BJBB """"""""""""""" #CH --------------------------------------#D ,FIGURE #BD3 ,P]C5TAGE ( P :O RESPOND$ 8,YES1 ALW0 TO ! "Q1 8,W]E Y 9VOLV$ Z M* Z Y WANT$ TO 2 9 MAK+ DECI.NS AB YR TR1T;T & C>E801 BY 4ABIL;Y /ATUS1 #BJBA- #AJ #BJBD """""""""""""""""""""" #CI A#D ,FIGURE #BE3 ,P]C5TAGE ( P :O RESPOND$ 8,YES1 ALW0 TO ! "Q1 8,DID HOSPITAL /AFF 9CLUDE YR FAMILY _/ :_ANAU OR "S"O CLOSE TO Y 9 4CUS.NS AB ! C>E Y RCVD DUR+ YR VISIT801 BY 4ABIL;Y /ATUS1 #BJBA-#BJBD """""""""""""""""""""" #DJ ,FIGURE #BF3 ,P]C5TAGE ( P :O RESPOND$ 8,YES1 DEF9ITELY0 TO ! "Q1 8,DID Y FEEL YR 9DIVIDUAL NE$S 7 MET801 BY 4ABIL;Y /ATUS1 #BJBA-#BJBD """""""""""""""""""""" #DJ ,FIGURE #BG3 ,P]C5TAGE ( P :O RESPOND$ 8,YES1 DEF9ITELY0 TO ! "Q1 8,DID Y FEEL YR 9DIVIDUAL NE$S 7 MET801 BY E?NIC;Y & 4ABIL;Y /ATUS1 #BJBA-#BJBD """"""" #DA ,FIGURE #BH3 ,P]C5TAGE ( P :O RESPOND$ 8,YES0 TO ! "Q1 8,W]E Y GIV5 3FLICT+ 9=MA;N BY DI6]5T DOCTORS OR /AFF 9VOLV$ 9 YR C>E1 E4G4 "O WD TELL Y "O ?+ & !N ANO!R WD TELL Y "S?+ DI6]5T801 BY 4ABIL;Y /ATUS1 #BJBA-#BJBD #DA #AA ,FIGURE #BI3 ,P]C5TAGE ( P :O B#D RESPOND$ 8,YES0 TO ! "Q1 8,W]E Y GIV5 3FLICT+ 9=MA;N BY DI6]5T DOCTORS OR /AFF 9VOLV$ 9 YR C>E1 E4G4 "O WD TELL Y "O ?+ & !N ANO!R WD TELL Y "S?+ DI6]5T801 BY E?NIC;Y & 4ABIL;Y /ATUS1 #BJBA- #BJBD """""""""""""""""""""""""""" #DB ,FIGURE #CJ3 ,P]C5TAGE ( P :O RESPOND$ 8,YES0 TO ! "Q1 8,DID HOSPITAL /AFF TALK ) Y AB :E!R Y WD H ! HELP Y NE$$ :5 Y LEFT ! HOSPITAL801 BY 4ABIL;Y /ATUS1 #BJBA-#BJBD """""""""""""""""""""" #DB ,FIGURE #CA3 ,P]C5TAGE ( P :O RESPOND$ 8,YES1 ALW0 TO ! "Q1 8,DID HOSPITAL /AFF HELP Y TO GET TO ! BA?ROOM OR TO USE A B$PAN Z SOON Z Y WANT$801 BY 4ABIL;Y /ATUS1 #BJBA-#BJBD """"""""""""""" #DC ,FIGURE #CB3 ,P]C5TAGE ( *N FULLY IMMUNIS$ AT #F MON?S1 BY 4ABIL;Y /ATUS1 #BJAF-#BJAI """"""""""""""" #DI ,FIGURE #CC3 ,P]C5TAGE ( *N FULLY IMMUNIS$ AT #BD MON?S1 BY #AB 4ABIL;Y /ATUS1 #BJAF-#BJBJ #DI C#D ,FIGURE #CD3 ,P]C5TAGE ( *N FULLY IMMUNIS$ AT FIVE YE>S1 BY 4ABIL;Y /ATUS1 #BJAF-#BJBB """"""""""""""" #EJ ,FIGURE #CE3 ,P]C5TAGE ( *N FULLY IMMUNIS$ AT FIVE YE>S1 BY 4ABIL;Y /ATUS1 #BJAF-#BJBB """"""""""""""" #EJ ,FIGURE #CF3 ,P]C5TAGE ( *N FULLY IMMUNIS$ AT FIVE YE>S1 BY 4ABIL;Y /ATUS & E?NIC;Y1 #BJBB """"""""""" #EA ,FIGURE #CG3 ,RATE ( HOSPITALISA;NS = D5TAL SURG]Y1 P] #A1JJJ POPULA;N P] YE>1 AGES #E-#AH YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC """""""""""""""""""""" #EB ,FIGURE #CH3 ,RATE ( HOSPITALISA;NS = D5TAL SURG]Y P] #A1JJJ POPULA;N1 AGES #E-#AH YE>S1 BY ,,WG-,,SS 4ABIL;Y DOMA91 #BJBC """ #EB ,FIGURE #CI3 ,RATE ( D5TAL SURG]IES P] #A1JJJ POPULA;N1 AGES #E-#AH YE>S1 BY E?NIC;Y & 4ABIL;Y /ATUS1 #BJAH-#BJBC """""""""""""""""""""" #EC ,FIGURE #DJ3 ,P]C5TAGE ( *N ) SCORES ( #B-#F " #AC ON ! 8LIFT ! LIP0 D5TAL DECAY D#D TE/ AT ,B#D,,SC1 BY 4ABIL;Y /ATUS1 #BJAH-#BJBB """"""""""""""" #EE ,FIGURE #DA3 ,P]C5TAGE ( *N ) SCORES ( #B-#F " ON ! 8LIFT ! LIP0 D5TAL DECAY TE/ AT ,B#D,,SC1 BY 4ABIL;Y /ATUS & E?NIC;Y1 #BJBB """"""""""""""""""" #EE --------------------------------------#E ,FIGURE #DB3 ,P]C5TAGE ( *N ) NO RECORD$ ,B#D,,SC D5TAL *ECK1 BY 4ABIL;Y /ATUS1 #BJAE-#BJBB """"""" #EF ,FIGURE #DC3 ,P]C5TAGE ( AS?MA PATI5TS :O 7 4P5S$ A RELIEV] B N A PREV5T] 9 AT L1/ TWO QU>T]S ( ! YE>1 AGES #E-#AH YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC """"""""""" #EG ,FIGURE #DD3 ,HOSPITALISA;N RATE = AS?MA P] #AJJ1JJJ POPULA;N1 AGES #E-#AH YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC """"""""""" #EH ,FIGURE #DE3 ,HOSPITALISA;N RATE = AS?MA P] #AJJ1JJJ POPULA;N1 AGES #E-#AH YE>S1 BY E?NIC;Y & 4ABIL;Y /ATUS1 #BJAH-#BJBC """"""""" #EI #AD ,FIGURE #DF3 ,T5 ,,A% 3DI;NS ) A#E HIS1 BY 4ABIL;Y /ATUS1 #BJBC """"""""""""""""""""" #FJ ,FIGURE #DG3 ,P]C5TAGE ( ELIGIBLE FEMALES FULLY VA39AT$ ) ,,HPV VA39E1 AGES #AJ-#AI & #BJ-#CD YE>S1 BY 4ABIL;Y /ATUS1 #BJBC """" #FA ,FIGURE #DH3 ,P]C5TAGE ( ELIGIBLE MALES FULLY VA39AT$ ) ,,HPV VA39E1 AGES #AJ-#AI & #BJ-#CD YE>S1 BY 4ABIL;Y /ATUS1 #BJBC """" #FB ,FIGURE #DI3 ,P]C5TAGE ( P REPORT+ A "T :5 !Y CDN'T A3ESS PRIM>Y C>E :5 !Y WANT$ X 9 ! LA/ #AB MON?S1 AGES #AI-#FD YE>S1 BY 4ABIL;Y /ATUS1 ,MAY-,AUGU/ #BJBE """"""""" #FF ,FIGURE #EJ3 ,P]C5TAGE ( 4ABL$ P REPORT+ A "T :5 !Y CDN'T A3ESS PRIM>Y C>E :5 !Y WANT$ TO 9 ! LA/ #AB MON?S1 BY AGE GR\P & E?NIC;Y1 ,MAY-,AUGU/ #BJBE """""""""""""""" #FG ,FIGURE #EA3 ,PREVAL;E ( MOD]ATE OR GRT] & SEV]E ANXIETY SYMPTOMS1 BY 4ABIL;Y /ATUS1 #BJBA-#BJBC #FI #AE ,FIGURE #EB3 ,PREVAL;E ( MOD]ATE B#E OR GRT] & SEV]E DEPRES.N1 BY 4ABIL;Y /ATUS1 #BJBA-#BJBC """"""" #GJ ,FIGURE #EC3 ,PREVAL;E ( HI< OR V HI< LEVELS ( PSY*OLOGICAL 4TRESS1 BY 4ABIL;Y /ATUS1 #BJAH-#BJBD """" #GA ,FIGURE #ED3 ,P]C5TAGE ( POPULA;N T HAS 3TACT ) SPECIALI/ M5TAL H1L? & ADDIC;N S]VICES1 BY AGE GR\P & 4ABIL;Y /ATUS1 #BJBC """"""""""""" #GA ,FIGURE #EE3 ,P]C5TAGE ( POPULA;N US+ SPECIALI/ M5TAL H1L? & ADDIC;N S]VICES1 BY ,,WG-,,SS 4ABIL;Y DOMA91 #BJBC """"""""""""" #GB ,FIGURE #EF3 ,P]C5TAGE ( P US+ SPECIALI/ M5TAL H1L? & ADDIC;N S]VICES1 BY E?NIC;Y & 4ABIL;Y /ATUS1 #BJBC """"""""""""""""""""" #GB ,FIGURE #EG3 ,UNMET NE$ = PR(ES.NAL HELP = _! M5TAL H1L? 9 PA/ #AB MON?S1 BY 4ABIL;Y /ATUS1 #BJBA- #BD """""""""""""""""""""""""""""" #GC ,FIGURE #EH3 ,P]C5TAGE ( PATI5TS1 AGES #AI-#FD1 WAIT+ M ?AN F\R MON?S = F/ SPECIALI/ ASSESS;T AF #AF 2+ GIV5 REF]RAL1 BY 4ABIL;Y C#E /ATUS1 #BJBJ-#BJBA """"""""""""""" #GF ,FIGURE #EI3 ,P]C5TAGE ( PATI5TS WAIT+ M ?AN F\R MON?S = TR1T;T AF 2+ GIV5 COMMIT;T TO TR1T;T1 BY 4ABIL;Y /ATUS1 #BJBJ-#BJBA """"""" #GG ,FIGURE #FJ3 ,P]C5TAGE ( PATI5TS WAIT+ M ?AN F\R MON?S = TR1T;T AF 2+ GIV5 COMMIT;T TO TR1T;T1 AGES #AI-#FD YE>S1 BY NUMB] ( IMPAIR;TS1 #BJBJ-#BJBA """"""""""" #GH --------------------------------------#F ,FIGURE #FA3 ,P]C5TAGE ( COMPLICA;NS 9 COMMON SURG]IES1 AGES #AI-#FD1 BY 4ABIL;Y /ATUS1 #BJAH- #BJBD """"""""""""""""""""" #GH ,FIGURE #FB3 ,P]C5TAGE ( COMPLICA;NS 9 COMMON SURG]IES " = 4ABL$ P1 BY E?NIC;Y1 #BJAH-#BJBD """"""""""""" #GI ,FIGURE #FC3 ,PO/-OP]ATIVE COMPLICA;NS RATE P] #A1JJJ SURG]IES1 AGES #DJ-#FD YE>S1 BY E?NIC;Y & 4ABIL;Y /ATUS1 #BJAH- #BJBD """""""""""""""""""""" #HJ #AG ,FIGURE #FD3 ,RATE ( D5TAL A#F SURG]IES P] #A1JJJ POPULA;N P] YE>1 BY 4ABIL;Y /ATUS1 #BJAH- #BJBC """""""""""""""""""""""""""" #HA ,FIGURE #FE3 ,RATE ( D5TAL SURG]IES P] #A1JJJ POPULA;N P] YE>1 AGES #AI-#CI YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC """"""""""" #HA ,FIGURE #FF3 ,RATE ( D5TAL SURG]IES P] #A1JJJ POPULA;N P] YE>1 AGES #AI-#CI YE>S1 BY ,,WG-,,SS 4ABIL;Y DOMA91 #BJBC """"""""""""" #HB ,FIGURE #FG3 ,PREVAL;E ( DIABETES P] #A1JJJ POPULA;N1 AGES #DJ-#FD YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC """""""""""""""""""""" #HD ,FIGURE ,B#A3 ,AGE-/&>DIS$ C.ER 9CID;E RATE AM;G 4ABL$ P & ! TOTAL POPULA;N P] #AJJ1JJJ P]SON- YE>S1 #BJAH-#BJBB """""""""""""""" #HF ,FIGURE ,B#B3 ,AGE-/&>DIS$ C.ER 9CID;E RATE AM;G 4ABL$ P & ! TOTAL POPULA;N P] #AJJ1JJJ P]SON- YE>S1 BY AGE GR\P1 #BJAH-#BJBB """ #HF ,FIGURE ,B#C3 ,AGE-/&>DIS$ C.ER #AH 9CID;E RATE AM;G 4ABL$ P & ! B#F TOTAL POPULA;N P] #AJJ1JJJ P]SON- YE>S1 BY E?NIC;Y1 #BJAH-#BJBB """" #HG ,FIGURE ,B#D3 ,AGE-/&>DIS$ C.ER 9CID;E RATE AM;G 4ABL$ P & ! TOTAL POPULA;N P] #AJJ1JJJ P]SON- YE>S1 BY DEPRIVA;N QU9TILE1 #BJAH-#BJBB """""""""""""""""""""" #HG ,FIGURE ,B#E3 ,AGE-/&>DIS$ C.ER 9CID;E RATE AM;G 4ABL$ P & ! TOTAL POPULA;N P] #AJJ1JJJ P]SON- YE>S1 BY C.ER TYPE1 #BJAH-#BJBB "" #HH ,FIGURE #FH3 ,P]C5TAGE ( 4ABL$ P REPORT+ AN UNMET NE$ = ASSI/IVE EQUIP;T1 BY 4ABIL;Y ,,WG-,,SS DOMA91 #BJBC """"""""""""""""""""" #IA ,FIGURE #FI3 ,P]C5TAGE ( 4ABL$ P REPORT+ AN UNMET NE$ = ASSI/IVE EQUIP;T1 BY B>RI] & DOMA9 ( 4ABIL;Y1 #BJBC """"""""""""""""""" #IB ,FIGURE #GJ3 ,HOSPITALISA;N RATE P] #A1JJJ POPULA;N1 AGES #FE-#GI YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC """""""""""""""""""""" #II ,FIGURE #GA3 ,AV]AGE L5G? ( /AY 9 #AI HOSPITAL 9 "DS1 AGES #FE-#GI C#F YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC """"""""""""""""""""" #AJJ ,FIGURE #GB3 ,HOSPITALISA;N RATE P] #A1JJJ POPULA;N1 AGES #FE-#GI YE>S1 BY ,,WG-,,SS 4ABIL;Y DOMA91 #BJBC """"""""""""""""""""""""""" #AJJ ,FIGURE #GC3 ,,$ PRES5TA;NS RATE P] #A1JJJ POPULA;N P] YE>1 AGES #FE- #GI YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC """"""""""""""""""""" #AJA ,FIGURE #GD3 ,PREVAL;E ( DIABETES P] #A1JJJ POPULA;N1 AGES #FE-#GI YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC """"""""""""""""""""" #AJB --------------------------------------#G ,FIGURE #GE3 ,P REPORT+ ! MO/ POSITIVE EXP]I;E = EA* ( ! S*$UL+ "QS1 BY NUMB] ( IMPAIR;TS1 ,,HCSS SURVEY #BJBD """""""""""""""""""" #AJD ,FIGURE #GF3 ,TOTAL EMPLOYEES & EMPLOYEES ID5TIFY+ Z 4ABL$ BY ,H1L? ,NEW ,Z1L& 4TRICTS T REPORT1 #CA ,JULY #BJBE """"""""" #AAI #BJ ,LI/ ( TABLES A#G ,TABLE #A3 ,P]C5TAGE ( OLD] 4ABL$ P REPORT+ T _! SUPPORT "W]S ALW TR1T$ !M ) RESPECT & K9D;S1 BY E?NIC;Y & NUMB] ( IMPAIR;TS1 ,,HCSS SURVEY #BJBD """"""""""""" #AJC ,TABLE #B3 ,P]C5TAGE ( OLD] 4ABL$ P REPORT+ T _! SUPPORT "W]S ALW CAME AT "TS T "W$ = !M1 BY E?NIC;Y & NUMB] ( IMPAIR;TS1 ,,HCSS SURVEY #BJBD """"""""""""" #AJE ,TABLE #C3 ,P]C5TAGE ( OLD] 4ABL$ P REPORT+ T _! SUPPORT "W]S ALW >RIV$ AT >.D ! "T EXPECT$1 BY E?NIC;Y & NUMB] ( IMPAIR;TS1 ,,HCSS SURVEY #BJBD """"""""""""" #AJF --------------------------------------#H ,AC"KL$GE;TS ,WRIT+ T1M ,RO2IE ,FRANCIS ,WATENE1 ,BRIGIT ,MIRF9- ,VEIT*1 ,C>L ,%UK] #BA ,ANALYSIS T1M A#H ,S>AH ,"UWOOD1 ,AMJAD ,ALI1 ,TODD ,NI*OLSON1 ,TORI VAN ,LO5H\T ,TAMARA ,GRANT1 ,KIMB]LY ,GRAHAM & ,F9LAY ,BUT*]1 ,WAATA ,HOUIA & ,PAM ,HOUIA1 8,ABEL0 "1 ,ROBYN ,HUNT ,JAC9TA ,TEVAGA1 ,RU? ,CUNN+HAM1 ,JONA?AN ,GODFREY1 ,HUHANA ,HICKEY1 ,B]NADETTE ,J"OS ,MI*AEL ,BROSNAN1 ,SUNE?RA ,T5NEKOON1 ,RIANA ,CL>KE1 ,SAM ,MURRAY & ,PHOEBE ,$5-,MANN ,! ,4ABIL;Y ,DATA & ,EVID;E ,ADVISORY ,GR\P & ,COMMUN;Y ( ,PRACTICE GR\P ,LA9A ,ISL]1 ,S>AH ,J"OS ,PHILIP ,S*LUT] ,4ABL$ ,P'S ,ORGANISA;NS "<,,DPO"> ,COALI;N ,SA%A ,WELLS1 ,UMI ,ASAKA1 ,$5 ,CRUICE1 ,*A'NEL ,KAA-,LUKE #BB ,TE ,AHO O ,TE ,KAHU ,C.ER B#H ,3TROL ,AG5CY T1M ,GISELLE ,B>ETA1 ,GABRIELLE ,NI*OLSON1 ,HAZEM ,ABD ,ELKAD]1 ,MI*ELLE ,LIU ,H1L? ( ,4ABL$ ,P ,POLICY T1M1 ,M9I/RY ( ,H1L?,- ,MANAT_U ,HAUORA ,VICTORIA ,MANN+1 ,ALLISON ,&]SON1 ,H1!R ,TRIBE ,H1L? & ,4ABIL;Y ,COMMIS.N] T1M ,ROSE ,WALL1 ,ES!R ,WOODBURY1 ,NATA%A ,DAVIDSON ,/ATS ,,NZ DATA LABS T1M ,:AIKAHA ,M9I/RY ( ,4ABL$ ,P ,CLAIRE ,BRE!RTON1 ,MI*ELLE ,GEZ5TSVEY ,H1L? ,NEW ,Z1L&,- ,TE ,:ATU ,ORA ,RA*EL ,NOBLE1 ,LEO ,GOLDIE-,&]SON #BC ,EXECUTIVE ,SUMM>Y #I ,4ABL$ P %D H ! OPPORTUN;Y TO SURVIVE1 ?RIVE1 & L1D ORD9>Y LIVES ) _! :_ANAU & FRS4 ,! ,W9D[ ON ,QUAL;Y REPORTS >E DESIGN$ TO PROVIDE A SNAP%OT ( ! QUAL;Y & SAFETY ( \R H1L? SY/EM AT A GIV5 PO9T ( "T4 ,4ABIL;Y 9 ,NEW ,Z1L& IS BADLY M1SUR$4 ,:ILE ! LIMIT$ "QS 9 ! ,NEW ,Z1L& ,C5SUS #BJBC F.D #E.0 ( ,NEW ,Z1L&]S 7 4ABL$1 ! DEEP] & BROAD] "QS 9 ! ,H\SEHOLD ,4ABIL;Y ,SURVEY RUN BY ,/ATI/ICS ,NEW ,Z1L& F.D T1 9 #BJBC1 #AG.0 ( ,NEW ,Z1L&]S 7 4ABL$4 ,T FIGURE REPRES5TS M ?AN "O-SIX? ( ! POPULA;N1 OR M ?AN #HEJ1JJJ P4 ,DESPITE ?1 ! 4ABIL;Y /ATUS ( ,NEW ,Z1L&]S IS N COLLECT$ 9 ALL \R NORMAL H1L? DATA S\RCES1 S ! QUAL;Y ( H1L?C>E = 4ABL$ P HAS N BE5 M1SUR$ PROP]LY 2F4 ,! ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N ,TE ,T_AH_U ,HAUORA " HAS PRODUC$ ! 8,W9D[ ON ,4ABIL;Y0 REPORT 9 "PN]%IP ) ! ,DONALD ,B1SLEY #BD ,9/ITUTE "<,,DBI"> & ,NI*OLSON A#I ,3SULT+4 ,! REPORT COMB9ES 4ABL$-L$ RESE>* & 4ABIL;Y COMMUN;Y 5GAGE;T ) ADV.ED ,9TEGRAT$ ,DATA ,9FRA/RUCTURE "<,,IDI"> DATA ANALYTICS4 ,? REPORT USES NEW TE*NIQUES TO EXAM9E :E!R "! >E DI6];ES 9 H1L? C>E A3ESS1 EXP]I;E1 QUAL;Y & \TCOMES 2T 4ABL$ & NON-4ABL$ P1 Z _M 4ABL$ P H REPORT$ F P]SONAL EXP]I;E4 ,F9D+S 3FIRM COMMUN;Y 9SI & H1L?C>E USAGE ( 4ABL$ P ,4ABL$ P DIE F TR1TABLE 3DI;NS "<"KN Z 8AM5ABLE MORTAL;Y0"> AT FIVE "TS ! RATE ( NON-4ABL$ P4 ,M_AORI 4ABL$ P DIE F TR1TABLE 3DI;NS AT NE>LY #AJ "TS ! RATE ( NON ,M_AORI1 NON-,PACIFIC NON-4ABL$ P4 ,A HI<-LEVEL VIEW ( 4ABL$ P'S H1L?C>E USAGE %[S T DESPITE HAV+ HI<] RATES ( 5ROL;T 9 PRIM>Y C>E1 DI6ICULTIES 9 #BE A3ESS+ A ,,GP APPE> TO DRIVE L>GE A#AJ NUMB]S ( 4ABL$ P TO EM]G5CY DE"P;TS1 3TRIBUTE TO HI<] RATES ( HOSPITALISA;NS1 & L;G] AV]AGE HOSPITAL /AYS ?AN NON- 4ABL$ P4 ,ALL ( ? COMES AT A CO/ TO P'S LIVES & TO ! H1L? SY/EM 9 DOLL>S4 ,HAV+ M ?AN "O 4ABIL;Y OR 2+ ,M_AORI OR ,PACIFIC 4ABL$ MAKES ^! 9EQUITIES WORSE4 ,WE DIVE DEEP] 9TO LIFE C\RSE /AGES TO "U/& "S ( ! 3TRIBUTORS TO ^! HI<-LEVEL 9EQUITIES4 ,LIFE-C\RSE /AGE ,MAT]N;Y & BIR? ,9 ,NEW ,Z1L&1 4ABL$ P >E LESS LIKELY ?AN NON-4ABL$ P TO 2 5ROLL$ ) A L1D MAT]N;Y C>] "<,,LMC">1 S* Z A MIDWIFE1 9 _! F/ TRIME/] ( PREGNANCY4 ,P ) MULTIPLE IMPAIR;TS >E EV5 LESS LIKELY TO 2 5ROLL$ ) AN ,,LMC4 ,LAT]1 COMP>$ ) NON-4ABL$ P1 4ABL$ P EXP]I;E HI<] RATES ( PRE-T]M BIR?1 & REPORT L[] SCORES ON _! EXP]I;E ( MAT]N;Y C>E & _! SATISFAC;N ) ! MAT]N;Y EXP]I;E4 ,TAMARA ,GRANT "<,NG_ATI ,T_U:ARETOA1 ,NG_ATI ,TAMA1 ,NG_AI #BF ,TAHU">1 :O IS AUTI/IC1 HAS B#AJ FIBROMYALGIA1 & "M ( TWO1 SAYS4 8,WE DES]VE A H1L? SY/EM T SEES U1 LI/5S TO U & 2LIEVES WE "K \R [N BODIES40 ,LIFE-C\RSE /AGE ,*N & Y\? ,BROADLY1 ! SY/EM APPE>S RESPONSIVE TO 4ABL$ *N4 ,2F ! ,,COVID-#AI P&EMIC1 4ABL$ *N 7 VA39AT$ AT SIMIL> RATES TO NON-4ABL$ *N4 ,X IS LIKELY T ! P&EMIC L$ TO "S 9EQU;Y1 B WE D N H DATA TO SUPPORT ?4 ,! ,,IDI HAS TO USE OLD] ,C5SUS DATA1 S WE D N H 9=MA;N = BABIES BORN AF ! ,C5SUS4 ,H["E1 DATA = FIVE-YE>-OLDS APPE>S TO SUPPORT ! SU7ES;N T "! HAS BE5 A D[NTURN 9 IMMUNISA;N RATES = 4ABL$ *N,- ,M_AORI & ,PACIFIC 4ABL$ *N 9 "PICUL>4 ,POOR ORAL H1L? IS AN E>LY ISSUE & RECURS "?\T ! LIFE C\RSE4 ,EVID;E COMES F RATES ( D5TAL HOSPITALISA;NS = D5TAL 41SE1 : >E HI<] = 4ABL$ *N ?AN = NON- 4ABL$ *N4 ,RATES >E HI<] AG = ,M_AORI & ,PACIFIC 4ABL$ *N4 #BG ,COMP>$ ) NON-4ABL$ *N1 AS?MA 9 #AA 4ABL$ *N IS LESS LIKELY TO 2 TR1T$ WELL1 & HI<] RATES ( HOSPITALISA;N FOLL[4 ,4ABL$ *N EXP]I;E HI<] LEVELS ( POT5TIALLY AVOIDABLE HOSPITALISA;NS = DI6]5T CAUSES1 9CLUD+ D5TAL1 GA/RO5T]ITIS & 3/IPA;N1 ?AN NON-4ABL$ *N4 ,4ABL$ *N & "Y P1 AL;G ) _! :_ANAU1 REPORT SIGNIFICANT UNMET NE$ = PRIM>Y C>E1 ASSI/IVE EQUIP;T1 & M$ICA;N4 ,! %IFT F PA$IATRIC TO ADULT H1L? C>E S]VICES IS FRAUE4 ,? EXP]I;E IS REFLECT$ 9 ! /ORY ( ,KIMB]LY ,GRAHAM1 & H] SON ,F9LAY ,BUT*]1 Z ,F9LAY TRANSI;N$ F PA$IATRIC S]VICES3 8,9/1D ( ! /1DY1 FAMILI> SUPPORT WE US$ TO H F L;G-T]M PA$IATRIC SPECIALI/S1 E S]VICE N[ SEEMS TO REQUIRE 3/ANT & P]SI/5T ADVOCACY40 #BH ,LIFE-C\RSE /AGE,-,ADULTS A#AA ,PATI5TS' EXP]I;ES ( B>RI]S TO A3ESS+ PRIM>Y H1L? C>E 9DICATE T WAIT "TS >E A KEY ISSUE4 ,9 T]MS ( M5TAL H1L?1 4ABL$ ADULTS EXP]I;E HI<] RATES ( ANXIETY & DEPRES.N1 & USE SPECIALI/ M5TAL H1L? & ADDIC;N S]VICES M FREQU5TLY1 B / EXP]I;E GRT] UNMET NE$ = M5TAL H1L? S]VICES4 ,ABEL1 ,T_ANE ,MAORI1 HE TANGATA TURI "<,M_AORI ,D1F MALE">1 SAYS1 8,= TOO L;G1 ,M_AORI & TANGATA TURI M5 L ME H BE5 9 SURVIVAL MODE4 ,WE ADAPT1 WE PREP>E1 WE ADVOCATE,-N 2C WE WANT TO1 B 2C WE H TO4 ,X %DN'T 2 ? H>D TO 2 SE51 HE>D & SUPPORT$ 9 \R [N H1L? SY/EM40 ,! ELECTIVE SURG]Y CLU/] ( 9DICATORS %[S T ! PROPOR;N ( 4ABL$ P WAIT+ L;G] ?AN F\R MON?S = _! F/ SPECIALI/ ASSESS;T AF REF]RAL IS SIMIL> TO T = NON-4ABL$ P4 ,H["E1 ! PROPOR;N ( 4ABL$ P WAIT+ M ?AN F\R MON?S = TR1T;T ONCE A TR1T;T PLAN IS COMMITT$ TO IS HI<] ?AN T ( NON-4ABL$ P4 ,4ABL$ P EXP]I;E HI<] RATES ( PO/- OP]ATIVE COMPLICA;NS = COMMON SURG]IES4 ,MOREOV]1 ! RISK 9CR1SES Z ! NUMB] #BI ( IMPAIR;TS 9CR1SES1 & IS B#AA 4PROPOR;NATELY HI<] = ,M_AORI & ,PACIFIC 4ABL$ P4 ,L 4ABL$ *N & "Y P1 4ABL$ ADULTS EXP]I;E HI<] LEVELS ( D5TAL SURG]IES Z ORAL H1L? WORS5S OV] "T1 & SIGNIFICANT UNMET NE$ "PICUL>LY = PRIM>Y H1L? C>E4 ,4ABL$ ADULTS H A HI<] PREVAL;E ( DIABETES ?AN NON-4ABL$ ADULTS4 ,_M 4ABL$ ADULTS "U #FD YE>S ( AGE LIVE 9 L;G-T]M C>E HOMES,-T IS1 AG$ RESID5TIAL C>E "<#GHJ P 9 ! F/ QU>T] ( ! F9ANCIAL YE> #BJBD_/#BE">1 DESPITE ^! SETT+S N 2+ DESIGN$ = ! NE$S ( "Y] ADULTS4 ,DATA F ,TE ,AHO O ,TE ,KAHU - ,C.ER ,3TROL ,AG5CY %[S 4ABL$ P EXP]I;E HI<] RATES ( MAJOR C.ERS,-LUNG C.ER 9 "PICUL> ?AN NON-4ABL$ P4 ,WE 9CLUDE A SUMM>Y ( ! ,,HDC REPORT1 8,4ABL$ ,P'S ,T_ANGATA ,:AIKAHA ,EXP]I;ES ( ,H1L? ,S]VICES3 REPORT ON COMPLA9TS TO ,,HDC04 -------------------------------------#AB ,WAATA ,HOUIA1 A #DA-YE>-OLD ,M_AORI MAN ) A LE>N+ 4ABIL;Y1 SAYS1 8,WE'RE ! SAME Z "EY"O ELSE1 B WE'VE GOT A #CJ LE>N+ 4ABIL;Y4 ,WE "K :AT WE C D1 A#AB WE "K :AT WE WANT TO TALK AB1 & WE "K :AT !Y NE$ TO LE>N S !Y C 2 A3ESSIBLE TO U Z :O WE >E4 ,WE WON'T 2 *ANG+6 ,TR1T U Z EQUAL40 ,LIFE-C\RSE /AGE,-,OLD] ADULTS ,IMPROV$ A3ESS TO M$IC9ES1 SUPPORTS & S]VICES HAS 3TRIBUT$ TO 9CR1S$ LIFE EXPECTANCY AM;G 4ABL$ P COMP>$ ) E>LI] P]IODS4 ,AT ! SAME "T1 _M NON-4ABL$ P ACQUIRE AGE-RELAT$ IMPAIR;TS & 4ABILITIES LAT] 9 LIFE4 ,H["E1 "! IS LIMIT$ DATA 4T+UI%+ 2T ^! GR\PS & _! 4T9CT H1L? NE$S4 ,OLD] 4ABL$ P "<#FE- #GI"> ) M ?AN "O IMPAIR;T USE ,,ED AT HI<] RATES1 >E HOSPITALIS$ AT HI<] RATES & /AY L;G] 9 HOSPITAL ONCE "!4 ,ROBYN ,HUNT IS 4ABIL;Y 3SULTANT1 BLO7] & COM;TATOR4 ,%E IS A LIFEL;G :EEL*AIR US]1 VI.N IMPAIR$1 & HE>+ IMPAIR$4 ,ROBYN TALKS AB ! EXP]I;E ( AGE+ ) 4ABIL;Y 9TO A COHORT "*IS$ BY NEWLY ACQUIR$ 4ABIL;Y1 9CLUD+ ! NEGOTIA;N ( A H1L? SY/EM T IS #CA PRIM>ILY SET UP TO ADDRESS LATE- B#AB ACQUIR$ & AGE- RELAT$ 4ABIL;Y4 ,? *APT] AL ADDRESSES ! QUAL;Y ( C>E 9 HOME & COMMUN;Y SUPPORT SETT+S = OLD] 4ABL$ ADULTS1 _! EXP]I;E ( ? C>E & :AT CD 2 IMPROV$,-9 "PICUL>1 OLD] 4ABL$ P 7 SIGNIFICANTLY LESS LIKELY ?AN NON-4ABL$ P TO REPORT POSITIVE EXP]I;ES ) E6ECTIVE & RELIABLE S*$UL+ ( C>E4 ,3CLU.N ,! ,W9D[ ON ,4ABIL;Y DEMON/RATES T ! NATURE ( \R DATA ON 4ABL$ P DEP5DS CRITICALLY ON ! "QS T >E ASK$1 :5 !Y >E ASK$1 :O !Y >E ASK$ ( & H[ !Y >E ASK$4 ,GRT] RIG\R IS URG5TLY NE$$ 9 ! WAY 4ABL$ P'S H1L? & SAFETY >E DOCU;T$ )9 ,NEW ,Z1L&'S PUBLIC H1L? SY/EM4 ,:ILE ! COMPLEX;Y ( CAPTUR+ 4ABIL;Y DATA1 & ! GAPS 9 ! EVID;E BASE >E CLE>1 ! DATA T DOES EXI/ TELLS A 3SI/5T & DEEPLY 3C]N+ /ORY4 ,? ,W9D[ A6IRMS :AT _M 4ABL$ P ALR "K "? LIV$ EXP]I;E3 4ABL$ P EXP]I;E POOR] H1L? & SAFETY \TCOMES ?AN _! NON- 4ABL$ PE]S1 ) 4P>ITIES FUR!R #CB COMP.D$ = ,M_AORI & ,PACIFIC C#AB 4ABL$ P4 -------------------------------------#AC ,RECOMM5DA;NS #A4 ,WE NE$ TO "K ,! C5TRAL PROBLEM ID5TIFI$ 9 ? ,W9D[ REPORT IS ! ABS;E ( 4A7REGAT$ DATA RELAT$ TO 4ABIL;Y4 ,4ABIL;Y M/ 2 A3URATELY REFLECT$ 9 NA;NAL H1L? DATA4 ,PROGRAMMES S* Z ! ,PATI5T ,PR(ILE & ,NA;NAL ,H1L? ,9DEX "<,,PPNHI"> %[ A WAY =W>D4 ,BO? ,H1L? ,,NZ & ! ,M9I/RY ( ,H1L? >E 5GAG$ 9 "W >.D APPROA*ES TO E6ECTIVE & A3URATE REFLEC;N ( 4ABIL;Y 9 NA;NAL H1L? DATA4 ,? "W M/ 2 G5U9ELY L$ BY 4ABL$ P1 T_ANGATA :AIKAHA & _! :_ANAU & FULLY 5GAG$ ) BY E H1L? S]VICE & AG5CY 9 ! C.TRY Z A MATT] ( PRIOR;Y4 ,A GD F/ /EP WD 2 TO3 COMMIT TO1 & FULLY RES\RCE1 ! M&ATORY 9CLU.N ( /&>DIS$ 4ABIL;Y ID5TIFICA;N "QS ACR ALL EXI/+ & FUTURE H1L? DATA COLLEC;N PROCESSES4 #CC #B4 ,WE NE$ TO TRA9 A#AC ,4ABIL;Y K M/ 2 EMB$D$ 9TO ALL /AGES ( ! $UCA;N1 TRA9+ & PR(ES.NAL DEVELOP;T ( \R H1L? C>E "W=CE4 ,WE M/ AGREE ON A 4ABIL;Y CURRICULUM ) ! 4ABIL;Y COMMUN;Y & MAKE X COMPULSORY4 ,? RESPONSIBIL;Y FALLS TO ! GOV]N+ BODIES ( ! M$ICAL S*OOLS1 ! M$ICAL & NURS+ C\NCILS1 ! ,M9I/RY ( ,H1L? & ,H1L? ,NEW ,Z1L& ,TE ,:ATU ,ORA4 ,A GD F/ /EP WD 2 TO3 M&ATE A HI<- LEVEL "W+ GR\P TO EMB$ 4ABIL;Y-9CLUSIVE COMPET5CIES ACR ALL H1L? "W=CE CURRICULA4 ,? GR\P NE$S TO COMPRISE 4ABL$ P1 T_ANGATA :AIKAHA & _! :_ANAU1 & 4ABIL;Y H1L? EXP]TS1 AL;GSIDE S5IOR DECI.N-MAK]S F PR(ES.NAL TRA9+ & DEVELOP;T BODIES4 #C4 ,WE NE$ TO EMPLOY ,E H1L? AG5CY & S]VICE C B5EFIT _! US]S "? ! EMPLOY;T ( 4ABL$ P & T_ANGATA :AIKAHA :O "U/& ! 4ABIL;Y EXP]I;E4 ,AC;NS TO RECRUIT1 RETA91 MAKE R1SONABLE A3OMMODA;NS = & SUPPORT ! #CD PROGRES.N ( 4ABL$ P )9 ! H1L? B#AC "W=CE >E NE$$ TO A*IEVE ?4 -------------------------------------#AD ,A GD F/ /EP WD 2 TO3 3DUCT A COMPREH5SIVE REVIEW ( EXI/+ HIR+ FRAME"WS TO ID5TIFY & EXT5D1 & IF NEC DEVELOP ROBU/ 9CLUSIV;Y & A3ESSIBIL;Y POLICIES4 ,? 9CLUDES RECRUIT;T1 5SUR+ T BO? DIGITAL PLAT=MS & PHYSICAL 9T]VIEW PROCESSES >E A3ESSIBLE BY DESIGN1 & SUPPORT IS PROVID$ = 4ABL$ P'S L;G-T]M SU3ESS & C>E] PROGRES.N )9 ! 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C>E QUAL;Y = 4ABL$ P 9 ,AOTEAROA ,NEW ,Z1L&4 ,BY BRIDG+ HI<-LEVEL DATA F ! ,9TEGRAT$ ,DATA ,9FRA/RUCTURE "<,,IDI"> & O!R GOV]N;T S\RCES1 ) ! EXP]TISE & EXP]I;E ( ! 4ABIL;Y COMMUN;Y1 ? ,W9D[ REPORT AIMS TO TRANS=M H[ ,NEW ,Z1L&'S H1L? SY/EM P]CVS1 RESPONDS TO & S]VES 4ABL$ P1 T_ANGATA :AIKAHA & _! :_ANAU4 "9#A ,? REPORT (F]S M ?AN A #CF RETROSPECTIVE ( LIV$ EXP]I;E2 X A#AE CAPTURES LIV+ EXP]I;E,-! DAILY NAVIGA;N ( A SY/EM 9 URG5T NE$ ( EVOLU;N4 ,WE 5VI.N A FUTURE ": 4ABL$ P D N M]ELY SURVIVE1 B ?RIVE1 L1D+ ORD9>Y LIVES AL;GSIDE _! :_ANAU4 ,A*IEV+ ? REQUIRES MOV+ 2Y PASSIVE OBS]VA;N T[>D LEGISLA;N1 POLICY1 & PRACTICE T M&ATE A3ESSIBIL;Y & DRIVE SY/EMIC *ANGE4 ,A C5TRAL !ME ( ? "W IS ! VITAL NECESS;Y ( L1D]%IP & 3SULTA;N4 ,F ! LATE/ DATA1 WE SEE T ! EXP]I;E ( 4ABIL;Y IS DYNAMIC1 EVOLV+ ACR ! LIFE C\RSE,-F ! SPECIFIC NE$S ( 4ABL$ BIR?