Journal of primary health care最新文献

A mixed-methods evaluation of an intervention for enhancing alcohol screening in adults aged 50+ attending primary health care. 对参加初级卫生保健的50岁以上成年人加强酒精筛查的干预措施的混合方法评价

IF 1.1

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC24061

Andy Towers, David Newcombe, Gillian White, John McMenamin, Janie Sheridan, Juma Rahman, Alison Moore

{"title":"A mixed-methods evaluation of an intervention for enhancing alcohol screening in adults aged 50+ attending primary health care.","authors":"Andy Towers, David Newcombe, Gillian White, John McMenamin, Janie Sheridan, Juma Rahman, Alison Moore","doi":"10.1071/HC24061","DOIUrl":"https://doi.org/10.1071/HC24061","url":null,"abstract":"Introduction Adults aged 50 years and over are drinking more than ever but primary health care (PHC) professionals find it challenging to screen them for alcohol-related harm, despite being at greater risk for harm than younger drinkers. Aim This intervention aimed to enhance alcohol screening for this cohort by (a) introducing an algorithm in the patient management system to automate detection of alcohol risk in patients and (b) providing training to support health professionals' practice of, knowledge about, and comfort with alcohol screening in this cohort. Methods Eleven PHC practices in Aotearoa New Zealand took part in this intervention, including 41 PHC health professionals. Development and integration of the automated alcohol screening process within PHC patient management systems was undertaken in parallel with health professional training approaches. Results Screening rates increased substantially at intervention initiation but fell immediately with the onset of the New Zealand COVID-19 national lockdown. Two-thirds of health professionals identified the system screening prompts, over 40% felt this changed their screening practice, and 33% increased their awareness of - and felt more comfortable screening for - alcohol-related risk in those aged 50+. Discussion We illustrated an initial increase in alcohol screening rates in those aged 50+ as a result of this intervention, but this increase could not be sustained in part due to COVID-19 disruption. However, health professionals indicated that this intervention helped many change their practice and enhanced their awareness of such risk and comfort in screening for alcohol-related risk in those aged 50+.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 2","pages":"167-175"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experience of HPV primary screening: a cross-sectional survey of 'Let's test for HPV' study participants in Aotearoa New Zealand. HPV初级筛查的经验：新西兰奥特罗阿“让我们检测HPV”研究参与者的横断面调查。

IF 1.1

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC24110

Sally B Rose, Lynn McBain, Rebecca Bell, Carrie Innes, Sarah Te Whaiti, Alexandria Tino, Peter Sykes

{"title":"Experience of HPV primary screening: a cross-sectional survey of 'Let's test for HPV' study participants in Aotearoa New Zealand.","authors":"Sally B Rose, Lynn McBain, Rebecca Bell, Carrie Innes, Sarah Te Whaiti, Alexandria Tino, Peter Sykes","doi":"10.1071/HC24110","DOIUrl":"https://doi.org/10.1071/HC24110","url":null,"abstract":"Introduction In 2022-2023, a multi-region implementation study ('Let's test for HPV') was undertaken in New Zealand primary care to inform the National Cervical Screening Programme shift to human papillomavirus (HPV) primary screening in September 2023. Aim This study aimed to describe 'Let's test for HPV study participants' experiences with HPV primary screening. Method Implementation study participants were invited to complete an anonymous online survey in September 2023. Survey data were summarised using descriptive statistics. Free text comments were analysed using inductive thematic analysis. Results Forty-two percent of those invited began a survey (969/2302) and 921 were included in analyses. Respondents were aged 24-71, represented each of the three regions of New Zealand and different ethnic groups and included never and under-screened participants. Most people chose to self-test for comfort, convenience and privacy. Gaps were identified in participant understanding about HPV, how HPV testing differs from cervical cytology and the implications of HPV test results. Key topics requiring further explanation were identified by participants. Around 8% did not find self-testing easy or comfortable. Intent to screen again was high (92.4%), with greater preference for self-testing at home (48.2%) over the GP practice (33.5%). Discussion HPV primary screening incorporating the option to self-test was highly acceptable to primary care-based study participants. Despite having participated in the new pathway, knowledge gaps were evident. Clear communication from screen-takers will be key to support participant knowledge, understanding and confidence in the efficacy of HPV primary screening. Ongoing programme evaluation, including patients' perspectives, will be essential in the pursuit of equity and progress towards cervical cancer elimination.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 2","pages":"123-133"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What interventions support people in quitting smokeless tobacco use? 哪些干预措施支持人们戒烟使用无烟烟草？

IF 1.1

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC25097

Vanessa Jordan

引用次数: 0

Vaping and smoking in adolescents 14 and under in Aotearoa New Zealand: cross-sectional study of e-screening data. 新西兰奥特罗阿14岁及以下青少年的电子烟和吸烟：电子筛查数据的横断面研究。

