Primary Health Care and General Practice
Recent Deposits
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Histories of Chest Pain: history of the presenting complaint as recorded by different health care providers of patients presenting to a rural hospital with suspected acute myocardial infarction
This thesis investigates how different health professionals record the history of the presenting complaint of patients with suspected acute myocardial infarction admitted to a rural hospital. Different health professionals, ... -
“It depends on the consultation”: Revisiting use of family members as interpreters for general practice consultations – when and why?
Family members continue to be used as interpreters in medical consultations despite the well-known risks. This paper examines participant perceptions of this practice in three New Zealand clinics chosen for their frequent ... -
Hearing the patient voice: The importance of caring in care
Background: Much has been written about the need to change the design of health services to meet current and future challenges. Challenges include increased health care service costs; difficulty meeting rising demand; ... -
Working towards primary care and aged residential care integration
Background Overuse of secondary care services and insufficient access to primary care in aged residential care (ARC) are topical issues. There is limited policy guidance or research evidence promoting effective, efficient ... -
The advantages and disadvantages of introducing a funded HPV vaccine for boys aged between 9 - 20 years
Human Papillomavirus(HPV) vaccine has been internationally recognised to decrease the prevalence of HPV related diseases. Introduced to New Zealand with a female focus in 2008, the researcher of this study wanted to explore ... -
Integrating Health Navigation and Interpreting Services for Patients with Limited English Proficiency
EXECUTIVE SUMMARY New Zealand’s increasingly diverse population means that many patients come from linguistic and cultural backgrounds that make it more difficult for them to effectively access the New Zealand health ... -
The Cross-Cultural Adaptation of International Medical Graduates to General Practice in New Zealand
This study demonstrates that occupational success is an important factor in the adaptation of highly skilled migrants to host societies, as seen through the experiences of the international medical graduates (IMGs) who ... -
Large men and New Zealand primary care: the views of practitioners and patients regarding obesity and its management
Background New Zealand is ranked third in terms of obesity prevalence globally, with male obesity rates equalling those of females. There have been calls for primary care to take a more proactive approach to the diagnosis ... -
Stakeholders' views of the Use of Standing Orders in General Practice
BACKGROUND : Standing orders are an integral part of general practice in New Zealand. They allow a practice nurse (PN) to assess a patient, diagnose an illness and administer a medication without needing intervention from ... -
The experiences and perceptions of registered dietitians delivering dietetic services in New Zealand primary health care
Background: Supporting the increasing number of patients with chronic disease, particularly Māori, Pacific peoples and those from deprived neighbourhoods, is a growing burden for New Zealand primary health care. Food and ... -
The development of a new approach to acute low back pain management in general practice
Background Attitudes and beliefs about back pain have considerable influence on pain and recovery. Poor clinical outcomes are more likely when activities are avoided due to fear of pain or injury, when people are anxious, ... -
Evaluation of clinical ethics support needs and service provision at a tertiary hospital in New Zealand
Doctors often face ethical challenges in the course of clinical practice. Clinical ethics advisory services (CESS) provide a mechanism for supporting doctors facing these ethical dilemmas. In New Zealand, CESSs are ... -
The Assessment of Men’s Risk of STI and HIV in the General Practice Setting
Background: General practitioners (GPs) conduct the majority of STI/HIV (sexually transmitted infections/human immunodeficiency virus) testing in men. Given the overall low prevalence of STI in general practice, GPs undertake ... -
Within the current Primary Health System how easy is it for Registered Nurses employed by Māori Health Care Providers to work in a holistic way with people who have type II diabetes?
Background: Over the last 20 years Government policy has re-orientated health service delivery toward Primary Health Care (PHC) through a political agenda designed to address health inequities, increase access and improve ... -
A Structural Analysis of Surgeon-Patient Consultations in Clinic Settings in New Zealand
Communication in medical care is a popular topic for research and social commentary as doctors, patients, and researchers alike work to find answers as to why patients are dissatisfied and why communication and understanding ... -
What are patients’ perceptions of the nursing contribution within a Ministry of Health funded semi-structured programme currently known as CarePlus?
Patients with chronic conditions have complex needs and receive care in both primary and secondary health care settings. As the largest primary health care workforce, nurses have the potential to fully support patients ... -
An exploratory study of facilitators and barriers to the primary care management of those with high cardiovascular risk
Background In 2003 the New Zealand Guidelines on the screening and management of patients for cardiovascular risk were published, with a revised handbook for primary healthcare staff updated in 2009. Several studies however ...