'I think we just do it once and leave it …' The collection and utility of family health history in general practice in Aotearoa New Zealand: a qualitative study
This study aimed to explore current practices in relation to the ascertainment of family health history, with a view towards precision medicine. Methods Semi-structured interviews were conducted with 10 GPs recruited from one urban area of NZ. The interviews were subjected to a thematic analysis. Results Family health history information was used to varying degrees in four areas - risk ascertainment, patient engagement with a diagnosis, social context and building relationships. Patient cultural considerations were rarely mentioned. Reliability of information provided by patients, resource constraints, context driven consu...
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: R Jefferies P Wilcox K Paringatai M Stubbe R Grainger A Dowell S K Filoche Source Type: research
Perceptions of the effectiveness of using patient encounter data as an education and reflection tool in general practice training
Discussion ReCEnT can prompt self-reflection among registrars, leading to changes in clinical practice, learning approaches and training plans. Reaching its potential as an assessment for learning (as opposed to an assessment of learning) requires effective engagement between registrars, their supervisors and MEs.PMID:38546767 | DOI:10.1071/HC22158 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Linda Klein Michael Bentley Dominica Moad Alison Fielding Amanda Tapley Mieke van Driel Andrew Davey Ben Mundy Kristen FitzGerald Jennifer Taylor Racheal Norris Elizabeth Holliday Parker Magin Source Type: research
Determinants of cancer screenings participation in Queensland: a scoping review
Discussion The I-Change model is a valuable tool in mapping the current determinants of cancer screening participation programs. Further research may be needed to fully understand the barriers and facilitators of cancer screening programs.PMID:38546768 | DOI:10.1071/HC23012 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Paraniala Silas C Lui Kamal Singh Tam Nguyen Brian Kurth Thuc Phan Ashleigh Nelson Renata Danisevska Tony De Ambrosis Source Type: research
Improving access to dermatology specialist care: review of a dermatologist- and general practitioner-integrated clinic model
This study presents an innovative model of integrated dermatology service delivery. Kauri HealthCare (KHC) is a general practice serving around 19 000 patients in Palmerston North, New Zealand. A 'mini clinic' is provided by an on-site dermatologist that is available for patients of KHC. Referring practitioners are required to attend with the patient to present their case and seek dermatologist input. This allows for patients to receive a specialist opinion, as well as for the referrer to receive practical and academic teaching, record findings, and arrange any further investigations, follow-up, or management. Aim To descr...
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Neakiry Kivi Louise Reiche Tanira Kingi Christina Elder Alex Semprini Source Type: research
Utilisation of in-consultation supervisor assistance in general practice training and personal cost to trainees: a cross-sectional study
Discussion Contrary to expected utility models of help-seeking, trainees may not consider personal discomfort or impression management to be important enough, compared to patient safety and other considerations, to influence decisions regarding in-consultation help-seeking. Clinical supervisors should, nevertheless, consider the potential personal costs to trainees and maintain trainee self-esteem and confidence by providing in-consultation assistance in front of patients as comfortably and effectively as possible.PMID:38546770 | DOI:10.1071/HC23044 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Nancy Sturman Amanda Tapley Elizabeth Holliday Alison Fielding Andrew Davey Mieke van Driel Jean Ball Kristen FitzGerald Neil Spike Parker Magin Source Type: research
The impact of nurse prescribing on health care delivery for patients with diabetes: a rapid review
This report identifies outcomes of nurse prescribing, concluding it provides a potential avenue for enhancing access to and alleviating the burden on health care systems.PMID:38546771 | DOI:10.1071/HC23121 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Kylie Short Cathy Andrew Wenting Yang Isabel Jamieson Source Type: research
New Zealand's slow uptake of carbohydrate-reduction in type 2 diabetes management
J Prim Health Care. 2024 Mar;16(1):101-102. doi: 10.1071/HC24011.NO ABSTRACTPMID:38546772 | DOI:10.1071/HC24011 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Marcus Hawkins Caryn Zinn Source Type: research
Exploring how a patient encounter tracking and learning tool is used within general practice training: a qualitative study
Discussion The findings were used to develop a Structure-Process-Outcomes model to demonstrate how ReCEnT is currently used and explores how it can be used for learning, rather than of learning, in a programmatic assessment framework for GP training. ReCEnT's longitudinal format has potential for enhancing learning throughout training.PMID:38546773 | DOI:10.1071/HC23082 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Michael Bentley Jennifer Taylor Alison Fielding Andrew Davey Dominica Moad Mieke van Driel Parker Magin Linda Klein Source Type: research
Inequities in medicines use are probably much worse than we thought
J Prim Health Care. 2024 Mar;16(1):99-100. doi: 10.1071/HC23114.NO ABSTRACTPMID:38546774 | DOI:10.1071/HC23114 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Pauline Norris Simon Horsburgh Gemma Waterhouse-Perry Patti Napier Source Type: research
Attention deficit and hyperactivity disorder and use of psychostimulants in Aotearoa, New Zealand: exploring the treatment gap
Discussion The data suggest failure of our health system to provide reasonable health care for a significant number of people with ADHD, and results in inequity in outcomes. New approaches are needed that will increase access to first-line medication, yet maintain appropriateness of diagnosis and limit risk of medication diversion.PMID:38546775 | DOI:10.1071/HC23126 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Steven Lillis Source Type: research
Excision pathways for keratinocyte cancers diagnosed by teledermatology: a retrospective review
Conclusion This study reports prompt excision of KCs by general practitioners after an e-referral and a teledermatology response.PMID:38546776 | DOI:10.1071/HC23098 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: J P Tirado-Perez A Oakley R Gansel Source Type: research
Are patients with type 2 diabetes in the Waikato District provided with adequate education and support in primary care to self-manage their condition? A qualitative study
This study aims to explore patients' the provision of education and delivery of care to patients at the time of diagnosis, which is a crucial time in the disease trajectory. Methods Participants were recruited from a Māori health provider in the Waikato District, and diagnosed with T2D after January 2020. Patients were texted a link to opt into a survey (larger study) and then registered interest by providing contact details for an interview (current study). Semi-structured interviews were conducted and were audio recorded, transcribed, and thematically analysed. Results In total, 11 participants aged 19-65 years complete...
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Rebekah Crosswell Kimberley Norman Shemana Cassim Valentina Papa Rawiri Keenan Ryan Paul Lynne Chepulis Source Type: research
Primary care clinicians should proactively take up latest AI-based technology: Yes
J Prim Health Care. 2024 Mar;16(1):105-107. doi: 10.1071/HC24035.NO ABSTRACTPMID:38546778 | DOI:10.1071/HC24035 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Chester Holt-Quick Source Type: research
Primary care clinicians should proactively take up latest AI-based technology: No
J Prim Health Care. 2024 Mar;16(1):108-109. doi: 10.1071/HC24033.NO ABSTRACTPMID:38546779 | DOI:10.1071/HC24033 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Luke Bradford Source Type: research
Carbohydrate intake in T2DM
J Prim Health Care. 2024 Mar;16(1):103-104. doi: 10.1071/HC24042.NO ABSTRACTPMID:38546780 | DOI:10.1071/HC24042 (Source: Journal of Primary Health Care)
Source: Journal of Primary Health Care - March 28, 2024 Category: Primary Care Authors: Rosemary M Hall Source Type: research