IF 1.1

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC24128

FanZhen Zhou, James Warren, Felicity Goodyear-Smith

{"title":"Vaping and smoking in adolescents 14 and under in Aotearoa New Zealand: cross-sectional study of e-screening data.","authors":"FanZhen Zhou, James Warren, Felicity Goodyear-Smith","doi":"10.1071/HC24128","DOIUrl":"https://doi.org/10.1071/HC24128","url":null,"abstract":"Introduction YouthCHAT (Youth electronic Case-Finding and Help Assessment Tool) assesses lifestyle issues in young people in New Zealand (NZ) primary care settings, including questions on smoking and vaping. Aim This study aimed to assess adolescent vaping/smoking rates, reasons, and interest in help. Methods An analysis of a de-identified extract of adolescent smoking and vaping YouthCHAT responses with chi-squared testing of independence of reporting ever-smoking and ever-vaping was performed. Gender and gender-by-ethnicity differences were tested by chi-squared test for females versus males and Māori and Pacific versus NZ European. Bonferroni correction for multiple comparisons was applied by multiplying P -values by 10. Follow-up responses, including help questions, were tallied. Results Of 3462 completed YouthCHAT screens of adolescents aged ≤14 years, 753 (22%) reported ever-vaping and 427 (12%) ever-smoking (P P =0.001; 0.003, respectively). The rate of having ever-vaped and of vaping-never-smoked was higher in Māori (adjusted P P =0.005 for vaping; 0.001 for vaping-never-smoked) girls compared to NZ Europeans. For ever-vaped, 511 (68%) had felt the need to cut down. Of those who vaped in the past 3months, 120/558 (22%) wanted help. Discussion Vaping is more frequent than smoking among young NZ adolescents under 15years of age but many are open to receiving help. Relatively few adolescents are vaping to stop smoking. Tight controls of vaping products are needed to prevent e-cigarette marketing from attracting non-smoking adolescents, while ensuring access for those who wish to quit smoking.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 2","pages":"101-107"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Globe artichoke. 朝鲜蓟。

IF 1.1

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC25100

E Lyn Lee, Jo Barnes

引用次数: 0

'I felt so empowered, respected and shame free.' Let's test for HPV participants' experience of HPV primary screening. “我觉得自己被赋予了权力，受到了尊重，没有了羞耻感。”让我们测试HPV参与者的HPV初级筛查经历。

IF 1.1

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC24118

Sally B Rose, Lynn McBain, Susan M Garrett, Rebecca Bell, Carrie Innes, Sarah Te Whaiti, Alexandria Tino, Peter Sykes

{"title":"'I felt so empowered, respected and shame free.' Let's test for HPV participants' experience of HPV primary screening.","authors":"Sally B Rose, Lynn McBain, Susan M Garrett, Rebecca Bell, Carrie Innes, Sarah Te Whaiti, Alexandria Tino, Peter Sykes","doi":"10.1071/HC24118","DOIUrl":"https://doi.org/10.1071/HC24118","url":null,"abstract":"Introduction Aotearoa New Zealand's National Screening Unit (NSU) moved to use of human papillomavirus (HPV) primary screening in November 2023. Aims This study aimed to evaluate participants' views on favourable and unfavourable elements of HPV primary screening and to seek suggestions for potential improvements. Method Primary care participants in a multi-region HPV primary screening implementation study were invited to complete an online follow-up survey in September 2023. This paper reports on qualitatively analysed responses to open-ended questions asking participants what they liked, disliked or thought could be improved for future screening participants. Results Of 2361 invitations sent, 2302 were delivered, 969 people consented to participate and 921 were included in analyses (40%, 921/2302). Respondents were 24-71 years of age, from three regions, different ethnic groups and included under-screened participants. Most had chosen to self-test (92%) and 28.9% self-tested at home. Three quarters shared comments about what they liked, with themes related to ability to self-test, avoiding cervical tests, choice, communication and support. Twenty percent described unfavourable aspects, with themes related to inadequate information, self-testing issues, inappropriate physical space and process and programme-related factors. Seven key recommendations were identified from suggestions about potential improvements for future screening participants. Conclusion Survey participants' experience of HPV primary screening was overwhelmingly positive, with choice of a self-test a clear benefit for most. Inadequate information or communication contributed to suboptimal experiences for some. Participant recommendations highlight practical steps screen-takers (and the NSU) could take to ensure screening participants receive a well-informed, affirming experience that supports ongoing participation in cervical screening.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 2","pages":"134-145"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Protecting primary healthcare funding in Aotearoa New Zealand: a cross-sectional analysis of funding data 2009-2023. 保护新西兰奥特罗阿的初级保健资金：2009-2023年供资数据的横断面分析。

