An update on Closed Books in general practice in Aotearoa New Zealand.

IF 0.9 Q4 PRIMARY HEALTH CARE

Journal of primary health care Pub Date : 2025-06-01 DOI:10.1071/HC24164

Megan Pledger, Maite Irurzun-Lopez, Jacqueline Cumming

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Abstract

Introduction People are precluded from enrolling in primary health care at a general practice if it has 'Closed Books'. This creates barriers to accessing health care. Aim To examine which Health Districts had the greatest number and proportion of general practices with Closed Books and how this has changed since 2022. Methods Maps were used to display the distribution of Closed Books general practices and tables were used to compare changes in Health Districts over time. Results There were 373 (36%) general practices that had Closed Books in September 2024. Canterbury (n = 56), Southern (37) and Northland (32) Health Districts had the greatest number of Closed Books general practices, while Hutt Valley (73%), Lakes (70%) and Wairarapa (67%) Health Districts had the greatest percentage of general practices with Closed Books. Discussion The problem of Closed Books was felt across the country but has a larger impact in the middle-lower North Island and an increase in impact in Northland and the lower South Island. Improvements have been seen in the worst hit areas since 2022 but, overall, the percentage of general practices with Closed Books has not improved.

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关于新西兰奥特罗阿全科实践中的闭卷书的最新情况。

如果一家全科诊所有“闭门记录”，人们将被排除在初级卫生保健登记之外。这对获得卫生保健造成了障碍。目的调查哪些卫生区全科医生闭卷就诊的人数和比例最高，以及自2022年以来这种情况的变化情况。方法采用地图显示闭卷全科惯例的分布情况，采用表格比较各卫生区随时间的变化情况。结果2024年9月全科医师闭卷就诊373例（36%）。坎特伯雷（56例）、南部（37例）和北部（32例）卫生区有最多的闭卷全科诊所，而赫特谷（73%）、湖区（70%）和怀拉拉帕（67%）卫生区有最多的闭卷全科诊所。全国各地都感受到了闭卷的问题，但在北岛中下游的影响更大，在北岛和南岛下游的影响更大。自2022年以来，受灾最严重地区的情况有所改善，但总体而言，封闭账簿的全科诊所比例并未改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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