General Practice and Rural Health

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Recent Deposits

Maternity Outcomes and Access following Regulatory Changes for Isotretinoin Prescribing in New Zealand

McElroy, Jennifer (Thesis, Master of Health Sciences, 2017)

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.

Young, Jessica; Williamson, Martyn; Daniel, Ben; Ross, Jim; Egan, Tony (Conference or Workshop Item (Poster), Dunedin School of Medicine Postgraduate Poster Exhibition, 2017)

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

Reyneke, Anel (Thesis, Master of General Practice, 2017)

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

Patel, Vimal (Thesis, Bachelor of Biomedical Sciences with Honours, 2016)

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.

Loh, Lik Wei (Thesis, Doctor of Philosophy, 2016)

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

Sawicki, Nina (Thesis, Master of General Practice, 2008)

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?

Rowe, Joanne (Thesis, Master of Health Sciences, 2016)

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

Poole, Ursula Bridget (Thesis, Bachelor of Medical Science with Honours, 2016)

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

Ding, Thomas Gregory (Thesis, Bachelor of Medical Science with Honours, 2016)

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

Cunningham, Wayne K. (Thesis, Master of General Practice, 1999)

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

Wilson, Hamish John (Thesis, Master of General Practice, 1999)

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

Loan, Iain Stuart (Thesis, Master of General Practice, 2015)

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

Ranta, Annemarei (Thesis, Doctor of Philosophy, 2014)

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

Smith-Han, Kelby Robert (Thesis, Doctor of Philosophy, 2014)

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 ...
Investigating and enhancing rural communities’ existing mental health service networks.

Erskine, Nicholas Robert (Thesis, Bachelor of Medical Science with Honours, 2014)

Mental illness is a growing concern throughout the world. The burden of mental illness is increasing globally, currently representing 7.4% of the total years of life either lost due to premature mortality or lived with ...
How Is Decision Making By Whānau Altered When The Birth Plan Is Repeat Caesarean Section?

Boyd, Patricia Ann (Thesis, Master of Medical Science, 2013)

This research sought to explore whether delivery by repeat caesarean section altered decision making by whānau. Qualitative research in a Kaupapa Māori framework (Māori based framework) was used to explore whānau ...
Developing a culture of safety: regulation or education? To help, or at least to do no harm

Wallis, Katharine Ann (Thesis, Doctor of Philosophy, 2013)

A culture of safety is important for protecting patients from harm. Developing a culture of safety entails changing health professionals’ attitudes and behaviour from reticence and defensiveness about medical error and ...
International Medical Students: factors that enhance and inhibit learning

Storr, Emma Faithfull (Thesis, Master of Health Sciences, 2013)

Aim: The aim of the research was to identify modifiable factors which affect learning experiences and outcomes for international medical students. Based on the results of the study, recommendations for improving the learning ...
Spirituality in New Zealand hospice care

Egan, Richard Michael Martin (Thesis, Doctor of Philosophy, 2009)

Contemporary spirituality, characterized by ontic fragility like no other time in history, impacts on the death zeitgeist. Contemporary dying is often marked by pain, shame, anxiety, uncertainty and technological complexity, ...
The free child health care scheme : implications for New Zealand general practice

Dovey, Susan May (Thesis, Doctor of Philosophy, 2002)

Background: The Free Child Health Care Scheme was introduced on July 1, 1997. It provided increased government subsidies for general practice consultations and fully subsidised doctor-prescribed medicines for children aged ...