General Practice and Rural Health
Recent Deposits
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New Zealand’s vocational Rural Hospital Medicine training program: the first ten years
Aims: The Rural Hospital Medicine Training Programme (RHMTP) was established in 2008 to develop NZ’s rural hospital medical workforce. This study evaluates the RHMTP’s first ten- year outcomes. Methods: A mixed-methods ... -
Agency, uncertainty and power: Why people consider assisted dying at the end of life
Assisted dying is a significant issue in Aotearoa New Zealand given the continued controversy over the End of Life Choice Bill (2017), Act (2019) and forthcoming referendum. However, the views of people approaching the end ... -
Impacts of Research
High quality research that changes the world is what we strive for at the University of Otago Division of Health Sciences. It’s also what governments around the world are asking for. They want greater accountability from ... -
Everything changes : the liminalities of community based palliative care
Introduction: The inspiration for this PhD research developed out of previous research about women with cancer enrolled in the hospice programme. However, not all patients diagnosed with a life threatening illness enrol ... -
Exploring and improving hospital care quality for New Zealand rural communities
Providing sustainable high quality hospital care to people in small towns and rural areas in New Zealand (NZ) is challenging. Little NZ research has explored hospital health care quality in rural communities. Little hospital ... -
‘Knowing Me, Knowing You’: Patients’ Perspectives on Doctors Disclosing Personal Illness
There are currently no formal clinical guidelines informing doctors as to whether it is appropriate to disclose their own illness information to patients. The topic of doctor self-illness disclosure (DSID) remains ... -
The Recognition, Diagnosis, and Management of Coeliac Disease in New Zealand.
Background Coeliac disease, an autoimmune-mediated sensitivity to gluten, is known to affect at least 1% of the population. It is widely acknowledged that it is underdiagnosed, and that management beyond the implementation ... -
The impact of the rural hospital medicine vocational scope on the Hokianga Health service
Introduction and Aim Rural Hospital Medicine was recognised in New Zealand as a vocational scope of medical practice in 2008. The intention was to provide recognised standards of training and professional development for ... -
"That's what I've got on the counterfeit" : a study of the factors influencing the completion of death certificates by general practitioners
Death certificates are used for various purposes, including research, public health planning and settlement of estates. The evidence of inaccuracies in death certification is well documented in the medical literature. The ... -
Students' reflections on the relationships between safe learning environments, learning challenge and positive experiences of learning in a simulated GP clinic.
Learning environments are a significant determinant of student behaviour, achievement and satisfaction. In this article we use students’ reflective essays to identify key features of the learning environment that contributed ... -
Cracking open death: death conversations in primary care
INTRODUCTION: Research supports talking about death outside the end-of-life context. Benefits include allaying death anxiety to increased engagement in health promotion interventions. Nonetheless, the focus on death ... -
Maternity Outcomes and Access following Regulatory Changes for Isotretinoin Prescribing in New Zealand
Aims: Oral isotretinoin is an effective treatment for severe acne that is teratogenic. On 1 March 2009 funded access to oral isotretinoin in New Zealand was extended from dermatologist-only to also include prescriptions ... -
Identifying the fundamental elements of learning in a simulated clinical setting using a Delphi technique.
Identifying fundamental elements of learning in a simulated clinical setting using a Delphi technique. Name: Jessica Young1, Martyn Williamson1, Ben Daniel Motidyang2, Jim Ross1, Tony Egan1 Origin: 1University of ... -
An investigation into the barriers and facilitators to acceptance, and use of Bay Navigator Pathways by general practitioners in the Western Bay of Plenty
Objectives This project aims to explore reasons for variable uptake of the Bay Navigator Pathways among General Practitioners in the Western Bay of Plenty Primary Healthcare Organisation (PHO). The project aims were to ... -
What’s the harm in waiting? Patient harms in the referral waiting gap
Background Patient safety research seeks to improve the delivery of care, and ensure that patients’ risk of injury from healthcare itself is minimised. Referral between primary healthcare, specialist diagnostic agencies ... -
The role of free clinics in primary health care for vulnerable people: Policy and theory development based on empirical analyses of the free clinic in Dunedin, New Zealand.
A clinic providing primary health care services free-of-charge to all its enrolled patients opened in January 2010 in Dunedin. It was staffed by volunteer clinicians, many of whom were motivated by their Christian faith. ...