+ P>5TS TO ! GR[+ DEMOGRAPHIC ( ^? OV] #FE :O (T5 FACE B>RI]S TO ESS5TIAL SUPPORT4 ,CURR5TLY1 \R 9FRA/RUCTURE REMA9S FRAG;T$2 :ILE _M >E REGI/]$ ) PRIM>Y C>E1 B>RI]S S* Z 9A3ESSIBIL;Y & A LACK ( 4ABIL;Y-SPECIFIC TRA9+ (T5 =CE 9DIVIDUALS 9TO EM]G5CY DE"P;TS = C>E T %D 2 PROACTIVE & PREV5TATIVE4 ,= ,M_AORI & ,PACIFIC 4ABIL;Y COMMUNITIES1 ^! *ALL5GES >E FUR!R COMP.D$4 ,?\< IMP]FECT1 ! DATA HIE LAW 9 AC;N1 "9#B : /ATES1 9 PLA9 ,5GLI%1 T ! P :O NE$ M$ICAL C>E ! MO/ >E ! L1/ LIKELY TO GET X4 ,9 O!R ^WS1 ^? ) ! GRTE/ H1L? NE$S1 9 ? CASE 4ABL$ P1 (T5 RCV ! L1/ OR L[E/-QUAL;Y C>E1 L1D+ TO WORS5+ H1L? \TCOMES4 ,ULTIMATELY1 ? ,W9D[ REPORT REV1LS A SY/EM "U PRESSURE1 YET X AL HI PA? =W>D4 ,BY C5TR+ ^! DIV]SE N>RATIVES1 WE "USCORE ! URG5T NE$ = A FUTURE H1L? SY/EM GR.D$ 9 EQU;Y & ! FUNDA;TAL PR9CIPLE ( 8NO?+ AB U1 )\T U04 #CH ,*APT] #A #AF ,4ABIL;Y1 DATA & :AT WE C "K ,:O IS 4ABL$ 9 ,AOTEAROA8 ,! 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NUMB] ( P 9 EA* AGE GR\P :O MEET ! #DJ CRIT]IA = ! #BJBC ,H\SEHOLD B#AF ,4ABIL;Y ,SURVEY1 :O 7 DET]M9$ TO H FUNC;NAL 4ABIL;Y US+ ,,IDI S\RCES1 OR RCVD ,4ABIL;Y ,SUPPORT ,S]VICES 9 #BJBC4 "9#F ,X DEMON/RATES ! EXT5T TO : 4ABIL;Y DATA IS A6ECT$ BY ! "QS ASK$1 :5 !Y 7 ASK$ & H[ !Y 7 ASK$1 Z WELL Z :O 0 ASK$ ! "QS4 -------------------------------------#AG ,FIGURE #A3 ,4ABL$ POPULA;N F ! ,H\SEHOLD ,4ABIL;Y ,SURVEY "1 P :O RCV ,4ABIL;Y ,SUPPORT ,S]VICES & P ID5TIFI$ Z 4ABL$ )9 ! ,9TEGRAT$ ,DATA ,9FRA/RUCTURE "<,,IDI">1 #BJBC @.<,A L9E GRAPH %[+ T ! ,H\SEHOLD ,4ABIL;Y ,SURVEY ID5TIFIES M P ?AN ! ,C5SUS & ,4ABIL;Y ,SUPPORT ,S]VICE DATA1 9 "PICUL> OLD] AGE GR\PS4 ,! "U #ES >E POORLY RECOGNIS$ BY MO/ ME?ODS4@.> ,S\RCE3 ,,IDI ,! G5ESIS ( 4ABIL;Y IS AL IMPORTANT4 ,9 ,NEW ,Z1L&1 4ABL$ P'S H1L? M/ #DA 2 "U/OOD )9 ! 3TEXT ( 4ABIL;Y A#AG SUPPORTS & S]VICE SY/EMS T >E COMPLEX1 RE/RICTIVE1 9A3ESSIBLE1 "UFUND$ & (T5 DI6ICULT TO NAVIGATE4 "9#G ,^! /RUCTURAL B>RI]S >E MO/ />KLY ILLU/RAT$ BY DI6];ES 9 5TITLE;TS & RES\RC+ BAS$ ON ! CAUSE ( A P]SON'S IMPAIR;T,-! ,M9I/RY ( ,H1L? FUNDS H1L?-RELAT$ & 3G5ITAL 4ABILITIES1 :ILE ! ,A3ID5T ,COMP5SA;N ,CORPORA;N "<,,ACC"> FUNDS 4ABILITIES RESULT+ F 9JURY OR A3ID5T4 ,AL? "! IS A LACK ( COMPREH5SIVE COMP>ATIVE DATA1 AVAILABLE EVID;E HITIFICIAL ,LIMB ,S]VICE ,PEKE ,WAIHANGA E/IMAT$ T 8,,ACC PATI5TS ON AV]AGE GET A3ESS TO #BAD.0 M S]VICES & TE*NOLOGY ?AN A ,,DHB PATI5T40 "9#H ,Z X FUR!R /AT$ 9 XS #BJBC ,BRIEF+ = ,9COM+ ,M9I/]3 ,HAV+ TWO DI6]5T NA;NAL PROS!TIC 3TRACTS PRES5TS SIGNIFICANT H1L? & SAFETY RISKS4 ,= ! ,,ACC >TIFICIAL LIMB S]VICE1 AMPUTEES RCV AN OPTIMIS$ #DB PROS!TIC PRESCRIP;N & B#AG REHABILITA;N PLAN1 :ILE ! ,TE ,:ATU ,ORA PROS!TIC S]VICE IS BULK-FUND$ & 9CR1S+LY "UFUND$ I4E4 ,TE ,:ATU ,ORA FUND+ HAS N 9CR1S$ DESPITE ! 9CR1SE 9 AMPUTEES & ! COMPLEX;Y ( _! C>E4 ,? SITUA;N IMPOSES SUBOPTIMAL \TCOMES = PATI5TS & ONGO+ /RESS = /AFF4 "9#I ,? 4P>;Y 2T SUPPORT PROVID$ BY ,,ACC V]SUS T ( ,H1L? ,NEW ,Z1L& ,TE ,:ATU ,ORA IS N LIMIT$ TO AMPUTEES4 ,X IS EXP]I;ED ACR ! 4ABIL;Y COMMUN;Y & HAS A DIRECT & 5DUR+ IMPACT ON 4ABL$ P'S H1L? \TCOMES1 SAFETY & OV]ALL WELLBE+4 -------------------------------------#AH ,4ABIL;Y IS ALM 9VISIBLE 9 \R H1L? C>E DATA ,S ! WAYS WE C.T :O IS 4ABL$ >E IMPORTANT4 ,! F/ ,W9D[ ON ,QUAL;Y REPORT 0 PUBLI%$ 9 #BJAE & ! S]IES HAS GR[N S9CE !N4 ,WE >E USUALLY ABLE TO RELY ON L>GE1 ROBU/1 NA;NAL-LEVEL DATA SETS TO "U/& & TELL A /ORY AB ! QUAL;Y ( ,NEW ,Z1L&'S H1L? C>E4 ,! L>GE DATA SETS WE (T5 RELY ON #DC 9CLUDE ! ,NA;NAL ,NON-,ADMITT$ A#AH ,PATI5TS ,COLLEC;N "<,,NNPAC"> & ! ,NA;NAL ,M9IMUM ,DATASET "<,,NMDS">4 ,^! DATA SETS COLLECT ADM9I/RATIVE DATA ON HOSPITALISA;NS1 EM]G5CY DE"P;T PRES5TA;NS & O!R PUBLICLY FUND$ S]VICE 9T]AC;NS4 ,!Y >E US$ TO "U/& S]VICE USE &1 (T51 QUAL;Y ( C>E4 ,!Y D N COLLECT P'S 4ABIL;Y /ATUS4 ,9 \R ,W9D[ REPORTS1 WE AL USE O!R SMALL]1 R\T9ELY & 3SI/5TLY COLLECT$ DATA SETS S* Z ! ,MAT]N;Y ,CL9ICAL ,9DICATORS1 : TELL U H[ WELL \R MAT]N;Y S]VICES >E DO+4 ,WE C EXAM9E ^! DATA SETS TO ASSESS RESULTS BY DI6]5T E?NIC GR\PS1 AGE GR\PS & "PS ( ! C.TRY4 ,B !Y TOO D N COLLECT 4ABIL;Y /ATUS4 ,E ,NEW ,Z1L&] :O 9T]ACTS ) \R H1L? SY/EM HAS A ,NA;NAL ,H1L? ,9DEX "<,,NHI"> NUMB]4 ,! ,,NHI IS ! UNIQUE ID5TIFI] WE USE TO MAKE SURE WE H AN UP- TO-DATE RECORD ( IMPORTANT 9=MA;N H1L? C>E PROVID]S NE$1 L 3TACT DETAILS1 B AL 9=MA;N T IS IMPORTANT = MONITOR+ ! QUAL;Y ( \R H1L? S]VICES S* Z 9=MA;N AB "S"O'S G5D] & E?NIC ID5T;Y4 ,! #DD ,,NHI DOES N RECORD :E!R A P]SON B#AH IS 4ABL$ OR :AT 4ABIL;Y-RELAT$ A3OMMODA;NS F H1L? S]VICES !Y MIDE/ REPORT TO COMPILE ( ALL ! ,W9D[ ON ,QUAL;Y S]IES YET1 2C \R USUAL WAYS ( "U/&+ ! QUAL;Y ( ,NEW ,Z1L&'S H1L? C>E EXCLUDE 4ABIL;Y4 ,WE DON'T "K F ^! USUAL S\RCES :O IS 4ABL$ OR :AT _! H1L? C>E IS L4 ,S1 :AT DID WE D8 ,9NOVATIVE APPROA*ES TO DATA ,9 ,NEW ,Z1L&1 WE H "S?+ CALL$ ! ,9TEGRAT$ ,DATA ,9FRA/RUCTURE "<,,IDI">4 ,! ,,IDI IS AN 9NOVATIVE DATA SOLU;N = 3NECT+ DI6]5T1 4CONNECT$ DATA SETS4 ,X IS L A SP9E1 OR ! TRUNK ( A TREE1 PROVID+ A 3NEC;N PO9T = MULTIPLE DATA SETS F DI6]5T S\RCES1 9CLUD+ H1L? C>E4 ,^! DI6]5T DATA SETS >E L ! BRAN*ES :ILE ! ,,IDI IS ! 3NEC;N PO9T1 5ABL+ ! BRAN*ES TO 2 L9K$ & US$ TO TACKLE "QS T H PREVI\SLY G"O UNANSW]$ "<,FIGURE #DE #B">4 C#AH -------------------------------------#AI ,FIGURE #B3 ,! ,9TEGRAT$ ,DATA ,9FRA/RUCTURE "<,,IDI"> @.<,PICTURE %[+ ! ,,IDI Z L9K 2T GOV]N;T DATA S\RCES4@.> ,S\RCE3 ,/ATS ,,NZ ,ALL DATA 9 ! ,,IDI IS DE-ID5TIFI$1 M1N+ 9=MA;N L "NS1 DATES ( BIR?1 & ADDRESSES HAS BE5 REMOV$4 ,ANY NUMB]S T >E US$ TO ID5TIFY P1 L ,9L& ,REV5UE ,DE"P;T "<,,IRD"> & ,,NHI NUMB]S1 >E 5CRYPT$ "4 ,EXP]TS :O "UTAKE DATA ANALYSIS US+ ! ,,IDI AL D S 9 CLOS$ LABS4 ,^! LABS >E N 3NECT$ TO ! 9T]NET1 & NO MAT]IALS C 2 BR"\ 9 OR S5T \ UNTIL RESULTS PASS "? A =MAL1 TWO-WEEK PROCESS DUR+ : ,/ATS ,,NZ *ECKS !M4 ,! *ECK+ PROCESS 5SURES NO ID5TIFY+ 9=MA;N IS A3ID5TALLY 9CLUD$1 & NO ]RORS H BE5 MADE4 ,:AT ! ,,IDI ALL[S U TO D IS SEE A COHORT ( P ID5TIFI$ 9 ! ,C5SUS & #DF ADM9I/RATIVE DATA Z 4ABL$1 & A#AI 3NECT T SET ) O!R DATA S\RCES1 L ! USUAL "OS WE USE TO "U/& QUAL;Y ( C>E4 ,9 ? WAY1 WE C COMP>E 4ABL$ P'S H1L? C>E \TCOMES ) ^? ( NON-4ABL$ P4 ,B :AT ( ! ,C5SUS 4ABIL;Y E/IMATE ( #E.01 & ! WELL-DOCU;T$ "UC.T+ ( 4ABL$ ,M_AORI1 ,PACIFIC & O!R M>G9ALIS$ COMMUNITIES8 ,? "Q HAS BE5 C>E;LLY 3SID]$ "?\T ! DEVELOP;T ( ? REPORT1 GIV5 ! POT5TIAL IMPLICA;NS = H1L? POLICY & PRACTICE4 ,FOLL[+ EXT5SIVE 4CUS.N ) 4ABIL;Y H1L? EXP]TS & DATA SCI5TI/S1 A 3SI/5T 3CLU.N EM]G$3 ! PRIM>Y FOCUS ( ? ,W9D[ REPORT IS N TO E/ABLI% ! PRECISE PREVAL;E ( 4ABIL;Y1 B TO COMP>E ! QUAL;Y ( C>E EXP]I;ED BY 4ABL$ & NON-4ABL$ P4 ,CRUCIALLY1 ^! COMP>ISONS REMA9 3SI/5T ACR DATA SETS1 REG>D.S ( : 4ABIL;Y PREVAL;E E/IMATES >E US$4 ,= ? ,W9D[ REPORT1 WE H TAK5 ! APPROA* ( US+ ! ,H\SEHOLD ,4ABIL;Y ,SURVEY = A M A3URATE E/IMATE ( ! ACTUAL NUMB]S ( 4ABL$ P1 & US+ ! ,C5SUS "? ! ,,IDI TO COMP>E _! \TCOMES ) ^? ( NON-4ABL$ #DG ,NEW ,Z1L&]S4 ,Z RECOMM5D$ BY B#AI ,/ATS ,,NZ1 "9#AJ AL? ? APPROA* IS IMP]FECT1 X IS ! BE/ WE H AT ? PO9T 9 "T4 -------------------------------------#BJ ,:AT ? REPORT DOES ,9 ? 9TRODUCTORY *APT]1 WE DESCRIBE ! DI6ICULTIES ( DATA ON 4ABIL;Y 9 ,NEW ,Z1L&1 \R APPROA*1 & A QK1 HI<-LEVEL VIEW ( 4ABL$ P'S USE ( H1L? C>E4 ,9 ! FOLL[+ *APT]S1 WE DIVE 9TO LIFE- C\RSE /AGES TO "U/& :AT WE C " AB H[ 2+ 4ABL$ A6ECTS QUAL;Y ( C>E AT DI6]5T /AGES ( LIFE3 MAT]N;Y & BIR? "<,*APT] #B"> *ILDHOOD & Y\? "<,*APT] #C"> ADULTHOOD "<,*APT] #D"> OLD] AGE "<,*APT] #E"> 3CLU.N & RECOMM5DA;NS "<,*APT] #F">4 ,IMPORTANTLY1 ? ,W9D[ REPORT DEMON/RATES H[ H1L? \TCOMES & S]VICE EXP]I;ES *ANGE1 & (T5 WORS51 OV] A #DH 4ABL$ P]SON'S LIFE C\RSE4 ,? A#BJ TRAJECTORY SU7E/S ! ,NEW ,Z1L& H1L? SY/EM IS LACK+ ! A3ESSIBIL;Y & A3OMMODA;NS NEC = 4ABL$ P TO FULLY R1LISE _! "R TO ! HID ( H1L? & WELLBE+1 "9#AA & ! VI.N ( ! ,H1L? ( ,4ABL$ ,P /RATEGY1 : IS = 4ABL$ P TO 8LIVE L;G1 FULFILL+ & M 9DEP5D5T LIVES 9 GD H1L?04 "9#AB ,9 ,*APT] #F WE 3CLUDE & MAKE RECOMM5DA;NS ON H[ TO IMPROVE ! SITUA;N ? REPORT DESCRIBES4 ,\R COLLABORATORS ,"?\T ? REPORT1 /ORIES F 4ABL$ P1 T_ANGATA :AIKAHA & _! :_ANAU :O USE ,NEW ,Z1L&'S H1L? C>E S]VICES PROVIDE U ) A S5SE ( ! LIV$1 HUMAN EXP]I;E ( ! DATA4 ,WE H AL 9CLUD$ COM;T>Y F H1L? PR(ES.NALS "W+ AT ! FRONT L9ES ( ,NEW ,Z1L&'S H1L? SY/EM4 ,WE WI% TO ?ANK ! G5]\S P :O 3TRIBUT$ _! /ORIES TO ? REPORT4 ,? REPORT 0 DEVELOP$ 9 A "PN]%IP 2T ! ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N ,TE ,T_AH_U ,HAUORA2 ! ,DONALD ,B1SLEY #DI ,9/ITUTE1 "9#AC A L1D] 9 B#BJ CULTURALLY DIV]SE1 4ABL$-L$ 4ABIL;Y RESE>* "<,FIGURE #C">2 & ,NI*OLSON ,3SULT+1 "9#AD A DATA ANALYTICS GR\P :O SPECIALISE 9 ,,IDI ANALYSES & ,M_AORI & 4ABIL;Y DATA "<,FIGURE #D">4 ,A GR\P ( 4ABIL;Y H1L? EXP]TS PROVID$ FUR!R 3TEXTUAL & /ATI/ICAL 9SI* ,L1D2 ,ASSOCIATE ,PR(ESSOR ,BRIGIT ,MIRF9- ,VEIT*1 ,KAIURUKI ,MATUA _/ ,DIRECTOR4@.> ,FIGURE #D3 ,NI*OLSON ,3SULT+ REPRES5TATIVES @.<,PHOTOGRAPH3 LEFT TO "R3 ,TORI VAN ,LO5H\T1 ,S5IOR ,DATA ,SCI5TI/2 ,DR ,S>AH ,"UWOOD1 ,DATA ,SCI5TI/2 ,DR ,AMJAD ,ALI1 ,S5IOR ,DATA #EJ ,SCI5TI/2 ,DR ,TODD ,NI*OLSON1 C#BJ ,S]VICE ,L1D4@.> -------------------------------------#BA ,AN OP5+ EXAMPLE ,2F WE 2G9 TO 4CUSS DATA 9 M DETAIL1 WE %D AC"KL$GE T M* ( ! DATA 9 ? REPORT IS NEWLY G5]AT$ F ! ,,IDI & HAS N BE5 ANALYS$ 2F4 ,H["E1 X ALIGNS ) :AT _M 9 ! 4ABIL;Y COMMUN;Y SAY !Y H EXP]I;ED 9 RELA;N TO _! H1L? & H1L? C>E4 ,!Y H TOLD U X IS GD TO 2 ABLE TO QUANTIFY1 AT LA/1 :AT !Y H L;G SUSPECT$4 ,PL1SE AL NOTE T ? DATA IS 3FRONT+4 ,X REV1LS _M L;G-/&+ 9EQUITIES = 4ABL$ P T H RESULT$ 9 POOR] EXP]I;ES ( C>E1 UNNEC PA9 & %ORT] LIFESPANS4 ,PL1SE TAKE C>E ( YRF :ILE R1D+ ? ,W9D[ REPORT4 ,TAKE BR1KS1 & R1* \ = SUPPORT IF & :5 Y NE$ X4 ,Z AN OP5+ EXAMPLE1 WE F/ %>E ,FIGURE #E4 ,? %[S AM5ABLE MORTAL;Y = 4ABL$ P COMP>$ ) NON-4ABL$ P4 8,AM5ABLE0 M1NS 8CAPABLE ( 2+ ACT$ ^U0,-T IS1 "S?+ CD H BE5 D"O TO /OP "S?+ F HAPP5+4 ,= 8AM5ABLE MORTAL;Y01 ? M1NS "S?+ T #EA CD H BE5 D"O TO /OP A D1? F A#BA HAPP5+ AT T "T4 ,"! >E A NUMB] ( 3DI;NS T C CAUSE D1?1 B T C 2 HELP$ BY GD H1L? C>E AT ! "R "T4 ,AM5ABLE MORTAL;Y M1SURES ! RATE ( D1?S ( 4ABL$ & NON- 4ABL$ P AG$ #J-#GD YE>S T CD H POT5TIALLY BE5 AVOID$ IF !Y _H BE5 GIV5 E6ECTIVE & "TLY H1L? C>E4 ,FIGURE #E %[S T ! RATE ( D1?S F 3DI;NS T C 2 TR1T$ IS M ?AN FIVE "TS HI<] = 4ABL$ P ?AN NON-4ABL$ P4 ,X IS A />K REM9D]1 AT A V HI< LEVEL1 T ,NEW ,Z1L&'S H1L? C>E IS N "W+ WELL = M ?AN "O-SIX? ( ! POPULA;N4 ,FIGURE #E3 ,AM5ABLE MORTAL;Y RATE P] #AJJ1JJJ POPULA;N1 AGES #E-#FD YE>S1 BY 4ABIL;Y /ATUS1 #BJAI & #BJBJ @.<,B> GRAPH %[+ T ! RATE ( AM5ABLE MORTAL;Y = 4ABL$ P 0 #F "TS T = NON- 4ABL$ P 9 #BJAI & OV] #E "TS 9 #BJBJ4@.> ,S\RCE3 ,,IDI -------------------------------------#BB ,! 9T]SEC;N ( E?NIC;Y & 4ABIL;Y #EB 9 RELA;N TO AM5ABLE MORTAL;Y IS A#BB AL P[];L4 ,9 #BJBJ1 ,M_AORI 4ABL$ P DI$ F AM5ABLE CAUSES AT NE>LY #AJ "TS ! RATE ( NON ,M_AORI1 NON-,PACIFIC P :O >E N 4ABL$3 #EJD D1?S P] #AJJ1JJJ1 COMP>$ ) #EA P] #AJJ1JJJ4 ,PACIFIC 4ABL$ P DI$ AT NE>LY #G "TS ! RATE ( NON ,M_AORI1 NON- ,PACIFIC P :O >E N 4ABL$ "<,FIGURE #F">4 ,^! DI6];ES PROVIDE ANO!R 3FRONT+ REM9D]3 ,NEW ,Z1L&'S H1L? C>E IS N "W+ WELL = ,M_AORI & ,PACIFIC 4ABL$ P4 ,FIGURE #F3 ,AM5ABLE MORTAL;Y RATE P] #AJJ1JJJ POPULA;N1 AGES #E-#FD YE>S1 BY 4ABIL;Y /ATUS & E?NIC;Y1 #BJAI & #BJBJ @.<,B> GRAPH %[+ ! 9EQU;Y 9 AM5ABLE MORTAL;Y BY E?NIC;Y1 ) 4ABL$ ,M_AORI & ,PACIFIC ,P HAV+ ! HI ,S\RCE3 ,,IDI ,AN IMPORTANT NOTE3 ,? IS N A COMP5DIUM ,AM5ABLE MORTAL;Y IS A HI<-LEVEL M1SURE & S]VES MO/LY Z AN AL>M #EC BELL4 ,AL? X DOESN'T TELL U :AT C B#BB & C'T 2 FIX$1 X DOES TELL U "! IS A S]I\S ISSUE4 ,X IS N ! 9T5;N ( ? REPORT TO 2 A COMPLETE COMP5DIUM ( ! DATA T CD 2 ANALYS$,-,,IDI PROCESSES >E RIGOR\S & SL[4 ,9/1D ? REPORT PRES5TS A CURAT$ SELEC;N ( M1SURES T GIVE A VIEW ON M SPECIFIC ASPECTS ( ! QUAL;Y ( C>E = 4ABL$ P "?\T ! LIFE C\RSE4 ,IMPORTANT 3TEXTS1 MODELS & /RATEGIES "UP9 ! ?9K+1 FRAM+ & *OICES MADE 9 WRIT+ ? REPORT4 ,9 "PICUL>1 WE DRAW ON3 COMMON MODELS ( 4ABIL;Y1 9CLUD+ BO? ,M_AORI & ,PACIFIC MODELS ( 4ABIL;Y & H1L? "<9CLUD+ T_ANGATA :AIKAHA1 :_ANAU HAU_A & ,TAGATA ,SA'ILIMALO -------------------------------------#BC MODELS">2 ,TE ,TIRITI ,O ,WAITANGI2 ! ,UNIT$ ,NA;NS ,3V5;N ON ! ,"RS ( ,P]SONS ) ,4ABILITIES1 TO : ,NEW ,Z1L& IS A SIGNATORY2 ! ,H1L? ( ,4ABL$ ,P ,/RATEGY2 & ! ,NEW ,Z1L& ,4ABIL;Y ,/RATEGY #BJBF- #BJCJ4 ,= M 9=MA;N ON ^! S\RCES1 SEE ,APP5DIX #B4 ,ALL ( ^! 3TEXTS >E IMPORTANT4 #ED ,X IS AL NOTEWOR?Y T N E ASPECT ( A#BC H1L? C>E = 4ABL$ P C 2 ANALYS$1 & N E EXP]I;E REFLECT$4 ,4ABIL;Y IS A L>GE1 COMPLEX SPACE1 & N WELL-M1SUR$4 ,9 O!R ^WS1 ? REPORT IS ONLY A W9D[1 NECESS>ILY "PIAL & 9COMPLETE1 ON ! QUAL;Y ( C>E 4ABL$ P RCV 9 ,NEW ,Z1L&4 ,A QK1 HI<-LEVEL VIEW ( H1L? C>E USE BY 4ABL$ P ,F A V BROAD P]SPECTIVE1 4ABL$ P >E ACTIVELY TRY+ TO A3ESS \R PRIM>Y H1L? C>E SY/EM4 ,? IS DEMON/RAT$ "? PRIM>Y H1L? ORGANISA;N "<,,PHO"> 5ROL;T RATES1 : >E 3SI/5TLY HI<] = 4ABL$ P ?AN = NON- 4ABL$ P4 ,DESPITE ?1 4ABL$ P /RU7LE TO A3ESS PRIM>Y C>E1 & SUBSEQU5TLY RELY H1VILY ON SECOND>Y C>E,-4ABL$ P USE EM]G5CY DE"P;TS AT HI<] RATES ?AN NON- 4ABL$ P1 >E HOSPITALIS$ M & /AY L;G] 9 HOSPITAL ONCE !Y >E "!4 ,A LACK ( PRIM>Y C>E A3ESS DRIVES _M 4ABL$ P 9TO SECOND>Y C>E1 ) CO/S TO P & TO ! SY/EM4 #EE ,PRIM>Y C>E 5ROL;T B#BC ,4ABL$ P >E TRY+ TO 5GAGE ) ! H1L? C>E SY/EM & >E 5ROLL$ ) G5]AL PRACTI;N]S "<,,GP,'S"> AT 3SI/5TLY HI<] RATES ?AN NON-4ABL$ P,-#IG.0 V]SUS #IC.0 9 #BJBD "<,FIGURE #G">4 ,4ABL$ P ) TWO OR M IMPAIR;TS >E M LIKELY TO 2 5ROLL$ ) A ,,GP ?AN ^? ) "O OR NO IMPAIR;T1 ACR ALL AGES4 ,M_AORI & ,PACIFIC 4ABL$ P >E M LIKELY TO 5ROL ) A ,,GP ?AN ,M_AORI & ,PACIFIC NON-4ABL$ P TOO4 ,FIGURE #G3 ,P]C5TAGE ( P 5ROLL$ ) A ,,GP1 BY 4ABIL;Y /ATUS1 #BJAI-#BJBD @.<,L9E GRAPH %[+ T 4ABL$ P >E M LIKELY TO 2 5ROLL$ ) A ,,GP ?AN NON- 4ABL$ P4@.> ,S\RCE3 ,,IDI -------------------------------------#BD ,H["E1 ,M_AORI & ,PACIFIC 4ABL$ P >E LESS LIKELY ?AN NON ,M_AORI1 NON- ,PACIFIC 4ABL$ P TO 2 5ROLL$ ) A ,,GP1 EV5 ?\< ! P]C5TAGE IS / V HI<1 & #EF NE>LY FIVE P]C5TAGE PO9TS HI<] A#BD ?AN = ,M_AORI & ,PACIFIC NON-4ABL$ P4 ,4ABL$ P ( ALL E?NICITIES _H HI<] 5ROL;T ) A ,,GP ?AN NON-4ABL$ P "<,FIGURE #H">4 ,FIGURE #H3 ,P]C5TAGE ( P 5ROLL$ ) A ,,GP1 BY E?NIC;Y1 #BJAI-#BJBD @.<,L9E GRAPH %[+ T ,M_AORI & ,PACIFIC 4ABL$ P >E LESS LIKELY TO 2 5ROLL$ ) A ,,GP ?AN NON ,M_AORI1 NON-,PACIFIC 4ABL$ P1 B / M ?AN NON-4ABL$ P4@.> ,S\RCE3 ,,IDI ,4ABL$ P ) SEE+ & HE>+ IMPAIR;TS >E LESS LIKELY TO 2 5ROLL$ ) A ,,GP ?AN ^? ) O!R IMPAIR;TS B ! DI6];ES >E SMALL4 ,9TELLECTUALLY 4ABL$ P OV] #DJ YE>S >E LESS LIKELY TO 2 5ROLL$ ) A ,,GP ?AN ^? ) O!R IMPAIR;TS4 ,ACR ALL AGES1 4ABL$ P >E "W+ H>D TO A3ESS PRIM>Y C>E4 ,FIGURE #I %[S A SMALL DROP-(F 9 5ROL;TS Z 4ABL$ P TRANSI;N 9TO ADULTHOOD1 B ! DI6];E 9 LEVEL ( 5ROL;T COMP>$ ) NON-4ABL$ P "<,FIGURE #AJ"> IS CLE>4 #EG ,! PROPOR;N ( 4ABL$ P UN5ROLL$ #BE 9 PRIM>Y C>E "<%[N 9 ORANGE"> IS SMALL & CLE>LY SMALL] ?AN ! PROPOR;N ( NON-4ABL$ P UN5ROLL$ ) A ,,PHO4 ,FIGURE #I3 ,,PHO 5ROL;T ( 4ABL$ P1 BY AGE GR\P1 #BJBC @.<,GRAPH %[+ T MO/ 4ABL$ P >E 5ROLL$ ) A ,,GP B T P >E MO/ LIKELY TO 2 5ROLL$ UP UNTIL _! LATE TE5S & AF ! AGE ( #DJ4@.> ,S\RCE3 ,,IDI ,FIGURE #AJ3 ,,PHO 5ROL;T ( NON-4ABL$ P1 BY AGE GR\P1 #BJBC @.<,GRAPH %[+ T ! AGES :5 NON-4ABL$ P >E MO/ LIKELY TO 2 5ROLL$ ) A ,,GP >E "U ! AGE ( #AJ & OV] ! AGE ( #EJ4@.> ,S\RCE3 ,,IDI -------------------------------------#BF ,UNMET NE$ = C>E ,DESPITE ^! EF=TS TO A3ESS PRIM>Y C>E & /R;G LEVELS ( 5ROL;T1 "O-?IRD ( 4ABL$ P REPORT$ AN UNMET NE$ TO SEE A H1L? PR(ES.NAL 9 ! LA/ #AB MON?S4 ,( #EH ^?1 ! MAJOR;Y REPORT$ AN UNMET A#BF NE$ TO SEE A ,,GP "<,FIGURE #AA">4 ,? IS CRITICAL :5 WE 3SID] H[ G5]AL PRACTICE REF]RALS >E (T5 ! GATEWAY TO SECOND>Y C>E1 DIAGNO/IC S]VICES1 FUND+1 & 4ABIL;Y SUPPORTS & S]VICES4 ,FIGURE #AA3 ,P]C5TAGE ( 4ABL$ P :O _H UNMET H1L? C>E NE$S1 BY H1L? C>E PR(ES.N1 #BJBC @.<,B> GRAPH %[+ T #FG.0 ( 4ABL$ P REPORT+ AN UNMET H1L?C>E NE$1 _H A NE$ TO SEE A ,,GP4 #AG.0 _H AN UNMET NE$ TO SEE A M$ICAL SPECIALI/ & #AD.0 A M5TAL H1L? PR(ES.NAL4@.> ,S\RCE3 ,H\SEHOLD ,4ABIL;Y ,SURVEY -------------------------------------#BG ,! MO/ COMMON R1SON = ? UNMET NE$ 0 T A ,,GP 0 N AVAILABLE "<,FIGURE #AB">4 ,FIGURE #AB3 ,R1SONS = 4ABL$ P'S UNMET NE$ TO SEE A H1L? PR(ES.NAL1 #BJBC @.<,B> GRAPH %[+ T #GI.0 ( 4ABL$ P REPORT+ A NE$ TO SEE A H1L? PR(ES.NAL NOT$ T LACK ( APPO9T;T AVAILABIL;Y #EI OR L;G WAIT+ LI/S 0 ! CAUSE ( ! A#BG UNMET NE$4@.> ,S\RCE3 ,H\SEHOLD ,4ABIL;Y ,SURVEY ,DESPITE /R;G LEVELS ( ,,GP 5ROL;T1 4ABL$ P H HI<] RATES ( EM]G5CY DE"P;T PRES5TA;NS4 ,EM]G5CY DE"P;T PRES5TA;NS ,4ABL$ P PRES5T$ ) ACUTE 3DI;NS TO EM]G5CY DE"P;TS "<,,ED,'S"> AT ALM ?REE "TS ! RATE ( NON-4ABL$ P1 3SI/5TLY OV] "T "<,FIGURE #AC">3 ,FIGURE #AC3 ,RATE ( ,,ED PRES5TA;NS P] #A1JJJ POPULA;N1 BY 4ABIL;Y /ATUS1 #BJAH-#BJBC @.<,L9E GRAPH %[+ T 4ABL$ P PRES5T$ TO ,,ED AT OV] #C "TS ! RATE ( NON-4ABL$ P4@.> ,S\RCE3 ,H\SEHOLD ,4ABIL;Y ,SURVEY -------------------------------------#BH ,! RATE AT : ,M_AORI 4ABL$ P PRES5T$ TO ,,ED,'S 0 HI<] ?AN ! RATE ( NON ,M_AORI1 NON-,PACIFIC & ,PACIFIC #FJ 4ABL$ P "<,FIGURE #AD">4 A#BH ,FIGURE #AD3 ,RATE ( ,,ED PRES5TA;NS P] #A1JJJ POPULA;N1 BY E?NIC;Y1 #BJAH- #BJBC @.<,L9E GRAPH %[+ T 4ABL$ ,M_AORI PRES5T TO ,,ED SLI ,S\RCE3 ,,IDI ,Z MIS & OLD] ) M ?AN "O IMPAIR;T PRES5T$ M (T5 TO ,,ED ?AN ^? 9 _! AGE GR\P ) "O OR NO IMPAIR;TS4 ,H["E1 AM;G ^? ( LAT] "W+ AGE "<#DJ-#FD YE>S">1 ! RATE ( PRES5TA;NS ( 4ABL$ P ) M ?AN "O IMPAIR;T IS AL EXTREMELY HI<,-ALM F\R "TS ! RATE ( NON-4ABL$ P 9 _! AGE GR\P "<#FHG V]SUS #AHC P] #A1JJJ POPULA;N"> "<,FIGURE #AE">4 ,FIGURE #AE3 ,RATE ( ,,ED #FA PRES5TA;NS P] #A1JJJ POPULA;N1 B#BH AGES #DJ-#FD YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC @.<,L9E GRAPH %[+ T 4ABL$ P1 AG$ #DJ TO #FD1 ) TWO OR M 4ABILITIES PRES5T TO ,,ED >.D #A4E "TS M FREQU5TLY ?AN ^? ) "O 4ABIL;Y4@.> ,S\RCE3 ,,IDI -------------------------------------#BI ,! ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N'S PATI5T EXP]I;E SURVEY1 : SURVEYS US]S ( PRIM>Y C>E AB _! EXP]I;ES ( C>E1 "9#AE ASKS AB ! R1SON = ! PATI5T'S LA/ VISIT TO AN EM]G5CY DE"P;T4 ,DATA %[S T #HJ.0 ( 4ABL$ P SD _! 3DI;N 0 S]I\S OR LIFE-?R1T5+1 OR T !Y 7 S5T BY A H1L? PR(ES.NAL4 ,? COMP>ES ) #GE.0 ( NON-4ABL$ P4 ,HOSPITALISA;NS ,! DATA %[S T 4ABL$ P,-ESPECIALLY ^? ) MULTIPLE IMPAIR;TS,->E ADMITT$ TO HOSPITAL M (T5 ?AN NON-4ABL$ P4 ,9 #BJBD1 NON-4ABL$ P 7 HOSPITALIS$ AT A RATE ( #BJJ "TS A YE> P] #A1JJJ #FB POPULA;N4 ,P ) "O IMPAIR;T 7 A#BI HOSPITALIS$ AT A RATE ( #EBJ "TS A YE> P] #A1JJJ POPULA;N1 & P ) TWO OR M IMPAIR;TS #HHC "TS A YE> P] #A1JJJ POPULA;N,-T IS M ?AN F\R "TS ! RATE ( NON-4ABL$ P "<,FIGURE #AF">4 ,FIGURE #AF3 ,RATE ( HOSPITALISA;NS P] #A1JJJ POPULA;N1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC @.<,L9E GRAPH %[+ T 4ABL$ P1 ) TWO OR M 4ABILITIES >E HOSPITALIS$ OV] #A4E "TS M FREQU5TLY ?AN ^? ) "O 4ABIL;Y4@.> ,S\RCE3 ,,IDI ,9 ! "W+-AGE BRACKETS ( #AI-#CI & #DJ- #FD YE>S1 NON-4ABL$ P 7 USUALLY HOSPITALIS$ AT A RATE ( APPROXIMATELY #BJJ "TS A YE> P] #A1JJJ POPULA;N4 ,4ABL$ P AG$ #AI-#CI 7 HOSPITALIS$ AT TWICE T RATE4 ,Z 4ABL$ P MOVE 9TO ! OLD] "W+-AGE BRACKET1 ! HOSPITALISA;N RATE RISES TO ALM ?REE "TS ! RATE ( NON-4ABL$ P "<,FIGURE #AG">4 ,^! TR5DS H A SIGNIFICANT IMPACT ON 4ABL$ P'S #FC ABIL;Y TO "W1 LE>N1 P>5T1 & B#BI "PICIPATE 9 _! COMMUN;Y4 -------------------------------------#CJ ,FIGURE #AG3 ,HOSPITALISA;NS P] #AJJJ POPULA;N1 AG$ #DJ TO #FD1 #BJAH-#BJBC1 BY NUMB] ( 4ABILITIES @.<,B> GRAPH %[+ T 4ABL$ P1 AG$ #DJ TO #FD1 7 HOSPITALIS$ OV] #C "TS M FREQU5TLY ?AN NON-4ABL$ P 9 #BJAH- #BJBC4@.> ,S\RCE3 ,,IDI ,L5G? ( /AY 9 HOSPITAL ,ONCE 9 HOSPITAL1 4ABL$ P SP5D A L;G] "T "!4 ,9 #BJBC1 NON-4ABL$ P SP5T AN AV]AGE ( TWO "DS 9 HOSPITAL1 COMP>$ ) AN AV]AGE ( N9E "DS = 4ABL$ P ) M ?AN "O IMPAIR;T "<,FIGURE #AH">4 ,^! L;G] /AYS 9 HOSPITAL >E MO/LY DUE TO HI<] RATES = 4ABL$ P AG$ #FE YE>S & OLD]4 ,FIGURE #AH3 ,AV]AGE L5G? ( /AY 9 HOSPITAL 9 "DS1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC #FD @.<,L9E GRAPH %[+ T ! AV]AGE A#CJ L5G? ( /AY 9 HOSPITAL = P ) TWO OR M 4ABILITIES 0 #E TO #H "DS L;G] ?AN = P ) "O 4ABIL;Y1 & #H TO #AJ "DS L;G] ?AN = P ) NO IMPAIR;T4@.> ,S\RCE3 ,,IDI -------------------------------------#CA ,:AT DOES ? HI<-LEVEL VIEW ( 4ABL$ P'S H1L? C>E USE M1N8 ,9 SUM1 DESPITE ! EF=TS ( 4ABL$ P TO A3ESS PRIM>Y C>E1 DI6ICULTIES 9 A3ESS+ A ,,GP APPE> TO DRIVE _M TO ! ,,ED1 3TRIBUTE TO HI<] RATES ( HOSPITALISA;NS AT COMP>ATIVELY "Y] AGES1 & L1D TO L;G] AV]AGE HOSPITAL /AYS ?AN ! NON-4ABL$ POPULA;N4 ,ALL ( ? COMES AT A CO/ TO P'S LIVES & TO ! H1L? SY/EM 9 DOLL>S4 ,OV] ! NEXT F\R *APT]S1 WE DIVE DEEP] 9TO "S ( ! FACTORS 3TRIBUT+ TO ? SITUA;N1 ANALYS+ DATA T C TELL U M AB ! QUAL;Y ( H1L? C>E T 4ABL$ P RCV AT DI6]5T LIFE-C\RSE /AGES3 MAT]N;Y & BIR?2 *N & Y\?2 ADULTS2 & OLD] ADULTS4 #FE ,JAC9TA ,TEVAGA A#CA ,TALOFA LAVA4 ,MY "N IS ,JAC9TA ,TEVAGA4 ,I AM A PR\D ,SAMOAN WOMAN1 BORN ,TANGATA ,TE ,TIRITI1 :O CAME F ,SAMOA TO ,AOTEAROA 9 ! E>LY #AIIJS4 ,I H TRA9$ & "W$ 9 M5TAL H1L? & ADDIC;N1 & 4ABIL;Y1 & ,I AM N[ A RESE>*] FOCUS$ ON ,4ABL$ ,P]SON-,L$ ,MONITOR+ ( ! ,UNIT$ ,NA;NS ,3V5;N ON ! ,"RS ( ,P]SONS ) ,4ABILITIES4 ,I SP5D MY "DS "W+ TO "U/& H[ \R SY/EMS C BETT] SUPPORT ,D_/D1F & 4ABL$ P4 ,_M ( MY /R;GE/ LESSONS H COME F MY [N EXP]I;ES 9SIDE ! H1L? SY/EM4 ,N 2+ LI/5$ TO ,TD ,I H GD PRIM>Y C>E1 & ,I'M GRATE;L = T4 ,B "! 