IF 1.1

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC24155

Maite Irurzun-Lopez, Mona Jeffreys, Jacqueline Cumming

{"title":"Protecting primary healthcare funding in Aotearoa New Zealand: a cross-sectional analysis of funding data 2009-2023.","authors":"Maite Irurzun-Lopez, Mona Jeffreys, Jacqueline Cumming","doi":"10.1071/HC24155","DOIUrl":"https://doi.org/10.1071/HC24155","url":null,"abstract":"Introduction In 2001, Aotearoa New Zealand (NZ) launched a Primary Health Care (PHC) Strategy to improve access, reduce inequities, and shift care toward the community level. Those goals have remained in place since. Despite initial successes, multiple challenges indicate PHC remains underfunded. Aim This study aims to assess the extent to which PHC has been financially prioritised within public spending between 2009 and 2023. Methods We use Ministry of Health transfers to Primary Health Organisations (PHOs) as a proxy for PHC funding, including general practice capitation and PHC capacity investments. We analyse PHC funding trends relative to total government health funding, adjusted for inflation, in total and per capita terms, and examine changes in key funding streams. Results On average, NZ spent NZ$238 per person per year on PHC in 2023 prices, reflecting a slight 7% increase since 2009. Although PHO funding has diversified over time, it remains dominated by First Contact Funding, which accounted for 70% of total PHC funding. On average, NZ allocated 5.4% of its national health budget to PHC, a share that did not change throughout the study period. Discussion The findings highlight the need for greater financial prioritisation of PHC in NZ to fulfil the PHC Strategy. Despite nominal increases, the static share of PHC funding suggests that successive governments have not sufficiently prioritised PHC funding to align with their strategic PHC goals. We recommend routine monitoring of PHC funding relative to the total government health budget and setting a minimum allocation to help protect spending on PHC.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 2","pages":"108-114"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

He mana tō te mātauranga - knowledge is power: a qualitative study of sexual and reproductive healthcare experiences of wāhine Māori. 他提出了mātauranga -知识就是力量：性与生殖保健经验的定性研究wāhine Māori。

IF 1.1

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC24103

Chelsea Harris, Susan Bidwell, Ben Hudson, Maira Patu, Christina McKerchar, Ibrahim S Al-Busaidi

{"title":"He mana tō te mātauranga - knowledge is power: a qualitative study of sexual and reproductive healthcare experiences of wāhine Māori.","authors":"Chelsea Harris, Susan Bidwell, Ben Hudson, Maira Patu, Christina McKerchar, Ibrahim S Al-Busaidi","doi":"10.1071/HC24103","DOIUrl":"10.1071/HC24103","url":null,"abstract":"Introduction Sexual and reproductive health (SRH) is important for well-being, yet Indigenous peoples, including Māori, have poorer SRH outcomes than non-Indigenous peoples. Healthcare providers (HCPs) play a critical role in enhancing patients' health literacy, directly impacting health outcomes by providing clear, accessible information and guidance. Therefore, it is important to explore the experiences that wāhine Māori (Māori women) have when interacting with HCPs and how they learn about SRH. Such research could guide interventions to improve dissemination of SRH knowledge to Māori. Aim This study aimed to explore the experiences wāhine Māori have of sexual health care and accessing SRH knowledge. Methods Wāhine were interviewed in this Kaupapa Māori study. Interviews were transcribed and coded, and thematic analysis was performed. Results Twelve wāhine were interviewed. An overarching theme, He mana tō te mātauranga (knowledge is power), was identified. There were four subthemes: being informed about contraceptive options is empowering, informed consent is important, high-stress situations call for better communication and improved dissemination of SRH knowledge is needed. The wāhine valued being well-informed about their health and options, however, their experiences of receiving information varied. Discussion Wāhine Māori want to be told more about their health and options when encountering HCPs regarding SRH. Being informed is empowering, while feeling uninformed results in a breakdown in trust in the healthcare system and inability to exercise mana motuhake (autonomy). Facilitating improved dissemination of knowledge about SRH may help improve SRH outcomes for Māori by supporting health literacy, so that Māori can make informed decisions about their health.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 2","pages":"146-153"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An update on Closed Books in general practice in Aotearoa New Zealand. 关于新西兰奥特罗阿全科实践中的闭卷书的最新情况。

IF 1.1

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

Megan Pledger, Maite Irurzun-Lopez, Jacqueline Cumming

{"title":"An update on Closed Books in general practice in Aotearoa New Zealand.","authors":"Megan Pledger, Maite Irurzun-Lopez, Jacqueline Cumming","doi":"10.1071/HC24164","DOIUrl":"https://doi.org/10.1071/HC24164","url":null,"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.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 2","pages":"194-199"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'We're not taking on any new patients': the reality of the funding and workforce crisis in primary care. “我们不接受任何新病人”：初级保健的资金和劳动力危机的现实。

IF 1.1

Journal of primary health care Pub Date : 2025-06-01 DOI: 10.1071/HC25095

Felicity Goodyear-Smith, Tim Stokes

引用次数: 0