General Practice and Rural Health
Recent Deposits
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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. ... -
Listening through deaf ears : parental experiences of the wired world
Sensorineural hearing loss affects 1 to 3 of every 1000 children born. In most cases the child is non-syndromic (meaning that it is not associated with any congenital features) and the child is well. Sensorineural loss in ... -
What are “functional social supports” and how do they impact the desire to self harm in individuals who have a history of intentional self harm?
Background: Intentional self-harm is a phenomenon which has become an international public health issue around the world, and one which has a extensive financial and social impact within communities. Poor relationship ... -
Geographic Description and Analysis of Factors Affecting the Demand for, and Supply of General Practice Services in New Zealand
General Practitioner (GP) shortages are an international problem. NZ is simultaneously experiencing an increase in GP demand due to a rising chronic health burden and a decrease in GP supply due to problems with recruitment, ... -
The Use of the Ankle Brachial Pressure Index (ABPI) in General Practice: A Mixed Methods Study
Background Peripheral Arterial Disease (PAD) is an increasingly prevalent long-term illness globally. The Ankle Brachial Pressure Index (ABPI) is a well-established, simple, relatively quick, inexpensive and non-invasive ... -
The effect on New Zealand general practitioners of receiving a complaint from the (former) Medical Practitioners Disciplinary Committee
There is evidence from the literature that in both litigious and non-litigious cultures, there is an effect on the person of the doctor that is associated with either the threat of litigation, or a perceived threat to the ... -
Supervision and the culture of general practice
Supervision is a well-known and well-theorised activity in some professions where experienced practitioners contract to facilitate, guide or educate the novice. Supervision is uncommon in medicine, which has traditionally ... -
The Experience of Depression in the Tokelauan Culture in Two North Island Communities
Background and Aims: The Tokelauan language lacks a word that corresponds to the western term ‘depression’. Furthermore, there is no research on the experience of depression in Tokelauans, and yet doctors continue to apply ... -
Transient Ischaemic Attack and Stroke Electronic Decision Support to Improve Stroke Care in New Zealand
Background Transient Ischaemic Attacks (TIA) and minor strokes indicate a high risk of early recurrent stroke and other vascular events. Early implementation of secondary preventive measures provided through rapid access ... -
'Just a GP': an exploration of undergraduate medical students' discourses of General Practice
General practitioners are at the forefront of the primary health care system. A national healthcare system with primary health care at its core leads to more positive health outcomes and is less expensive than a health ...