0 A "T 9 MY LIFE :5 GETT+ HELP FELT ALM IMPOSSIBLE4 ,I KEPT GO+ TO MY ,,GP 2C ,I 0 HAV+ SEV]E /OMA* PA94 ,!Y REP1T$LY TOLD ME X 0 PROBABLY J A TUMMY BUG4 ,DEEP D[N ,I KNEW "S?+ WASN'T "R4 ,! PA9 GOT WORSE & WORSE1 & "O "D AT "W ,I ALM COLLAPS$4 ,2C MY PRIM>Y C>E 0 CLOS$1 ,I W5T TO AN AF-H\RS EM]G5CY CL9IC4 ,X 0 EXP5SIVE1 & EV5 !N NO #FF "O CD TELL ME :AT 0 WR;G4 ,I FELT B#CA L NO "O 0 TAK+ MY PA9 S]I\SLY4 ,= MON?S ,I W5T BACK & =? TRY+ TO GET ANSW]S4 ,I KEPT SAY+ ,I CDN'T MOVE PROP]LY & ,I 0 MISS+ "W 2C ( ! PA94 ,F9ALLY AF ?REE -------------------------------------#CB M ,,GP VISITS1 "O VISIT TO AF-H\RS1 & A LOT ( M"OY SP5T,-,I 0 REF]R$ = AN ULTRAS.D4 ,T SCAN %[$ A CY/ ON MY OV>Y ! SIZE ( A T5NIS BALL4 ,BY !N X 0 S L>GE ,I NE$$ SURG]Y4 ,I 0 %OCK$ T "S?+ S S]I\S _H BE5 4MISS$ = S L;G4 ,A SY/EM T MAKES 4ABL$ P C>RY ! BURD5 ,! PROCESS L1D+ UP TO SURG]Y 0 /RESS;L4 ,I _H TO FA/ & PREP>E MULTIPLE "TS 2C MY SURG]Y KEPT GETT+ DELAY$4 ,EA* DELAY M1NT M PA94 ,:5 ,I 0 F9ALLY ADMITT$1 MY EXP]I;E 9 ! HOSPITAL 0 HORRIBLE4 ,EV5 ?\< ,I AM BL1 NO?+ 9 MY NOTES SIGNALL$ ?4 ,E NEW NURSE OR /AFF MEMB] WD ASK ME TO 8%[0 !M ?+S OR R1D PAP]"W ,I CDN'T SEE4 ,I _H TO EXPLA9 AG & AG T ,I _H A VI.N IMPAIR;T & ,I #FG 0 BL4 ,T 3/ANT BURD5 ( REM9D+ P 0 A#CB EXHAU/+4 ,"O H1L? C>E ASSI/ANT TR1T$ ME ESPECIALLY BADLY4 ,:5 ,I ASK$ = GUID.E TO ! %[]1 %E "Q$ :Y ,I CDN'T WALK "! MYF4 ,%E ASK$ IF %E %D J L1VE ME1 Z IF MY NE$ = SUPPORT 0 AN 9CONV5I;E4 ,%E REFUS$ BASIC TASKS L HELP+ TO CL1N MY B$1 TELL+ ME ,I CD J D X MYF4 ,! 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RISKS >E "PICUL>LY PRON\NC$ = "S GR\PS )9 ! 4ABIL;Y COMMUN;Y1 9CLUD+ PREGNANT ,D1F P & P ) LE>N+ "<9TELLECTUAL"> 4ABILITIES4 "9#AG ,9 ,NEW ,Z1L&1 REC5T 9ITIATIVES AIM$ AT IMPROV+ EQU;Y )9 MAT]N;Y & P]9ATAL SY/EMS1 S* Z ,KAHU ,TAURIMA "9#AH & ! ,MAT]N;Y ,COMMIS.N+ ,FRAME"W1 SIGNAL GR[+ RECOGNI;N ( ! NE$ TO BETT] S]VE M>G9ALIS$ POPULA;NS4 ,H["E1 SIGNIFICANT DATA & K GAPS REMA9 9 RELA;N TO ! S]VICE EXP]I;ES & \TCOMES ( PREGNANT #GJ 4ABL$ P1 9CLUD+ ^? F M9OR;Y A#CC COMMUNITIES4 ,:ILE LIMIT$1 EXI/+ S\RCES S* Z ! ,SIXTE5? ,ANNUAL ,REPORT ( ! ,P]9ATAL & ,MAT]NAL ,MORTAL;Y ,REVIEW ,COMMITTEE & ! ,M9I/RY ( ,H1L?'S ,SURVEY ( ,:_ANAU & ,FAMILIES' ,EXP]I;E ( ! ,MAT]N;Y ,SY/EM PROVIDE IMPORTANT 9SIE IMPACT$ BY1 MAT]N;Y & P]9ATAL S]VICES 9 ,NEW ,Z1L&4 ,A HI<-LEVEL SUMM>Y ( ! F9D+S ,9 ,NEW ,Z1L&1 4ABL$ P >E LESS LIKELY ?AN NON-4ABL$ P TO 2 5ROLL$ ) A L1D MAT]N;Y C>] "<,,LMC">1 S* Z A MIDWIFE1 9 _! 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DATA >E COLLECT$ & PUBLICLY REPORT$ VIA ! ,MAT]N;Y ,CL9ICAL ,9DICATORS WEB TOOL4 "9#BA ,H["E1 4ABIL;Y 9=MA;N IS N COLLECT$4 ,,IDI ANALYSIS ALL[$ U TO E6ECTIVELY COMP>E 4ABL$ P ) NON-4ABL$ P = "S 9DICATORS1 B _M 9DICATORS 7 IMPOSSIBLE TO 9T]PRET4 ,T IS1 "S DI6]5T PROPOR;NS ( COMPLICA;NS OR \TCOMES = 4ABL$ P V]SUS NON-4ABL$ P MAY N REPRES5T DI6];ES 9 QUAL;Y ( C>E1 B SIMPLY :AT 0 NEC = A PATI5T ) A C]TA9 K9D ( 4ABIL;Y4 #GB ,RATES ( CAES>1N SEC;N P]=M$ "U A#CD G5]AL ANAES!TIC MAY 2 A M1N+;L 9DICATOR ( QUAL;Y ( C>E = NON-4ABL$ P1 = EXAMPLE1 B 9 ! ABS;E ( 9=MA;N AB A 4ABL$ P]SON1 & ! NATURE ( _! IMPAIR;T"1 WE _C "K IF ? 9T]V5;N 0 APPROPRIATE OR N4 ,"!=E1 WE H SELECT$ 9DICATORS M1N+;L TO 4ABL$ P & SUPPLE;T$ !M ) O!R S\RCES ( EXP]I;E & SATISFAC;N DATA T COLLECT 4ABIL;Y /ATUS4 ,L1D MAT]N;Y C>] 5ROL;T ,X IS WIDELY RECOGNIS$ T HAV+ A L1D MAT]N;Y C>] IS IMPORTANT = ! H1L? & WELLBE+ ( BO? ! BIR?+ P>5T1 "9#BB & ! BABY4 "9#BC ,H["E1 MAT]N;Y DATA ANALYS$ = ? REPORT %[ T 4ABL$ P >E LESS LIKELY ?AN NON-4ABL$ P TO 2 5ROLL$ ) A L1D MAT]N;Y C>] "<,,LMC">1 S* Z A MIDWIFE1 9 _! F/ TRIME/]4 ,4ABL$ PREGNANT P 7 #H P]C5TAGE PO9TS LESS LIKELY TO 2 5ROLL$ ) AN ,,LMC 9 ! F/ TRIME/] "<#FG.0"> ?AN NON-4ABL$ PREGNANT P "<#GE.0"> 9 #BJBB4 ,! DI6];E IS 3SI/5T OV] "T "<,FIGURE #AI"> & #GC M PRON\NC$ = ,M_AORI & ,PACIFIC B#CD 4ABL$ P Z WELL Z P ) MULTIPLE IMPAIR;TS4 ,FIGURE #AI3 ,P]C5TAGE ( P 5ROLL$ ) AN ,,LMC 9 TRIME/] "O ( PREGNANCY1 BY 4ABIL;Y /ATUS1 #BJAH-#BJBB @.<,L9E GRAPH %[+ T 4ABL$ PREGNANT P >E LESS LIKELY TO 2 5ROLL$ ) A L1D MAT]N;Y C>] 9 TRIME/] "O ( PREGNANCY4@.> ,S\RCE3 ,,IDI1 ,MAT]N;Y ,CL9ICAL ,9DICATORS -------------------------------------#CE ,MULTIPLE IMPAIR;TS,-LESS LIKELY TO H AN ,,LMC OR MIDWIFE ,AN 89V]SE C>E LAW0 0 EVID5T 9 ! DATA3 T IS1 ^? MO/ LIKELY TO NE$ MAT]N;Y C>E 7 ! L1/ LIKELY TO RCV X4 ,M =MALLY1 ! 9V]SE C>E LAW IS (T5 EXPRESS$ 9 ? WAY3 8,! AVAILABIL;Y ( GD M$ICAL C>E T5DS TO V>Y 9V]SELY ) ! NE$ = X 9 ! 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TO 4ABL$ BABIES1 & ?REE MIDWIVES4 ,! /UDY %[$ T "S 4ABL$ PREGNANT P 7 EXPOS$ TO 8A S5SE ( 2+ "U #GH SURVEILL.E & ! NE$ TO PROVE _! B#CG ABIL;Y TO C>E = _! BABY04 "9#BI ,"S 4ABL$ P :O _H J GIV5 BIR? EXP]I;ED 8A DEEP FE> T _! BABIES WD 2 TAK5 AWAY F !M04 ,H1L? C>E PR(ES.NALS 4CLOS$ DETAILS ( _! 4ABILITIES TO ,ORANGA ,TAMARIKI )\T _! K & ) NO EXPLANA;N4 ,"O 4ABL$ WOMAN 9T]VIEW$ _H H] BABY UPLIFT$ SOON AF BIR?4 ,"MS ( 4ABL$ BABIES AL DESCRIB$ 9T]AC;NS ) H1L? PR(ES.NALS AF ! BIR? 8T 7 9=M$ BY A DEFICIT & TRAG$Y BAS$ MODEL ( 4ABIL;Y04 ,? M1NT T _! BABIES 7 TALK$ AB 9 WAYS T 7 OV]LY NEGATIVE1 ) AN UNDUE EMPHASIS ON ALL ! 8PROBLEMS0 ASSOCIAT$ ) _! IMPAIR;T4 ,:5 ? HAPP5S1 IMPAIR;T & 4ABIL;Y >E 3/RUCT$ Z 9H]5TLY 8WR;G0 & TRAGIC4 -------------------------------------#CH ,\TDAT$ & 4CRIM9ATORY LANGUAGE 0 US$ AB _! BABIES4 8,EXAMPLES ( ? 9CLUD$ DESCRIB+ BABIES ) IMPAIR;TS Z ,8M5TALLY RET>D$,0 & ASK+ WOM5 :AT IS ,8WR;G,0 ) _! BABY40 ,^? 9T]VIEW$ F.D ? #GI 8HUGELY UPSETT+ & (F5SIVE04 A#CH ,! RESE>* AL REIT]AT$ T :5 PREGNANT 4ABL$ P DID H A3ESS TO AN ,,LMC1 ! RELA;N%IP 0 IMPORTANT3 "! 0 A /R;G EMPHASIS ON ! TRU/ !Y BUILT & ! 3SI/5CY ( ? RELA;N%IP "?\T _! MAT]N;Y J\RNEY4 ,HAV+ AN ,,LMC MIDWIFE M1NT !Y DIDN'T H TO REP1T$LY TELL _! /ORY4 ,4ABL$ WOM5 AL TALK$ AB H[ MIDWIVES 7 REASSUR+ & 5C\RAG+ :5 !Y EXPRESS$ 3C]NS AB P>5T+ OR WORRIES AB ! FUTURE4 ,? EMO;NAL SUPPORT 0 IMPORTANT = C.T]+ "S ( ! NEGATIVE ATTITUDES 4ABL$ WOM5 5C.T]$ E>LY ON 9 _! MAT]N;Y J\RNEY4 ,PRE-T]M BIR?S ,4ABL$ PREGNANT P 7 M LIKELY TO DELIV] _! BABIES PRE-T]M "<,FIGURE #BC">4 ,:ILE AC"KL$G+ T "! 7 A SMALL NUMB] ( CASES EA* YE> 2T #BJAH & #BJBB1 PRE-T]M BIR?S 7 "PICUL>LY PRON\NC$ = P ) LE>N+ "<9TELLECTUAL"> 4ABIL;Y1 :O 7 ON AV]AGE #A4D "<#A4J-#A4H"> "TS M LIKELY TO EXP]I;E A PRE-T]M BIR? ?AN O!R 4ABL$ P4 ,9 G5]AL1 PRE-T]M BIR?S C 2 #HJ ASSOCIAT$ ) IMM & L;G-T]M H1L? 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R1SON4 ,MAKE SPACE = S5SORY NE$S4 ,A QUIET] ROOM1 DIM LI COMMUNICA;N C *ANGE "EY?+4 ,LET U BR+ SUPPORT P "EY":4 ,!Y'RE N 8EXTRAS04 ,!Y'RE ! R1SON WE C A3ESS C>E AT ALL4 ,/OP MAK+ U FIE ALR US+ A#DG ALL \R 5]GY TO EXI/ & KEEP A BABY SAFE4 ,I %>E ALL ? 2C ,I DON'T WANT O!R AUTI/IC "MS ) *RONIC ILL;SES TO G "? :AT ,I DID4 ,WE DES]VE A H1L? SY/EM T SEES U1 LI/5S TO U & 2LIEVES WE "K \R [N BODIES4 #II ,*APT] #C #DH ,LIFE-C\RSE /AGE ,*N & Y\? ,? COLLEC;N ( LIFE-C\RSE DATA IS ALL AB *N & Y\?4 ,4ABIL;Y H1L? EXP]TS %>$ T DUR+ ! E>LY YE>S ( A 4ABL$ *'S LIFE1 A TW9-TRACK APPROA* TO H1L? %D L1D TO NE>- EQUITABLE H1L? \TCOMES ) NON-4ABL$ *N4 ,9 A H1L? SETT+1 A TW9-TRACK APPROA* M1NS T A 4ABL$ P]SON HAS A3ESS TO1 & *OICE 2T1 BO? MA9/R1M H1L? S]VICES1 Z WELL Z CULTURALLY ALIGN$1 4ABIL;Y- SPECIFIC S]VICES1 Z WELL Z *OICE TO USE EI TYPE ( S]VICE4 "9#CC ,= 4ABL$ *N & Y\? 9 "PICUL>1 A TW9- TRACK APPROA* %D SEE !M ACTIVELY 5GAG$ ) ! WIDE RANGE ( PUBLIC H1L? 9ITIATIVES T>GET+ "Y *N'S H1L? "1 Z WELL Z PA$IATRIC C>E T IS SPECIFIC TO _! 4ABIL;Y4 ,H["E1 4ABIL;Y H1L? EXP]TS CAU;N$ T Z *N AGE1 *ALL5GES 9 A3ESS+ MA9/R1M S]VICES />T TO EM]GE4 ,SUPPORT = ? TRAJECTORY COMES F 9T]NA;NAL #AJJ EVID;E1 : %[S T ! %IFT F A#DH PA$IATRIC TO ADULT H1L? C>E S]VICES IS FRAUE4 "9#CD ,! M1SURES T WE 4CUSS = ? LIFE /AGE >E IMMUNISA;NS1 ORAL H1L?1 AS?MA1 HOSPITALISA;NS1 UNMET NE$ & HUMAN PAPILLOMAVIRUS "<,,HPV"> VA39A;NS4 ,A HI<-LEVEL SUMM>Y ( ! F9D+S ,BROADLY1 ! SY/EM APPE>S RESPONSIVE TO 4ABL$ *N4 ,2F ! ,,COVID-#AI P&EMIC1 4ABL$ *N 7 VA39AT$ AT SIMIL> RATES TO NON-4ABL$ *N4 ,X IS LIKELY T ! P&EMIC L$ TO "S 9EQU;Y1 B WE D N H DATA TO SUPPORT ?4 ,! ,,IDI HAS TO USE OLD] ,C5SUS DATA1 S WE D N H 9=MA;N = BABIES BORN AF ! ,C5SUS4 "9#CE ,H["E1 DATA = FIVE-YE>- OLDS APPE>S TO SUPPORT ! SU7ES;N T "! HAS BE5 A D[NTURN 9 IMMUNISA;N RATES = 4ABL$ *N,- ,M_AORI & ,PACIFIC 4ABL$ *N 9 "PICUL>4 #AJA ,POOR ORAL H1L? IS AN E>LY B#DH ISSUE & RECURS "?\T ! LIFE C\RSE4 ,EVID;E COMES F RATES ( D5TAL HOSPITALISA;NS = D5TAL 41SE1 : >E HI<] = 4ABL$ *N ?AN = NON-4ABL$ *N4 ,RATES >E HI<] AG = ,M_AORI & ,PACIFIC 4ABL$ *N4 -------------------------------------#DI ,COMP>$ ) NON-4ABL$ *N1 AS?MA 9 4ABL$ *N IS LESS LIKELY TO 2 TR1T$ WELL1 & HI<] RATES ( HOSPITALISA;N FOLL[4 ,4ABL$ *N EXP]I;E HI<] LEVELS ( POT5TIALLY AVOIDABLE HOSPITALISA;NS = DI6]5T CAUSES1 9CLUD+ D5TAL1 GA/RO5T]ITIS & 3/IPA;N1 ?AN NON-4ABL$ *N4 ,4ABL$ *N & "Y P1 AL;G ) _! :_ANAU1 REPORT SIGNIFICANT UNMET NE$ = PRIM>Y C>E1 ASSI/IVE EQUIP;T1 & M$ICA;N4 ,IMMUNISA;NS = 4ABL$ *N ,DUE TO *ALL5GES 9 MAT*+ ,,IDI DATA US+ ! #BJBC ,C5SUS1 DATA ON ! IMPACT ( ! P&EMIC ON 4ABL$ *N'S IMMUNISA;N RATES AT SIX & #BD MON?S IS N AVAILABLE 2Y #BJAI4 ,REASSUR+LY1 AVAILABLE DATA 9DICATES T IMMUNISA;N RATES = 4ABL$ & NON- #AJB 4ABL$ *N AG$ #F MON?S & #BD MON?S A#DI 7 BROADLY COMP>ABLE F #BJAF TO #BJAI1 ! MO/ REC5T P]IOD = : 4ABIL;Y-4A7REGAT$ DATA = "Y *N IS AVAILABLE "<,FIGURE #CB & ,FIGURE #CC">4 ,H["E1 O!R EVID;E1 ?\< N 4A7REGAT$ BY 4ABIL;Y /ATUS1 DEMON/RATES T ! ,,COVID-#AI P&EMIC _H A SIGNIFICANT NEGATIVE IMPACT ON IMMUNISA;N RATES1 "PICUL>LY = M9OR;Y1 AT-RISK & M>G9ALIS$ COMMUNITIES4 "9#CF "9#CG "9#CH "9#CI ,GIV5 T 9T]SEC;NAL;Y "9#DJ HAS COMP.D+ E6ECTS1 ^! F9D+S RAISE 3C]NS AB IMMUNISA;N UPTAKE AM;G "Y 4ABL$ *N 9 ! P]IOD FOLL[+ #BJBJ1 ESPECIALLY = ^? 2L;G+ TO COMMUNITIES ALR EXP]I5C+ 4ADVANTAGE4 ,9 SUMM>Y1 ! YE>S FOLL[+ ! #BJBJ P&EMIC 7 "*IS$ BY IMPACTS ON IMMUNISA;N RATES A6ECT+ ,M_AORI & ,PACIFIC *N ESPECIALLY4 ,H["E1 ! IMPACTS ( ! P&EMIC ON IMMUNISA;N ( 4ABL$ *N1 & ,M_AORI & ,PACIFIC 4ABL$ *N 9 "PICUL>1 >E N YET "KN4 ,FIGURE #CB3 ,P]C5TAGE ( *N #AJC FULLY IMMUNIS$ AT #F MON?S1 BY B#DI 4ABIL;Y /ATUS1 #BJAF-#BJAI @.<,L9E GRAPH %[+ T ! P]C5TAGE ( 4ABL$ *N FULLY-IMMUNIS$ AT #F MON?S IS V CLOSE TO T = NON-4ABL$ *N1 #GE.04@.> ,S\RCE3 ,,IDI ,FIGURE #CC3 ,P]C5TAGE ( *N FULLY IMMUNIS$ AT #BD MON?S1 BY 4ABIL;Y /ATUS1 #BJAF-#BJBJ @.<,L9E GRAPH %[+ T ! P]C5TAGE ( 4ABL$ *N FULLY-IMMUNIS$ AT #BD MON?S IS V CLOSE TO T = NON-4ABL$ *N1 #IA.0 9 #BJBJ4@.> ,S\RCE3 ,,IDI -------------------------------------#EJ ,H["E1 BY FOCUS+ ON *N :O 7 AT L1/ FIVE YE>S OLD 9 #BJBB1 X IS POSSIBLE TO GA9 9SIS ( ! P&EMIC4 ,AT F/ GL.E1 ! REC5T DIP 9 IMMUNISA;N RATES AM;G FIVE-YE>-OLD 4ABL$ *N APPE>S SMALL "<,FIGURE #CD">4 #AJD ,FIGURE #CD3 ,P]C5TAGE ( *N A#EJ FULLY IMMUNIS$ AT FIVE YE>S1 BY 4ABIL;Y /ATUS1 #BJAF-#BJBB @.<,L9E GRAPH %[+ T ! P]C5TAGE ( 4ABL$ *N FULLY-IMMUNIS$ AT #FJ MON?S />T$ TO FALL = BO? 4ABL$ & NON-4ABL$ *N F #BJBJ TO #BJBB4@.> ,S\RCE3 ,,IDI ,H["E1 LOOK+ CLOS]1 ) A M F9E-GRA9$ VIEW ( ! P]C5TAGES 9VOLV$1 REC5T TR5DS >E CLE>] & M AL>M+4 ,FOLL[+ #BJBJ1 ! P&EMIC APPE>S TO H A6ECT$ IMMUNISA;NS = ALL *N4 ,H["E1 ! IMPACT ON IMMUNISA;NS = 4ABL$ *N SEEMS M P[];L1 ) A DROP ( #I P]C5TAGE PO9TS 9 IMMUNISA;NS ( 4ABL$ FIVE-YE>-OLDS 2T #BJBJ & #BJBB "<,FIGURE #CE">4 ,FIGURE #CE3 ,P]C5TAGE ( *N FULLY IMMUNIS$ AT FIVE YE>S1 BY 4ABIL;Y /ATUS1 #BJAF-#BJBB @.<,L9E GRAPH %[+ T ! P]C5TAGE ( 4ABL$ *N FULLY-IMMUNIS$ AT #FJ MON?S FELL F #HF.0 9 #BJBJ TO #GH.0 9 #BJBB4 #AJE ,! P]C5TAGE ( NON-4ABL$ *N FULLY- B#EJ IMMUNIS$ AT #FJ MON?S FELL F #HF.0 TO #HB.0 OV] ! SAME "T P]IOD4@.> ,S\RCE3 ,,IDI -------------------------------------#EA ,Z ( #BJBJ1 ,M_AORI & ,PACIFIC 4ABL$ *N EXP]I;ED ! L>GE/ 9EQU;Y1 Z COMP>$ ) BO? NON ,M_AORI1 NON-,PACIFIC 4ABL$ *N & NON-4ABL$ *N "<,FIGURE #CF">4 ,FIGURE #CF3 ,P]C5TAGE ( *N FULLY IMMUNIS$ AT FIVE YE>S1 BY 4ABIL;Y /ATUS & E?NIC;Y1 #BJBB @.<,B> GRAPH %[+ T #GC.0 ( ,M_AORI 4ABL$ *N1 #GB.0 ( ,PACIFIC 4ABL$ *N & #HC.0 ( NON ,M_AORI1 NON-,PACIFIC 4ABL$ *N 7 FULLY IMMUNIS$ AT #FJ MON?S 9 #BJBJ4@.> ,S\RCE3 ,,IDI ,ORAL H1L? 9 4ABL$ *N ,! NEXT 9DICATOR 9VE/IGAT$ 0 ! ORAL H1L? ( 4ABL$ *N4 ,! SPECIFIC >1S 3SID]$ 7 DECAY T HAS WORS5$ TO LEVELS #AJF REQUIR+ HOSPITAL C>E1 RATES ( A#EA DECAY 4COV]$ 9 "Y] 4ABL$ *N1 & MISS$ ORAL H1L? *ECKS = "Y] 4ABL$ *N4 ,! H>D 5D,-HOSPITALISA;NS ( 4ABL$ *N = D5TAL ISSUES LAT] 9 LIFE ,E>LY DECAY 3TRIBUTES TO SIGNIFICANTLY HI<] RATES ( HOSPITALISA;N = S]I\S D5TAL ISSUES 9 4ABL$ *N & "Y P AG$ #E-#AH YE>S1 "PICUL>LY = ^? ) TWO OR M IMPAIR;TS4 ,! HOSPITALISA;N RATE ( 4ABL$ *N ) TWO OR M IMPAIR;TS APPROA*ES N9E "TS HI<] ?AN T ( NON-4ABL$ *N "<,FIGURE #CG">4 ,NOTE3 ,^! HOSPITALISA;NS >E C.T$ US+ ! ,,ICD-#AJ CODES = URG5T D5TAL ISSUES1 N R\T9E S]VICES T MAY 2 DI6ICULT OR UNA3EPTABLE = "S 4ABL$ P & >E ?US DELIV]$ 9 HOSPITAL4 ,^! URG5T D5TAL ISSUES 9CLUDE D5TAL C>IES1 41SES ( PULP & P]IAPICAL TISSUES1 G+IVITIS & P]IODONTAL 41SES4 -------------------------------------#EB ,FIGURE #CG3 ,RATE ( #AJG HOSPITALISA;NS = D5TAL SURG]Y1 P] A#EB #A1JJJ POPULA;N P] YE>1 AGES #E-#AH YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC @.<,L9E GRAPH %[+ ! RATE ( HOSPITALISA;NS = D5TAL SURG]Y = *N ) TWO OR M 4ABILITIES 0 OV] #C "TS T SE5 = *N ) "O 4ABIL;Y & ALM #H "TS T SE5 = *N ) NO 4ABILITIES1 9 #BJBC4@.> ,S\RCE3 ,,IDI ,*N & "Y P ) COMMUNICA;N & WA%+ IMPAIR;TS >E ! MO/ A6ECT$ BY D5TAL HOSPITALISA;NS "<: O3URR$ AT M ?AN #AJ "TS ! NON-4ABL$ RATE 9 #BJBC">4 ,! GR\PS T >E SECOND HIE *N ) WALK+ & LE>N+ "<9TELLECTUAL"> IMPAIR;TS4 ,LE>N+ "<9TELLECTUAL"> 4ABIL;Y DATA 0 AVAILABLE F A DI6]5T DATASET "<,FIGURE #CH">4 ,ALL ( ^! DI6];ES F NON-4ABL$ *N & "Y P 7 UNLIKELY TO 2 DUE TO *.E 9 #BJBC4 ,FIGURE #CH3 ,RATE ( HOSPITALISA;NS = D5TAL SURG]Y P] #A1JJJ POPULA;N1 #AJH AGES #E-#AH YE>S1 BY ,,WG-,,SS B#EB 4ABIL;Y DOMA91 #BJBC @.<,L9E GRAPH %[+ T *N ) COMMUNICA;N & WA%+ 4ABILITIES _H ! HI ,S\RCE3 ,,IDI -------------------------------------#EC ,! 9T]SEC;N ( 4ABIL;Y & E?NIC;Y AL IMPACT$ D5TAL HOSPITALISA;NS4 ,= EXAMPLE1 ,M_AORI & ,PACIFIC 4ABL$ *N & "Y P 7 M LIKELY ?AN O!R 4ABL$ & NON- 4ABL$ GR\PS TO H D5TAL ISSUES S SEV]E T !Y REQUIR$ HOSPITAL TR1T;T "<,FIGURE #CI">4 ,FIGURE #CI3 ,RATE ( D5TAL SURG]IES P] #A1JJJ POPULA;N1 AGES #E-#AH YE>S1 BY E?NIC;Y & 4ABIL;Y /ATUS1 #BJAH-#BJBC @.<,L9E GRAPH %[+ T ;,M_AORI 4ABL$ "<#BH4A SURG]IES P] #AJJJ POPULA;N"> & ,PACIFIC 4ABL$ *N "<#BD4H #AJI SURG]IES P] #AJJJ POPULA;N"> _H A#EC SLIE ?AN NON-;,M_AORI1 NON-,PACIFIC *N "<#BB4J SURG]IES P] #AJJJ POPULA;N">4@.> ,S\RCE3 ,,IDI -------------------------------------#ED ,DR ,MI*AEL ,BROSNAN ,PA$IATRIC ,D5TAL ,SPECIALI/1 ,,BDS ,,MD,'5T,SCI ;,,FRC1 ,PA$IATRIC ,D5TI/RY1 ,WAIKATO ,HOSPITAL4 ,NEURODIV]G5T *N1 Z WELL Z *N ) SPECIAL NE$S & COMPLEX M$ICAL 3DI;NS1 MEET ! A3EPT.E CRIT]IA = ORAL H1L? C>E AT ! ,SPECIALI/ ,D5TAL ,UNIT AT ,WAIKATO ,HOSPITAL4 ,DUE TO LIMIT$ /A6+ & LIMIT$ A3ESS TO !ATRES1 WE H A L;G WAIT "T TO 2 SE5 AT \R UNIT4 ,? T5DS TO RESULT 9 ACUTE EPISODES ( PA9 & 9FEC;N = "S ( \R *N4 ,? IS FRU/RAT+ = :_ANAU & ORAL H1L? C>E /AFF ALIKE4 ,A * ) HI< NE$S DES]VES A R+-F;ED S]VICE SEP>ATE F NON-4ABL$ *N4 ,WE AIM TO D ? Z M* Z POSSIBLE B WAIT "TS & A3ESS TO RES\RCES GRTLY #AAJ IMPACT D5TAL /AFF & :_ANAU4 A#ED ,RATES ( TOO? DECAY 9 4ABL$ *N ,! ,B#D ,S*OOL ,*ECK "<,B#D,,SC"> IS A NA;NWIDE PROGRAMME (F]+ A FREE H1L? & DEVELOP;T *ECK = F\R- TO FIVE-YE>-OLDS4 "9#DA ,X AIMS TO ID5TIFY & ADDRESS H1L?1 2HAVI\RAL1 SOCIAL & DEVELOP;TAL 3C]NS1 S* Z HE>+ PROBLEMS OR COMMUNICA;N DI6ICULTIES1 T CD A6ECT A *'S ABIL;Y TO GET ! MO/ B5EFIT F S*OOL4 ,X 9CLUDES *ECKS = G5]AL H1L? & DEVELOP;T1 HEIE COMMONLY REF]R$ TO Z 8LIFT ! LIP0 TE/S4 ,*N'S TEE? >E GIV5 A SCORE F #A TO #F4 ,A SCORE ( #A M1NS NO DECAY1 :ILE SCORES ( #B TO #F >E 3SID]$ 3C]N+4 ,9 #BJBB1 "O-FIF? ( "Y] 4ABL$ *N :O RCVD _! D5TAL *ECKS _H TOO? DECAY ALR4 ,2T #BJAH & #BJBB1 ! P]C5TAGE ( 4ABL$ *N :O _H D5TAL DECAY 0 3SI/5TLY HI<],-BY ALM #E P]C5TAGE PO9TS,-?AN NON-4ABL$ *N EV5 AT ! AGE ( #D-#E YE>S #AAA "<,FIGURE #DJ">4 B#ED -------------------------------------#EE ,FIGURE #DJ3 ,P]C5TAGE ( *N ) SCORES ( #B-#F " ON ! 8LIFT ! LIP0 D5TAL DECAY TE/ AT ,B#D,,SC1 BY 4ABIL;Y /ATUS1 #BJAH-#BJBB @.<,L9E GRAPH %[+ T ! RATE ( M TOO? DECAY 2+ ID5TIFI$ AT A 2F S*OOL *ECK 0 FIVE TO SIX P]C5TAGE PO9TS HI<] = 4ABL$ *N ?AN NON-4ABL$ *N4@.> ,S\RCE3 ,,IDI ,A QU>T] ( ,M_AORI 4ABL$ *N & M ?AN A ?IRD ( ,PACIFIC 4ABL$ *N "LY ?REE "TS ! P]C5TAGE ( NON ,M_AORI1 NON- ,PACIFIC 4ABL$ *N"> _H TOO? DECAY DETECT$ AT _! ,B#D,,SC "<,FIGURE #DA">4 ,FIGURE #DA3 ,P]C5TAGE ( *N ) SCORES ( #B-#F " ON ! 8LIFT ! LIP0 D5TAL DECAY TE/ AT ,B#D,,SC1 BY 4ABIL;Y /ATUS & E?NIC;Y1 #BJBB @.<,B> GRAPH %[+ T #BF.0 ,M_AORI 4ABL$ *N1 #CF.0 ,PACIFIC 4ABL$ *N & #AAB #AD.0 ( NON ,M_AORI1 NON-,PACIFIC A#EE 4ABL$ *N 7 ID5TIFI$ ) M TOO? DECAY AT A 2F S*OOL *ECK4@.> ,S\RCE3 ,,IDI -------------------------------------#EF ,B#D ,S*OOL ,*ECK ,DATA %[S T1 HI/ORICALLY1 A HI<] P]C5TAGE ( 4ABL$ *N ?AN NON-4ABL$ *N MISS _! ,B#D,,SC D5TAL *ECKS4 ,9 ADDI;N1 BO? ! P]C5TAGE MISS$ & 4P>;Y ) NON- 4ABL$ *N H RIS5 S9CE ! P&EMIC4 ,BY #BJBB1 "O 9 F\R 4ABL$ *N DID N RCV _! D5TAL *ECK1 COMP>$ ) "O 9 FIVE NON-4ABL$ *N "<,FIGURE #DB">4 ,! DATA ON PREV5TATIVE H1L? C>E M/ 2 VIEW$ ) CAU;N4 ,B#D,,SC CL9ICIANS MAY REF] _M 4ABL$ *N DIRECTLY TO SPECIALI/ OR HOSPITAL C>E )\T F/ P]=M+ A *ECK1 S ^? REF]R$1 :ILE POT5TIALLY GETT+ APPROPRIATE C>E1 W 2 C.T$ Z HAV+ NO ,B#D,,SC "H4 ,FIGURE #DB3 ,P]C5TAGE ( *N ) NO RECORD$ ,B#D,,SC D5TAL *ECK1 BY 4ABIL;Y /ATUS1 #BJAE-#BJBB #AAC @.<,L9E GRAPH %[+ T >.D #AJ.0 ( A#EF 4ABL$ *N & #G.0 ( NON-4ABL$ *N DID N H A B#DSC D5TAL *ECK UP TO #BJAI4 ,! P]C5TAGE ( *N N COMPLET+ ^! *ECKS ROSE TO #BE.0 = 4ABL$ *N & #BJ.0 = NON-4ABL$ *N 9 #BJBB4@.> ,S\RCE3 ,,IDI ,EV5 ALL[+ = V>IA;NS ON ! REF]RAL PROCESS1 4ABIL;Y CLE>LY A6ECTS ,B#D,,SC *ECKS4 ,! P]C5TAGES ( MISS$ *ECKS 7 ANALYS$ BY 4ABIL;Y DOMA9 & E?NIC;Y1 B X 0 N POSSIBLE TO MAKE ANY 3SI/5T /ATI/ICALLY SIGNIFICANT 9T]PRETA;NS ) 3FID;E4 ,T IS1 ! DATA 0 N /R;G 5 TO 3FIRM ANY RELA;N%IPS 2T ,B#D,,SC1 4ABIL;Y & E?NIC;Y4 ,X HAS AL BE5 SU7E/$ T ! ,B#D,,SC MAY N 2 ! BE/ SOLU;N TO /RATEGIES = PREV5;N ( D5TAL DECAY 9 4ABL$ *N1 & 9 "PICUL> = *N ) LE>N+ "<9TELLECTUAL"> 4ABIL;Y4 ,"O EXAMPLE COMES F A #BJBE POPULA;N- BAS$ COHORT /UDY T L9K$ RECORDS ( HOSPITAL D5TAL ADMIS.NS ) RECORDS ( C>IES EXP]I;E AM;G *N ) #AAD NEURODEVELOP;TAL 4ABILITIES B#EF "<,,NDD">4 ,X F.D HI<] HAZ>D RATIOS = ! PRES;E ( C>IES & = HOSPITALISA;N4 ,! AU?ORS 3CLUDE3 "9#DB ,T>GET$ PREV5TIVE /RATEGIES & ADAPTA;N TO PRIM>Y ORAL H1L? S]VICES >E NE$$ TO MEET ! NE$S ( NEURODIV]SE *N & R$RESS ? SUB/ANTIAL 9EQU;Y4 ,H["E1 T>GET+ *N ) ,,NDD,'S AT ! ,B#D,,SC IS UNLIKELY TO MITIGATE ^! ORAL H1L? 9EQUITIES4 -------------------------------------#EG ,Z 4ABIL;Y H1L? EXP]TS NOTE1 A RANGE ( 9T]SECT+ FACTORS %APE POOR] D5TAL \TCOMES AM;G 4ABL$ *N4 ,^! FACTORS 9CLUDE ! E6ECTS ( M$ICA;NS1 DIET>Y RE/RIC;NS1 S5SORY S5SITIVITIES1 COMMUNICA;N1 SOCIOECONOMIC 4ADVANTAGE1 LIMIT$ A3ESS TO A3ESSIBLE 9=MA;N1 &1 9 "S CASES1 ! NATURE ( ! IMPAIR;T XF4 ,9 M M$ICALLY COMPLEX CASES1 CL9ICIANS MAY AL 2 RELUCTANT TO 9T]V5E UNTIL TR1T;T IS UNAVOIDABLE1 "PICUL>LY ": S$A;N IS REQUIR$4 ,? RAISES CRITICAL "QS = ! PUBLIC H1L? SY/EM4 #AAE ,H[ %D X RESPOND TO ! COMPLEX;Y & A#EG DIV]S;Y ( 4ABL$ *N'S D5TAL NE$S8 ,:AT WD AN E6ECTIVE TW9-TRACK APPROA* LOOK L 9 PRACTICE8 ,AS?MA 9 4ABL$ *N,-MANAGE;T & HOSPITALISA;NS ,MANAGE;T ( AS?MA,-*N ^: AS?MA IS N MANAG$ WELL4 ,! NEXT 9DICATOR ANALYS$ = ? LIFE- C\RSE /AGE 0 4ABL$ *N'S EXP]I;E ( AS?MA4 ,GD MANAGE;T ( AS?MA %D 9VOLVE LL USE ( ,,SABA " M$ICA;N & REGUL> USE ( PREV5T]S4 "9#DC "<,A COMB9$ TR1T;T IS N[ AVAILABLE1 B ONLY 2CAME S AF ! P]IOD \R DATA COV]S4 "9#DD"> ,H["E1 "S 4ABL$ *N >E ONLY 4P5S$ A RELIEV]1 9DICAT+ !Y MAY 2 RCVG LESS ?AN OPTIMAL AS?MA MANAGE;T4 ,AM;G NON-4ABL$ *N & 4ABL$ *N ) "O IMPAIR;T1 ! P]C5TAGES ( ^? N OPTIMALLY MANAG$ OV] "T >E SIMIL>4 ,9 3TRA/1 ^? ) TWO OR M IMPAIR;TS >E M* LESS LIKELY TO RCV OPTIMAL MANAGE;T ?AN NON-4ABL$ *N,- BY A DI6];E ( 2T #E & #H P]C5TAGE #AAF PO9TS4 ,T IS1 Z ! NUMB] ( B#EG IMPAIR;TS A 4ABL$ * HAS 9CR1SES1 S TOO DOES ! LIKELIHOOD T !Y >E N RCVG OPTIMAL AS?MA C>E "<,FIGURE #DC">4 ,FIGURE #DC3 ,P]C5TAGE ( AS?MA PATI5TS :O 7 4P5S$ A RELIEV] B N A PREV5T] 9 AT L1/ TWO QU>T]S ( ! YE>1 AGES #E-#AH YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC @.<,L9E GRAPH %[+ T 4ABL$ *N ) TWO OR M 4ABILITIES _H1 3SI/5TLY OV] "T1 SLI ,S\RCE3 ,,IDI -------------------------------------#EH ,:ILE ! DI6];ES >E SMALL1 !Y SU7E/ T CL9ICAL DECI.N-MAK+ MAY DI6] = 4ABL$ *N ) MULTIPLE OR COMPLEX IMPAIR;TS4 ,9 REFLECT+ ON ^! PATT]NS1 4ABIL;Y H1L? EXP]TS PO9T$ TO RESE>* 9DICAT+ T M>G9ALIS$ POPULA;NS1 S* Z ,M_AORI1 >E AT "TS ASSUM$ TO 2 LESS LIKELY TO 5GAGE ) PREV5TATIVE C>E &1 Z A RESULT1 >E LESS LIKELY TO 2 (F]$ PREV5TATIVE 9T]V5;NS4 "9#DE ,H["E1 T>GET$ RESE>* IS #AAG REQUIR$ TO BETT] "U/& CL9ICAL A#EH DECI.N-MAK+ PROCESSES & _! IMPLICA;NS = EQU;Y 9 H1L? C>E4 ,HOSPITALISA;NS ( 4ABL$ *N = AS?MA ,4ABL$ *N ) "O IMPAIR;T :O 7 AG$ #E- #AH YE>S _H A HI<] HOSPITALISA;N RATE = AS?MA ?AN NON-4ABL$ *N "<) ! EXCEP;N ( ! F/ TWO YE>S ( ! P&EMIC">4 ,3SI/5TLY1 EV5 DUR+ ! HEI4 "9#DF ,FIGURE #DD3 ,HOSPITALISA;N RATE = AS?MA P] #AJJ1JJJ POPULA;N1 AGES #E-#AH YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC @.<,L9E GRAPH %[+ T ! HOSPITALISA;N RATE = 4ABL$ *N ) AS?MA & TWO OR M 4ABILITIES 0 >.D D\BLE T = *N ) NO 4ABILITIES4 ,? DI6];E R$UC$ TO >.D #A4D "TS 9 #BJBC4@.> ,S\RCE3 ,,IDI ,F #BJAH TO #BJBC1 ,M_AORI & #AAH ,PACIFIC 4ABL$ *N _H HI<] RATES ( B#EH HOSPITALISA;N = AS?MA ?AN 4ABL$ *N ( O!R E?NICITIES4 ,! DIPS = ALL GR\PS 9 #BJBJ1 Z %[N 9 ,FIGURE #DE1 CO9CIDE ) DECR1SES 9 RESPIRATORY ILL;SES ASSOCIAT$ ) P&EMIC RE/RIC;NS4 -------------------------------------#EI ,FIGURE #DE3 ,HOSPITALISA;N RATE = AS?MA P] #AJJ1JJJ POPULA;N1 AGES #E-#AH YE>S1 BY E?NIC;Y & 4ABIL;Y /ATUS1 #BJAH- #BJBC @.<,L9E GRAPH %[+ T AS?MA HOSPITALISA;N RATES = ,M_AORI & ,PACIFIC 4ABL$ *N >E HI<] ?AN ^? = NON ,M_AORI1 NON-,PACIFIC 4ABL$ *N4 ,AS?MA HOSPITALISA;N RATES H RIS5 9 #BJBC = BO? 4ABL$ & NON-4ABL$ *N4@.> ,S\RCE3 ,,IDI ,"! IS PROGRESS4 ,A #BJBD /UDY1 : 9CLUD$ ,M_AORI 4ABL$ P1 F.D A #CB.0 R$UC;N 9 AS?MA HOSPITALISA;NS AM;G ,M_AORI AG$ #AB & OV] 2T ,JULY TO ,DECEMB] #BJBC & ,JULY TO #AAI ,DECEMB] #BJAI4 ,? COMP>ES TO A A#EI #BC.0 R$UC;N = NON ,M_AORI4 "9#DG ,DR ,MATIRE ,H>WOOD "<,NG_APUHI">1 A CO-9VE/IGATOR ON ! /UDY & A ,,GP1 COM;T$ ON ! IMPORT.E ( ^! F9D+S3 8,! SUB/ANTIAL DROP 9 AS?MA HOSPITALISA;NS = ,M_AORI DEMON/RATES ! IMPACT ( EQUITABLE A3ESS TO OPTIMAL C>E4 ,H["E1 ! P]SI/+ 9EQUITIES REM9D U ( ! URG5T NE$ TO ADDRESS ! ROOT CAUSES ( ^! H1L? 4P>ITIES4 ,SOLU;NS T EMP[] ,M_AORI "? A3ESSIBLE1 CULTURALLY SAFE C>E & SY/EMIC *ANGE-W HELP CR1TE SU/A9ABLE IMPROVE;TS 9 RESPIRATORY H1L? \TCOMES40 "9#DH ,*N & ,,A% ,AMBULATORY S5SITIVE HOSPITALISA;NS "<,,A%"> "H M1SURE HOSPITALISA;NS ( 4ABL$ & NON-4ABL$ *N AG$ #E-#AH YE>S = 3DI;NS T CD 2 MANAG$ 9 PRIM>Y OR COMMUN;Y C>E4 ,= 4ABL$ *N1 ! DATA ON ! TOP FIVE 3DI;NS = HOSPITALISA;N T CD 2 TR1TABLE 9 PRIM>Y C>E IS M>K$LY DI6]5T F T = #ABJ NON-4ABL$ *N4 ,NOTABLY1 _! ,,A% B#EI RATES >E M* HI<] ?AN = 4ABL$ *N1 & "S ( ! 3DI;NS 9 ! TOP FIVE DI6] 2T ! TWO GR\PS4 -------------------------------------#FJ ,Z ,FIGURE #DF %[S1 D5TAL HOSPITALISA;NS >E ! DOM9ANT R1SON = BO? GR\PS B 4ABL$ *N 7 HOSPITALIS$ AT NE>LY F\R "TS ! RATE ( NON-4ABL$ *N4 ,GA/RO5T]ITIS_/DEHYDRA;N 0 ! SECOND MO/ COMMON R1SON "<": ,,A% = 4ABL$ *N 0 M ?AN D\BLE ! RATE ( NON-4ABL$ *N">4 ,! REMA9+ 3DI;NS 9 ! TOP FIVE = 4ABL$ *N W]E3 UPP] & E>1 NOSE & ?ROAT "<,,5T"> RESPIRATORY 9FEC;NS " 3/IPA;N " CELLULITIS "<) 4ABL$ *N M ?AN "O-&-A- HALF "TS ! RATE ( NON-4ABL$ *N">4 ,FIGURE #DF3 ,T5 ,,A% 3DI;NS ) #ABA HIS1 BY 4ABIL;Y /ATUS1 #BJBC @.<,B> GRAPH %[+ ! MO/ FREQU5TLY SE5 ,,A% 3DI;NS = 4ABL$ & NON-4ABL$ *N4 ,D5TAL 3DI;NS1 GA/RO5T]ITIS & DEHYDRA;N1 UPP] RESPIRATORY 9FEC;NS1 3/IPA;N & CELLULITIS H ! HIE HI<] ?AN NON-4ABL$ *N4@.> ,S\RCE3 ,,IDI ,*N1 4ABIL;Y & UNMET NE$ ,9 ! ,NEW ,Z1L& ,H\SEHOLD ,4ABIL;Y ,SURVEY1 UNMET NE$ REF]S TO SITUA;NS 9 : A 4ABL$ P]SON REQUIRES A H1L?- OR 4ABIL;Y-RELAT$ S]VICE OR SUPPORT B DOES N RCV X1 OR DOES N RCV 5 SUPPORT TO MEET _! NE$S4 ,9 ! #BJBC ,H\SEHOLD ,4ABIL;Y ,SURVEY1 4ABL$ *N 3SI/5TLY REPORT HI< LEVELS ( UNMET NE$4 ,:5 A 4ABL$ * EXP]I;ES UNMET H1L? PR(ES.NAL1 M$ICA;N & ASSI/IVE EQUIP;T NE$1 ! 3SEQU;ES = _! H1L?1 DEVELOP;T & WELLBE+ C 2 SIGNIFICANT4 #ABB ,UNMET NE$ = H1L? PR(ES.NAL B#FJ S]VICE ,A ?IRD "<#CC.0"> ( 4ABL$ *N AG$ #J- #AD YE>S REPORT$ AN UNMET NE$ TO SEE A H1L? PR(ES.NAL 9 ! PA/ #AB MON?S1 "9#DI Z COMP>$ ) #BH.0 ( 4ABL$ P #AE & OV]4 -------------------------------------#FA ,UNMET NE$ = M$ICA;N ,M ?AN "O 9 T5 "<#AB.0"> ( 4ABL$ *N AG$ #J-#AD YE>S REPORT$ UNMET NE$ = M$ICA;N 9 ! LA/ #AB MON?S4 ,UNMET NE$ = ASSI/IVE EQUIP;T "9#EJ ,NE>LY HALF "<#DF.0"> ( 4ABL$ *N AG$ #J-#AD YE>S USE ASSI/IVE EQUIP;T OR TE*NOLOGY1 B #CE.0 REPORT$ UNMET NE$ = ASSI/IVE EQUIP;T & TE*NOLOGY4 ,Y\?,-HUMAN PAPILLOMAVIRUS "<,,HPV"> VA39A;NS ,DATA RELAT$ TO OLD] 4ABL$ *N & "Y P IS SP>SE1 B DATA REG>D+ VA39A;NS 0 AG A USE;L S\RCE ( 9=MA;N ON ! H1L? ( 4ABL$ "Y P4 ,! ,M9I/RY ( ,H1L? RECOMM5DS ,,HPV VA39A;N & FUNDS X ON ! ,NA;NAL #ABC ,IMMUNISA;N ,S*$ULE = *N & "Y P A#FA AG$ #I-#BF YE>S4 ,A S*OOL-BAS$ VA39A;N PROGRAMME IS AVAILABLE 9 MO/ >1S4 ,! 9CID;E ( G5ITAL W>TS HAS DECR1S$ BY #GE.0 S9CE ! VA39E 2CAME AVAILABLE 9 ,NEW ,Z1L& 9 #BJJH4 ,! VA39E IS 8HIIANTS ( ! VIRUS ASSOCIAT$ ) ORAL & G5ITAL C.ERS "<9CLUD+ C]VICAL C.ER">4 "9#EA ,,HPV IMMUNISA;N RATES >E L[4 ,"Y] 4ABL$ FEMALES "S"> 7 #F P]C5TAGE PO9TS M LIKELY TO 2 IMMUNIS$ AG/ ,,HPV ?AN NON-4ABL$ FEMALES 9 ! SAME AGE GR\P 9 #BJBC4 ,4ABL$ WOM5 AG$ #BJ- #CD YE>S 7 AL #F P]C5TAGE PO9TS M LIKELY TO 2 IMMUNIS$ AG/ ,,HPV ?AN NON-4ABL$ FEMALES 9 _! AGE GR\P "<,FIGURE #DG">4 ,FIGURE #DG3 ,P]C5TAGE ( ELIGIBLE FEMALES FULLY VA39AT$ ) ,,HPV VA39E1 AGES #AJ-#AI & #BJ-#CD YE>S1 BY 4ABIL;Y /ATUS1 #BJBC @.<,B> GRAPH %[+ T #DE.0 4ABL$ FEMALES1 AG$ #AJ TO #AI1 & #EE.0 #ABD ( ELIGIBLE FEMALES1 AG$ #BJ TO B#FA #CD1 7 FULLY VA39AT$ ) ,,HPV VA39E4@.> ,S\RCE3 ,,IDI ,9 #BJBC "Y] 4ABL$ MALES 7 #F P]C5TAGE PO9TS LESS LIKELY TO 2 IMMUNIS$ AG/ ,,HPV ?AN NON-4ABL$ MALES "<,FIGURE #DH">4 -------------------------------------#FB ,FIGURE #DH3 ,P]C5TAGE ( ELIGIBLE MALES FULLY VA39AT$ ) ,,HPV VA39E1 AGES #AJ-#AI & #BJ-#CD YE>S1 BY 4ABIL;Y /ATUS1 #BJBC @.<,B> GRAPH %[+ T #CC.0 4ABL$ MALES1 AG$ #AJ TO #AI1 & #I.0 ( ELIGIBLE MALES1 AG$ #BJ TO #CD1 7 FULLY VA39AT$ ) ,,HPV VA39E4@.> ,S\RCE3 ,,IDI ,:ILE AT F/ GL.E ^! F9D+S APPE> POSITIVE1 "PICUL>LY = "Y] 4ABL$ WOM5 & 4ABL$ WOM51 9T]NA;NAL RESE>* PROVIDES IMPORTANT 3TEXT4 ,) REG>D TO "Y MALES1 RESE>* #ABE 3SI/5TLY %[S !Y >E M* LESS LIKELY A#FB TO RCV ! ,,HPV VA39E ?AN "Y FEMALES4 "9#EB ,? GAP IS EV5 L>G] = "Y 4ABL$ MALES4 ,A REC5T POPULA;N-BAS$ SURVEY 9DICAT$ T ! P>5TS ( 4ABL$ BOYS (T5 "K LESS AB ,,HPV & XS VA39E1 & VA39E PROVID]S1 S* Z DOCTORS1 >E LESS LIKELY TO RECOMM5D X TO !M COMP>$ TO ! P>5TS ( GIRLS4 "9#EC ,? PATT]N HAS BE5 ATTRIBUT$ TO A LACK ( AW>E;S AB ,,HPV VA39A;N AM;G "Y 4ABL$ MALES1 _! FAMILIES1 & H1L?C>E PROVID]S4 "9#ED ,9 3TRA/1 RESE>* 3SI/5TLY HAS %[N T 4ABL$ FEMALES EXP]I;E M SEXUAL ABUSE & VICTIMISA;N1 "9#EE B H LESS A3ESS TO SEX & SEXUAL H1L? K & $UCA;N4 "9#EF ,^! FACTORS MAY "PLY EXPLA9 ! HI<] RATE ( ,,HPV VA39A;N = "Y 4ABL$ FEMALES 9 ,NEW ,Z1L&1 ) P>5TS & CLOSE SUPPORT]S1 & VA39E PROVID]S RESPOND+ TO ^! RISKS BY 2COM+ M VIGILANT 9 SEEK+ & RECOMM5D+ ,,HPV VA39A;N4 ,H["E1 FUR!R T>GET$ RESE>* IS NE$$ TO "U/& ^! DI6];ES )9 ! ,NEW ,Z1L& 3TEXT4 ,:5 FAC$ ) ^! E>LY 9EQUITIES 9 #ABF "Y P'S LIVES & H1L? C>E1 WE %D B#FB EMPHASISE T ! ,,WHO'S RECOMM5DA;N ON ADOLESC5T H1L? APPLIES EQUALLY TO 4ABL$ "Y P Z WELL Z ^? :O >E NON-4ABL$3 8,TO GR[ & DEVELOP 9 GD H1L?1 ADOLESC5TS NE$ 9=MA;N H1L? S]VICES T >E A3EPTABLE1 EQUITABLE1 APPROPRIATE & E6ECTIVE2 & SAFE & SUPPORTIVE 5VIRON;TS4 ,!Y AL NE$ OPPORTUNITIES TO M1N+;LLY "PICIPATE 9 ! DESIGN & DELIV]Y ( 9T]V5;NS TO IMPROVE & MA9TA9 _! H1L?4 ,EXP&+ S* OPPORTUNITIES IS KEY TO RESPOND+ TO ADOLESC5TS' SPECIFIC NE$S & "RS40 "9#EG -------------------------------------#FC ,KIMB]LY & ,F9LAY'S /ORY,-! TRANSI;N F PA$IATRIC TO ADULT C>E ,KIA ORA1 ,I'M ,KIMB]LY ,GRAHAM1 & ? IS MY SON ,F9LAY ,BUT*]4 ,= NE>LY #BA YE>S1 WE'VE NAVIGAT$ LIFE TGR ) LOVE1 DET]M9A;N1 & ! COMPLEXITIES T COME ) HI< & COMPLEX NE$S4 ,WE AL %>E A DEEP LOVE ( TRAVEL1 US+ \R ADV5TURES TO %[ :AT A3ESS & 9CLU.N C LOOK L = FAMILIES L \RS4 ,Z ,F9LAY 5T]S ADULTHOOD1 WE'RE FAC+ #ABG A TRANSI;N _M W RECOGNISE4 ,"H'S A#FC :AT ? LOOKS L = U4 ,\R EXP]I;E IS SIMIL> TO :AT _M O!R P>5TS & "Y P G "? DUR+ ? TRANSI;N PHASE4 ,9 MY VIEW1 ! *ALL5GES >E WIDESPR1D & A6ECT ALM E >EA,-$UCA;N1 RESPITE S]VICES1 EQUIP;T CL9ICS1 !RAPI/S1 M$ICAL SUPPLIES1 & HOSPITAL OR ALLI$ H1L? SPECIALI/S4 ,9/1D ( ! /1DY1 FAMILI> SUPPORT WE US$ TO H F L;G-T]M PA$IATRIC SPECIALI/S1 E S]VICE N[ SEEMS TO REQUIRE 3/ANT & P]SI/5T ADVOCACY4 ,A MAJOR TURN+ PO9T HAPP5S :5 ! PA$IATRICIAN 4*>GES A "Y P]SON F _! C>E4 ,FAMILIES (T5 F9D !MVS 9 A S]VICE GAP AT T PO9T4 ,= EXAMPLE1 :5 WE 7 "U HOSPITAL- BAS$ PA$IATRIC SPECIALI/S1 \R PRESCRIP;NS 7 COV]$4 ,N[1 WE H TO PAY TO SEE \R ,,GP = APPO9T;TS & PRESCRIP;NS1 : ADDS A F9ANCIAL /RA94 ,WE AL FAC$ A L;G DELAY 2F MY SON CD SEE 8 ADULT NEUROLOGI/ AT ,GRE5LANE ,HOSPITAL1 ALM A YE> AF L1V+ PA$IATRIC S]VICES4 ,DUR+ T "T1 8 SEIZURES & SPASMS WORS5$1 & WE _H TO RETURN TO #ABH ,/>%IP ,HOSPITAL TO SPE$ UP AN B#FC APPO9T;T S 8 M$ICA;N CD 2 REVIEW$4 ,S9CE T F/ VISIT1 WE'VE SE5 ! ADULT NEUROLOGI/ ONLY ONCE1 & X'S N[ BE5 ALM ANO!R YE> ) NO FOLL[-UP4 ,^! L;G GAPS 2T APPO9T;TS CR1TE UNNEC RISK = P :O NE$ ONGO+ NEUROLOGICAL C>E4 ,! :EEL*AIR CL9IC PROCESS HAS AL BE5 EXTREMELY SL[4 ,(T51 BY ! "T ! ASSESS;T & FITT+ PROCESS IS F9I%$1 ! EQUIP;T NO L;G] MAT*ES ! P]SON'S NE$S4 ,:ILE ? ISN'T ONLY A TRANSI;N ISSUE1 X'S EV5 H>D] = ADULTS :O >E NO L;G] REGUL>LY REVIEW$ BY O3UPA;NAL !RAPI/S4 ,)\T 3SI/5T MONITOR+1 PO/URAL PROBLEMS C GET WORSE1 L1D+ TO M H1L? COMPLICA;NS & PUTT+ ALL ! ADVOCACY BACK ON FAMILIES4 -------------------------------------#FD ,WE'VE AL _H PROBLEMS ) GETT+ ESS5TIAL M$ICAL SUPPLIES4 ,"U PA$IATRIC S]VICES1 MY SON'S FE$+ SUPPLIES >RIV$ AT \R HOME ON "T & 7 ALW CORRECT4 ,N[1 "? ,ADULT ,COMMUN;Y ,4TRICT ,NURS+1 ! DELIV]IES >E (T5 MISS+ IMPORTANT ITEMS4 ,? M1NS WE H TO G TO ! COMMUN;Y H1L? C5TRE TO #ABI PICK UP ! RE/1 : ADDS /RESS & A#FD 9CONV5I;E4 ,ANO!R 3C]N IS ! LIMIT$ "U/&+ ( HI< & COMPLEX NE$S AT \R LOCAL HOSPITAL4 ,:5 MY SON 0 "U PA$IATRIC C>E1 HE 0 ALW TAK5 TO ,/>%IP ,HOSPITAL1 ": ! /AFF 7 EXP]I;ED ) COMPLEX CASES4 ,N[1 WE M/ G TO ,NOR? ,%ORE ,HOSPITAL1 : DOESN'T SEEM TO H ! SAME LEVEL ( SPECIALI/ EXP]TISE4 ,? CR1TES A LOT ( ANXIETY AB ! QUAL;Y ( C>E HE'LL RCV 9 AN EM]G5CY4 ,"!'S AL A MAJOR GAP :5 S*OOL-BAS$ SUPPORTS 5D4 ,MY SON W F9I% S*OOL AT ! 5D ( ! YE>1 : M1NS HE W NO L;G] RCV REGUL> PHYSIO!RAPY1 SPEE*-LANGUAGE !RAPY OR O3UPA;NAL !RAPY4 ,WE *OSE 8 SPECIALI/ S*OOL SPECIFICALLY = ! 3SI/5T A3ESS TO !RAPIES T MA9/R1M S*OOLS CDN'T (F]4 ,LOS+ ? SUPPORT L1VES FAMILIES UNSURE AB ! NEXT /EPS4 ,:5 WE 7 ) ,/>%IP & ! S*OOL SY/EM1 MY SON'S D5TAL H1L? 0 REGUL>LY MONITOR$4 ,S9CE L1V+ PA$IATRIC S]VICES1 T OV]SIE AVAILABLE1 B ONLY ON AN Z-NE$$ BASIS4 ,"! >E NO REGUL> REVIEWS OR PROACTIVE FOLL[-UPS4 ,OV]ALL1 ? TRANSI;N %[S ! LACK ( 3T9U;Y 2T * & ADULT S]VICES & HIE 9TO ! ADULT H1L? C>E SY/EM4 ,? IS A CRITICAL P]IOD 9 ! LIFE C\RSE1 DUR+ : *ALL5GES (T5 2G9 TO 9T5SIFY4 ,X AL TYPICALLY CO9CIDES ) AGE+ \ ( ! $UCA;N SY/EM,-AN 5VIRON;T T IS (T5 /RUCTUR$ TO NOTICE1 MONITOR & RESPOND TO ! H1L? & WELLBE+ NE$S ( 4ABL$ *N & "Y P,-& 9TO ADULT SUPPORT S]VICES1 ": S* OV]SI LESS 3SI/5T4 ,Z HIE 9CR1S+LY FALLS ON ! 9DIVIDUAL1 "Y 4ABL$ ADULTS1 T_ANGATA :AIKAHA & _! :_ANAU >E EXPECT$ TO SELF-ADVOCATE )9 A SY/EM T IS FREQU5TLY 3FUS+1 9A3ESSIBLE & FRAG;T$4 "9#EH ,UNSURPRIS+LY1 ? TRANSI;N P]IOD IS AL ": 4P>ITIES 2T 4ABL$ & NON-4ABL$ P'S H1L? \TCOMES 2G9 TO WID5 & 2COME #ACB M PRON\NC$4 A#FE ,A HI<-LEVEL SUMM>Y ( ! F9D+S ,PATI5TS' EXP]I;ES ( B>RI]S TO A3ESS+ PRIM>Y H1L? C>E 9DICATE T WAIT "TS >E A KEY ISSUE4 ,9 T]MS ( M5TAL H1L?1 4ABL$ ADULTS EXP]I;E HI<] RATES ( ANXIETY & DEPRES.N1 & USE SECOND>Y M5TAL H1L? & ADDIC;N S]VICES M FREQU5TLY1 B / EXP]I;E GRT] UNMET NE$ = M5TAL H1L? S]VICES4 ,! ELECTIVE SURG]Y CLU/] ( 9DICATORS %[S T ! PROPOR;N ( 4ABL$ P WAIT+ L;G] ?AN F\R MON?S = _! F/ SPECIALI/ ASSESS;T AF REF]RAL IS SMALL] ?AN T = NON-4ABL$ P4 ,H["E1 ! PROPOR;N ( 4ABL$ P WAIT+ M ?AN F\R MON?S = TR1T;T ONCE A TR1T;T PLAN IS COMMITT$ TO IS HI<] ?AN T ( NON- 4ABL$ P4 ,4ABL$ P EXP]I;E HI<] RATES ( PO/-OP]ATIVE COMPLICA;NS = COMMON SURG]IES4 ,MOREOV]1 ! RISK 9CR1SES Z ! NUMB] ( IMPAIR;TS 9CR1SES1 & IS 4PROPOR;NATELY HI<] = ,M_AORI & ,PACIFIC 4ABL$ P4 ,L 4ABL$ *N & "Y P1 4ABL$ ADULTS EXP]I;E HI<] LEVELS ( D5TAL #ACC SURG]IES Z ORAL H1L? WORS5S OV] B#FE "T1 & SIGNIFICANT UNMET NE$ "PICUL>LY = PRIM>Y H1L? C>E4 ,4ABL$ ADULTS H A HI<] PREVAL;E ( DIABETES ?AN NON-4ABL$ ADULTS4 ,AC TO ,H1L? -------------------------------------#FF ,NEW ,Z1L& ,TE ,:ATU ,ORA1 _M 4ABL$ ADULTS "U #FD YE>S ( AGE LIVE 9 L;G-T]M C>E HOMES,-T IS1 AG$ RESID5TIAL C>E "<#GHJ P 9 ! F/ QU>T] ( ! F9ANCIAL YE> #BJBD_/#BE">1 DESPITE ^! SETT+S N 2+ DESIGN$ = ! NE$S ( "Y] ADULTS4 "9#EI ,9 ? *APT]1 DETAILS ( C.ER DATA >E GIV5 F ,TE ,AHO ,O ,TE ,KAHU ,- ,C.ER ,3TROL ,AG5CY1 : %[S 4ABL$ P EXP]I;E HI<] RATES ( MAJOR C.ERS LUNG C.ER 9 "PICUL>,-?AN NON-4ABL$ P4 ,PATI5T EXP]I;E,-:AT "W+-AGE 4ABL$ P REPORT AB A3ESS TO PRIM>Y H1L? C>E ,S9CE #BJAF1 ! ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N ,TE ,T_AH_U ,HAUORA HAS REGUL>LY SURVEY$ ADULT PATI5TS AB _! EXP]I;ES ( PRIM>Y C>E4 ,MULTIPLE SURVEY "QS RELATE TO A3ESS1 :ILE 4ABIL;Y #ACD /ATUS IS CAPTUR$ "? ! ,,WG-,,SS & A#FF SELF-ID5TIFICA;N4 ,L;G-/&+ 4P>ITIES 9 A3ESS TO PRIM>Y C>E = 4ABL$ P H BE5 REPORT$ PREVI\SLY4 "9#FJ ,= ! PURPOSES ( ? ,W9D[ REPORT1 PATI5T EXP]I;E SURVEY RESULTS 7 ANALYS$ "? ! FOLL[+ KEY !MES3 B>RI]S TO A3ESS+ C>E WAIT "TS 3T9U;Y ( C>E ALT]NATIVES (F]$ BY G5]AL PRACTICE4 ,B>RI]S TO A3ESS+ C>E "9#FA ,"O-?IRD "<#CC4B.0"> ( "W+-AGE 4ABL$ P "S"> REPORT$ A "T :5 !Y 7 UNABLE TO A3ESS PRIM>Y H1L? C>E :5 !Y WANT$ X 9 ! LA/ #AB MON?S4 ,? COMP>ES ) ONLY >.D A QU>T] "<#BC4E.0"> ( "W+-AGE NON-4ABL$ P "<,FIGURE #DI">4 ,FIGURE #DI3 ,P]C5TAGE ( P REPORT+ A "T :5 !Y CDN'T A3ESS PRIM>Y C>E :5 !Y WANT$ X 9 ! LA/ #AB MON?S1 AGES #ACE #AI-#FD YE>S1 BY 4ABIL;Y /ATUS1 B#FF ,MAY-,AUGU/ #BJBE @.<,B> GRAPH %[+ A ?IRD ( "W+-AGE 4ABL$ P "S"> REPORT$ A "T :5 !Y 7 UNABLE TO A3ESS PRIM>Y H1L? C>E :5 !Y WANT$ X 9 ! LA/ #AB MON?S1 COMP>$ ) #BD.0 ( NON-4ABL$ P ! SAME AGE4@.> ,S\RCE3 ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N ,TE ,T_AH_U ,HAUORA PATI5T EXP]I;E SURVEY -------------------------------------#FG ,4ABL$ P AG$ #AI-#CI YE>S 7 M LIKELY TO REPORT AN 9ABIL;Y TO A3ESS PRIM>Y H1L? C>E ?AN ^? AG$ #DJ-#FD4 ,"Y] "W+- AGE ,M_AORI 4ABL$ P 7 M LIKELY ?AN O!R E?NICITIES 9 ! SAME AGE GR\P TO REPORT A "T :5 !Y 7 UNABLE TO A3ESS PRIM>Y H1L? C>E :5 !Y WANT$ TO 9 ! LA/ #AB MON?S "<#DD.0"> "<,FIGURE #EJ">4 ,FIGURE #EJ3 ,P]C5TAGE ( 4ABL$ P REPORT+ A "T :5 !Y CDN'T A3ESS PRIM>Y C>E :5 !Y WANT$ TO 9 ! LA/ #AB #ACF MON?S1 BY AGE GR\P & E?NIC;Y1 A#FG ,MAY-,AUGU/ #BJBE @.<,B> GRAPH %[+ 4ABL$ P AG$ #AI-#CI YE>S 7 M LIKELY TO REPORT AN 9ABIL;Y TO A3ESS PRIM>Y H1L? C>E ?AN ^? AG$ #DJ- #FD4 ,? 0 ! SAME PATT]N ACR ALL E?NICITIES1 ) "Y ,M_AORI 4ABL$ MO/ LIKELY TO REPORT ? LACK ( A3ESS4@.> ,S\RCE3 ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N ,TE ,T_AH_U ,HAUORA PATI5T EXP]I;E SURVEY ,WAIT "TS ,AC TO ! PATI5T EXP]I;E SURVEY1 "O 9 FIVE "<#BJ4E.0"> ( "W+-AGE 4ABL$ P 7 ABLE TO GET AN APPO9T;T ON ! SAME OR NEXT "D F BOOK+ X4 ,H["E1 #AD4A.0 _H TO WAIT L;G] ?AN TWO WEEKS4 ,": P REPORT$ T "! 0 A "T 9 ! LA/ #AB MON?S :5 !Y WANT$ H1L? C>E F A ,,GP OR NURSE B 7 UNABLE TO GET X1 !Y 7 !N ASK$ AB ! R1SONS :Y !Y 7 UNABLE TO A3ESS ? C>E4 ,= 4ABL$ P ( "W+ AGE1 NE>LY A QU>T] "<#BC4A.0"> REPORT$ T ! WAIT "T #ACG TO GET AN APPO9T;T 0 TOO L;G4 ,! B#FG WAIT "T = AN APPO9T;T 0 ! MO/ FREQU5TLY REPORT$ B>RI] AM;G ALL RESPOND5TS1 REG>D.S ( _! DEMOGRAPHIC PR(ILE4 ,! NEXT MO/ COMMON R1SONS :Y "W+-AGE 4ABL$ P 7 UNABLE TO A3ESS C>E 7 T ! ,,GP OR NURSE !Y WANT$ TO SEE 0 UNAVAILABLE "<#AB4A.0">1 ! CL9IC 0 CLOS$ " "<#E4I.0">1 !Y 7 UNABLE TO 3TACT ! CL9IC TO MAKE AN APPO9T;T "<#D4G.0">1 & ! APPO9T;T 0 TOO EXP5SIVE "<#D4B.0">4 ,3T9U;Y ( C>E ,! F9D+ T #AB4A.0 ( RESPOND5TS CD N GET C>E 2C _! PREF]R$ CL9ICIAN 0 UNAVAILABLE SU7E/S 4ABL$ P VALUE 3T9U;Y ( C>E4 ,:ILE 3T9U;Y ( C>E IS A "KN DRIV] ( IMPROV$ H1L? \TCOMES1 "9#FB DATA F ! #BJBD_/#BE ,NEW ,Z1L& ,H1L? ,SURVEY REV1LS A 3C]N+ 4P>;Y3 4ABL$ P >E TWICE Z LIKELY Z NON-4ABL$ P TO NOTE AN UNMET NE$ TO SEE A ,,GP DUE TO FE>1 OR A PREVI\S NEGATIVE EXP]I;E4 "9#FC ,? 0 REIT]AT$ BY SURVEY DATA T %[$ #GB4B.0 ( "W+-AGE 4ABL$ P H "O H1L? C>E #ACH PR(ES.NAL !Y USUALLY SEE &1 ( ^?1 C#FG MO/ "<#HD.0"> SAW T PR(ES.NAL 9 _! MO/ REC5T APPO9T;T4 ,3T9U;Y ( PRIM>Y H1L? C>E IS A PROTECTIVE FACTOR = ELIM9AT+ 9EQUITIES = ,M_AORI & 4ABL$ P4 "9#FD -------------------------------------#FH ,( ! 4ABL$ P :O 7 UNABLE TO A3ESS C>E1 :5 ASK$ :AT _! R1SON = SEEK+ C>E WAS1 J OV] HALF "<#EF4A.0"> P]CVD _! H1L? NE$ Z URG5T4 ,:5 RESPOND5TS 7 UNABLE TO GET EI A "TLY APPO9T;T OR "O ) _! PREF]R$ CL9ICIAN1 !Y 7 ASK$ :E!R _! PRACTICE (F]$ ALT]NATIVES4 ,( ^? ) AN URG5T H1L? NE$1 #FG.0 7 (F]$ ALT]NATIVES BY _! PRACTICE "4 ,TELEH1L? & PATI5T PORTALS C SAVE PRACTICE /AFF "T1 IMPROVE A3ESS TO C>E & SUPPORT A PATI5T-C5TR$ APPROA*4 ,PORTAL USE HAS GR[N3 #FA4D.0 ( "W+-AGE 4ABL$ P H HE>D ( & USE A PORTAL4 ,H["E1 :ILE TELEH1L? HAS 9CR1S$ A3ESS TO H1L? S]VICES = "S 4ABL$ P1 O!RS H REPORT$ 9CR1S$ B>RI]S DUE TO 4ABL$ P'S #ACI EXP]I;E ( A3ESSIBIL;Y B>RI]S & ! A#FH DIGITAL DIVIDE4 "9#FE "9#FF ,2+ 9VOLV$ 9 DECI.NS AB TR1T;T & C>E RELATES TO ! ABIL;Y TO 5GAGE ) C>E1 A KEY ELE;T ( A3ESS4 ,MO/ "<#HC4F.0"> "W+- AGE 4ABL$ P SD _! H1L? C>E PRACTI;N] 9VOLV$ !M Z M* Z !Y WANT$ 9 MAK+ DECI.NS AB _! TR1T;T & C>E1 B EQU;Y GAPS P]SI/4 ,ALT]NATIVES (F]$ BY G5]AL PRACTICE ,FLEXIBLE H1L? S]VICES >E EVID;ED Z ESS5TIAL = 4ABL$ P "9#FG & = R$UC+ H1L? 9EQUITIES = ,M_AORI "<,TE ,TIRITI ,O ,WAITANGI PR9CIPLE F\R1 ! PR9CIPLE ( OP;NS1 8REQUIRES ! ,CR[N TO PROVIDE = & PROP]LY RES\RCE KAUPAPA ,M_AORI H1L? & 4ABIL;Y S]VICES0">4 "9#FH ,( ! TWO- ?IRDS "<#FG.0"> ( "W+-AGE 4ABL$ P 7 (F]$ AN ALT]NATIVE BY _! PRACTICE3 #BE.0 _H A ,,GP OR NURSE TALK TO !M TO ASSESS _! NE$S4 #BH4B.0 7 (F]$ AN APPO9T;T ) ANO!R ,,GP OR NURSE4 #BC4B.0 7 REF]R$ ELSE":4 #ADJ #I4H.0 7 (F]$ A DI6]5T B#FH ALT]NATIVE4 #CC4J.0 7 N (F]$ ANY ( ! ABV4 ,4ABL$ ADULTS' M5TAL H1L? ,AC TO ! ,UNIT$ ,NA;NS' DEF9I;N ( 4ABIL;Y1 PSY*OSOCIAL 4ABIL;Y IS BO? A 4ABIL;Y 9 XF & A COMORBID;Y T _M 4ABL$ P EXP]I;E4 "9#FI "9#GJ ,4ABL$ P H A HI<] PREVAL;E ( ANXIETY & DEPRES.N1 & USE SECOND>Y M5TAL H1L? S]VICES M ?AN NONDISABL$ P1 B / REPORT UNMET M5TAL H1L? C>E NE$4 ,! PREVAL;E ( M5TAL H1L? ISSUES 9 ,NEW ,Z1L& 0 E/IMAT$ US+ DATA F ! ,NEW ,Z1L& ,H1L? ,SURVEY #BJBA-#BJBC4 ,ANXIETY ,! ,NEW ,Z1L& ,H1L? ,SURVEY E/IMATES #I4H.0 ( ! ,NEW ,Z1L& POPULA;N EXP]I;ED MOD]ATE OR GRT] ANXIETY SYMPTOMS 9 ! LA/ TWO WEEKS "9#GA AB #DJH1JJJ ADULTS OV] ! AGE ( #AE4 ,= 4ABL$ ADULTS1 ? E/IMATE 0 #BE4D.0 "1 ?REE "TS ! RATE = NON-4ABL$ #ADA ADULTS1 AT #H4C.0 "4 ,AN E/IMAT$ #DA1JJJ 4ABL$ ADULTS "<#AA4B.0"> EXP]I;ED SEV]E ANXIETY 9 ! LA/ TWO WEEKS4 "9#GB ,? IS OV] F\R "TS ! RATE = NON-4ABL$ ADULTS "<#B4E.0"> "<,FIGURE #EA">4 -------------------------------------#FI ,FIGURE #EA3 ,PREVAL;E ( MOD]ATE OR GRT] & SEV]E ANXIETY SYMPTOMS1 BY 4ABIL;Y /ATUS1 #BJBA-#BJBC @.<,B> GRAPH %[+ T OV] #C "TS Z _M 4ABL$ P _H MOD]ATE OR GRT] ANXIETY SYMPTOMS 9 ! PA/ TWO WEEKS COMP>$ TO NON-4ABL$ P4 ,= SEV]E ANXIETY SYMPTOMS ! RATE 0 ALM #D "TS GRT]4@.> ,S\RCE3 ,NEW ,Z1L& ,H1L? ,SURVEY ,DEPRES.N ,! ,H1L? ,SURVEY E/IMATES #AA4F.0 ( ! ,NEW ,Z1L& POPULA;N EXP]I;ED MOD]ATE OR GRT] SYMPTOMS ( DEPRES.N1 OR AB #DHD1JJJ ADULTS OV] #AE4 ,= 4ABL$ ADULTS1 ? E/IMATE 0 #CC4F.0 "1 OV] ?REE "TS ! A#FI RATE = NON-4ABL$ ADULTS1 AT #I4E.0 "4 ,AN E/IMAT$ #CJ1JJJ 4ABL$ ADULTS "<#H4C.0"> EXP]I;ED SEV]E DEPRES.N 9 ! LA/ TWO WEEKS4 ,? IS ALM SEV5 "TS ! RATE = NON-4ABL$ ADULTS "<#A4B.0"> "<,FIGURE #EB">4 -------------------------------------#GJ ,FIGURE #EB3 ,PREVAL;E ( MOD]ATE OR GRT] & SEV]E DEPRES.N1 BY 4ABIL;Y /ATUS1 #BJBA-#BJBC @.<,B> GRAPH %[+ T OV] #C "TS Z _M 4ABL$ P _H MOD]ATE OR GRT] DEPRES.N SYMPTOMS 9 ! PA/ TWO WEEKS COMP>$ TO NON-4ABL$ P4 ,= SEV]E ANXIETY SYMPTOMS ! RATE 0 ALM #H "TS GRT]4@.> ,S\RCE3 ,NEW ,Z1L& ,H1L? ,SURVEY ,9CR1S+ RATES ( PSY*OLOGICAL 4TRESS OV] "T ,! ,,NZ ,H1L? ,SURVEY COLLECTS DATA AB :E!R P EXP]I;E PSY*OLOGICAL 4TRESS & A M1SURE ( H[ SEV]E T 4TRESS IS4 #ADC "9#GC A#GJ ,! E/IMAT$ P]C5TAGE ( 4ABL$ ADULTS EXP]I5C+ HI< OR V HI< LEVELS ( PSY*OLOGICAL 4TRESS 9 ! PA/ #D WEEKS 0 #BF4D.0 9 #BJAH1 RIS+ TO #CE4E.0 9 #BJBD4 ,OV] ! SAME "T P]IOD ! P]C5TAGE 0 #F4G.0 = NON-4ABL$ P 9 #BJAH RIS+ TO #AB4B.0 9 #BJBD4 ,T IS1 ! E/IMAT$ P]C5TAGE ( 4ABL$ P :O EXP]I;ED HI< OR V HI< LEVELS ( PSY*OLOGICAL 4TRESS 9 ! PA/ #D WEEKS 0 APPROXIMATELY ?REE "TS HI<] ?AN T ( NON-4ABL$ P4 ,:ILE ! RATE = ! NON-4ABL$ POPULA;N HAS ALM D\BL$ 9 ? "T1 ! RATE = 4ABL$ P ROSE QKLY 2T #BJBJ & #BJBB & HAS S9CE /ABILIS$1 ) ! RESULT T 9 #BJBD OV] "O- ?IRD ( 4ABL$ ADULTS EXP]I;ED HI< OR V HI< PSY*OLOGICAL 4TRESS "<,FIGURE #EC">4 -------------------------------------#GA ,FIGURE #EC3 ,PREVAL;E ( HI< OR V HI< LEVELS ( PSY*OLOGICAL 4TRESS1 BY 4ABIL;Y /ATUS1 #BJAH-#BJBD @.<,L9E GRAPH %[+ T ! PREVAL;E ( HI< OR V HI< LEVELS ( PSY*OLOGICAL #ADD 4TRESS 9 ! PA/ WEEKS 0 ?REE "TS A#GA GRT] 9 4ABL$ P ?AN NON-4ABL$ P4 ,? RATE HAS RIS5 F #BH.0 9 #BJBJ = 4ABL$ P TO #CF.0 9 #BJBD4@.> ,S\RCE3 ,NEW ,Z1L& ,H1L? ,SURVEY ,M5TAL H1L? S]VICE USE & 4ABIL;Y ,4ABL$ P DRAW ON SPECIALI/ M5TAL H1L? & ADDIC;N S]VICES AT M* HI<] LEVELS ?AN NON-4ABL$ P4 ,? HI<] USE IS ESPECIALLY EVID5T AM;G "Y] AGE GR\PS "<,FIGURE #ED">4 ,FIGURE #ED3 ,P]C5TAGE ( POPULA;N T HAS 3TACT ) SPECIALI/ M5TAL H1L? & ADDIC;N S]VICES1 BY AGE GR\P & 4ABIL;Y /ATUS1 #BJBC @.<,B> GRAPH %[+ T 4ABL$ P H HI<] RATES ( 3TACT ) SECOND>Y M5TAL H1L? S]VICES ?AN NON-4ABL$ P4 #BJ.0 ( "Y 4ABL$ P1 AG$ #E TO #AH & #AI.0 ( 4ABL$ P AG$ #AI TO #CI _H _H 3TACT ) SECOND>Y M5TAL H1L? S]VICES4 ,? IS F\R & ?REE "TS ! RATE = NON-4ABL$ P ( ! SAME AGE4@.> ,S\RCE3 ,,IDI #ADE #GB ,! HI4 ,= ALL ( ^! GR\PS1 _! DI6];ES F NON-4ABL$ P 7 UNLIKELY TO 2 DUE TO *.E4 ,FIGURE #EE3 ,P]C5TAGE ( POPULA;N US+ SPECIALI/ M5TAL H1L? & ADDIC;N S]VICES1 BY ,,WG-,,SS 4ABIL;Y DOMA91 #BJBC @.<,B> GRAPH %[+ T 4ABL$ P ) 9TELLECTUAL "<#BF.0">1 REMEMB]+ "<#BC.0"> & COMMUNICAT+ "<#AC.0"> 4ABILITIES _H HI<] RATES ( 3TACT ) SECOND>Y M5TAL H1L? S]VICES ?AN NON- 4ABL$ P4 ,^? ) HE>+ 4ABILITIES _H ! L[E/ RATE ( 3TACT ) SECOND>Y M5TAL H1L? S]VICES4@.> ,S\RCE3 ,,IDI ,ACR ALL E?NIC GR\PS1 4ABL$ P US$ SPECIALI/ M5TAL H1L? & ADDIC;N S]VICES M ?AN NON-4ABL$ P "<,FIGURE #EF">4 #ADF ,FIGURE #EF3 ,P]C5TAGE ( P US+ A#GB SPECIALI/ M5TAL H1L? & ADDIC;N S]VICES1 BY E?NIC;Y & 4ABIL;Y /ATUS1 #BJBC @.<,B> GRAPH %[+ T #AF.0 ( 4ABL$ ,M_AORI1 #I.0 ( 4ABL$ ,PACIFIC ,P & #AJ.0 ( 4ABL$ NON ,M_AORI1 NON-,PACIFIC ,P _H 3TACT ) SECOND>Y M5TAL H1L? S]VICES4@.> ,S\RCE3 ,,IDI -------------------------------------#GC ,HI< UNMET NE$ = M5TAL H1L? C>E ,DESPITE ? HI<] USE ( SECOND>Y M5TAL H1L? S]VICES1 M 4ABL$ P REPORT UNMET NE$ = M5TAL H1L? C>E4 ,? UNMET NE$ HAS 9CR1S$ OV] ! PA/ F\R YE>S4 ,! ,,NZ ,H1L? ,SURVEY1 #BJBD_/#BE1 E/IMAT$ #AJ4E.0 ( ! ,NEW ,Z1L& POPULA;N1 OR #DEF1JJJ ADULTS AG$ #AE & OV]1 _H UNMET NE$ = PR(ES.NAL HELP = _! M5TAL H1L? 9 ! PA/ #AB MON?S4 ,= 4ABL$ ADULTS1 ? E/IMATE 0 #BA4I.0 "1 OV] TWICE ! RATE = NON-4ABL$ ADULTS1 AT #I4D.0 " "<,FIGURE #EG">4 #ADG ,FIGURE #EG3 ,UNMET NE$ = A#GC PR(ES.NAL HELP = _! M5TAL H1L? 9 PA/ #AB MON?S1 BY 4ABIL;Y /ATUS1 #BJBA-#BD @.<,L9E GRAPH %[+ T 4ABL$ P H OV] D\BLE ! UNMET NE$ = M5TAL H1L? S]VICES COMP>$ TO NON-4ABL$ P4 ,! P]C5TAGE ( 4ABL$ P EXP]I5C+ NE$ = ^! S]VICES HAS 9CR1S$ F #AH.0 TO #BB.0 F #BJBA TO #BJBD4@.> ,S\RCE3 ,NEW ,Z1L& ,H1L? ,SURVEY ,M_AORI 4ABL$ P 9 ,NEW ,Z1L& EXP]I;E SIGNIFICANTLY HI<] RATES ( POOR M5TAL H1L?1 PSY*OLOGICAL 4TRESS1 & SOCIOECONOMIC DEPRIVA;N COMP>$ TO NON- 4ABL$ P4 ,9 #BJBC_/#BD1 ,M_AORI _H ! HI$ TO O!R E?NIC GR\PS "<#AD4G.01 AB #IE1JJJ P">1 FOLL[$ BY ,PACIFIC "<#AB4G.01 AB #CG1JJJ P">4 "9#GD ,9 ,NEW ,Z1L&1 QUALITATIVE RESE>* EXAM9+ 4ABL$ P'S EXP]I;ES ( H1L? & WELLBE+ SU7E/S T 8DIAGNO/IC OV]%AD[+0 MAY 3TRIBUTE TO ! HI< PREVAL;E ( ANXIETY & DEPRES.N AM;G 4ABL$ P4 "9#GE #ADH ,DIAGNO/IC OV]%AD[+ REF]S TO A B#GC H1L? PR(ES.NAL'S BIAS ":BY !Y OV]- ATTRIBUTE SYMPTOMS TO AN 9DIVIDUAL'S 4ABIL;Y & S OV]LOOK CO-EXI/+ H1L? 3DI;NS UNRELAT$ TO ! 4ABIL;Y4 "9#GF ,O!R FACTORS 3TRIBUT+ TO ! HI< RATES ( PSY*OSOCIAL 4ABIL;Y AM;G 4ABL$ P & REPORTS ( UNMET NE$ 9CLUDE3 9A3ESSIBLE M5TAL H1L? S]VICES "N+ "<9TELLECTUAL"> 4ABIL;Y">2 ! /RESS & ANXIETY ( 5GAG+ ) ! H1L? & 4ABIL;Y SY/EM2 LACK ( 8M5TAL A3ESS0 "9#GG DUE TO ! ONGO+ IMPACT ( M$ICAL TRAUMA2 L"OLI;S & ISOLA;N2 /IGMA2 LACK ( APPO9T;TS & WAIT "TS2 F9ANCIAL B>RI]S TO NON-FUND$ S]VICES2 & A LACK ( CULTURAL RESPONSIVE;S )9 M5TAL H1L? S]VICES1 9CLUD+ LIMIT$ AW>E;S ( 4ABIL;Y CULTURE4 "9#GH -------------------------------------#GD ,ABEL1 ,TANE ,MAORI1 ,HE TANGATA TURI "<,M_AORI ,D1F MALE"> ,Z A ,M_AORI MALE1 ! H1L? SY/EM HAS BE5 H>D TO NAVIGATE4 ,EV5 H>D]1 Z A T_ANGATA TURI "<,D1F P]SON">1 #ADI A3ESS+ M5TAL H1L? SUPPORT 9 ! A#GD ,AOTEAROA H1L? SY/EM HAS FELT L PU%+ AG/ A DOOR T 0 N"E BUILT ) MY NE$S 9 M9D4 ,E>LY HELP T N"E Q FIT ,MY F/ EXP]I;E ) M5TAL H1L? SUPPORT HAPP5$ :5 ,I 0 AB #AC1 9 HI< S*OOL4 ,L _M TE5AG]S1 ,I 0 /RU7L+ ) DEPRES.N & TRY+ TO "U/& :AT 0 HAPP5+ TO ME4 ,I R1*$ \ = HELP 2C T'S :AT Y'RE TOLD TO D4 ,B F ! V 2G9N+1 X DIDN'T FEEL "R4 ,! C\NSELLORS & PSY*OLOGI/S ,I SAW CD "S"TS SIGN A LL1 : P (T5 ASSUME IS 5\<4 ,B N"O ( !M "U/OOD :AT X M1NT TO 2 ,M_AORI1 OR :AT X M1NT TO 2 A ,M_AORI MAN4 ,!Y DIDN'T "U/& ! DYNAMICS ( MY :_ANAU1 ESPECIALLY MY RELA;N%IP ) MY "F4 ,MO/ ( !M 7 ,P_AKEH_A1 & :ILE !Y MAY H _H TRA9+ 9 ,D1F SPACES1 !Y _H LL "U/&+ ( ,M_AORI R1LITIES4 ,I 0 EXPECT$ TO OP5 UP AB DEEPLY P]SONAL ?+S 9 A SY/EM T DIDN'T FULLY SEE :O ,I WAS4 ,AT S*OOL1 ?+S 2CAME M COMPLICAT$ 2C ( H[ ,D1F SUPPORT 0 ORGANIS$4 ,9T]PRET]S "W$ ACR MULTIPLE /UD5TS1 & 9=MA;N #AEJ (T5 GOT MIX$ UP4 ,I REMEMB] 2+ "! B#GD TO MANAGE MY DEPRES.N & 2+ GIV5 9=MA;N AB SUICIDE T ACTUALLY RELAT$ TO ANO!R ,D1F /UD5T4 ,SUDD5LY1 ,I KNEW AB "S"O ELSE'S SUICIDAL ?"\S4 ,AT T AGE1 WE DIDN'T H ! TOOLS OR LANGUAGE TO D1L ) T4 ,WE DIDN'T "K H[ TO TALK AB SUICIDE1 LET AL"O PROCESS "S"O ELSE'S PA9 AL;GSIDE \R [N4 ,:5 SUPPORT /OPS & SURVIVAL 2G9S ,"O ?+ S*OOL DID H 0 FUND+4 ,M5TAL H1L? & WELLBE+ S]VICES 7 SUPPORT$1 LIKELY "? ! ,M9I/RY ( ,$UCA;N4 ,B ONCE ,I LEFT S*OOL1 T SAFETY NET 4APPE>$4 ,Z AN ADULT1 ESPECIALLY AT UNIV]S;Y1 "! 0 NO CLE> FUND+ = 9T]PRET]S4 ,SUDD5LY1 ! 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WASN'T R1LLY AB M"OY4 ,X 0 AB AW>E;S4 ,_M PR(ES.NALS DIDN'T "U/& T 9T]PRET]S "W "U /RICT E?ICAL CODES1 OR T ,D1F P >E US$ TO NAVIGAT+ ^! SPACES4 ,:AT FEELS NEW & UNCOM=TABLE TO !M IS NORMAL = U4 ,EV5TUALLY1 ,I /OPP$ #AEB C>+ & BR"\ AN 9T]PRET+ /UD5T AL;G A#GE J S ,I CD H "S A3ESS4 ,X WASN'T ID1L1 B X 0 BETT] ?AN NO?+4 ,OV] "T1 ,I LE>N$ T ,I _H TO PREP>E 2F SEEK+ HELP4 ,I LE>N$ TO 9TRODUCE MYF C>E;LLY1 EXPLA9 T ,I'M ,D1F1 EXPLA9 H[ 9T]PRET]S "W1 & REASSURE PR(ES.NALS 2F WE CD EV5 2G9 TALK+ AB MY ACTUAL PROBLEMS4 ,D1F P D ? ALL ! "T4 ,X'S EXTRA EMO;NAL LAB\R 2F Y EV5 GET TO YR PA94 ,A FEW YE>S AGO1 AF ANO!R RELA;N%IP BR1KD[N1 ,I TRI$ AG TO GET C\NSELL+4 ,? "T1 ,I SPECIFICALLY ASK$ = A ,M_AORI MAN4 ,HE DIDN'T NE$ TO 2 ,D1F,-,I J WANT$ "S"O :O "U/OOD "P ( MY _W4 ,EV5 !N1 ,I GOT PASS$ >.D4 ,I 0 TOLD "S"O ELSE WD 2 BETT]1 !N "S"O ELSE AG4 ,EV5TUALLY1 ,I W5T BACK TO ! F/ P]SON ,I ASK$ =4 ,:5 WE F9ALLY SAT D[N TGR1 ! WORRY 4APPE>$4 ,HE SAW ME Z HUMAN F/4 ,! COMMUNICA;N DI6];E 0 J T,-A DI6];E1 N A B>RI]4 ,:AT HAPP5S :5 A3ESS IS D5I$ #AEC ,"O ( ! H>DE/ EXP]I;ES ( MY B#GE LIFE 0 SUPPORT+ A L;G-T]M "PN] "? A S]I\S1 LIFEL;G ILL;S4 ,= MON?S1 ,I W5T ) !M TO DOCTORS & HOSPITALS1 TRY+ TO "U/& :AT 0 HAPP5+ S ,I CD SUPPORT !M4 ,I N"E ONCE _H AN 9T]PRET]4 ,I MISS$ CRUCIAL 9=MA;N4 ,I CDN'T FULLY GRASP _! DIAGNOSIS OR :AT X M1NT = \R FUTURE4 ,X WASN'T UNTIL AF ! RELA;N%IP 5D$ T ,I R1LIS$ H[ M* T LACK ( A3ESS _H A6ECT$ ME1 & H[ M* ,I NE$$ SUPPORT MYF4 ,I AM AW>E T ,I C>RY PRIVILEGE4 ,I'VE _H A3ESS TO $UCA;N4 ,I C R1D1 WRITE & EXPLA9 MYF4 ,I C ADVOCATE4 ,_M ,M_AORI & T_ANGATA TURI DON'T H T SAME A3ESS4 ,!Y COME TO ME ASK+ = HELP1 ASK+ H[ TO NAVIGATE SY/EMS T H N"E WELCOM$ !M4 ,TOO _M H SU6]$ AL"O1 UNABLE TO EXPRESS :AT !Y'RE GO+ "? 2C LANGUAGE IS "EY?+4 ,)\T X1 SUPPORT FEELS IMPOSSIBLE4 ,:AT DO+ X "R C LOOK L ,? IS :Y TRA9+ MATT]S4 ,C\NSELLORS1 PSY*OLOGI/S & O!R H1L? PR(ES.NALS NE$ R1L $UCA;N AB ,D1F & 4ABL$ #AED EXP]I;ES4 ,!Y NE$ TO "U/& :5 C#GE PASS+ "S"O AL;G IS H>M;L1 N HELP;L4 ,!Y NE$ TO "K T TRU/ IS FRAGILE :5 Y'RE 3/ANTLY 2+ R$IRECT$4 ,I H _H "O EXAMPLE ( C>E D"O "R4 ,GR[+ UP1 MY FAMILY ,,GP TOOK ! "T TO COMMUNICATE ) ME PROP]LY4 ,HE WROTE ?+S D[N1 EXPLA9$ T]MS & MADE SURE ,I "U/OOD4 ,2C ( T1 ,I GREW 3FID5T 5 TO G TO APPO9T;TS ON MY [N4 ,T RELA;N%IP %[$ ME :AT GD C>E C LOOK L4 -------------------------------------#GF ,B X %DN'T DEP5D ON LUCK OR "O GD P]SON4 ,X %D 2 BUILT 9TO ! SY/EM4 ,= TOO L;G1 ,M_AORI & T_ANGATA TURI M5 L ME H BE5 9 SURVIVAL MODE4 ,WE ADAPT1 WE PREP>E1 WE ADVOCATE,-N 2C WE WANT TO1 B 2C WE H TO4 ,X %DN'T 2 ? H>D TO 2 SE51 HE>D & SUPPORT$ 9 \R [N H1L? SY/EM4 ,4ABIL;Y & ELECTIVE SURG]Y ,? SEC;N EXAM9ES ! FOLL[+ KEY 9DICATORS = ELECTIVE SURG]Y3 DELAYS 9 GETT+ SPECIALI/ ASSESS;T #AEE AF A REF]RAL IS MADE A#GF DELAYS 9 GETT+ ACTUAL TR1T;T AF A SPECIALI/ ASSESS;T PO/-OP]ATIVE COMPLICA;NS AF ! ELECTIVE SURG]Y4 ,GETT+ A SPECIALI/ ASSESS;T AF A REF]RAL IS MADE ,PL1S+LY1 ! P]C5TAGE ( P WAIT+ M ?AN F\R MON?S F _! REF]RAL TO GETT+ _! F/ SPECIALI/ ASSESS;T 0 V SIMIL> 9 #BJBJ & #BJBA = 4ABL$ P & NON-4ABL$ P4 "<,FIGURE #EH">4 ,FIGURE #EH3 ,P]C5TAGE ( PATI5TS1 AGES #AI-#FD1 WAIT+ M ?AN F\R MON?S = F/ SPECIALI/ ASSESS;T AF 2+ GIV5 REF]RAL1 BY 4ABIL;Y /ATUS1 #BJBJ-#BJBA @.<,B> GRAPH %[+ T #AI TO #BJ.0 ( 4ABL$ P WAIT$ F\R OR M MON?S F REF]RAL TO F/ SPECIALI/ APPO9T;T COMP>$ TO #AG TO #BJ.0 ( NON-4ABL$ P 9 #BJBJ & #BJBA4@.> ,S\RCE3 ,,IDI #AEF ,GETT+ ACTUAL TR1T;T AF ! #GG SPECIALI/ ASSESS;T ,H["E1 AF 2+ GIV5 A COMMIT;T TO TR1T;T1 A GRT] PROPOR;N ( 4ABL$ P ?AN NON-4ABL$ P WAIT$ M ?AN F\R MON?S TO RCV T TR1T;T4 ,? RAISES "QS AB B>RI]S TO A3ESS+ TR1T;T S]VICES & :E!R ! H1L? SY/EM IS E6ECTIVELY RA;N+ C>E BY PRIORITIS+ NON-4ABL$ P :O MAY 2 P]CVD Z LESS COMPLEX TO TR1T1 OV] 4ABL$ P ) M COMPLEX NE$S4 ,Z ! NUMB] ( 4ABL$ P WAIT+ M ?AN F\R MON?S = TR1T;T GREW 2T #BJBJ & #BJBA & 9TO ! P&EMIC1 ! GAP 2T 4ABL$ P & NON- 4ABL$ P AL GREW4 ,BY #BJBA1 #CH.0 ( 4ABL$ P & #CC.0 ( NON-4ABL$ P WAIT$ M ?AN F\R MON?S TO GET _! ELECTIVE SURG]Y P]=M$ "<,FIGURE #EI">4 ,FIGURE #EI3 ,P]C5TAGE ( PATI5TS WAIT+ M ?AN F\R MON?S = TR1T;T AF 2+ GIV5 COMMIT;T TO TR1T;T1 BY 4ABIL;Y /ATUS1 #BJBJ-#BJBA @.<,L9E GRAPH %[+ T A L>G] PROPOR;N ( 4ABL$ P "<#CH.0 9 #BJBA"> ?AN #AEG NON-4ABL$ P "<#CC.0 9 #BJBA"> A#GG WAIT$ M ?AN F\R MON?S = TR1T;T AF 2+ GIV5 A COMMIT;T TO TR1T;T4@.> ,S\RCE3 ,,IDI ,! M IMPAIR;TS A 4ABL$ P]SON _H1 ! M LIKELY !Y 7 TO WAIT M ?AN F\R MON?S = _! TR1T;T4 ,9 #BJBA1 #CC.0 ( NON-4ABL$ P1 #CF.0 ( 4ABL$ P ) "O IMPAIR;T & #DJ.0 ( P ) TWO OR M IMPAIR;TS WAIT$ M ?AN F\R MON?S TO GET TR1T;T "<,FIGURE #FJ">4 -------------------------------------#GH ,FIGURE #FJ3 ,P]C5TAGE ( PATI5TS WAIT+ M ?AN F\R MON?S = TR1T;T AF 2+ GIV5 COMMIT;T TO TR1T;T1 AGES #AI-#FD YE>S1 BY NUMB] ( IMPAIR;TS1 #BJBJ-#BJBA @.<,L9E GRAPH %[+ T #CG.0 ( 4ABL$ P ) TWO OR M 4ABILITIES WAIT$ M ?AN F\R MON?S = TR1T;T 9 #BJBA AF 2+ GIV5 A COMMIT;T TO TR1T;T4@.> ,S\RCE3 ,,IDI #AEH ,M PO/-OP]ATIVE COMPLICA;NS A#GH ,AF ELECTIVE SURG]Y1 4ABL$ P 7 M LIKELY ?AN NON-4ABL$ P TO EXP]I;E PO/- OP]ATIVE COMPLICA;NS4 ,9 #BJBD1 AB #C.0 ( NON-4ABL$ P EXP]I;ED PO/-OP]ATIVE COMPLICA;NS1 :ILE #E.0 ( 4ABL$ P DID "<,FIGURE #FA">4 ,FIGURE #FA3 ,P]C5TAGE ( COMPLICA;NS 9 COMMON SURG]IES1 AGES #AI-#FD1 BY 4ABIL;Y /ATUS1 #BJAH-#BJBD @.<,L9E GRAPH %[+ T 4ABL$ P 3SI/5TLY _H COMPLICA;NS 9 COMMON SURG]IES1 AT >.D TWICE ! RATE ( NON-4ABL$ P4@.> ,S\RCE3 ,,IDI -------------------------------------#GI ,M_AORI & ,PACIFIC 4ABL$ P 7 M LIKELY ?AN NON ,M_AORI1 NON-,PACIFIC 4ABL$ P TO EXP]I;E PO/-OP]ATIVE COMPLICA;NS "<,FIGURE #FB">4 ,! GAP 0 GRTE/ = ,PACIFIC 4ABL$ P1 ) A P]C5TAGE R\ = 4ABL$ P1 BY E?NIC;Y1 #BJAH-#BJBD @.<,L9E GRAPH %[+ T 4ABL$ ,PACIFIC P _H COMPLICA;NS 9 COMMON SURG]Y AT A HI<] RATE ?AN ,M_AORI 4ABL$ P & BO? ,PACIFIC & ,M_AORI 4ABL$ P _H A HI<] RATE ?AN NON-,PACIFIC1 NON ,M_AORI4@.> ,S\RCE3 ,,IDI ,FOCUS+ ONLY ON ADULTS AG$ #DJ-#FD YE>S1 ! RELA;N%IPS 2T 4ABIL;Y /ATUS & E?NIC;Y >E CLE>4 ,Z ,FIGURE #FC %[S1 ,PACIFIC 4ABL$ P AG$ #DJ-#FD YE>S H ! HI1 :ILE NON ,M_AORI1 NON-,PACIFIC ADULTS AG$ #DJ-#FD YE>S :O >E N 4ABL$ H ! L[E/ COMPLICA;N RATE ( ALL "K R$ L9E">4 -------------------------------------#HJ ,FIGURE #FC3 ,PO/-OP]ATIVE COMPLICA;NS RATE P] #A1JJJ SURG]IES1 AGES #DJ-#FD YE>S1 BY E?NIC;Y & 4ABIL;Y /ATUS1 #BJAH- #BJBD #AFJ @.<,L9E GRAPH %[+ T 4ABL$ A#HJ ,PACIFIC P H HI<] RATES ( COMPLICA;NS 9 COMMON SURG]Y ?AN 4ABL$ ,M_AORI & 4ABL$ NON ,M_AORI1 NON-,PACIFIC P4 ,4ABL$ P ( ALL E?NICITIES H HI<] RATES ( COMPLICA;NS ?AN ALL NON-4ABL$ P4@.> ,S\RCE3 ,,IDI ,4ABIL;Y & ORAL H1L? ,*APT] #C REPORT$ E>LY 9EQUITIES 9 RATES ( DECAY 9 4ABL$ *N1 & HI<] RATES ( D5TAL SURG]IES 9 4ABL$ *N AG$ #E-#AH YE>S4 ,UNSURPRIS+LY1 ! PA? ( ORAL H1L? WORS5S Z 4ABL$ P PROGRESS "? ADULTHOOD4 ,A3ESS TO D5TAL C>E = P ) MULTIPLE & COMPLEX 4ABILITIES IS *ALL5G+1 Z IS ! A3ESSIBIL;Y ( D5TAL CL9ICS4 ,POSSIBLY "O ( ! BI7E/ 3TRIBUTORS TO ! 9EQU;Y IS T _M 4ABL$ ADULTS SIMPLY _C AF=D ! D5TAL C>E !Y NE$4 ,! ,NEW ,Z1L& ,H1L? ,SURVEY F.D 4ABL$ ADULTS 7 #A4CC "<,,CI #A4BC-#A4DC"> "TS Z LIKELY Z NON- 4ABL$ ADULTS TO REPORT UNMET NE$ = D5TAL H1L? C>E DUE TO CO/ 9 ! PA/ #AB MON?S4 ,DATA IS H>D TO COME BY1 B X IS #AFA POSSIBLE TO M1SURE ! NUMB] ( B#HJ D5TAL SURG]IES P]=M$ ON 4ABL$ ADULTS = S]I\S ISSUES S* Z D5TAL C>IES1 41SES ( PULP & P]IAPICAL TISSUES1 G+IVITIS & P]IODONTAL 41SES4 ,! RATE ( D5TAL SURG]IES P] #A1JJJ POPULA;N A YE> 9 4ABL$ ADULTS IS APPROXIMATELY EI4 -------------------------------------#HA ,FIGURE #FD3 ,RATE ( D5TAL SURG]IES P] #A1JJJ POPULA;N P] YE>1 BY 4ABIL;Y /ATUS1 #BJAH-#BJBC @.<,L9E GRAPH %[+ T 4ABL$ P _H EI$ TO NON- 4ABL$ P4@.> ,S\RCE3 ,,IDI ,AG1 ! M IMPAIR;TS A P]SON _H1 ! WORSE _! D5TAL \TCOMES W]E4 ,4ABL$ P AG$ #AI- #CI ) TWO OR M IMPAIR;TS _H A RATE ( #BJ D5TAL SURG]IES P] #A1JJJ POPULA;N 9 #BJBC "<,FIGURE #FE">4 ,P ) TWO #AFB OR M IMPAIR;TS 7 #BH "TS M LIKELY A#HA ?AN ^? ) NO 4ABIL;Y TO 5D UP 9 HOSPITAL = D5TAL ISSUES4 ,= P ) A S+LE IMPAIR;T1 ! RATE 0 #C1 & = P ) NO 4ABIL;Y1 X 0 #J4G P] #A1JJJ4 ,FIGURE #FE3 ,RATE ( D5TAL SURG]IES P] #A1JJJ POPULA;N P] YE>1 AGES #AI-#CI YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC @.<,L9E GRAPH %[+ T 4ABL$ P ) TWO OR M 4ABILITIES _H >.D #BJ HOSPITAL D5TAL SURG]IES P] #AJJJ POPULA;N 9 #BJBC COMP>$ TO LESS ?AN FIVE P] #AJJJ POPULA;N HOSPITAL D5TAL SURG]IES = 4ABL$ P ) "O 4ABIL;Y4@.> ,S\RCE3 ,,IDI -------------------------------------#HB ,P 9 ! WA%+1 COMMUNICA;N & 9TELLECTUAL 4ABIL;Y DOMA9S 7 HOSPITALIS$ = D5TAL SURG]Y M ?AN ANY O!R GR\P AM;G ^? AG$ #AI-#CI YE>S "<,FIGURE #FF">4 ,^! DI6];ES F NON-4ABL$ P >E UNLIKELY TO 2 DUE TO *.E4 #AFC ,FIGURE #FF3 ,RATE ( D5TAL A#HB SURG]IES P] #A1JJJ POPULA;N P] YE>1 AGES #AI-#CI YE>S1 BY ,,WG-,,SS 4ABIL;Y DOMA91 #BJBC @.<,L9E GRAPH %[+ T P ) A WA%+ 4ABIL;Y _H OV] #CJ D5TAL SURG]IES P] #AJJJ POPULA;N1 :IL/ ^? ) COMMUNICA;N & 9TELLECTUAL 4ABILITIES _H >.D #BE D5TAL SURG]IES P] #AJJJ POPULA;N4@.> ,S\RCE3 ,,IDI -------------------------------------#HC ,DR ,SUNE?RA ,T5NEKOON ,,BDS1 ,,DC,'L9,D5T "<,,SND">1 ,ADULT ,SPECIAL ,NE$S ,D5TI/RY1 ,WAIKATO ,HOSPITAL ,ADULT PATI5TS ) 2HAVI\RAL1 9TELLECTUAL OR PHYSICAL 4ABILITIES MAKE UP A SIGNIFICANT PROPOR;N ( \R PATI5T COHORT4 ,A3ESS TO D5TAL TR1T;T 9 ! COMMUN;Y OR PRIVATE SECTOR IS USUALLY N POSSIBLE & WAIT "TS = A 3SULTA;N 9 ! D5TAL DE"P;T C TAKE 2T #CJJ & #FJJ "DS4 ,^! UNSATISFACTORY WAIT "TS >E DUE TO LIMIT$ SPECIALI/ D5TAL /AFF1 #AFD LIMIT$ D5TAL SUPPORT /AFF & A#HC LIMIT$ HOSPITAL RES\RCES1 9CLUD+ CL9IC AVAILABIL;Y & FUR!R WAIT "TS = A G5]AL ANAES!TIC WAITLI/4 ,"! IS ALW PRESSURE TO SEE ^! HI<-NE$ & VULN]ABLE PATI5TS Z E6ICI5TLY Z POSSIBLE & ! RECOGNIS$ DELAYS >E /RESS;L = PATI5TS1 _! :_ANAU1 _! SUPPORT /AFF & = ! D5TAL /AFF1 AL4 ,4ABIL;Y & DIABETES ,DIABETES IS BO? A L1D+ CAUSE ( 4ABIL;Y & A *RONIC 3DI;N MANAG$ BY P ALR LIV+ ) 4ABIL;Y4 ,:ILE BO? ,TYPE #A & ,TYPE #B DIABETES C APPE> AT ANY AGE1 ,TYPE #A DIABETES (T5 APPE>S 9 *N & "Y] ADULTS1 :ILE ! RISK ( ,TYPE #B DIABETES 9CR1SES ) AGE4 ,P :O DEVELOP DIABETES >E AT 9CR1S$ RISK ( 4ABIL;Y4 "9#GI "9#HJ ,RESE>* AL %[S T P ) EXI/+ 4ABILITIES EXP]I;E HI<] RATES ( DIABETES1 "PICUL>LY P ) MOBIL;Y OR LE>N+ "<9TELLECTUAL"> 4ABILITIES1 DUE TO A WIDE RANGE ( FACTORS S* Z G5ETICS1 LIFE/YLE1 M$ICA;N USE & MISUSE1 B>RI]S TO #AFE APPROPRIATE M$ICAL C>E1 B#HC COMORBIDITIES1 & M4 "9#HA ,9 ,NEW ,Z1L&1 "! IS A HI<] DIABETES PREVAL;E AM;G 4ABL$ P COMP>$ ) NON- 4ABL$ P "4 ,DIABETES IS M COMMON AM;G 4ABL$ P ) M ?AN "O IMPAIR;T4 ,9 #BJBC1 ! RATE ( DIABETES = NON-4ABL$ P AG$ #DJ TO #FD YE>S 0 #HD P] #A1JJJ POPULA;N4 ,= P ) "O IMPAIR;T1 ! RATE D\BL$ TO #AGE P] #A1JJJ1 & = P ) TWO OR M IMPAIR;TS ! RATE ALM TRIPL$3 #BCB P] #A1JJJ "<,FIGURE #FG">4 ,9 "S CASES1 DIABETES W 2 A CAUSE ( IMPAIR;T1 S ! PICTURE IS MUDDI$1 B ! BURD5 IS CLE>4 -------------------------------------#HD ,FIGURE #FG3 ,PREVAL;E ( DIABETES P] #A1JJJ POPULA;N1 AGES #DJ-#FD YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC @.<,L9E GRAPH %[+ ! 3SI/5T & 9CR1S+ RATE ( DIABETES 9 ALL 4ABL$ & NON-4ABL$ P1 AG$ #DJ TO #FD4 ,^? ) TWO OR M 4ABILITIES H ! HI #AFF ,S\RCE3 ,,IDI A#HD ,M_AORI >E APPROXIMATELY #B4E "TS M LIKELY TO H TYPE #B DIABETES ?AN NON ,M_AORI _/ NON-,PACIFIC P4 ,^! 4P>ITIES >E N M]ELY DUE TO G5ETICS OR LIFE/YLE B >E /R;GLY DRIV5 BY SY/EMIC RACISM1 ! 9T]G5]A;NAL IMPACTS ( COLONISA;N1 & SOCIO-ECONOMIC DEPRIVA;N4 "9#HB ,= ^? AG$ #DJ-#FD1 ,PACIFIC 4ABL$ P H ! HI FOLL[$ BY ,M_AORI 4ABL$ P "<>.D #BEJ"> & !N 4ABL$ P ( O!R E?NICITIES "<>.D #AEJ">4 ,NON ,M_AORI1 NON-,PACIFIC P H ! HI 4P5S+S ( HYPOGLYCAEMIC M$ICA;N "<#GC4I.0">1 FOLL[$ BY ,PACIFIC 4ABL$ P "<#GA4H.0"> & !N ,M_AORI 4ABL$ P "<#FI4F.0">4 -------------------------------------#HE ,C.ER & 4ABIL;Y ,9 #BJBA1 ,TE ,AHO ,O ,TE ,KAHU ,-,C.ER ,3TROL ,AG5CY " ID5TIFI$ A LACK ( RESE>* ON C.ER 9CID;E & C.ER \TCOMES = 4ABL$ P 9 ,NEW ,Z1L&4 ,! ,AG5CY "W$ ) LIV$ EXP]I;E #AFG ADVISORS1 ,HEI ,AHURU ,M_OWAI A#HE ,M_AORI ,C.ER ,L1D]%IP ,NET"W1 ,HE ,ARA ,TANGATA ,-! ,AG5CY'S ,3SUM] ,ADVISORY ,GR\P1 ,:AIKAHA ,-,M9I/RY ( ,4ABL$ ,P1 ,H1L? ,NEW ,Z1L&,- ,TE ,:ATU ,ORA & ! ,M9I/RY ( ,H1L?,- ,MANAT_U ,HAUORA TO REVIEW ! AVAILABLE DATA1 EVID;E & 9SIE4 ,! 9=MA;N HAS BE5 COLLAT$ 9 TWO REPORTS T ! ,AG5CY REL1S$ ON #BG ,NOVEMB] #BJBE4 ,^! NEW REPORTS AIM TO HID] = 4ABL$ P TO A3ESS "TLY1 HI<-QUAL;Y C.ER DIAGNOSIS & C>E4 ,! REPORTS HI$ C.ER DIAGNOSIS #AFH RATES = ^? ID5TIFI$ Z HAV+ A B#HE 4ABIL;Y ) ^? ( ! TOTAL POPULA;N4 ,!Y LOOK$ AT OV]ALL C.ER DIAGNOSIS & ! DIAGNOSIS RATES = ! F\R MO/ COMMON C.ER TYPES 9 ,NEW ,Z1L&3 LUNG1 BR1/1 B[EL & PRO/ATE C.ER4 ,_! F9D+S >E SUMM>IS$ 2L4 ,= ! FULL ME?ODS & RESULTS1 ) IMPORTANT CAV1TS RELAT$ TO ! DI6ICULTIES PRES5T$ BY ! LACK ( RELIABLE DATA ON 4ABIL;Y /ATUS1 PL1SE SEE ! FULL REPORTS1 & FREQU5TLY ASK$ "QS1 AVAILABLE ON ! ,AG5CY'S WEB PAGE1 ,4ABIL;Y & ,C.ER REPORTS AT ? %ORT L9K AICOMMS4NZ_/#JCBJ4 "9#HC ,MAJOR F9D+S ON C.ER & 4ABIL;Y ,^! RESULTS >E N (FICIAL /ATI/ICS4 ,!Y H BE5 CR1T$ = RESE>* PURPOSES F ! ,,IDI1 : IS C>E;LLY MANAG$ BY ,/ATS ,,NZ4 ,= M 9=MA;N AB ! ,,IDI1 VISIT /ATS4GOVT4NZ_/9TEGRAT$-DATA ON ! ,/ATS ,,NZ WEBSITE4 ,M 9=MA;N ON ! ME?ODOLOGY ( ? RESE>* PROJECT IS AVAILABLE 9 ! REPORT4 "9#HD ,C.ER DIAGNOSIS 0 M COMMON AM;G #AFI 4ABL$ P ?AN AM;G ! TOTAL ,NEW C#HE ,Z1L& POPULA;N4 ,AF ADJU/+ = AGE DI6];ES1 4ABL$ P 7 #BB.0 M LIKELY TO 2 DIAGNOS$ ) C.ER ?AN ! TOTAL POPULA;N "<,,RR #A4BB2 #IE.0 ,,CI #A4BJ-#A4BD"> "<,FIGURE ,B#A">4 ,4ABL$ P >E DIAGNOS$ ) C.ER M (T5 ?AN ! G5]AL POPULA;N1 9CLUD+ = LUNG1 B[EL & BR1/ C.ERS4 ,H["E1 ! REPORT EXPLA9S T 2+ 4ABL$ DOES N BY XF MAKE "S"O M LIKELY TO GET C.ER4 ,9/1D1 4ABL$ P MIE M LIKELY TO 2 EXPOS$ TO C.ER -------------------------------------#HF CAUS+ FACTORS1 L SMOK+4 ,!Y MAY AL FACE *ALL5GES L9K$ TO L[] 9COME1 POOR H\S+1 & PROBLEMS GETT+ TO DOCTORS OR C.ER SCRE5+4 ,^! /RUCTURAL ISSUES C MAKE X H>D] TO /AY H1L?Y & GET C.ER DIAGNOS$ E>LY4 ,FIGURE ,B#A3 ,AGE-/&>DIS$ C.ER 9CID;E RATE AM;G 4ABL$ P & ! TOTAL POPULA;N P] #AJJ1JJJ P]SON-YE>S1 #BJAH-#BJBB @.<,B> GRAPH %[+ AN AGE-/&>DIS$ #AGJ C.ER 9CID;E RATE ( #A1CAB P] A#HF #AJJ1JJJ P]SON-YE>S = 4ABL$ P & #A1JGC P] #AJJ1JJJ P]SON-YE>S = NON-4ABL$ P4@.> ,S\RCE3 ,,IDI1 #BJBE ,NOTE3 ,RATES >E EXPRESS$ P] #AJJ1JJJ P]SON-YE>S & AGE-/&>DIS$ TO ! 4ABL$ POPULA;N4 ,! HIS AGE GR\P1 ": 4ABL$ P 7 #CD.0 M LIKELY TO 2 DIAGNOS$ ) C.ER ?AN ! TOTAL POPULA;N ( ! SAME AGE "<,FIGURE ,B#B">4 ,FIGURE ,B#B3 ,AGE-/&>DIS$ C.ER 9CID;E RATE AM;G 4ABL$ P & ! TOTAL POPULA;N P] #AJJ1JJJ P]SON-YE>S1 BY AGE GR\P1 #BJAH- #BJBB @.<,B> GRAPH %[+ A HI<] AGE-/&>DIS$ C.ER 9CID;E RATE = DI6]5T AGE GR\PS4 ,! C.ER 9CID;E RATE IS HI<] = 4ABL$ P ?AN ! G5]AL POPULA;N = ALL AGE GR\PS4@.> ,S\RCE3 ,,IDI1 #BJBE ,NOTE3 ,RATES >E EXPRESS$ P] #AJJ1JJJ P]SON-YE>S & AGE-/&>DIS$ TO ! 4ABL$ POPULA;N4 #AGA #HG ,T_ANGATA :AIKAHA ,M_AORI ,M_AORI 4ABL$ P _H ! HIS"> "<,FIGURE ,B#C">4 ,4ABL$ MALES1 4ABL$ P LIV+ RURALLY & 4ABL$ P LIV+ 9 >1S ( HI< DEPRIVA;N "<,FIGURE ,B#D"> 7 O!R SUBGR\PS )9 ! 4ABL$ POPULA;N T _H A HI<] 9CID;E ( C.ER4 ,FIGURE ,B#C3 ,AGE-/&>DIS$ C.ER 9CID;E RATE AM;G 4ABL$ P & ! TOTAL POPULA;N P] #AJJ1JJJ P]SON-YE>S1 BY E?NIC;Y1 #BJAH- #BJBB @.<,= ALL E?NICITIES1 ! AGE-/&>DIS$ C.ER 9CID;E RATE AM;G 4ABL$ P 0 HI<] ?AN = ! TOTAL POPULA;N4@.> ,S\RCE3 ,,IDI1 #BJBE ,NOTE3 ,RATES >E EXPRESS$ P] #AJJ1JJJ P]SON-YE>S & AGE-/&>DIS$ TO ! 4ABL$ POPULA;N4 ,FIGURE ,B#D3 ,AGE-/&>DIS$ C.ER 9CID;E RATE AM;G 4ABL$ P & ! TOTAL #AGB POPULA;N P] #AJJ1JJJ P]SON-YE>S1 A#HG BY DEPRIVA;N QU9TILE1 #BJAH-#BJBB @.<,B> GRAPH %[+ T 4ABL$ P H HI<] AGE- /&>DIS$ RATES ( C.ER 9CID;E LIV+ 9 ALL DEPRIVA;N QU9TILES B ^? LIV+ 9 ! MO/ DEPRIV$ >1S _H ! HI ,S\RCE3 ,,IDI1 #BJBE ,NOTE3 ,RATES >E EXPRESS$ P] #AJJ1JJJ P]SON-YE>S & AGE-/&>DIS$ TO ! 4ABL$ POPULA;N4 -------------------------------------#HH ,SCRE5+ ,/UDIES F >.D ! _W %[ T 4ABL$ P >E LESS LIKELY TO GET SCRE5$ = C.ER1 ESPECIALLY BR1/ & C]VICAL C.ER4 ,? M1NS C.ER MAY N 2 F.D E>LY1 MAK+ X H>D] TO TR1T & L1D+ TO WORSE H1L?4 ,"! >E _M R1SONS :Y 4ABL$ P FACE *ALL5GES ) C.ER SCRE5+ & TR1T;T4 ,^! 9CLUDE CL9ICS & APPO9T;T "TS T D N MEET _! NE$S1 N HAV+ 5 HELP TO USE H1L? S]VICES1 UNCLE> OR H>D-TO-R1D 9=MA;N = PATI5TS1 & H1L? /AFF :O MAY N H 5 #AGC TRA9+ AB 4ABIL;Y4 A#HH ,PREV5;N 9T]V5;NS "1 SCRE5+ PROGRAMMES "<9CLUD+ LUNG C.ER SCRE5+"> & C.ER S]VICES ALL NE$ TO 2 A3ESSIBLE & A3EPTABLE TO 4ABL$ P1 ) APPROPRIATE MODELS ( C>E4 ,DI6]5T TYPES ( C.ERS ,LUNG C.ER ,OV]ALL1 4ABL$ P 7 F.D TO H A #GA.0 HI<] RATE ( LUNG C.ER DIAGNOSIS COMP>$ ) ! TOTAL POPULA;N "<,,RR #A4GA2 #IE.0 ,,CI #A4FB-#A4HJ"> "<,FIGURE ,B#E">4 ,AM;G 4ABL$ P1 T_ANGATA :AIKAHA ,M_AORI EXP]I;ED ! HIE #A4GF "TS Z LIKELY Z NON-4ABL$ ADULTS TO 2 DAILY SMOK]S4 ,FIGURE ,B#E3 ,AGE-/&>DIS$ C.ER 9CID;E RATE AM;G 4ABL$ P & ! TOTAL POPULA;N P] #AJJ1JJJ P]SON-YE>S1 BY C.ER TYPE1 #BJAH-#BJBB @.<,B> GRAPH %[+ ! AGE-/&>DIS$ #AGD C.ER 9CID;E RATE = B[EL1 BR1/1 B#HH LUNG & PRO/ATE C.ER4 ,4ABL$ P H HI<] 9CID;E RATES = B[EL1 BR1/ & LUNG C.ER ?AN ! TOTAL POPULA;N ) ! 9CID;E RATE ( LUNG C.ER DIAGNOSIS 9 4ABL$ P 2+ #GA.0 HI<] ?AN ! TOTAL POPULA;N4 ,4ABL$ P 7 LESS LIKELY TO 2 DIAGNOS$ ) PRO/ATE C.ER ?AN ! TOTAL POPULA;N4@.> ,S\RCE3 ,,IDI1 #BJBE ,NOTE3 ,RATES >E EXPRESS$ P] #AJJ1JJJ P]SON-YE>S & AGE-/&>DIS$ TO ! 4ABL$ POPULA;N4 -------------------------------------#HI ,! GRTE/ DI6];E 0 SE5 9 ! #DE-#FE AGE GR\P1 ": 4ABL$ P 7 OV]ALL #CD.0 M LIKELY TO 2 DIAGNOS$ ) C.ER ?AN ! TOTAL POPULA;N4 ,B[EL C.ER ,4ABL$ P 7 F.D TO H A #AB.0 HI<] RATE ( B[EL C.ER DIAGNOSIS COMP>$ ) ! TOTAL POPULA;N "<,,RR #A4AB2 #IE.0 ,,CI #A4JF- #A4AH">4 ,4ABL$ P LIV+ RURALLY 7 #BJ.0 M LIKELY TO 2 DIAGNOS$ ) B[EL C.ER #AGE ?AN ! TOTAL RURAL POPULA;N4 A#HI ,BR1/ C.ER ,4ABL$ P _H AN #AA.0 HI<] RATE ( BR1/ C.ER DIAGNOSIS COMP>$ ) ! TOTAL POPULA;N ACR ALL AGE GR\PS "<,,RR #A4AA2 #IE.0 ,,CI #A4JE-#A4AH">4 ,4ABL$ P OV] ! AGE ( #GE 7 #BD.0 M LIKELY TO 2 DIAGNOS$ ) BR1/ C.ER ?AN P ( ! SAME AGE 9 ! TOTAL POPULA;N4 ,PRO/ATE C.ER ,PRO/ATE C.ER DEMON/RATES A NOTABLY DI6]5T PATT]N TO ! O!R C.ERS 9CLUD$ 9 ? REVIEW4 ,4ABL$ P 7 LESS LIKELY TO 2 DIAGNOS$ ) PRO/ATE C.ER ?AN ! TOTAL POPULA;N "<,,RR #J4HH2 #IE.0 ,,CI #J4HC- #J4IC">4 ,? L[] RATE ( PRO/ATE C.ER DIAGNOSIS IS SE5 AM;G O!R POPULA;N GR\PS T H AN OV]ALL HI<] RATE ( C.ER DIAGNOSIS1 S* Z ,M_AORI & P LIV+ 9 >1S ( HI<] DEPRIVA;N4 ,? IS POSSIBLY RELAT$ TO DI6];ES 9 ! LIKELIHOOD ( A3ESS+ ,,PSA TE/+ 9 PRIM>Y C>E4 #AGF ,H[ ! REPORT 0 PREP>$ B#HI ,! ,BURD5 ( ,C.ER AM;G ,4ABL$ ,P3 ,DIAGNOSIS 9SI$ ! 4ABL$ COHORT ) RATES 9 ! TOTAL POPULA;N4 ,P]SON-YE>S IS A M1SURE T COMB9ES ! NUMB] ( P & ! AM.T ( "T !Y >E OBS]V$4 ,= EXAMPLE1 #AJJ1JJJ P]SON-YE>S CD M1N #AJJ1JJJ P FOLL[$ = "O YE>4 ,REPORT+ C.ER RATES P] #AJJ1JJJ P]SON-YE>S ALL[S FAIR] COMP>ISONS ACR GR\PS & "T P]IODS1 & A3.TS = ! DYNAMIC NATURE ( 4ABIL;Y /ATUS OV] "T4 ,M DETAIL ON ! ME?ODS1 9CLUD+ "S IMPORTANT LIMITA;NS1 >E DESCRIB$ 9 ! REPORT4 #AGG ,! UNMET NE$ ( 4ABL$ ADULTS #IJ ,UNMET H1L? PR(ES.NAL S]VICE NE$,-L>GE NUMB]S1 DI6ICULTIES A3ESS+ PRIM>Y C>E DUE TO LACK ( APPO9T;TS & L;G WAIT+ LI/S ,! #BJBC ,H\SEHOLD ,4ABIL;Y ,SURVEY F.D T A ?IRD "<#BI.0"> ( 4ABL$ ADULTS _H AN UNMET NE$ TO SEE A H1L? PR(ES.NAL 9 ! PA/ #AB MON?S "<#BG.0 MALE1 #CA.0 FEMALE">4 ,T IS AB #BDE1JJJ P4 ,BY E?NIC;Y1 NE>LY TWO-FIF?S "<#CG.0"> ( ,M_AORI 4ABL$ P1 A ?IRD "<#CB.0"> ( ,PACIFIC 4ABL$ P1 #BI.0 ( ,EUROP1N 4ABL$ P & #BC.0 ( ,ASIAN 4ABL$ P EXP]I;ED DI6ICULTY SEE+ A H1L? PR(ES.NAL :5 NE$$4 ,BY AGE1 #CG.0 ( 4ABL$ P AG$ #AE-#DD YE>S1 #CB.0 ( ^? AG$ #DE-#FD YE>S1 & #AH.0 ( ^? OLD] ?AN #FE _H AN UNMET NE$ TO SEE A H1L? PR(ES.NAL 9 ! PA/ #AB MON?S4 ,UNMET ASSI/IVE EQUIP;T NE$,-FUND+ & 9=MA;N GAPS ,ASSI/IVE DEVICES1 S* Z CRUT*ES1 GLASSES & HE>+ AIDS1 C HELP R$UCE ! LIMIT+ E6ECTS ( "S IMPAIR;TS4 ,= #AGH EXAMPLE1 REC5T RESE>* %[S T A#IJ ASSI/IVE DEVICES & TE*NOLOGY >E ASSOCIAT$ ) IMPROV$ QUAL;Y ( LIFE2 9CR1S$ FUNC;NAL CAPABILITIES & 9DEP5D;E2 BETT] MANAGE;T ( *RONIC 3DI;NS2 IMPROV$ PSY*OSOCIAL WELLBE+2 & R$UC$ PHYSICAL & PSY*OSOCIAL /RESS4 "9#HE "9#HF ,Z HI+1 MOBIL;Y1 SELF-C>E & VI.N1 ?US 5ABL+ _! H1L?1 WELL-2+1 9CLU.N & "PICIPA;N40 "9#HG ,! ,H\SEHOLD ,4ABIL;Y ,SURVEY F.D #FB.0 ( 4ABL$ P " USE ASSI/IVE EQUIP;T OR TE*NOLOGY4 ,( ^!1 ONLY A ?IRD "<#CC.01 OR #AFD1JJJ P"> RCVD GOV]N;T-FUND$ EQUIP;T OR TE*NOLOGY4 ,! RE/1 #FG.0 OR #CCF1JJJ P1 RCVD NO GOV]N;T-FUND$ EQUIP;T OR TE*NOLOGY4 "9#HH ,! SURVEY F.D #BH.0 ( 4ABL$ P " _H AN UNMET NE$ = ASSI/IVE EQUIP;T4 ,^? ) IMPAIR;TS 9 ! DOMA9S ( HE>+1 COMMUNICA;N & P]SONAL C>E 7 #AGI ! MO/ LIKELY TO EXP]I;E UNMET NE$ B#IJ = ASSI/IVE EQUIP;T "<,FIGURE #FH">4 -------------------------------------#IA ,FIGURE #FH3 ,P]C5TAGE ( 4ABL$ P REPORT+ AN UNMET NE$ = ASSI/IVE EQUIP;T1 BY 4ABIL;Y ,,WG-,,SS DOMA91 #BJBC @.<,B> GRAPH %[+ T #DJ.0 ( ^? ) A HE>+ 4ABIL;Y _H AN UNMET NE$ = ASSI/IVE EQUIP;T 9 ! PA/ #AB MON?S4 #CA.0 ( P ) COMMUNICA;N 4ABILITIES & #BE.0 ( P ) P]SONAL C>E 4ABILITIES AL _H AN UNMET NE$ = ASSI/IVE EQUIP;T4@.> ,S\RCE3 ,H\SEHOLD ,4ABIL;Y ,SURVEY ,Z ,FIGURE #FI %[S1 LACK ( 9=MA;N & CO/ 7 ! PRIM>Y B>RI]S TO A3ESS+ ASSI/IVE EQUIP;T ACR MO/ 4ABIL;Y DOMA9S 9VE/IGAT$ 9 ! SURVEY4 ,( ^? ) UNMET NE$ = ASSI/IVE EQUIP;T1 #FB.0 "<#ABA1JJJ P"> CIT$ CO/ OR 9ELIGIBIL;Y = FUND+ Z ! MA9 R1SON4 ,9 ADDI;N1 #DJ.01 OR AB #GH1JJJ P1 CIT$ A LACK ( 9=MA;N AB :AT EQUIP;T OR FUND+ 0 AVAILABLE OR ": TO GET X F4 "9#HI #AHJ #IB ,FIGURE #FI3 ,P]C5TAGE ( 4ABL$ P REPORT+ AN UNMET NE$ = ASSI/IVE EQUIP;T1 BY B>RI] & DOMA9 ( 4ABIL;Y1 #BJBC @.<,B> GRAPH %[+ T CO/ & AVAILABIL;Y ( 9=MA;N 7 LI/$ Z ! MA9 B>RI]S TO UNMET NE$ = ASSI/IVE EQUIP;T 9 ! PA/ #AB MON?S4@.> ,S\RCE3 ,H\SEHOLD ,4ABIL;Y ,SURVEY ,FUR!R DATA ON UNMET NE$ = ASSI/IVE EQUIP;T ,AM;G 4ABL$ P1 #AD.0 REPORT$ DI6ICULTY 9 A3ESS+ ASSI/IVE EQUIP;T & TE*NOLOGY4 ,B>RI]S TO A3ESS 9CLUD$ CO/ "<#GA.0">1 N FUND$ "<#BH.0">1 L;G WAIT "TS "<#BI.0"> & LACK ( 9=MA;N "<#BI.0">4 ,UNMET NE$ 0 HI1 COMMUNICA;N & COGNI;N "S & OV]"> & PA9_/FATIGUE "4 ,BY E?NIC;Y1 #FC.0 ( ,EUROP1N1 #FJ.0 ( ,M_AORI1 #EG.0 ( ,PACIFIC & #EH.0 ( ,ASIAN 4ABL$ P US$ ASSI/IVE EQUIP;T OR TE*NOLOGY4 #AHA ,BY AGE1 #DF.0 ( 4ABL$ P AG$ #J- A#IB #AD YE>S1 #FD.0 AG$ #AE YE>S & OLD]1 #FB.0 AG$ #AE-#DD1 #FA.0 AG$ #DE-#FD & #FH.0 AG$ OV] #FE USE ASSI/IVE EQUIP;T OR TE*NOLOGY4 ,! DI6];ES REFLECT ! *ANGES T O3UR OV] LIFE C\RSE4 ,ASSI/IVE EQUIP;T & TE*NOLOGY >E MO/ COMMONLY US$ = S5SORY ASSI/.E "+ DEVICES1 3TACT L5SES"> = #HA.0 4ABL$ P4 ,( ^? AG$ TWO YE>S OR OLD]1 #DE.0 USE ASSI/IVE EQUIP;T TO HELP ) WALK+4 ,( ^? AG$ FIVE YE>S OR OLD]1 #DJ.0 USE ASSI/IVE EQUIP;T TO HELP ) COMMUNICA;N OR COGNI;N4 ,BY E?NIC;Y1 #CF.0 ( ,M_AORI1 #CH.0 ( ,PACIFIC1 #CD.0 ( ,ASIAN & #BE.0 ( ,EUROP1N 4ABL$ P NOT$ AN UNMET NE$ = ASSI/IVE EQUIP;T4 ,BY AGE1 #CE.0 ( 4ABL$ P AG$ #J-#AD YE>S1 #CG.0 AG$ #AE YE>S & OLD]1 #CJ.0 AG$ #AE-#DD1 #CA.0 AG$ #DE-#FD & #BA.0 AG$ OV] #FE _H UNMET NE$ = ASSI/IVE EQUIP;T & TE*NOLOGY4 #AHB ,ADULT 4ABL$ P 9 L;G-T]M C>E #IC FACILITIES ,A FUR!R 3C]N ID5TIFI$ BY 4ABIL;Y H1L? EXP]TS1 Z WELL Z 9 H1L? & WELLBE+ HUMAN "RS MONITOR+1 IS ! PRACTICE ( PLAC+ ADULT 4ABL$ P "<"U #FE YE>S"> 9 AG$ RESID5TIAL C>E FACILITIES4 ,9 _M CASES1 ? O3URS 2C ( ! 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C>E PROVID$ TO A 4ABL$ P]SON4 ,2T #A ,JANU>Y #BJBC & #CA ,DECEMB] #BJBE1 ,,HDC RCVD >.D #A1HJJ COMPLA9TS AB C>E & TR1T;T PROVID$ TO 4ABL$ P T_ANGATA :AIKAHA & ! ,,HDC REPORT "UTOOK A CLOSE !MATIC ANALYSIS ( >.D #AHJ COMPLA9TS1 : REV1L$ S"EAL RECURR+ !MES T 7 !N GR\P$ 9TO SEV5 CATEGORIES3 ,PROVI.N ( P]SON-C5TR$ C>E ,CULTURAL RESPONSIVE;S ,QUAL;Y ( COMMUNICA;N ,9=M$ 3S5T PROCESSES ,QUAL;Y ( 4ABIL;Y RELAT$ C>ES ,QUAL;Y ( M$ICAL TR1T;T ,3T9U;Y & COORD9A;N ( C>E ACR & 2T H1L? & 4ABIL;Y SY/EMS4 -------------------------------------#ID ,KEY F9D+S 9 ,,HDC'S REPORT 9CLUDE3 #AHE ! NE$ = H1L? PROVID]S TO 9CR1SE A#ID _! "U/&+ & USE ( AUG;TATIVE & ALT]NATIVE COMMUNICA;N TOOLS1 "PICUL>LY 9 ,EM]G5CY ,DE"P;TS & M5TAL H1L? SETT+S2 ! NE$ = H1L? PROVID]S TO 3T9UE TO R$UCE _! USE ( RE/RA9T = NEURODIV]G5T P 9 HOSPITAL & G5]AL M$ICAL SETT+S2 ! NE$ = IMPROVE;T ( /AFF CAPABIL;Y "? BE/ PRACTICE RES\RCES1 9=MA;N & TRA9+ = CL9ICAL & NON-CL9ICAL /AFF2 & ! NE$ = CROSS AG5CY "W TO IMPROVE COORD9A;N1 NAVIGA;N1 & SUPPORT ACR & 2T H1L? & 4ABIL;Y S]VICES & FUND+ /R1MS4 ,,HDC'S REPORT HI-OLD T_ANE ,M_AORI1 & ,I H A LE>N+ 4ABIL;Y4 ,DOCTORS TOLD MUM TO PUT ME 9 AN 9/ITU;N :5 ,I 0 A BABY1 B %E SD NO6 -------------------------------------#IE ,:5 Y ASK ME :E!R HAV+ A LE>N+ 4ABIL;Y A6ECTS MY H1L?C>E & H[ ,I GET TR1T$ 9 ! H1L? SY/EM1 ! F/ ?+ ,I WD SAY IS ?3 (T5 H1L? PR(ES.NALS DON'T LI/54 ,!Y DON'T TR1T ME Z A P]SON,-!Y DON'T ASK ME "QS1 !Y PROBABLY ASK MY MUM4 ,B ,I C #AHG ANSW] MY [N ?+S4 ,GD DOCTORS1 !Y A#IE ASK "QS4 ,!Y TR1T ME Z NORMAL,-N J Z A P]SON ) A 4ABIL;Y4 ,"O ?+ MUM & ,I H NOTIC$1 IS T ! GD DOCTORS ,I H _H1 >E MO/LY F OV]S1S4 ,I ?9K !Y MIN+ 4ABIL;Y4 ,& !Y H _H M 4ABIL;Y TRA9+ :5 !Y >E LE>N+ TO 2 DOCTORS OR NURSES4 ,I L X IF ,I GET A ,M_AORI DOCTOR TOO4 ,"O ( ! WOR/ "TS ,I H _H 9 HOSPITAL IS :5 ,I 0 SORE & UPSET1 B ! NURSE WASN'T LI/5+ TO ME4 ,!Y ?"\ ,I 0 2+ BOL%IE1 B ,I 0 9 PA9 & !Y 7 N LI/5+4 ,I WDN'T /AY "!1 & S9CE !N1 ,I DON'T L /AY+ 9 HOSPITAL4 ,S1 "S"TS :5 ,I H BE5 R1LLY SICK 9/1D ( /AY+ 9 HOSPITAL1 ,I /AY HOME & MUM LOOKS AF ME4 ,I AM LUCKY T MUM IS A NURSE & C D T4 ,B LOTS ( P DON'T H "S"O TO LOOK AF !M :5 !Y >E SICK4 ,A "T T 0 H>D = ME 0 :5 ,I *ANG$ F *N'S TO ADULT H1L? S]VICES4 ,MY PA$IATRICIAN LET ME /AY ) HM = L;G] ?AN ,I %D H1 B :5 HE RETIR$ ,I _H TO MOVE 9TO ! ADULT SY/EM4 ,T IS H>D]1 2C Y DON'T J H "O DOCTOR :O "KS Y WELL4 #AHH ,I H _H "S GD EXP]I;ES 9 ! H1L? B#IE SY/EM TOO4 ,! ,,GP ,I H N[ IS AMAZ+,-"S"TS X C 2 H>D TO GET 9 B %E ALW FITS ME 9 QK & SORTS \ :AT ,I NE$4 ,%E REF]R$ ME TO ! HOSPITAL = "S?+ T 0 MAK+ ME SORE & A6ECT+ :AT ,I CD D1 B ! HOSPITAL WDN'T D X4 ,! LR SD T ,I DIDN'T MEET ! CRIT]IA4 ,I ?9K X 0 2C ,I _H A LE>N+ 4ABIL;Y4 ,MY ,,GP HELP$ ME 9/1D B %E ?"\ ,I R1LLY %D H _H X D"O 9 ! HOSPITAL4 ,I H A GRT RELA;N%IP ) H] 2C %E "KS ME & ,I "K H]4 ,S ? IS :AT ,I SAY %D HAPP5 TO MAKE ! H1L? SY/EM BETT]4 ,T1* ! DOCTORS & ! NURSES TO LE>N M AB 4ABIL;Y,-L WE'RE ! SAME Z "EY"O ELSE1 B WE'VE GOT A LE>N+ 4ABIL;Y4 ,WE "K :AT WE C D1 WE "K :AT WE WANT TO TALK AB1 & WE "K :AT !Y NE$ TO LE>N S !Y C 2 A3ESSIBLE TO U Z :O WE >E4 ,WE WON'T 2 *ANG+6 ,TR1T U Z EQUAL,-J TR1T U Z SAME Z H[ Y TR1T "EY"O ELSE4 #AHI ,*APT] #E #IF ,LIFE-C\RSE /AGE ,OLD] ADULTS ,:ILE 8OLD] AGE0 REMA9S A DYNAMIC 3CEPT %AP$ BY SOCIAL & CULTURAL DEF9I;NS1 ? F9AL *APT] ( ! LIFE C\RSE EXAM9ES 4ABIL;Y & ADULTHOOD F ! AGE ( #FE4 ,9 ! ,NEW ,Z1L& 3TEXT1 ? MILE/"O TYPICALLY TRI7]S A TRANSI;N 9TO RETIRE;T & ELIGIBIL;Y = SUP]ANNUA;N1 :ILE NECESSITAT+ A %IFT 9 ! DELIV]Y ( H1L? & WELLBE+ SUPPORTS4 ,IMPROV$ A3ESS TO M$IC9ES1 SUPPORTS & S]VICES HAS 3TRIBUT$ TO 9CR1S$ LIFE EXPECTANCY AM;G 4ABL$ P COMP>$ ) E>LI] P]IODS4 ,AT ! SAME "T1 _M NON-4ABL$ P ACQUIRE AGE-RELAT$ IMPAIR;TS & 4ABILITIES LAT] 9 LIFE4 ,H["E1 "! IS LIMIT$ DATA 4T+UI%+ 2T ^! GR\PS & _! 4T9CT H1L? NE$S4 ,9 ! 3TEXT ( AN AGE+ POPULA;N1 ? MAKES OLD] ADULTHOOD A CRITICAL LIFE /AGE = 9VE/IGA;N4 ,AM;G OLD] ADULTS1 ! POPULA;N ID5TIFI$ Z 4ABL$ 9 ! ,4ABIL;Y ,SURVEY #AIJ %IFTS F3 A#IF #BF.0 AT AGE #FE-#FI " #BI.0 AT AGE #GJ-#GD " #CD.0 AT AGE #GE-#GI " #DB.0 AT AGE #HJ-#HD " #DE.0 AT AGE #HE-#HI " #ED.0 AT AGE #IJ OR OLD] "4 ,! P]C5TAGE 4ABL$ GR[S :ILE ! NUMB]S FALL Z P AGE4 ,! ,H1L? ( ,4ABL$ ,P ,/RATEGY "9#ID /ATES3 ,\R CURR5T 4ABL$ POPULA;N IS LIKELY TO LIVE L;G] ?AN PREVI\S G5]A;NS1 & EXI/+ IMPAIR;TS & 3DI;NS >E (T5 EXAC]BAT$ ) AGE4 ,? W RESULT 9 9CR1S$ DEM& = SPECIALIS$ SUPPORT Z 4ABL$ P AGE4 "9#IE ,! ,H1L? ( ,4ABL$ ,P ,/RATEGY AL CALLS = 9ITIATIVES T3 8AIM TO MA9TA9 QUAL;Y ( LIFE = 4ABL$ OLD] P TO HELP !M D ?+S T >E IMPORTANT TO !M1 5H.E _! "PICIPA;N & #AIA SOCIAL 3NEC;N1 PROVIDE B#IF APPROPRIATE C>E & ASSURE _! DIGN;Y 9 _! LAT] YE>S0 "9#IF 89CLUDE SUPPORTS T 5ABLE 4ABL$ OLD] P TO REMA9 9 _! HOMES & ) _! :_ANAU = L;G]04 "9#IG -------------------------------------#IG ,= ? /AGE ( ! LIFE C\RSE1 X IS AL ( NOTE T ! EXP]I;E ( ^? :O ACQUIR$ _! 4ABIL;Y E>LY 9 LIFE1 & H LIV$ ) 4ABIL;Y L;G T]M1 DI6]S M>K$LY F ^? :O H ACQUIR$ 4ABIL;Y LATE 9 LIFE4 ,H["E1 WE _C 4A7REGATE ! DATA 2T ^! TWO GR\PS4 ,WE %[ :AT WE C ) :AT USE;L DATA WE H4 ,A HI<-LEVEL SUMM>Y ( ! F9D+S ,ROBYN ,HUNT TALKS AB ! EXP]I;E ( AGE+ ) 4ABIL;Y 9TO A COHORT "*IS$ BY NEWLY ACQUIR$ 4ABIL;Y1 9CLUD+ ! NEGOTIA;N ( A H1L? SY/EM T IS PRIM>ILY SET UP TO ADDRESS LATE-ACQUIR$ & AGE-RELAT$ 4ABIL;Y4 ,? *APT] AL ADDRESSES ! QUAL;Y ( C>E 9 HOME & COMMUN;Y SUPPORT SETT+S = #AIB OLD] 4ABL$ ADULTS1 _! EXP]I;E ( ? A#IG C>E & :AT CD 2 IMPROV$4 ,ROBYN ,HUNT,-4ABIL;Y & ! 8SILV] TSUNAMI0 ,ROBYN ,HUNT IS A 4ABIL;Y 3SULTANT1 BLO7] & COM;TATOR4 ,H] /ORY IS ADAPT$ F AN >TICLE 9 ,! ,SP9(F1 "9#II SLIE ! G5]A;N ( 4ABL$ P :O MO/LY ESCAP$ 9/ITU;NS4 ,"S ( U >E BETT] $UCAT$ ?AN PA/ G5]A;NS1 B5EFIT+ F ADV.ES 9 TE*NOLOGY1 M$IC9E & O!R >1S4 ,WE'VE _H "PN]S1 *N1 JOBS & EV5 C>E]S1 ALBEIT "S"TS PAT*Y4 ,WE'RE LIV+ L;G] ?AN PREVI\S G5]A;NS ( 4ABL$ P1 & Z ACTIVI/S1 WE'VE "W$ = *ANGE !N & / D N[4 ,YET SUPPORT SY/EMS = OLD] P >E UNPREP>$ = U4 ,PR$IC;NS H BE5 POSSIBLE S9CE #AIIF1 & ! GR[? ( ! AGE+ POPULA;N HAS BE5 WELL-DOCU;T$4 ,B LL DATA IS AVAILABLE AB ! 4ABIL;Y & AGE #AIC /ATUS ( \R COHORT1 & ! LACK ( B#IG DATA L1DS TO POOR POLICY & S]VICE DECI.NS4 ,_M 4ABL$ OLD] P DON'T FEEL _! NE$S >E 2+ MET4 ,= U1 4ABIL;Y CAME F/1 & AGE+ FOLL[$4 ,? 4T9C;N MATT]S4 ,WE DON'T ALW FIT N1TLY 9TO ! CATEGORIES ( "Y] 4ABL$ P OR ^? ACQUIR+ IMPAIR;TS DUE TO AGE4 ,WE'VE SP5T A LIFE"T ADAPT+ TO \R IMPAIR;TS1 B WE FACE UNIQUE *ALL5GES Z WE AGE4 ,= EXAMPLE1 "S"O L ME,-A LIFEL;G :EEL*AIR US]1 VI.N IMPAIR$1 & HE>+ IMPAIR$,-HAS DI6]5T ATTITUDES1 SKILLS & /RATEGIES = MANAG+ 4ABIL;Y ?AN "S"O :O 2G9S LOS+ _! SIE IGNOR$4 ,WE LACK REPRES5TA;N 9 IMPORTANT >1S1 S* Z ON ADVISORY COMMITTEES = 4ABIL;Y #AID S]VICES4 ,EXCLUD+ OLD] P F ^! A#IH SPACES1 :ILE "Y] VOICES >E 5C\RAG$1 SIL;ES ! K & EXP]TISE T WE H1 ESPECIALLY 9/ITU;NAL K T REMA9S VITAL4 ,M$ICAL & C>E PR(ES.NS (T5 SEE U Z J A COLLEC;N ( H1L? 3DI;NS TO 2 MANAG$1 R ?AN RESPECT+ \R AUTONOMY & ID5T;Y4 ,Z ACTIVI/S1 WE'RE N PREP>$ TO LOSE \R AG5CY & 2 TR1T$ Z PASSIVE RECIPI5TS ( C>E4 ,WE'VE F"\ TOO H>D = \R 9DEP5D;E4 ,! SY/EMIC PROBLEMS G DEEP]4 ,9 #BJJA1 ! GOV]N;T SEP>AT$ ,4ABIL;Y ,SUPPORT ,S]VICES "<,,DSS"> = OLD] P1 2LIEV+ T OLD] P'S 4ABILITIES 7 RELAT$ TO WORS5+ H1L?1 N LIFEL;G IMPAIR;TS4 ,2F ?1 "! 0 A S1M.S S]VICE = 4ABL$ P Z !Y AG$1 B ! *ANGE 9 /RUCTURE RESULT$ 9 M M$ICALIS$1 LESS HOLI/IC C>E4 ,4ABL$ OLD] P 7 LEFT \ ( ! 3V]SA;N1 & _! NE$S W]5'T ADDRESS$4 ,= "S ( U1 IMPAIR;TS MAY A3EL]ATE ) AGE4 ,= 9/.E1 A :EEL*AIR US]'S %\LD]S C WE> \1 & 3DI;NS L ,EHL]S-,DANLOS C WORS54 ,:5 ? HAPP5S1 WE MAY REQUIRE M OR DI6]5T SUPPORT ?AN :AT'S AVAILABLE4 ,,DSS1 H["E1 REMA9S FOCUS$ ON P #AIE "U #FE1 L1V+ U AT A 4ADVANTAGE4 B#IH ,ELIGIBIL;Y = ,,DSS IS UNCLE>1 & _M 4ABL$ OLD] P FEEL NEGLECT$ BY A SY/EM T'S SUPPOS$ TO S]VE !M4 ,AG5CIES NE$ TO 9TEGRATE S]VICES BETT] TO ADDRESS ! WID5+ DEF9I;N ( 4ABIL;Y & (F] A M COHESIVE SY/EM T "WS = P ( ALL AGES4 ,M$ICAL ADV.E;TS & BETT] S]VICES M1N WE'RE LIV+ L;G]1 B ! APPROA* TO POLICY & SUPPORT HASN'T KEPT UP4 ,4ABL$ OLD] P FACE 5VIRON;TAL & SOCIAL B>RI]S TO 9VOLVE;T 9 \R COMMUNITIES1 S* Z A LACK ( A3ESSIBLE TRANSPORT1 3TRIBUT+ TO ISOLA;N4 ,! /]EOTYPE ( OLD] P Z 8FIT & ABLE0 IGNORES ! R1L;Y T "S 4ABL$ P MAY NE$ SUPPORT$ LIV+ AT A "Y] AGE ?AN O!RS1 FAC+ HI<] CO/S & LIMIT$ RES\RCES4 ,POV]TY IS AL A R1L ISSUE4 ,4ABL$ P (T5 H BROK5 "W HI/ORIES DUE TO _! IMPAIR;TS1 & A3ESS TO /ABLE H\S+ NE> TRANSPORT IS A 3/ANT /RU7LE4 ,? A6ECTS OLD] WOM5 "PICUL>LY1 :O MAY N H _H "PN]S OR [N$ HOMES4 ,! SAME IS TRUE = P ) LE>N+ 4ABILITIES :O ONCE FAC$ 9/ITU;NALISA;N4 #AIF ,ANO!R ISSUE IS UNEQUAL A3ESS C#IH TO 9=MA;N4 ,_M 4ABL$ OLD] P / LACK A3ESS TO ! 9T]NET OR ! TE*NOLOGY NE$$ TO NAVIGATE 9CR1S+LY DIGITAL GOV]N;T & F9ANCIAL S]VICES4 ,PUBLIC SECTOR WEBSITES >E (T5 N A3ESSIBLE1 & GAPS 9 AVAILABLE 9=MA;N L1VE U 9 ! D>K4 ,4ABIL;Y & AGE+ R>ELY GET M1N+;L PUBLIC 4CUS.N4 ,MO/ ( ! 3V]SA;N HAPP5S )9 M$ICAL OR ACADEMIC CIRCLES4 ,4ABL$ OLD] P M/ TAKE ! L1D & BR+ \R VOICES 9TO ! 3V]SA;N1 OR WE RISK 2+ =GOTT54 -------------------------------------#II ,HOSPITALISA;NS ( OLD] 4ABL$ P & EM]G5CY DE"P;T USE ,) OLD] AGE1 ! NUMB] ( IMPAIR;TS DIRECTLY CORRELATES ) 9CR1S$ HOSPITALISA;N1 L5G? ( /AY1 & USE ( ! ,,ED4 "9#IH ,COMP>$ ) ^? AG$ #DJ-#FD YE>S1 :O H A HOSPITALISA;N RATE ( #GJJ P] #A1JJJ POPULA;N1 ! HOSPITALISA;N RATE = P AG$ #FE-#GI ) TWO OR M IMPAIR;TS GR[S BY A ?IRD1 TO AB #A1AJJ P] #A1JJJ "<,FIGURE #GJ">4 ,X IS UN"KN IF ^! #AIG IMPAIR;TS >E PRE-EXI/+1 OR AGE- A#II RELAT$4 ,FIGURE #GJ3 ,HOSPITALISA;N RATE P] #A1JJJ POPULA;N1 AGES #FE-#GI YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC @.<,L9E GRAPH %[+ T 4ABL$ P ) TWO OR M 4ABILITIES 3SI/5TLY H >.D #AAJJ HOSPITALISA;NS P] #AJJJ P P] YE> COMP>$ ) >.D #GJJ = 4ABL$ P ) "O 4ABIL;Y & J "U #DJJ = ! NON-4ABL$ POPULA;N4@.> ,S\RCE3 ,,IDI ,AM;G 4ABL$ P1 ! AV]AGE L5G? ( /AY 9 HOSPITAL ( AB SEV5 "DS = ^? AG$ #DJ-#FD GR[S TO N9E "DS = ^? AG$ #FE-#GI4 ,! AV]AGE L5G? ( /AY = P ) MULTIPLE IMPAIR;TS IS ?REE "TS T ( NON-4ABL$ OLD] ADULTS "<,FIGURE #GA">4 ------------------------------------#AJJ ,FIGURE #GA3 ,AV]AGE L5G? ( /AY 9 HOSPITAL 9 "DS1 AGES #FE-#GI YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC @.<,L9E GRAPH %[+ T 4ABL$ P ) #AIH TWO OR M 4ABILITIES H L;G] A#AJJ HOSPITAL /AYS "1 ?AN ^? ) "O 4ABIL;Y " & ^? ) NO 4ABIL;Y "<>.D #C "DS">4@.> ,S\RCE3 ,,IDI ,P 9 ! WA%+ 4ABIL;Y DOMA9 _H A HOSPITALISA;N RATE ( #A1CJJ P] #A1JJJ POPULA;N 9 #BJBC "<,FIGURE #GB">4 ,ALL 4ABIL;Y DOMA9 HOSPITALISA;N RATES 7 HI<] ?AN NON-4ABL$ P1 & ^! F9D+S >E UNLIKELY TO 2 DUE TO *.E4 ,FIGURE #GB3 ,HOSPITALISA;N RATE P] #A1JJJ POPULA;N1 AGES #FE-#GI YE>S1 BY ,,WG-,,SS 4ABIL;Y DOMA91 #BJBC @.<,L9E GRAPH %[+ T OLD]1 4ABL$ P ) WA%+ 4ABILITIES 3SI/5TLY H ! HI4 ,^? ) WALK+ 4ABILITIES AL H RATES GRT] ?AN #AJJJ HOSPITALISA;NS P] #AJJJ P4@.> ,S\RCE3 ,,IDI #AII #AJA ,,ED PRES5TA;NS = ^? ) TWO OR M IMPAIR;TS 9 ? AGE GR\P "<#FE-#GI"> >E AL HI<]1 AT #IJJ PRES5TA;NS P] #A1JJJ POPULA;N1 COMP>$ ) >.D #GJJ PRES5TA;NS P] #A1JJJ POPULA;N 9 ^? AG$ #DJ-#FD4 ,= P ) "O IMPAIR;T1 ! RATE ( APPROXIMATELY #AJJ PRES5TA;NS P] #A1JJJ POPULA;N 9 ^? AG$ #DJ-#FD RISES TO OV] #EJJ P] #A1JJJ POPULA;N 9 ^? AG$ #FE-#GI "<,FIGURE #GC">4 ,FIGURE #GC3 ,,ED PRES5TA;NS RATE P] #A1JJJ POPULA;N P] YE>1 AGES #FE-#GI YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC @.<,L9E GRAPH %[+ T OLD]1 4ABL$ P ) TWO OR M 4ABILITIES H A 3SI/5TLY HI<] ,,ED PRES5TA;N RATE1 >.D #IJJ PRES5TA;NS P] #AJJJ POPULA;N P] YE>4 ,? IS COMP>$ TO >.D #EJJ PRES5TA;NS P] #AJJJ POPULA;N ) "O 4ABIL;Y & #BEJ PRES5TA;NS P] #AJJJ POPULA;N = OLD] P ) NO 4ABIL;Y4@.> ,S\RCE3 ,,IDI #BJJ ,DIABETES 9 OLD] ADULTS A#AJA ,DIABETES 9 OLD] P IS BO? A 4ABL+ 3DI;N & A COMORBID;Y T OLD] 4ABL$ P LIVE )4 ,REG>D.S ( :E!R AN 9DIVIDUAL FALLS 9TO ! =M] OR LATT] CATEGORY1 ! RISK ( DIABETES 9CR1SES SIGNIFICANTLY ) AGE4 "9#II ,9 #BJBC1 AM;G P ) TWO OR M IMPAIR;TS1 ! PREVAL;E ( DIABETES = ^? AG$ #FE-#GI IS M ?AN #CJJ P] #A1JJJ POPULA;N "<,FIGURE #GD">1 9CR1S+ F #BCJ P P] #A1JJJ 9 ^? AG$ #DJ-#FD4 ------------------------------------#AJB ,FIGURE #GD3 ,PREVAL;E ( DIABETES P] #A1JJJ POPULA;N1 AGES #FE-#GI YE>S1 BY NUMB] ( IMPAIR;TS1 #BJAH-#BJBC @.<,L9E GRAPH %[+ ! 3SI/5T & 9CR1S+ RATE ( DIABETES 9 ALL 4ABL$ & NON-4ABL$ P1 AG$ #FE TO #GI4 ,^? ) TWO OR M 4ABILITIES H ! HI ,S\RCE3 ,,IDI #BJA ,EXP]I;E ( HOME & COMMUN;Y A#AJB SUPPORT S]VICES ,AL? DATA ON OLD] 4ABL$ P'S H1L? EXP]I;ES REMA9S SC>CE1 "O DATA SET (F]S IMPORTANT 9SI PROVIDE SUPPORT ) H\SEHOLD TASKS & P]SONAL C>E TO HELP P LIVE 9DEP5D5TLY AT HOME4 ,!Y AL (F] SUPPORT \TSIDE ! HOME1 S* Z HELP GETT+ TO APPO9T;TS1 DO+ ESS5TIAL ]R&S & /AY+ 3NECT$ ) COMMUN;Y ACTIVITIES4 ,^! S]VICES SUPPORT OLD] 4ABL$ P ) BO? %ORT- T]M NE$S1 S* Z 9JURY-RELAT$ SUPPORT1 & L;G-T]M S5SORY1 PHYSICAL OR COGNITIVE 4ABILITIES4 ,! ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N HAS 2GUN A NEW SURVEY ( ,,HCSS EXP]I;E4 "9#AJJ "9#AJA ,TO EXPLORE ! ,,HCSS EXP]I;ES ( OLD] 4ABL$ P1 ! ,COMMIS.N ANALYS$ SEV5 "QS F ! ,,HCSS SURVEY T BROADLY 3C]N3 RESPECT;L & K9D C>E #BJB E6ECTIVE & RELIABLE S*$UL+ B#AJB ! ABIL;Y TO ATT5D ACTIVITIES 9 ! COMMUN;Y4 ,! ANALYSIS %[S T S]VICES & SUPPORT = OLD] 4ABL$ P "S OR OV]"> >E 2+ DELIV]$ 9 A RESPECT;L & K9D WAY4 ,! E6ECTIVE;S & RELIABIL;Y ( S*$UL+1 9CLUD+ COMMUNICA;N AB S*$UL+1 NE$ IMPROVE;T1 & "! IS WIDE V>IA;N 9 RESPONSES BY ,,HCSS PROVID]4 ------------------------------------#AJC ,"! IS AL A GAP 9 ! PROVI.N ( S]VICES AT A NA;NAL LEVEL TO 5ABLE OLD] 4ABL$ P TO ATT5D COMMUN;Y ACTIVITIES1 OR HAP_U & IWI ACTIVITIES1 IF !Y WANT TO4 ,Z HIE S]VICES4 "9#AJB ,? APPLIES TO BO? P ACQUIR+ AGE-RELAT$ IMPAIR;TS1 & OLD] 4ABL$ P4 #BJC ,RESPECT;L & K9D C>E A#AJC ,! GRT MAJOR;Y "<#HI4G.0"> ( OLD] 4ABL$ P REPORT$ T _! SUPPORT "W]S ALW TR1T$ !M ) RESPECT & K9D;S4 ,"! 0 NO /ATI/ICALLY SIGNIFICANT DI6];E 9 RESPONSE 2T E?NIC GR\PS & V>IA;N 2T PROVID]S 0 COMP>ATIVELY SMALL4 ,:ILE ? APPE>S HI< OV]ALL1 X DOES M1N T >.D "O 9 T5 OLD] 4ABL$ P >E N ALW FEEL+ T _! HOME & COMMUN;Y SUPPORT "W]S >E TR1T+ !M ) RESPECT & K9D;S4 ,FUR!R1 ? RESULT 0 SLI & 0 L[E/ AM;G OLD] 4ABL$ P ) ?REE OR M IMPAIR;TS "<#HJ4E.0"> "<,TABLE #A">4 ,TABLE #A3 ,P]C5TAGE ( OLD] 4ABL$ P REPORT+ T _! SUPPORT "W]S ALW TR1T$ !M ) RESPECT & K9D;S1 BY E?NIC;Y & NUMB] ( IMPAIR;TS1 ,,HCSS SURVEY #BJBD ;2 ;N .0 "<#IE.0 ,,CI"> ,TOTAL OLD] 4ABL$3 #HI4G "<#HH4F-#IJ4H"> ,E?NIC GR\P3 ,M_AORI3 #IA4E "<#HG4C-#ID4D"> #BJD ,PACIFIC PEOPLES3 #HI4A "<#GG- B#AJC #IE4C"> ,ASIAN3 #HG4F "<#HJ4H-#IB4B"> ,EUROP1N _/ ,O!R3 #HI4G "<#HH4E- #IJ4H"> ,NUMB] ( IMPAIR;TS3 ,NON-4ABL$3 #IB4G "<#IA-#ID4A"> ,SELF-ID5TIFI$3 #IB4B "<#IJ4D-#IC4G"> ,"O3 #IA4E "<#HI4H-#IB4I"> ,TWO3 #HF4H "<#HC4H-#HI4C"> ,?REE OR M3 #HJ4E "<#GE4G-#HD4F"> ,PROVID]3 ,HI ,L[E/ P]=M+3 #HD4B "<#GF4D-#HI4H"> ,E6ECTIVE & RELIABLE S*$UL+ ,^! "QS GIVE 9SI.D ? F PROVID]S TO CLI5TS4 ,"P ( PROVID+ A HI<-QUAL;Y & SAFE S]VICE 9CLUDES 5SUR+ T SUPPORT "W]S >RIVE Z EXPECT$ & ON "T4 ,F9D+S F ! ,,HCSS NA;NAL REPORT REV1L$ T S*$UL+ 0 ! L[E/-P]=M+ SEC;N 9 ! SURVEY4 "9#AJC #BJE ,! FOLL[+ 7 KEY F9D+S F ! #AJD S*$UL+ "QS4 ,= ALL B "O ( ! S*$UL+ "QS "<8KNEW 9 ADV.E :AT "T TO EXPECT SUPPORT0">1 4ABL$ P 7 SIGNIFICANTLY LESS LIKELY ?AN NON- 4ABL$ P TO REPORT ! MO/ POSITIVE EXP]I;E4 ,"! 0 A CLE> PATT]N BY E?NIC GR\P1 ) ,M_AORI OLD] 4ABL$ P REPORT+ BETT] S*$UL+-RELAT$ EXP]I;ES ?AN OLD] 4ABL$ P 9 ! ,EUROP1N_/,O!R GR\P4 ,! ONLY EXCEP;N 0 ! M1SURE 8NO O3A.N :5 SUPPORT DID N TURN UP01 = : "! 0 NO DI6];E BY E?NIC GR\P4 ,"! 0 N ALW A CLE> TR5D 9 EXP]I;E BY NUMB] ( IMPAIR;TS1 AL? 9 ALL CASES P ) ?REE OR M IMPAIR;TS 7 L1/ LIKELY TO REPORT ! MO/ POSITIVE EXP]I;E "<,FIGURE #GE">4 ,"! 0 WIDE V>IA;N 9 POSITIVE RESPONSES TO ^! "QS ACR ! DI6]5T ,,HCSS PROVID]S4 ,? V>IA;N 9DICATES ! POT5TIAL = PROCESS IMPROVE;T = "S PROVID]S & HIK+ ACR ! SECTOR4 #BJF ,FIGURE #GE3 ,P REPORT+ ! MO/ A#AJD POSITIVE EXP]I;E = EA* ( ! S*$UL+ "QS1 BY NUMB] ( IMPAIR;TS1 ,,HCSS SURVEY #BJBD @.<,B> GRAPH %[+ T P ) ?REE OR M IMPAIR;TS REPORT A LESS POSITIVE EXP]I;E :5 S*$UL+ SUPPORT S]VICES4 ,OV]ALL1 ! HI ,S\RCE3 ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N ,TE ,T_AH_U ,HAUORA PATI5T EXP]I;E SURVEY ------------------------------------#AJE ,SUPPORT "TS "W$ = P ,AM;G OLD] 4ABL$ P1 #EH4C.0 REPORT$ T 9 ! LA/ F\R WEEKS _! SUPPORT "W]S ALW CAME AT "TS T "W$ = !M4 ,? RESULT 0 SIGNIFICANTLY L[] ?AN = OLD] NON-4ABL$ P "<#FE4I.0"> & DROPP$ TO #DF4G.0 = OLD] 4ABL$ P ) ?REE OR M IMPAIR;TS4 ,"! 0 AL A L>GE V>IA;N 9 P]=M.E AM;G PROVID]S "<) AT L1/ #CJ RESPOND5TS"> = OLD] 4ABL$ P1 RANG+ F #HF4G.0 TO #DB.0 "<,TABLE #B">4 #BJG ,TABLE #B3 ,P]C5TAGE ( OLD] A#AJE 4ABL$ P REPORT+ T _! SUPPORT "W]S ALW CAME AT "TS T "W$ = !M1 BY E?NIC;Y & NUMB] ( IMPAIR;TS1 ,,HCSS SURVEY #BJBD ;2 ;N .0 "<#IE.0 ,,CI"> ,TOTAL OLD] 4ABL$3 #EH4C "<#EF4F-#FJ4A"> ,E?NIC GR\P ,M_AORI3 #FI4F "<#FC4C-#GE4B"> ,PACIFIC PEOPLES3 #FJ4I "<#DF4E- #GC4F"> ,ASIAN3 #FA4E "<#EB4FY#FI4F"> ,EUROP1N _/ ,O!R3 #EG4B "<#EE4C-#EI"> ,NUMB] ( IMPAIR;TS ,NON-4ABL$3 #FE4I "<#FC-#FH4G"> ,SELF-ID5TIFI$3 #FB4I "<#EI4H-#FE4I"> ,"O3 #EI4D "<#EF4F-#FB4A"> ,TWO3 #ED4H "<#EJ4G-#EH4H"> ,?REE OR M3 #DF4G "<#DA4B-#EB4B"> ,PROVID]3 ,HI ,L[E/ P]=M+3 #DB4J "<#CF4C-#DG4I"> #BJH ,KNEW 9 ADV.E :AT "T TO B#AJE EXPECT SUPPORT ,AM;G OLD] 4ABL$ P1 >.D HALF "<#EA.0"> REPORT$ T 9 ! LA/ F\R WEEKS !Y ALW KNEW 9 ADV.E :AT "T TO EXPECT _! SUPPORT "W]"4 ,? 0 ! "O S*$UL+ "Q ": OLD] 4ABL$ P REPORT$ A SIMIL> EXP]I;E TO NON- 4ABL$ P "<#ED4E.0">4 ,H["E1 "! 0 A L>GE V>IA;N 9 P]=M.E BY PROVID] "4 ,SUPPORT >RIV$ AT EXPECT$ "T ,AM;G OLD] 4ABL$ P1 J OV] HALF "<#ED4A.0"> REPORT$ T 9 ! LA/ F\R WEEKS _! SUPPORT "W]S ALW >RIV$ AT >.D ! "T EXPECT$4 ,? RESULT 0 L[] ?AN = OLD] NON- 4ABL$ P "<#EI4D.0">1 BY AN AM.T T 0 UNLIKELY TO 2 DUE TO *.E4 ,"! 0 L>GE V>IA;N 9 P]=M.E AM;G PROVID]S = OLD] 4ABL$ P1 RANG+ F #HE4G.0 TO #CD4I.0 "<,TABLE #C">4 ,NOTE T ? "Q 0 ASK$ ONLY ( ^? :O _H PREVI\SLY ANSW]$ T1 9 ! PA/ F\R WEEKS1 !Y ALW1 USUALLY OR "S"TS KNEW 9 #BJI ADV.E :5 TO EXPECT _! SUPPORT C#AJE "W]S4 ------------------------------------#AJF ,TABLE #C3 ,P]C5TAGE ( OLD] 4ABL$ P REPORT+ T _! SUPPORT "W]S ALW >RIV$ AT >.D ! "T EXPECT$1 BY E?NIC;Y & NUMB] ( IMPAIR;TS1 ,,HCSS SURVEY #BJBD ;2 ;N .0 "<#IE.0 ,,CI"> ,TOTAL OLD] 4ABL$3 #ED4A "<#EB4C-#EE4I"> ,E?NIC GR\P ,M_AORI3 #FH4B "<#FA4H-#GD"> ,PACIFIC PEOPLES3 #EI4E "<#DD4E-#GC"> ,ASIAN3 #EH "<#DI-#FF4E"> ,EUROP1N _/ ,O!R3 #EB4F "<#EJ4G- #ED4F"> ,NUMB] ( IMPAIR;TS3 ,NON-4ABL$3 #EI4D "<#EF4D-#FB4D"> ,SELF-ID5TIFI$3 #ED4G "<#EA4E-#EG4H"> ,"O3 #EF4D "<#EC4F-#EI4C"> ,TWO3 #EB4B "<#DH-#EF4C"> ,?REE OR M3 #DF4G "<#DA-#EB4E"> ,PROVID] ,HI A#AJF ,L[E/ P]=M+3 #CD4I "<#BF4E-#DD4D"> ,ADVIS$ ( *ANGES 9 ADV.E ,IF *ANGES 7 MADE TO _! SUPPORT >RANGE;TS 9 ! LA/ F\R WEEKS1 >.D F\R 9 T5 "<#CH4C.0"> ( OLD] 4ABL$ P REPORT$ _! PROVID] ALW LET !M "K 9 ADV.E4 ,4ABL$ OLD] P 7 SIGNIFICANTLY LESS LIKELY TO REPORT ? ?AN NON-4ABL$ OLD] P "<#DD4F.0">4 8,PROVID] ALW LET !M "K 9 ADV.E0 9CLUDES1 = EXAMPLE1 2+ 9=M$ AH1D ( "T IF _! SUPPORT "T 0 *ANG$1 T ! SUPPORT "W] CD N MAKE X1 OR T ! SUPPORT "W] WD 2 A DI6]5T P]SON F :O 0 EXPECT$4 ,! D5OM9ATOR EXCLUDES P :O DID N H *ANGES TO _! SUPPORT >RANGE;TS 9 ! PA/ F\R WEEKS4 ,NO O3A.N :5 SUPPORT DID N TURN UP ,AM;G OLD] 4ABL$ P1 #HJ4H.0 REPORT$ T 9 ! LA/ F\R WEEKS _! SUPPORT "W]S ALW TURN$ UP :5 !Y 7 SUPPOS$ TO "4 ,? RATE DROPP$ TO #GA4A.0 = OLD] 4ABL$ P ) ?REE OR M IMPAIR;TS4 ,? M1NS T >.D "O 9 FIVE ( ALL OLD] 4ABL$ P1 & NE>LY "O-?IRD ( ^? ) ?REE OR M IMPAIR;TS1 EXP]I;ED AT L1/ "O O3A.N 9 ! PREVI\S F\R WEEKS :5 _! SUPPORT "W] DID N TURN UP :5 EXPECT$4 ,DESCRIB+ ! \TCOMES ( 9E6ECTIVE & UNRELIABLE S*$UL+ ,"S P DESCRIB$ ! \TCOMES ( 9E6ECTIVE & UNRELIABLE S*$UL+ 9 RESPONSE TO OP5-5D$ SURVEY "QS4 ,EXAMPLES 9CLUD$3 OLD] 4ABL$ P TRY+ TO COMPLETE TASKS !MVS )\T NEC SUPPORT1 CR1T+ RISK TO SAFETY S* Z FALLS1 A3ID5TS OR TAK+ M$ICA;N 9APPROPRIATELY :_ANAU C>]S EXP]I5C+ ADDI;NAL BURD5S BY COMPLET+ TASKS T 7 ASSIGN$ TO SUPPORT "W]S M$ICA;N & M1LS 2+ PROVID$ TO OLD] 4ABL$ P TOO E>LY1 TOO LATE OR N AT ALL OLD] 4ABL$ P 2+ UNABLE TO MAKE #BAB PLANS = ! "D OR TO G \ 2C ( ! C#AJF NE$ TO WAIT = SUPPORT TO >RIVE AT AN UN"KN "T ------------------------------------#AJG OLD] 4ABL$ P'S /RESS >IS+ F 2+ PREP>$ = SUPPORT TO >RIVE & !N EXP]I5C+ L;G WAITS4 ,O!R P REPORT$ SUPPORT >RIV+ UNEXPECT$LY E>LY1 & NO-%[S SUPPORT 2+ GIV5 AT "TS ( "D " T >E N SUITABLE = P'S H1L?4 ,ABLE TO ATT5D ACTIVITIES ,ONLY A QU>T] "<#BD4E.0"> ( OLD] 4ABL$ P 7 DEF9ITELY ABLE TO ATT5D COMMUN;Y ACTIVITIES1 OR HAP_U & IWI ACTIVITIES1 IF !Y WANT$ TO4 ,? COMP>ES ) HALF "<#EA4E.0"> ( OLD] NON-4ABL$ P & FEW] ?AN "O 9 T5 "<#H4F.0"> ( OLD] P ) ?REE OR M IMPAIR;TS 2+ ABLE TO DEF9ITELY ATT5D COMMUN;Y ACTIVITIES1 OR HAP_U & IWI ACTIVITIES1 IF !Y WANT$ TO4 ,"! 0 NO /ATI/ICALLY SIGNIFICANT DI6];E 9 RESPONSE BY E?NIC GR\P & V>IA;N 2T PROVID]S 0 SMALL4 ,OLD] 4ABL$ P1 "PICUL>LY P ) #BAC MULTIPLE IMPAIR;TS1 REQUIRE A#AJG BETT] SUPPORT TO 2 ABLE TO ATT5D ACTIVITIES & "PICIPATE 9 _! COMMUNITIES4 ,:ILE HOME & COMMUN;Y SUPPORT S]VICE PROVID]S MAY 2 3/RA9$ BY ! SCOPE ( 9DIVIDUAL C>E PLANS1 & O!R B>RI]S S* Z 9A3ESSIBLE COMMUN;Y FACILITIES & TRANSPORT AL PLAY A ROLE1 ^! F9D+S PO9T TO A CLE> NA;NAL-LEVEL GAP 9 S]VICE PROVI.N4 ,? GAP HAS SIGNIFICANT FL[-ON E6ECTS1 3TRIBUT+ TO SOCIAL ISOLA;N & NEGATIVELY IMPACT+ ! PHYSICAL & M5TAL H1L? & WELLBE+ ( OLD] 4ABL$ P 9 ,NEW ,Z1L&4 #BAD ,*APT] #F #AJH ,3CLU.N & RECOMM5DA;NS ,Z ? ,W9D[ REPORT HAS DEMON/RAT$1 ! NATURE ( \R DATA ON 4ABL$ P DEP5DS CRITICALLY ON ! "QS T >E ASK$1 :5 !Y >E ASK$1 :O !Y >E ASK$ ( & H[ !Y >E ASK$4 ,GRT] RIG\R IS URG5TLY NE$$ 9 ! WAY 4ABL$ P'S H1L? & SAFETY >E DOCU;T$ )9 ,NEW ,Z1L&'S PUBLIC H1L? SY/EM4 ,:ILE ! COMPLEX;Y ( CAPTUR+ 4ABIL;Y DATA1 & ! GAPS 9 ! EVID;E BASE >E CLE>1 ! DATA T DOES EXI/ TELLS A 3SI/5T & DEEPLY 3C]N+ /ORY4 ,4ABL$ P 9 ,NEW ,Z1L& >E AM;G ! MO/ FREQU5T US]S ( ! H1L? SY/EM4 ,DRAW+ ON ! GOV]N;T'S [N DATA1 ? ,W9D[ REPORT A6IRMS :AT _M 4ABL$ P ALR "K "? LIV$ EXP]I;E3 4ABL$ P EXP]I;E POOR] H1L? & SAFETY \TCOMES ?AN _! NON-4ABL$ PE]S1 ) 4P>ITIES FUR!R COMP.D$ = ,M_AORI & ,PACIFIC 4ABL$ P4 ,9 PREP>+ ? ,W9D[ REPORT1 4ABIL;Y H1L? EXP]TS EMPHASIS$ T H1L? \TCOMES >E SIGNIFICANTLY %AP$ BY AGE & LIFE #BAE /AGE4 ,_M 4ABL$ P REPORT$ A#AJH DECL9ES 9 BO? H1L? S]VICE EXP]I;ES & \TCOMES Z !Y AGE4 ,9 RESPONSE1 ? ,W9D[ REPORT ADOPT$ A LIFE- C\RSE APPROA*1 2G9N+ ) 4ABL$ P'S EXP]I;ES ( MAT]N;Y & P]9ATAL S]VICES4 ,4ABL$ P :O 2COME PREGNANT >E LESS LIKELY TO 5ROL ) A L1D MAT]N;Y C>] "<,,LMC"> DUR+ _! F/ TRIME/]1 H A HI<] PREVAL;E ( PRE-T]M BIR?S1 & G5]ALLY REPORT L[] SATISFAC;N & POOR] OV]ALL EXP]I;ES ) MAT]N;Y C>E S]VICES4 ,H1L? \TCOMES = 4ABL$ *N >E BROADLY COMP>ABLE ) ^? ( NON-4ABL$ *N1 SU7E/+ T E>LY 9T]V5;N & PUBLIC H1L? 9ITIATIVES >E1 = ! MO/ "P1 9CLUSIVE & A3ESSIBLE4 ,H["E1 Z 4ABL$ *N AGE1 4P>ITIES 2G9 TO EM]GE4 ,ACR >1S S* Z IMMUNISA;NS1 ORAL H1L?1 AS?MA1 ,,A% 3DI;NS1 & UNMET NE$1 ! GAP 2T 4ABL$ *N & _! PE]S WID5S OV] "T4 ,^! 9EQUITIES 2COME "PICUL>LY PRON\NC$ Z "Y P TRANSI;N \ ( PA$IATRIC S]VICES & 9TO ADULT H1L? C>E1 A TRANSI;N T 4ABIL;Y H1L? EXP]TS 3SI/5TLY ID5TIFY Z A CRITICAL PO9T ( FAILURE )9 ! #BAF SY/EM4 B#AJH ,4ABL$ ADULTS EXP]I;E HI<] RATES ( *RONIC 3DI;NS1 M5TAL H1L? 4TRESS & MAJOR C.ERS1 :ILE AL 5C.T]+ SIGNIFICANT SY/EMIC B>RI]S1 9CLUD+ PROL;G$ WAIT "TS = SURG]Y & HI<] RATES ( PO/-OP]ATIVE COMPLICA;NS4 ,^! 9EQUITIES >E MO/ ACUTE = ,M_AORI & ,PACIFIC 4ABL$ P & >E COMP.D$ BY A CRITICAL UNMET NE$ = PRIM>Y1 M5TAL & ORAL H1L? C>E4 ,3SEQU5TLY1 "S 4ABL$ ADULTS >E PREMATURELY FUNNELL$ 9TO AG$ RESID5TIAL C>E1 :ILE O!RS EXP]I;E AVOIDABLE H1L? DECL9ES DUE TO DELAY$ OR 9ADEQUATE SUPPORT4 ------------------------------------#AJI ,F9ALLY1 SIGNIFICANT DATA GAPS P]SI/ REG>D+ ! H1L? EXP]I;ES ( OLD] 4ABL$ P1 "PICUL>LY 9 H[ !Y DI6] F ^? :O ACQUIRE AGE-RELAT$ IMPAIR;TS LAT] 9 LIFE4 ,DESPITE ^! GAPS1 "S 4P>ITIES >E EVID5T 9 HOME & COMMUN;Y SUPPORT \TCOMES 2T 4ABL$ & NON-4ABL$ OLD] POPULA;NS4 ,MO/ CRITICAL1 H["E1 IS ! EVID;E T 4ABL$ P FACE SIGNIFICANTLY L[] LIFE #BAG EXPECTANCY ?AN _! NON-4ABL$ A#AJI PE]S4 ,:ILE REC5T DECADES H SE5 "S IMPROVE;TS 9 H1L? \TCOMES & S]VICE EXP]I;ES1 SIGNIFICANT GAPS REMA94 ,^! 9CLUDE 9 :AT ! ,,UNCRPD ,COMMITTEE ID5TIFI$ Z 8S]I\S %ORTCOM+S0 9 4ABIL;Y- RELAT$ DATA4 ,! ,COMMITTEE RECOMM5D$ T ! ,NEW ,Z1L& ,GOV]N;T "W AL;GSIDE ,/ATS ,,NZ TO E/ABLI% A NA;NAL 4ABIL;Y DATA FRAME"W T 5SURES ! COLLEC;N & PUBLIC REPORT+ ( 4A7REGAT$ DATA4 "9#AJD ,! H1L? SY/EM & XS "W=CE NE$ TO DESIGN & DELIV] S]VICES T >E G5U9ELY 4ABILITY& AGE- RESPONSIVE1 ATT5TIVE TO H[ DI6]5T FACTORS 9T]ACT TO COMP.D NE$ & 4ADVANTAGE4 ,DO+ S W ADV.E PAE ORA "1 9 : ALL 4ABL$ P >E ABLE TO 8LIVE L;G1 FULFILL+ & M 9DEP5D5T LIVES 9 GD H1L?04 "9#AJE ,RECOMM5DA;NS #A4 ,WE NE$ TO "K ,! C5TRAL PROBLEM ID5TIFI$ 9 ? #BAH ,W9D[ REPORT IS ! ABS;E ( B#AJI 4A7REGAT$ DATA RELAT$ TO 4ABIL;Y4 ,4ABIL;Y M/ 2 A3URATELY REFLECT$ 9 NA;NAL H1L? DATA4 ,PROGRAMMES S* Z ! ,PATI5T ,PR(ILE & ,NA;NAL ,H1L? ,9DEX "<,,PPNHI"> %[ A WAY =W>D4 ,BO? ,H1L? ,,NZ & ! ,M9I/RY ( ,H1L? >E 5GAG$ 9 "W >.D APPROA*ES TO E6ECTIVE & A3URATE REFLEC;N ( 4ABIL;Y 9 NA;NAL H1L? DATA4 ,? "W M/ 2 G5U9ELY L$ BY 4ABL$ P1 T_ANGATA :AIKAHA & _! :_ANAU & FULLY 5GAG$ ) BY E H1L? S]VICE & AG5CY 9 ! C.TRY Z A MATT] ( PRIOR;Y4 ,A GD F/ /EP WD 2 TO3 COMMIT TO1 & FULLY RES\RCE1 ! M&ATORY 9CLU.N ( /&>DIS$ 4ABIL;Y ID5TIFICA;N "QS ACR ALL EXI/+ & FUTURE H1L? DATA COLLEC;N PROCESSES4 #B4 ,WE NE$ TO TRA9 ,4ABIL;Y K M/ 2 EMB$D$ 9TO ALL /AGES ( ! $UCA;N1 TRA9+ & PR(ES.NAL DEVELOP;T ( \R H1L? C>E "W=CE4 ,WE M/ AGREE ON A 4ABIL;Y CURRICULUM ) ! 4ABIL;Y #BAI COMMUN;Y & MAKE X COMPULSORY4 C#AJI ,? RESPONSIBIL;Y FALLS TO ! GOV]N+ BODIES ( ! M$ICAL S*OOLS1 ! M$ICAL & NURS+ C\NCILS1 ! ,M9I/RY ( ,H1L? & ,H1L? ,NEW ,Z1L& ,TE ,:ATU ,ORA4 ,A GD F/ /EP WD 2 TO3 M&ATE A HI<- LEVEL "W+ GR\P TO EMB$ 4ABIL;Y-9CLUSIVE COMPET5CIES ACR ALL H1L? "W=CE CURRICULA4 ,? GR\P NE$S TO COMPRISE 4ABL$ P1 T_ANGATA :AIKAHA & _! :_ANAU1 & 4ABIL;Y H1L? EXP]TS1 AL;GSIDE S5IOR DECI.N-MAK]S F PR(ES.NAL TRA9+ & DEVELOP;T BODIES4 ------------------------------------#AAJ #C4 ,WE NE$ TO EMPLOY ,E H1L? AG5CY & S]VICE C B5EFIT _! US]S "? ! EMPLOY;T ( 4ABL$ P & T_ANGATA :AIKAHA :O "U/& ! 4ABIL;Y EXP]I;E4 ,AC;NS TO RECRUIT1 RETA91 MAKE R1SONABLE A3OMMODA;NS = & SUPPORT ! PROGRES.N ( 4ABL$ P )9 ! H1L? "W=CE >E NE$$ TO A*IEVE ?4 ,A GD F/ /EP WD 2 TO3 3DUCT A COMPREH5SIVE REVIEW ( EXI/+ HIR+ FRAME"WS TO ID5TIFY & EXT5D1 & IF #BBJ NEC DEVELOP ROBU/ 9CLUSIV;Y & A#AAJ A3ESSIBIL;Y POLICIES4 ,? 9CLUDES RECRUIT;T1 5SUR+ T BO? DIGITAL PLAT=MS & PHYSICAL 9T]VIEW PROCESSES >E A3ESSIBLE BY DESIGN1 & SUPPORT IS PROVID$ = 4ABL$ P'S L;G-T]M SU3ESS & C>E] PROGRES.N )9 ! ROLE4 #D4 ,WE NE$ TO 9VOLVE ,WE M/ EMB$ SELF-DET]M9A;N & SUPPORT$ DECI.N-MAK+ Z CORE PR9CIPLES 9 ! ,NEW ,Z1L& H1L? SY/EM4 ,4ABL$ P1 T_ANGATA :AIKAHA & _! :_ANAU M/ 2 9VOLV$1 & "K !Y >E 9VOLV$1 9 DECI.NS AB _! TR1T;T & C>E4 ,!Y M/ 2 PROVID$ ! M1NS TO 5ABLE ?3 A3ESSIBLE TOOLS & 9=MA;N1 COMMUNICA;N SUPPORTS1 & "T TO 5ABLE M1N+;L "PICIPA;N4 ,A GD F/ /EP WD 2 TO3 IMPLE;T NA;NWIDE SUPPORT$ DECI.N-MAK+ FRAME"WS & TRA9+1 DEVELOP$ 9 "PN]%IP ) 4ABL$ P1 & TAILOR$ SPECIFICALLY = FRONTL9E H1L? S]VICES TO 5SURE CL9ICAL PRACTICE ALIGNS ) ! HUMAN "RS ( 4ABL$ P & T_ANGATA :AIKAHA4 #BBA ,APP5DICES #AAA ,APP5DIX #A3 ,A BRIEF HI/ORY ( 4ABIL;Y DATA 9 ,NEW ,Z1L& ,GUE/ ESSAY BY ,SAM ,MURRAY & ,PHOEBE ,$5-,MANN ,EM]G+ F ! VACUUM "<2F #AIIF"> ,HI/ORICALLY1 ! ,NEW ,Z1L& GOV]N;T HAS _H LL 9T]E/ 9 COLLECT+ /ATI/ICS ON 4ABL$ P4 ,2T #AIAF & #AIIF NO 4ABIL;Y-RELAT$ "QS 7 9CLUD$ 9 ! ,C5SUS4 ,BY ! MID-#AIHJS1 ! 4ABIL;Y MOVE;T _H GR[N 9 /R5G? & ! L>GE RESID5TIAL 9/ITU;NS 7 SL[LY 2+ PHAS$ \4 ,Z A RESULT1 ! GOV]N;T 2GAN TAK+ 4ABIL;Y /ATI/ICS M S]I\SLY4 ,2T #AIHF & #AIIC1 ! GOV]N;T COMMIS.N$ A NUMB] ( SURVEYS F ! RESE>* AG5CY ,,BERL & F ,/ATS ,,NZ4 ,^! SURVEYS GAVE WILDLY 9CONSI/5T RESULTS3 REPORT$ 4ABIL;Y PREVAL;E V>I$ F #AD.0 TO #DJ.04 ,) O!R ME?ODS PROV+ UNRELIABLE1 #BBB P 9 ! 4ABIL;Y COMMUN;Y 2GAN TO A#AAA PRESSURE ! GOV]N;T TO 9CLUDE 4ABIL;Y "QS 9 ! ,C5SUS4 ,/ATS ,,NZ 0 RELUCTANT TO D ?1 CIT+ ,CANADIAN EXP]I;E T ! 9CLU.N ( 4ABIL;Y "QS PRODUC$ UNRELIABLE RESULTS )\T A FOLL[-UP SURVEY4 ,UN=TUNATELY ,/ATS ,,NZ LACK$ ! FUND+ TO P]=M ! NEC FOLL[-UP SURVEYS4 ,H["E1 X APPROA*$ ,,IHC "9#AJF & ,,CCS ,4ABIL;Y ,AC;N "9#AJG TO HELP FUND ! F/ FOLL[-UP SURVEY1 : W5T AH1D 9 #AIIF4 ,! ,4ABIL;Y ,SURVEY ERA "<#AIIF TO #BJAC"> ,! NEW PO/-,C5SUS FOLL[-UP SURVEYS 7 COLLECTIVELY REF]R$ TO Z ! ,4ABIL;Y ,SURVEY1 & R1*$ TWO DI6]5T GR\PS3 A L>G] PRIVATE H\SEHOLD SURVEY1 & A SMALL] SURVEY ( P LIV+ 9 RESID5TIAL FACILITIES4 ,BO? SURVEYS 7 US$ TO E/IMATE ! 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TR1T;T & C>E P]C5TAGE ( 4ABL$ ADULTS "S & OV]"> :O _H UNMET NE$ = A ,,GP P]C5TAGE ( ADULTS "S & OV]"> ) A 4ABIL;Y1 IMPAIR;T OR L;G-T]M H1L? 3DI;N :O FELT _! A3ESSIBIL;Y NE$S 7 MET4 "9#ACD ,! DATA S\RCES US$ TO M1SURE ! BASEL9E ( ^! 9DICATORS 9CLUDE ! ,NEW ,Z1L& ,H1L? ,SURVEY #BJBC_/#BD & ! ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N ,TE ,T_AH_U ,HAUORA ADULT PRIM>Y C>E PATI5T EXP]I;E SURVEY #BJBD4 #BDJ ,NEW ,Z1L& ,H1L? ,PLAN ,TE C#AAG ,PAE ,WAENGA ,! ,NEW ,Z1L& ,H1L? ,PLAN ,TE ,PAE ,WAENGA IS ! ?REE-YE> PLAN LEGISLAT$ "U ! ,PAE ,ORA "<,H1L?Y ,FUTURES"> ,ACT #BJBB = ,H1L? ,NEW ,Z1L& ,TE ,:ATU ,ORA4 "9#ACE ,"U ,SEC;N #D3 ,IMPROV+ H1L? = POPULA;NS ) GRT] NE$S1 SEC;N #D4C3 ,4ABL$ P T_ANGATA :AIKAHA /ATES3 ,*ANG+ H[ \R H1L? SY/EM APPROA*ES & "U/&S 4ABIL;Y M1NS WE NE$ TO *ALL5GE BASIC ASSUMP;NS1 9CLUD+ 4CRIM9A;N 9 FAV\R ( ABLE-BODI$ P & \TDAT$ WAYS \R SY/EM "WS4 ------------------------------------#AAH ,4ABL$ P >E "U-REPRES5T$ 9 H1L? POLICY >1S & 9 DATA & A3.TABIL;Y4 ,4ABIL;Y L1D]%IP & REPRES5TA;N IS CRUCIAL TO ! COLLEC;N & ANALYSIS ( DATA & = DIRECT+ AC;N TO IMPROVE H1L? S]VICES4 ,\R AIM IS TO BUILD BETT] H1L? S]VICES T "W ) & = 4ABL$ P4 ,?REE AC;NS TO IMPROVE H1L? C>E = 4ABL$ P >E LI/$3 #BDA A#AAH #D4C4A ,IMPLE;T ! ,PATI5T ,PR(ILE & ,NA;NAL ,H1L? ,9DEX PROGRAMME & BUILD DATA 9TELLIG;E CAPABILITIES TO 2 M RESPONSIVE TO 4ABL$ P4 #D4C4B ,DESIGN & IMPLE;T ! 4ABIL;Y MODEL ( C>E ) A FOCUS ON 9FRA/RUCTURE1 "W=CE CAPABIL;Y & CAPAC;Y1 POLICIES1 PROCESSES1 PRACTICES & 9=MA;N A3ESSIBIL;Y4 #D4C4C ,IMPLE;T AC;NS T PROJECT ! 4ABIL;Y 3SUM] & :_ANAU VOICES 9TO KEY >1S ( "W1 9CLUD+ S]VICE DESIGN & PLANN+4 ------------------------------------#AAI ,APP5DIX #C3 ,"W=CE REPRES5TA;N ,4TRICT EMPLOYEE DATA = ,H1L? ,NEW ,Z1L& ,TE ,:ATU ,ORA 0 MADE AVAILABLE TO U BY ! ,H1L? ,"W=CE ,9=MA;N ,PROGRAMME4 ,_M 4TRICTS DID N CAPTURE 4ABIL;Y /ATUS4 ,^? T DID _H A TOTAL ( #EE1CDD EMPLOYEES AT #CA ,JULY #BJBE1 ( :OM #GIG ID5TIFI$ Z HAV+ A 4ABIL;Y4 ,? IS J #A4D.04 #BDB "9#ACF A#AAI ,Z ,FIGURE #GF %[S1 ! PROPOR;N ( 4ABL$ EMPLOYEES "<9 D>K BLUE"> 9 ^! 4TRICTS T DID CAPTURE 4ABIL;Y /ATUS IS VANI%+LY SMALL,-X C LIT]ALLY B>ELY 2 SE54 ,FIGURE #GF3 ,TOTAL EMPLOYEES & EMPLOYEES ID5TIFY+ Z 4ABL$ BY ,H1L? ,NEW ,Z1L& 4TRICTS T REPORT1 #CA ,JULY #BJBE @.<,B> GRAPH %[+ >.D ONLY #A4D.0 ( ,H1L? ,NEW ,Z1L& EMPLOYEES ID5TIFY Z HAV+ A 4ABIL;Y1 BY H1L? REGION4@.> ,S\RCE3 ,H1L? ,"W=CE ,9=MA;N ,PROGRAMME ,9 COMP>ISON1 #AA4H.0 ( ! ALL EMPLOY$ P AG$ #AE YE>S & OV] 7 4ABL$4 ,( ^? :O >E EMPLOY$1 4ABL$ P >E OV]-REPRES5T$ 9 ! H1L? C>E & SOCIAL ASSI/.E 9DU/RY4 ,H["E1 DUE TO ! M* L[] EMPLOY;T RATES = 4ABL$ P !Y >E "U-REPRES5T$ :5 COMP>$ ) ! TOTAL POPULA;N AG$ #AE & OV] "<4ABIL;Y RATE #AH.0">4 #BDC ,APP5DIX #D3 #ABJ ,GLOSS>Y ,A3ESSIBIL;Y3 ,! 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NE$S ( ! 9DIVIDUAL2 5SUR+ T P'S PREF];ES1 NE$S1 & VALUES GUIDE CL9ICAL DECI.NS OR 4ABIL;Y SUPPORT2 & PROVID+ C>E T IS RESPECT;L ( & RESPONSIVE TO !M04 "9#ADD ,SUB/ITUT$ DECI.N-MAK+3 ,! 3DI;NS ( SUB/ITUT$ DECI.N MAK+ >E 8" LEGAL CAPAC;Y IS REMOV$ F A P]SON1 EV5 IF ? 9 RESPECT ( A S+LE DECI.N2 "<;B"> A SUB/ITUTE DECI.N MAK] C 2 APPO9T$ BY "S"O O!R ?AN ! P]SON 3C]N$1 & ? C 2 D"O AG/ 8 OR H] W2 OR "<;C"> ANY DECI.N MADE BY A SUB/ITUTE DECI.N MAK] IS BAS$ ON :AT IS 2LIEV$ TO 2 9 ! OBJECTIVE ,8BE/ 9T]E/S,0 ( ! P]SON 3C]N$1 Z OPPOS$ TO 2+ BAS$ ON ! P]SON'S [N W & PREF];ES04 #BDF "9#ADE C#ABJ ------------------------------------#ABA ,SUPPORT$ DECI.N-MAK+ "<,,SDM">3 ,AN EM]G+ P>ADIGM 9 : P USE FRS1 FAMILY MEMB]S1 & PR(ES.NALS TO HELP !M "U/& & ADDRESS ! 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PO/NATAL P]IOD 9 ,5GL&3 DATA F A NA;NAL SURVEY4 ,,BMJ ,OP5 #BJAG"<#G">4 ,M]C]AT ;,C1 ,SA^3IAS ;,T4 #BJBA4 ,P>5TS ) PHYSICAL 4ABILITIES & P]9ATAL S]VICES3 DEF9+ P>5TS' NE$S & _! A3ESS TO S]VICES4 ,4ABIL;Y @& ,SOCIETY #CF"<#H">3 #ABFA-#HD4 ,MITRA ;,M1 ,L;G-,BELLIL ;,L1 LOZZONI ;,L1 ET ;AL4 #BJAF4 ,PREGNANCY AM;G WOM5 ) PHYSICAL 4ABILITIES3 UNMET NE$S & #BED RECOMM5DA;NS ON NAVIGAT+ B#ABC PREGNANCY4 ,4ABIL;Y & ,H1L? ,J\RNAL #I"<#C">3 #DEG-#FC4 ,NI%AT ;,F1 ,LUNSKY ;,Y1 ,T>AS(F ;,L1 ET ;AL4 #BJBB4 ,PR5ATAL C>E ADEQUACY AM;G WOM5 ) 4ABILITIES3 A POPULA;N- BAS$ /UDY4 ,AM]ICAN ,J\RNAL ( ,PREV5TIVE ,M$IC9E #FB"<#A">3 #CI-#DI4 ,O',CONNOR-,T]RY ;,C1 ,H>RIS ;,J4 #BJBB4 ,PREGNANCY DECI.N-MAK+ 9 WOM5 ) PHYSICAL 4ABILITIES4 ,4ABIL;Y & ,H1L? ,J\RNAL #AE"<#A">3 >TICLE #AJAAGF4 ,SAE$ ;,G1 ,BR[N ;,H1 ,LUNSKY ;,Y1 ET ;AL4 #BJBB4 ,B>RI]S TO & FACILITATORS ( E6ECTIVE COMMUNICA;N 9 P]9ATAL C>E3 A QUALITATIVE /UDY ( ! EXP]I;ES ( BIR?+ P ) S5SORY1 9TELLECTUAL1 &_/OR DEVELOP;TAL 4ABILITIES4 ,,BMC ,PREGNANCY & ,*ILDBIR? #BB"<#A">3 #CFD4 ,%9 ,,JE1 ,*O ,,GJ1 ,BAK ;,S1 ET ;AL4 #BJBJ4 ,PREGNANCY & NEONATAL \TCOMES ( WOM5 ) 4ABILITIES3 A NA;NWIDE POPULA;N-BAS$ /UDY 9 ,S\? ,KOREA4 ,SCI5TIFIC ,REPORTS #AJ"<#A">3 #IBJJ4 #BEE #AG ,R$%AW ;,M1 ,MAL\F ;,R1 ,GAO C#ABC ;,H1 ET ;AL4 #BJAC4 ,WOM5 ) 4ABIL;Y3 ! EXP]I;E ( MAT]N;Y C>E DUR+ PREGNANCY1 LAB\R & BIR? & ! PO/NATAL P]IOD4 ,,BMC ,PREGNANCY & ,*ILDBIR? #AC"<#A">3 #AGD4 ,%9 ET ;AL #BJBJ1 OP4 CIT4 #AH ,H1L? ,NEW ,Z1L& ,TE ,:ATU ,ORA4 ,KAHU ,TAURIMA ,MAT]N;Y & E>LY YE>S PROGRAMME4 ,%ORT L9K AICOMMS4NZ_/#CAJE "* #BJBF">4 #AI ,NA;NAL ,9/ITUTES ( ,H1L?4 #BJBA4 ,,NIH /UDY SU7E/S WOM5 ) 4ABILITIES H HI<] RISK ( BIR? 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TO A *4 D#ABC #BC ,S&ALL ;,J1 ,F]N&EZ ,TURI5ZO ;,C1 ,DEVANE ;,D1 ET ;AL4 #BJBD4 ,MIDWIFE 3T9U;Y ( C>E MODELS V]SUS O!R MODELS ( C>E = *ILDBE>+ WOM54 ,CO*RANE ,DATABASE ( ,SY/EMATIC ,REVIEWS4 #D"<#D">3 ,,CD#JJDFFG4 ,,DOI3 #AJ4AJJB_/#ADFEAHEH4 ,,CD#JJDFFG4PUB#F4 "<,A3ESS$ #AH ,M>* #BJBF4"> ------------------------------------#ABD #BD ,TUDOR ,H>T ;,J4 #AIGA4 ,! 9V]SE C>E LAW4 ,! ,L.ET #BIG"<#GFIF">3 #DJE-#AB4 ,%ORT L9K AICOMMS4NZ_/#AHFD "* #BJBF">4 #BE ,MILN] ;,P1 ,MIRF9-,VEIT* ;,B1 ,TIKAO ;,K1 ET ;AL4 #BJAI4 8,M1N ,Z603 ,! /ORY ( CR1T+ AN ONL9E LIBR>Y AB RELA;N%IPS & SEXUAL;Y TOLD & R1D BY :AIKAHA ,M_AORI & M5 & WOM5 ) A LE>N+ 4ABIL;Y4 ,DUN$94 ,DONALD ,B1SLEY ,9/ITUTE4 #BF ,WISEMAN ;,P1 ,F]RIE ;,J4 #BJBJ4 ,REPRODUCTIVE "<9">JU/ICE & 9EQUAL;Y 9 ! LIVES ( WOM5 ) 9TELLECTUAL #BEG 4ABILITIES 9 ,SCOTL&4 A#ABD ,SC&9AVIAN ,J\RNAL ( ,4ABIL;Y ,RESE>* #BB"<#A">3 #CAH-#BI4 ,,DOI3 #AJ4AFIIC_/SJDR4#FGG4 #BG ,3D] ;,J1 ,MIRF9-,VEIT* ;,B1 ,S&]S ;,J1 ET ;AL4 #BJAJ4 ,PLANN$ PREGNANCY1 PLANN$ P>5T+3 5ABL+ *OICE = ADULTS ) A LE>N+ 4ABIL;Y4 ,BRITI% ,J\RNAL ( ,LE>N+ ,4ABILITIES #CI3 #AJE-#AB #BH ,RANSOH(F ,,JI1 ,KUM> ,,PS1 ,FLYNN ;,D1 ET ;AL4 #BJBB4 ,REPRODUCTIVE & PREGNANCY H1L? C>E = WOM5 ) 9TELLECTUAL & DEVELOP;TAL 4ABILITIES3 A SCOP+ REVIEW4 ,J\RNAL ( ,APPLI$ ,RESE>* 9 ,9TELLECTUAL ,4ABILITIES #CE"<#C">3 #FEE4 ,,DOI3 #AJ4AAAA_/JAR4#ABIGG4 #BI ,MORRISON ;,C-,A4 #BJBA4 ,CR1T+ ,5ABL+ ,MAT]N;Y ,C>E3 ,4MANTL+ 4ABIL;Y B>RI]S ,MUMS & BABIES' EXP]I;ES AT ! #C,,DHB4 ,IMAG9E ,BETT] ,LTD4 #CJ ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N ,TE ,T_AH_U ,HAUORA4 #BJBE4 ,ADULT HOSPITAL PATI5T EXP]I;E SURVEYS "<9PATI5T & \TPATI5T">4 ,%ORT #BEH L9K AICOMMS4NZ_/#AFIE "* #BJBF">4 #CA ,! SURVEYS 9CORPORATE L>GE POOLS ( DATA F _M ?\S&S ( RESPOND5TS OV] "T4 ,!Y >E RUN E ?REE MON?S & COV] DI6]5T ASPECTS ( HOSPITAL 9PATI5T & \TPATI5T EXP]I;E1 9CLUD+ COMMUNICA;N1 "PN]%IP1 PHYSICAL & EMO;NAL NE$S1 CULTURAL SAFETY & A3ESS TO C>E4 ,4ABIL;Y /ATUS IS COLLECT$ 9 TWO WAYS,-F/ IS SELF- ID5TIFICA;N "? ! "Q3 8,D Y ?9K ( YRF Z 4ABL$ "80 "<,ANSW]S3 ,YES2 ,NO2 ,UNSURE">4 ,4ABIL;Y /ATUS IS AL COLLECT$ "? ! ,WA%+TON ,GR\P ,%ORT ,SET1 ": RESPOND5TS REPLY TO "QS AB ACTIVITIES T !Y _H NO DI6ICULTY DO+ ! ACTIV;Y1 "S DI6ICULTY1 A LOT ( DI6ICULTY OR !Y CD N D X AT ALL4 ,": RESPOND5TS 9DICAT$ !Y WD H A LOT ( DI6ICULTY OR !Y CD N D X AT ALL1 !Y 7 RECORD$ Z 4ABL$4 ,COMP>ISON 2T 4ABL$ & NON-4ABL$ POPULA;NS IS 5ABL$ BY CR1T+ A 8D]IV$ V>IABLE01 COMB9+ ^? ID5TIFI$ Z 2+ 4ABL$ "? EI "Q4 ,TO 3FIRM ! #BEI SUITABIL;Y ( ? APPROA*1 WE C#ABD 3SULT$ ) SUBJECT-MATT] EXP]TS1 9CLUD+ ,/ATS ,,NZ1 ! ,HUMAN ,"RS ,COMMIS.N] & ,:AIKAHA ,M9I/RY ( ,4ABL$ ,P4 #CB ,H1L? ,NEW ,Z1L& ,TE ,:ATU ,ORA4 #BJBC4 ,! ,TRI5NIAL ,MAT]N;Y ,3SUM] ,SURVEY REPORTS4 ,%ORT L9K AICOMMS4NZ_/#EHGB "* #BJBF">4 #CC ,DEF9I;N F ,:AIKAHA ,M9I/RY ( ,4ABL$ ,P #BJBE1 OP4 CIT4 #CD ,NI*OLAS ;,D1 ,OSK\I ;,M1 ,RASMUSS5 ;,C1 ET ;AL4 #BJAD4 ,E?ICS *ALL5GES ( TRANSI;N F PA$IATRIC TO ADULT H1L? C>E S]VICES = "Y ADULTS ) NEURODEVELOP;TAL 4ABILITIES4 ,PA$IATRICS @& ,* ,H1L? #AI"<#B">3 #FE-#H4 ,,DOI3 #AJ4AJIC_/PCH_/#AI4B4FE4 #CE ,TO EXPLA9 ? M3 WE "K ! 4ABIL;Y /ATUS ( *N :O RCV ,4ABIL;Y ,SUPPORT ,S]VICE "<,,DSS"> PAY;TS 2F !Y R1* ! AGE ( #E4 ,= ALL O!R *N WE NE$ TO WAIT UNTIL !Y H ANSW]$ ! ,,WG-,,SS "Q 9 ! ,C5SUS =M AG$ #E & OV]4 ,TO DET]M9E ! IMMUNISA;N /ATUS ( ^! 4ABL$ *N #BFJ WE H TO DET]M9E _! 4ABIL;Y D#ABD /ATUS 9 ,C5SUS #BJBC :5 !Y >E AT L1/ #E YE>S OLD & !N LOOK BACKW>DS TO _! IMMUNISA;N RECORDS TO :5 !Y 7 #F MON?S1 #BD MON?S & #FJ MON?S4 #CF ,*>ANIA ,,NA1 ,TONUMAIPE'A ;,D1 ,B>B>I*-,UNASA ,,TW1 ET ;AL4 #BJBD4 ,EXPLOR+ ! IMPACT ( ! ,,COVID-#AI P&EMIC ON P]CEP;NS ( NA;NAL S*$UL$ *ILDHOOD VA39ES AM;G ,M_AORI & ,PACIFIC C>EGIV]S1 :_ANAU1 & H1L?C>E PR(ES.NALS 9 ,AOTEAROA ,NEW ,Z1L&4 ,HUMAN ,VA39ES @& ,IMMUNO!RAPEUTICS #BJ"<#A">3 >TICLE #BCJAFBF4 ,,DOI3 #AJ4AJHJ_/#BAFDEEAE4BJBC4BCJAFBF4 #CG LUSIT9I ;,L1 ,PA*ECO ;,G1 ,S*OB] ;,T4 #BJBC4 ,ASSESS+ ! ,IMPACT ( ! ,,COVID-#AI ,P&EMIC ON ,*ILDHOOD ,VA39E ,UPTAKE ) ,9TEGRAT$ ,ADM9I/RATIVE ,DATA4 ,%ORT L9K AICOMMS4NZ_/#DEAG "* #BJBF">4 ------------------------------------#ABE #CH ,P5NISI ;,F1 ,SIL5ZI ,A1 ,MAMM"O ,A1 ET ;AL4 #BJBE4 ,*ILDHOOD #BFA IMMUNIZA;N COV]AGE 2F1 DUR+ & A#ABE AF ! ,,COVID-#AI P&EMIC 9 ,ITALY4 ,VA39ES #AC"<#G">3 #FHC4 ,,DOI3 #AJ4CCIJ_/VACCINES#ACJGJFHC4 #CI ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N ,TE ,T_AH_U ,HAUORA4 #BJBB4 ,A W9D[ ON QUAL;Y #BJBB "<,"P #B"> _/ ,:AKARAPOPOTOTANGA MATUA3 ,HE TIROHANGA KOUNGA #BJBB "<,W_AHANGA #B">4 ,%ORT L9K AICOMMS4NZ_/#AJCE "* #BJBF">4 #DJ ,9T]SEC;NAL;Y IS ! AC"KL$GE;T T DI6]5T SOCIAL1 POLITICAL & PHYSICAL ID5TITIES1 S* Z AGE1 4ABIL;Y1 RELIGION1 SOCIOECONOMIC /ATUS1 G5D]1 E?NIC;Y & GEOGRAPHIC LOCA;N1 C 9T]ACT & 9T]SECT "<& COMP.D"> TO G5]ATE UNIQUE & 4T9CT EXP]I;ES1 ESPECIALLY ( 9EQU;Y & M>G9ALIZA;N4 #DA ,H1L? ,NEW ,Z1L& ,TE ,:ATU ,ORA4 #BJBE4 ,B#D ,S*OOL ,*ECK4 ,%ORT L9K AICOMMS4NZ_/#GIJB "* #BJBF">4 #DB ,S*LUT] ,,PJ1 ,B[D5 ;,N1 ,DACOMBE ;,J1 ET ;AL4 #BJBE4 ,HOSPITAL #BFB D5TAL ADMIS.NS & C>IES EXP]I;E B#ABE AM;G *N ) NEURODEVELOP;TAL 4ABILITIES3 A POPULA;N-BAS$ RECORD L9KAGE COHORT /UDY4 ,COMMUN;Y ,D5TI/RY & ,ORAL ,EPIDEMIOLOGY #EC"<#B">3 #AFJ-#I4 #DC ,B1SLEY ;,R1 ,BECK]T ;,L1 ,F+LETON ;,J1 ET ;AL4 #BJBJ4 ,AS?MA & ,RESPIRATORY ,F.DA;N ,,NZ ,ADOLESC5T & ,ADULT ,AS?MA ,GUIDEL9ES #BJBJ3 A QK REF];E GUIDE4 ,NEW ,Z1L& ,M$ICAL ,J\RNAL #ACC"<#AEAG">4 ,%ORT L9K AICOMMS4NZ_/#IHHJ "* #BJBF">4 #DD ,B1SLEY ;,R1 ,H>RISON ;,T1 ,PET]SON ;,S1 ET ;AL4 #BJBB4 ,EVALUA;N ( BUDESONIDE-=MOT]OL = MA9T5.E & RELIEV] !RAPY AM;G PATI5TS ) POORLY 3TROLL$ AS?MA3 A SY/EMATIC REVIEW & META- ANALYSIS4 ,,JAMA ,NET"W ,OP5 #E"<#C">3 E#BBJFAE4 #DE ,J"OS ;,B1 ,9* #BJAE4 ,HE ,M_ARAMATANGA ,HUANG_O3 ,AS?MA ,H1L? ,LIT]ACY = ,M_AORI ,*N 9 ,NEW ,Z1L&4 ,UNIV]S;Y ( ,OTAGO4 #BFC #DF ,"S DATA SUPPRESS$ DUE TO C#ABE SMALL NUMB]S = ^? #E TO #AH YE> OLDS ) "O 4ABIL;Y = #BJBJ & #BJBA4 ,! TRUE HOSPITALISA;N RATE = ? GR\P W 2 HI<] ?AN %[N "H4 #DG ,EA?ORNE ,A1 ,NOBLE ;,J1 ,HATT] ;,L1 ET ;AL4 #BJBE4 ,R$UC+ E?NIC 9EQUITIES3 ,PATT]NS ( AS?MA M$ICA;N USE & HOSPITAL 4*>GES 9 ,M_AORI 9 ,AOTEAROA ,NEW ,Z1L&4 ,RESPIROLOGY4 #CJ"<#C">3 #BJF-#AF4 ,,DOI3 #AJ4AAAA_/RESP4#ADHFE4 #DH ,M$ICAL ,RESE>* ,9/ITUTE ( ,NEW ,Z1L& "<,,MR9Z">4 #BJBD4 ,SIGNIFICANT R$UC;N 9 AS?MA HOSPITALISA;NS = ,M_AORI1 A /EP T[>D EQU;Y 9 RESPIRATORY H1L?4 ,%ORT L9K AICOMMS4NZ_/#HEIE "* #BJBF">4 #DI ,RESULTS F ! ,H\SEHOLD ,4ABIL;Y ,SURVEY4 ,/ATS ,,NZ4 #BJBE4 ,4ABIL;Y /ATI/ICS3 #BJBC4 ,%ORT L9K AICOMMS4NZ_/#AEIC "* #BJBF">4 #EJ ,IBID4 #BFD #EA ,IMMUNISA;N ,ADVISORY D#ABE ,C5TRE4 #BJBJ4 ,HUMAN PAPILLOMAVIRUS "<,,HPV">4 ,%ORT L9K AICOMMS4NZ_/#HGHC "Y #BJBF">4 #EB ,*5 ,,MM1 ,MOTT ;,N1 ,CL>K ,,SJ1 ET ;AL4 ,,HPV ,VA39A;N ,AM;G ,"Y ,ADULTS 9 ! ,,U4 ,,JAMA4 #BJBA2#CBE"<#AF">3#AFGC-#AFGD4 DOI3#AJ4AJJA_/JAMA4#BJBA4JGBE #EC ,WALL] ;,J1 ,=/] ,A1 ,RYAN ;,M1 ,RI*>DS1 ;,R1 ,B$=D1 ;,H1 ,M>L[1 ;,L4 ,DECI.N MAK+ AB ,,HPV VA39A;N 9 P>5TS ( BOYS & GIRLS3 ,A POPULA;N-BAS$ SURVEY 9 ,5GL& & ,WALES4 ,VA39E1 #BJBJ2 #CH"<#E">3#AJDJ-#AJDG4 #ED ,H]B]T1 ;,C41 ,CURT91 ;,C41 ,EP/E91 ;,M41 ,WANG1 ;,B41 @& ,LAPANE1 ;,K4 "<#BJBB">4 ,UPTAKE ( ,,HPV VA39E AM;G "Y ADULTS ) 4ABILITIES1 #BJAA TO #BJAH4 ,4ABIL;Y & H1L? J\RNAL1 #AE"<#D">1 #AJACDA4 ,%ORT L9K AICOMMS4NZ_/#JAID #EE ,KRNJACKI ;,L1 ,EM]SON ;,E1 ,LLEWELLYN ;,G1 ,KAVANA< ,,AM4 ,PREVAL;E & RISK ( VIOL;E AG/ P #BFE ) & )\T 4ABILITIES3 F9D+S F AN E#ABE ,AU/RALIAN POPULA;N-BAS$ /UDY4 ,AU/ ;,,,N ;Z ;J,' ,PUBLIC ,H1L?4 #BJAF ,FEB2#DJ"<#A">3#AF-#BA4 DOI3 #AJ4AAAA_/#AGEC-#FDJE4ABDIH4 #EF ,MI*IELS51 ;,K41 @& ,BROCKS*MIDT1 ;,L4 "<#BJBA">4 ,B>RI]S TO SEXUAL;Y $UCA;N = *N & "Y P ) 4ABILITIES 9 ! ,,WHO ,EUROP1N REGION3 A SCOP+ REVIEW4 ,SEX ,$UCA;N1 #BA"<#F">1 #FGD-#FIB4 ,%ORT L9K AICOMMS4NZ_/#JFID ------------------------------------#ABF #EG ,_W ,H1L? ,ORGANIZA;N "<,,WHO">4 ,ADOLESC5T H1L?4 ,%ORT L9K AICOMMS4NZ_/#AEGF "* #BJBF">4 #EH ,DONALD ,B1SLEY ,9/ITUTE #BJBE- #BJBF1 OP4 CIT4 #EI ,? ANALYSIS REPORTS A7REGAT$ RESPONSES F ! ,MAY #BJBE & ,AUGU/ #BJBE QU>T]S ( ! PATI5T EXP]I;E SURVEY = 4ABL$ P ( "W+ AGE "<#AI,-#FD YE>S">1 & ! "W+-AGE NON-4ABL$ COHORT = COMP>ISON4 ,^? ) UN"KN 4ABIL;Y /ATUS >E EXCLUD$4 ,RESULTS >E WEIE USE A#ABF DATA F ! ,FEBRU>Y #BJBE QU>T] Z !Y >E 9CLUD$ 9 ! SURVEY ON AN ANNUAL BASIS ONLY4 ,:5 9T]PRET+ ^! RESULTS1 X IS IMPORTANT TO REMEMB] T ! SAMPLE IS ^? :O A3ESS PRIM>Y C>E1 N A SAMPLE ( ! POPULA;N Z A :OLE4 ,? M1NS 4ABL$ P :O >E N 5ROLL$ ) OR :O D N A3ESS PRIM>Y C>E >E N 9CLUD$ 9 ^! RESULTS1 S X IS N A3URATE TO G5]ALISE ! RESULTS TO ! POPULA;N LEVEL4 ,A BETT] WAY TO USE ! RESULTS IS TO MAKE COMP>ISONS 2T GR\PS1 S* Z 4ABL$ V]SUS NON-4ABL$ RESPOND5TS1 & RESPOND5TS ( DI6]5T AGE GR\PS & E?NIC GR\PS4 ,2C ! SAMPLE SIZE IS L>GE1 ! RESULTS %[ ANY /ATI/ICALLY SIGNIFICANT DI6];ES 2T SUB-GR\PS4 #FJ ,5G/R^3OM ,,SG1 ,&R^/E ;,M1 ,>VIDSSON ;,E1 ET ;AL4 #BJBE4 ,P]SONAL ,,GP 3T9U;Y IMPROVES H1L?C>E \TCOMES 9 PRIM>Y C>E POPULA;NS3 A SY/EMATIC REVIEW4 ,! ,BRITI% J\RNAL ( G5]AL PRACTICE 3 ! J\RNAL ( ! ,ROYAL ,COLLEGE ( ,G5]AL ,PRACTI;N]S4 #GE"<#GEG">3 E#EAH,-E#EBE4 #BFG ,,DOI3 B#ABF #AJ4CCII_/,,BJGP#4BJBD4JEFH #FA ,? ANALYSIS REPORTS A7REGAT$ RESPONSES F ! ,MAY #BJBE & ,AUGU/ #BJBE QU>T]S ( ! PATI5T EXP]I;E SURVEY = 4ABL$ P ( "W+ AGE "<#AI-#FD YE>S">1 & ! "W+-AGE NON-4ABL$ COHORT = COMP>ISON4 ,^? ) UN"KN 4ABIL;Y /ATUS >E EXCLUD$4 ,RESULTS >E WEIE USE DATA F ! ,FEBRU>Y #BJBE QU>T] Z !Y >E 9CLUD$ 9 ! SURVEY ON AN ANNUAL BASIS ONLY4 ,:5 9T]PRET+ ^! RESULTS1 X IS IMPORTANT TO REMEMB] T ! SAMPLE IS ^? :O A3ESS PRIM>Y C>E1 N A SAMPLE ( ! POPULA;N Z A :OLE4 ,? M1NS 4ABL$ P :O >E N 5ROLL$ ) OR :O D N A3ESS PRIM>Y C>E >E N 9CLUD$ 9 ^! RESULTS1 S X IS N A3URATE TO G5]ALISE ! RESULTS TO ! POPULA;N LEVEL4 ,A BETT] WAY TO USE ! RESULTS IS TO MAKE COMP>ISONS 2T GR\PS1 S* Z 4ABL$ V]SUS NON-4ABL$ RESPOND5TS1 & RESPOND5TS ( DI6]5T AGE GR\PS & E?NIC GR\PS4 ,2C ! SAMPLE SIZE IS L>GE1 ! RESULTS %[ ANY /ATI/ICALLY SIGNIFICANT DI6];ES #BFH 2T SUB-GR\PS4 C#ABF #FB ,5G/R^3OM ,,SG1 ,&R^/E ;,M1 ,>VIDSSON ;,E1 ET ;AL4 #BJBE4 ,P]SONAL ,,GP 3T9U;Y IMPROVES H1L?C>E \TCOMES 9 PRIM>Y C>E POPULA;NS3 A SY/EMATIC REVIEW4 ,! ,BRITI% J\RNAL ( G5]AL PRACTICE3 ! J\RNAL ( ! ,ROYAL ,COLLEGE ( ,G5]AL ,PRACTI;N]S4 #GE"<#GEG">3 E#EAH-E#EBE4 ,,DOI3 #AJ4CCII_/,,BJGP#4BJBD4JEFH #FC #BJBD_/#BE ,NEW ,Z1L& ,H1L? ,SURVEY #FD ,ROGUSKI ;,M1 ,(FIC] ;,,TN1 ,GD ;,G4 ET ;AL4 #BJBE4 ,RECLAIM+ ,9DIG5\S SY/EMS ( H1L+3 EXP]I;ES ( 4ABL$ ,M_AORI ( ,M_AORI C5TRIC H1L? S]VICE RESPONSES 9 ,AOTEAROA ,NEW ,Z1L& DUR+ ! ,,COVID-#AI P&EMIC4 ,,BMC ,H1L? ,S]VICES ,RESE>* #BE"<#A">3 #BI4 ,,DOI3 #AJ4AAHF_/S#ABIAC-#JBD-#ABJAB- ;W4 #FE ,5ABL+ ,GD ,LIVES4 ,5ABL+ ,GD ,LIVES ,APPROA*3 ,PR9CIPLES4 ,%ORT L9K AICOMMS4NZ_/#FCBA "* #BJBF">4 #FF ,4ABIL;Y DIGITAL DIVIDE3 %ORT #BFI ,L9K AICOMMS4NZ_/#CBGE D#ABF #FG ,5ABL+ ,GD ,LIVES4 ,5ABL+ ,GD ,LIVES ,APPROA*3 ,PR9CIPLES4 ,%ORT L9K AICOMMS4NZ_/#FCBA "* #BJBF">4 #FH ,M9I/RY ( ,H1L?,- ,MANAT_U ,HAUORA4 ,TE ,TIRITI ,O ,WAITANGI FRAME"W4 ,%ORT L9K AICOMMS4NZ_/#JDBD "* #BJBF">4 #FI ,UNIT$ ,NA;NS4 #BJJF4 ,3V5;N ON ! ,"RS ( ,P]SONS ) ,4ABILITIES4 ,>TICLE #A,-,PURPOSE4 ,%ORT L9K AICOMMS4NZ_/#HHCC "* #BJBF">4 #GJ ,,NSW ,H1L?4 #BJBC4 ,:AT IS PSY*OSOCIAL 4ABIL;Y8 ,%ORT L9K AICOMMS4NZ_/#GICD "* #BJBF">4 #GA ,T IS1 _! RESPONSE PRODUC$ A ,,GAD- #G SCORE ( #AJ-#BA4 ,,GAD-#G IS A CL9ICAL SCRE5+ TOOL = G5]ALIS$ ANXIETY 4ORD]4 ,X IS A VALIDAT$1 RELIABLE SEV5-ITEM ANXIETY SCALE ": A SCORE 2T #AJ & #BA 9DICATES MOD]ATE TO SEV]E ANXIETY & IS 3SID]$ A ?RE%OLD = #BGJ POT5TIAL CL9ICAL 9T]V5;N4 E#ABF ,SPITZ] ;,R1 ,KRO5KE ;,K1 ,WILLIAMS ,,JBW1 ET ;AL4 #BJJF4 ,A BRIEF M1SURE = ASSESS+ G5]ALIZ$ ANXIETY 4ORD]3 ! ,,GAD-#G4 ,,JAMA ,9T]NAL ,M$IC9E #AFF"<#AJ">3 #AJIB-#G4 ,%ORT L9K AICOMMS4NZ_/#FHEE "* #BJBF">4 #GB A ,,GAD-#G SCORE ( #AE -#BA4 #GC ,SEV]E1 NON-SPECIFIC PSY*OLOGICAL 4TRESS IS M1SUR$ US+ ! ,KESSL] ,PSY*OLOGICAL ,4TRESS ,SCALE "<,K#AJ">4 ,ADULTS1 GRT] ?AN #AE YE>S OLD1 >E REG>D$ Z EXP]I5C+ HI< OR V HI< PSY*OLOGICAL 4TRESS IF !Y H A SCORE ( #AB OR M ON ! ,K#AJ SCALE4 #GD ,TE ,HIRINGA ,MAHARA ,M5TAL ,H1L? & ,WELLBE+ ,COMMIS.N4 ,AUGU/ #BJBE4 ,KEY M5TAL H1L? & ADDIC;N F9D+S3 ,,NZ ,H1L? ,SURVEY #BJBC_/#BD4 ,%ORT L9K AICOMMS4NZ_/#BCJF "* #BJBF">4 #GE ,DONALD ,B1SLEY ,9/ITUTE #BJBB1 OP4 CIT4 #GF ,JAVAID ,A1 ,NAKATA ;,V1 #BGA ,MI*AEL ;,D4 #BJAI4 ,DIAGNO/IC F#ABF OV]%AD[+ 9 LE>N+ 4ABIL;Y3 ?9K 2Y ! 4ABIL;Y4 ,PROGRESS 9 ,NEUROLOGY & ,PSY*IATRY #BC"<#B">3 #H-#AJ4 ,,DOI3 #AJ4AJJB_/PNP4#ECA4 ------------------------------------#ABG #GG ,DONALD ,B1SLEY ,9/ITUTE #BJBB1 OP4 CIT4 8,M5TAL A3ESS0 REF]S TO AN 9DIVIDUAL'S ABIL;Y TO A3ESS A H1L? SETT+ ) A S5SE ( M5TAL WELLBE+ & SAFETY DUE TO ANXIETY1 &_/OR PA/ TRAUMA RELAT+ TO ! H1L? SY/EM XF4 #GH ,DONALD ,B1SLEY ,9/ITUTE #BJBB1 OP4 CIT4 #GI ,YAN ;,Z1 ,CAI ;,M1 ,HAN ;,X1 ET ;AL4 #BJBC4 ,! 9T]AC;N 2T AGE & RISK FACTORS = DIABETES & PR$IABETES3 A COMMUN;Y-BAS$ CROSS-SEC;NAL /UDY4 ,DIABETES1 ,METABOLIC ,SYNDROME ,& ,OBES;Y3 ,T>GETS & ,!RAPY #AF3 #HE- #IC4 ,,DOI3 #AJ4BADG_/,,DMSO4,S#CIJHEG #HJ ,PILLA ,,SJ1 ,ROONEY ,,MR1 ,MC,COY ,,RG4 #BJBD4 ,4ABIL;Y & ,DIABETES 9 ADULTS4 ,9 ,,JM ,LAWR;E1 ,,SS ,CASAGR&E1 ,,WH ,H]MAN1 ET ;AL #BGB "<$S">4 ,DIABETES 9 ,AM]ICA4 A#ABG ,BE!SDA1 ,,MD3 ,NA;NAL ,9/ITUTE ( ,DIABETES & ,DIGE/IVE & ,KIDNEY ,41SES4 ,%ORT L9K AICOMMS4NZ_/#DBAF "* #BJBF">4 #HA ,OYETORO ;,R1 ,WIEM] ;,L1 ,B>DHI1 ,O1 ET ;AL4 #BJBC4 ,SPECIAL 3SID]A;NS = MANAGE;T ( DIABETES 9 ADULT PATI5TS ) 9TELLECTUAL & DEVELOP;TAL 4ABILITIES4 ,ADV.ES 9 ,M$IC9E #BIEEGGB4 ,,DOI3 #AJ4AAEE_/#BJBC_/#BIEEGGB4 #HB ,HOLD]-,PE>SON ;,L1 ,*ASE ,,JG4 #BJBB4 ,SOCIO-ECONOMIC 9EQU;Y3 DIABETES 9 ,NEW ,Z1L&4 ,FRONTI]S 9 ,M$IC9E4 #AJ"<#I">3 #GEFBBC4 ,,DOI3 #AJ4CCHI_/FMED4#BJBB4GEFBBC4 #HC ,TE ,AHO O TE ,KAHU ,C.ER ,3TROL ,AG5CY4 #BJBE4 ,! ,BURD5 ( ,C.ER AM;G ,4ABL$ ,P3 ,DIAGNOSIS 9SIE ^? ( ! AU?OR"1 N ,/ATS ,,NZ OR ANY O!R AG5CY ^: DATA HAS BE5 US$4 ,": ! ,,IDI HAS BE5 US$ Z ! DATA S\RCE1 ? IS NOT$ "U EA* TABLE & GRAPH4 ,A3ESS TO ! ANONYMIS$ DATA US$ 9 ? /UDY 0 PROVID$ BY ,/ATS ,,NZ "U ! SECUR;Y & 3FID5TIAL;Y PROVI.NS ( ! ,DATA & ,/ATI/ICS ,ACT #BJBB & ! ,PRIVACY ,ACT #BJBJ4 ,! ,DATA & ,/ATI/ICS ,ACT #BJBB ALL[S PUBLIC SECTOR AG5CIES TO REQUE/ DATA ON 2HALF ( ! ,GOV]N;T ,/ATI/ICIAN = 9CLU.N 9 ! ,,IDI & TO USE X = APPROV$ /ATI/ICAL & RESE>* PURPOSES4 ,ONLY 9DIVIDUALS AU?ORIS$ "U ! ,DATA & ,/ATI/ICS ,ACT #BJBB >E P]MITT$ TO A3ESS DATA AB A "PICUL> P]SON1 H\SEHOLD1 BUSI;S OR ORGANISA;N4 ,ALL RESULTS 9 ? REPORT H BE5 3FID5TIALIS$ TO PROTECT ^! GR\PS F ID5TIFICA;N & TO 5SURE _! 9=MA;N REMA9S SECURE4 ,C>E;L 3SID]A;N #BGD HAS BE5 GIV5 TO PRIVACY1 C#ABG SECUR;Y & 3FID5TIAL;Y ISSUES ASSOCIAT$ ) US+ ADM9I/RATIVE & SURVEY DATA 9 ! ,,IDI4 ,FUR!R DETAIL C 2 F.D 9 ! PRIVACY IMPACT ASSESS;T = ! ,,IDI4 #HE ,SU ,,TT1 ,MEJ^/IA ,,ST4 #BJBD4 ,! IMPACT ( 4ABIL;Y & ASSI/IVE TE*NOLOGY USE ON WELL-2+ 9 LAT] LIFE3 F9D+S F ! ,NA;NAL ,H1L? & ,AG+ ,TR5DS ,/UDY4 ,! ,G]ONTOLOGI/ #FD"<#F">3 GNAE#JAC4 ,,DOI3 #AJ4AJIC_/GERONT_/GNAE#JAC #HF ,NAZ> ,,MZ1 ,RANA ;,Z1 ,BABUR ;,N1 ET ;AL4 #BJBE4 ,! IMPACT ( ASSI/IVE TE*NOLOGY ON QUAL;Y ( LIFE 9 9DIVIDUALS ) L[ VI.N3 A SY/EMATIC REVIEW4 ,AM]ICAN ,J\RNAL ( ,BIOM$ICAL ,SCI;E & ,RESE>*4 #BG"<#F">3 #IJC- #IJE4 ,,DOI3 #AJ4CDBIG_/,,AJBSR#4BJBE4BG4JJCFAB4 #HG ,_W ,H1L? ,ORGANIZA;N "<,,WHO">4 #BJBD4 ,ASSI/IVE TE*NOLOGY4 ,%ORT L9K AICOMMS4NZ_/#GJJE "* #BJBF">4 #HH ,/ATS ,,NZ4 #BJBE4 ,4ABIL;Y /ATI/ICS3 #BJBC4 ,%ORT L9K #BGE AICOMMS4NZ_/#AEIC "* #BJBF">4 #HI ,E/IMATES = CO/ & 9=MA;N B>RI]S = 9TELLECTUALLY 4ABL$ P H A RELATIVE SAMPL+ ]ROR "<,,RSE"> ( #CJ TO #DI4I P]C5T4 ,^! E/IMATES %D 2 VIEW$ ) CAU;N4 #IJ ,DONALD ,B1SLEY ,9/ITUTE #BJBB1 OP4 CIT4 #IA ,M9I/] ( ,H1L? #BJBC1 OP4 CIT41 ;P #AH4 #IB ,IBID4 #IC ,IBID4 #ID ,M9I/] ( ,H1L? #BJBC1 OP4 CIT41 ;P #AH4 #IE ,IBID41 ;P #BE4 #IF ,IBID41 ;P #BH4 #IG ,HUNT ;,R4 #BJBC1 #BE ,AUGU/4 ,RID+ ! SILV] TSUNAMI Z A 4ABL$ ,NEW ,Z1L&]4 ,! ,SP9(F4 ,%ORT L9K AICOMMS4NZ_/#DJHJ "* #BJBF">4 ------------------------------------#ABH #IH ,NOT+ T ,FIGURE #GJ DOES N 4T+UI% 2T AGE-RELAT$ IMPAIR;TS & AGE+ 4ABL$ P4 #II ,YAN ;,Z1 ,CAI ;,M1 ,HAN ;,X1 #BGF ET ;AL4 #BJBC4 OP4 CIT4 A#ABH #AJJ ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N ,TE ,T_AH_U ,HAUORA4 ,HOME & COMMUN;Y SUPPORT S]VICES EXP]I;E SURVEY4 ,%ORT L9K AICOMMS4NZ_/#EGAI "* #BJBF">4 #AJA ,? ANALYSIS 9CLUDES RESPONSES F ! #BJBD ,,HCSS SURVEY4 ,SIXTE5 ,,HCSS PROVID]S *OSE TO "PICIPATE1 & #BE1JJJ 9VITA;NS 7 S5T TO _! CLI5TS4 ,RESPONSES 7 RCVD F #E1EFA CLI5TS1 ( :OM #C1BJA 7 AG$ #FE YE>S OR OV] & _H A 4ABIL;Y "<#EH.0 ( ALL RESPOND5TS">4 ,)9 ? GR\P3 #GE.0 _H A "KN 4ABIL;Y /ATUS #BI.0 _H TWO OR M FUNC;NAL 4ABILITIES ,PROVID] RESULTS >E REPORT$ ONLY = PROVID]S ) AT L1/ #CJ RESPOND5TS = EA* ( ! SEV5 "QS4 ,! NUMB] ( 4ABILITIES M1SURE IS DEF9$ US+ RESPONSES TO ! SURVEY "QS ON SELF- ID5TIFI$ 4ABIL;Y & ! SIX ,,WG-,,SS "QS4 ,NON-RESPOND5TS TO ^! "QS >E EXCLUD$ F ! ANALYSIS4 #AJB ,! ,(FICE = ,S5IORS4 #BJAI4 #BGG ,BETT] ,LAT] ,LIFE,- ,HE B#ABH ,ORANGA ,KAUM_ATUA #BJAI TO #BJCD4 ,%ORT L9K AICOMMS4NZ_/#GIJC "* #BJBF">4 #AJC ,H1L? ,QUAL;Y @& ,SAFETY ,COMMIS.N ,TE ,T_AH_U ,HAUORA4 #BJBE4 ,HOME & COMMUN;Y SUPPORT S]VICES EXP]I;E SURVEY3 ,NA;NAL RESULTS #BJBD4 ,%ORT L9K AICOMMS4NZ_/#IAEA "* #BJBF">4 #AJD ,UNIT$ ,NA;NS ,COMMITTEE ON ! ,"RS ( ,P]SONS ) ,4ABILITIES4 #BJBB4 ,3CLUD+ OBS]VA;NS ON ! COMB9$ SECOND & ?IRD P]IODIC REPORTS ( ,NEW ,Z1L&4 ,%ORT L9K AICOMMS4NZ_/#GDIH "* #BJBF">4 #AJE ,Z >TICULAT$ 9 ,>TICLE #BE ( ! ,,UNCRPD & ,:AIKAHA ,M9I/RY ( ,4ABL$ ,P #BJBE1 OP4 CIT4 #AJF ,WA%+TON ,GR\P4 "4 ,,WG ,%ORT ,SET ON ,FUNC;N+ ,- ,5H.ED "<,,WG-,,SS ,5H.ED">4 ,%ORT L9K AICOMMS4NZ_/#ICEF "* #BJBF">4 #AJG ,WA%+TON ,GR\P4 "4 ,,WG_/,,UNICEF ,* ,FUNC;N+ #BGH ,MODULE "<,,CFM">4 ,%ORT L9K C#ABH AICOMMS4NZ_/#DFJH "* #BJBF">4 #AJH ,WA%+TON ,GR\P4 "4 ,,WG ,%ORT ,SET ON ,FUNC;N+ "<,,WG-,,SS">4 ,%ORT L9K AICOMMS4NZ_/#FGAF "* #BJBF">4 #AJI ,WA%+TON ,GR\P4 "4 ,AB ! ,WA%+TON ,GR\P4 ,%ORT L9K AICOMMS4NZ_/#GFIE "* #BJBF">4 #AAJ ,WA%+TON ,GR\P4 "4 ,,WG ,%ORT ,SET ON ,FUNC;N+,-,5H.ED "<,,WG-,,SS ,5H.ED">4 ,%ORT L9K AICOMMS4NZ_/#JFDF "* #BJBF">4 #AAA ,WA%+TON ,GR\P4 "4 ,,WG_/,,UNICEF ,* ,FUNC;N+ ,MODULE "<,,CFM">4 ,%ORT L9K AICOMMS4NZ_/#DFJH"* #BJBF">4 #AAB ,RETIEF ;,M1 ,LET_*X#I,AOSA ;,R4 #BJAH4 ,MODELS ( 4ABIL;Y3 A BRIEF OV]VIEW4 ,,HTS ,TEOLOGIESE ,/UDIES_/,!OLOGICAL ,/UDIES #GD"<#A">3 >TICLE A#DGCH4 ,,DOI3 #BGI #AJ4DAJB_/HTS4V#GD;I#A4DGCH4 D#ABH #AAC ,IBID4 #AAD ,LAWSON ,A1 ,BECKETT ,,AE4 #BJBA4 ,! SOCIAL & HUMAN "RS MODELS ( 4ABIL;Y3 T[>DS A COMPLE;T>;Y !SIS4 ,! ,9T]NA;NAL ,J\RNAL ( ,HUMAN ,"RS #BE"<#B">3 #CDH-#GI4 ,,DOI3 #AJ4AJHJ_/#ACFDBIHG4BJBJ4AGHCECC4 #AAE ,IBID4 #AAF ,HICKEY ;,H1 ,WILSON ;,D4 #BJAG4 ,:_ANAU HAU_A3 REFRAM+ 4ABIL;Y F AN ,9DIG5\S P]SPECTIVE4 ,,MAI ,J\RNAL3 ,A ,NEW ,Z1L& ,J\RNAL ( ,9DIG5\S ,S*OL>%IP #F"<#A">4 ,,DOI3 #AJ4BJEJG_/MAIJOURNAL4#BJAG4F4A4G4 #AAG ,OPAI ;,K4 #BJBJ4 ,TE ,REO ,H_APAI3 ,! ,LANGUAGE ( ,5RI*;T4 ,%ORT L9K AICOMMS4NZ_/#FCBF "* #BJBF">4S #AAH ,(FICE = ,4ABIL;Y ,ISSUES4 #BJAF4 ,! ,NEW ,Z1L& ,4ABIL;Y ,/RATEGY #BJAF- #BJBF4 ,%ORT L9K AICOMMS4NZ_/#GDGA "* #BJBF">4 #BHJ #AAI ,H>RIS ;,R1 ,PA9E ,,SJ1 #ABI ,ATK9SON ;,J1 ET ;AL4 #BJBB4 ,WE / DON'T C.T3 ! "U-C.T+ & "U-REPRES5TA;N ( ,M_AORI 9 H1L? & 4ABIL;Y SECTOR DATA4 ,NEW ,Z1L& ,M$ICAL ,J\RNAL #ACE"<#AEFG">3 #ED-#GH4 #ABJ ,DURIE ;,M4 ,TE ,:ARE TAPA :_A MODEL ( H1L?4 #AIHD4 ,%ORT L9K AICOMMS4NZ_/#GFFD "* #BJBF">4 #ABA ,T_OF_A ,MAMAO ,COLLECTIVE4 #BJBB4 ,TAGATA ,SA'ILIMALO ,/RATEGIC ,FRAME"W4 AICOMMS4NZ_/#BBCI "* #BJBF">4 #ABB ,PULOTU-,5DEMANN ,,FK4 #BJJA4 ,FONOFALE MODEL ( H1L?4 ,%ORT L9K AICOMMS4NZ_/#HDIJ "* #BJBF">4 #ABC ,UNIT$ ,NA;NS4 #BJJF4 ,3V5;N ON ! ,"RS ( ,P]SONS ) ,4ABILITIES4 AICOMMS4NZ_/#DBBH "* #BJBF">4 #ABD ,FRANCIS ,WATENE ;,R1 ,MIRF9-,VEIT* ;,B1 ,ASAKA ;,U4 #BJBC4 ,4ABL$ P]SON- L$ MONITOR+3 BR++ LIFE TO #BHA ,>TICLE #CC4C ( ! ,,UNCRPD4 A#ABI ,4ABIL;Y @& ,SOCIETY #CH"<#E">3 #GCG- #FJ4 ,,DOI3 #AJ4AJHJ_/#JIFHGEII4BJBA4AIBAGJA4 #ABE ,IBID4 #ABF ,UNIT$ ,NA;NS #BJJF1 OP4 CIT41 ;P #AH4 #ABG ,IBID41 ;P #BC4 #ABH ,M9I/] ( ,H1L? #BJBC1 OP4 CIT41 ;P #D4 #ABI ,IBID41 PP #A-#B4 #ACJ ,:AIKAHA ,M9I/RY ( ,4ABL$ ,P #BJBE1 OP4 CIT41 ;P #AH4 #ACA ,IBID4 #ACB ,IBID41 ;P #CD4 #ACC ,IBID41 ;P #CF4 #ACD ,IBID41 ;P #FA4 #ACE ,H1L? ,NEW ,Z1L& ,TE ,:ATU ,ORA4 #BJBE4 ,NEW ,Z1L& ,H1L? ,PLAN _/ ,TE ,PAE ,WAENGA4 ,"TLY A3ESS TO QUAL;Y H1L?C>E4 #A ,JULY #BJBD,-#CJ ,JUNE #BJBG4 ,%ORT L9K AICOMMS4NZ_/#JCHJ "* #BJBF">4 #ACF ,A ,NEWTON1 ,H1L? ,"W=CE ,9=MA;N ,PROGRAMME1 ,H1L? ,NEW ,Z1L& #BHB ,TE ,:ATU ,ORA1 P]SONAL B#ABI COMMUNICA;N1 #I ,SEPTEMB] #BJBE4 ,^! EMPLOYEES 9CLUDE P]MAN5T "W]S1 FIX$- T]M "W]S1 P ON L;G-T]M L1VE OR P>5TAL L1VE1 & CASUAL "W]S4 ,!Y D N 9CLUDE 3TRACTORS1 :O MAY 9CLUDE "S CASUAL "W]S1 Z !Y W 2 CAPTUR$ 9 ! F9.E SY/EMS1 N ! PAYROLL4 #ACG ,UNIT$ ,NA;NS "4 ,A3ESSIBIL;Y & DEVELOP;T4 ,%ORT L9K AICOMMS4NZ_/#FDDF #ACH ,UNIT$ ,NA;NS "<#BJJF">4 ,UNIT$ ,NA;NS ,3V5;N ON ! ,"RS ( ,P]SONS ) ,4ABILITIES4 ,%ORT L9K AICOMMS4NZ_/#BIEF #ACI ,UNIT$ ,NA;NS ,NET"W ON ,RACIAL ,4CRIM9A;N & ,PROTEC;N ( ,M9ORITIES4 "<#BJBB">4 ,GUID.E NOTE ON 9T]SEC;NAL;Y1 RACIAL 4CRIM9A;N @& PROTEC;N ( M9ORITIES4 ,%ORT L9K AICOMMS4NZ_/#AEJI4 #ADJ ,TUDOR ,H>T #AIGA OP4 CIT4 #ADA ,>/E9-,K]SLAKE1 ,A41 @& ,FLYNN1 ;,E4 "<#BJAF">4 ,! G5]AL COM;T ON ,>TICLE #AB ( ! ,3V5;N ON ! #BHC ,"RS ( ,P]SONS ) ,4ABILITIES3 C#ABI ,ROADMAP = EQUAL;Y 2F ! LAW4 ,9T]NA;NAL ,J\RNAL ( ,HUMAN ,"RS1 #BJ"<#D">1 #DGA #DIJ4 HTTPS3_/_/DOI4ORG_/#AJ4AJHJ_/#ACFDBIHG4B JAE4AAJGJEB #ADB ,DONALD ,B1SLEY ,9/ITUTE1 #BJBB OP4 CIT4 #ADC ,NEFF1 ;,M4 "4 ,! NEURODIV]S;Y P>ADIGM3 ,AN 9TRODUC;N & BASIC T]MS & LANGUAGE4 ,NEURODIV]G5T ,9SI4 ,NG_A PAEREWA H1L? & 4ABIL;Y S]VICES /&>D4 ,%ORT L9K AICOMMS4NZ_/#AAJJ ------------------------------------#ACJ #ADE ,>/E9-,K]SLAKE1 ,A41 @& ,FLYNN1 ;,E4 "<#BJAF">4 ,! G5]AL COM;T ON ,>TICLE #AB ( ! ,3V5;N ON ! ,"RS ( ,P]SONS ) ,4ABILITIES3 ,ROADMAP = EQUAL;Y 2F ! LAW4 ,9T]NA;NAL ,J\RNAL ( ,HUMAN ,"RS1 #BJ"<#D">1 #DGA-#DIJ4 ,%ORT L9K AICOMMS4NZ_/#EAFE #ADF ,BLANCK1 ;,P4 "<#BJBA">4 ,SUPPORT$ DECI.N-MAK+3 ,EM]G+ P>ADIGM 9 #BHD RESE>*1 LAW1 & POLICY4 ,J\RNAL A#ACJ ( ,4ABIL;Y ,POLICY ,/UDIES1 #CD"<#A">1 #C-#G4 ,%ORT L9K AICOMMS4NZ_/#HCAJ #ADG ,DEF9I;N F ,:AIKAHA ,M9I/RY ( ,4ABL$ ,P #BJBE1 OP4 CIT4 #ADH ,HICKEY1 ;,H41 @& ,WILSON1 ,D4,L4 "<#BJAG">4 ,:_ANAU HAU_A3 ,REFRAM+ 4ABIL;Y F AN ,9DIG5\S P]SPECTIVE4 ,MAI J\RNAL1 #F"<#A">1 #HB-#ID4 ,5D ( ,DOCU;T #BHE