Journal of primary health care最新文献_第2页

Evaluating the impact of the Piki te Ora extended primary care team on clinical outcomes in type 2 diabetes patients: a retrospective study. 评估 Piki te Ora 基层医疗扩展团队对 2 型糖尿病患者临床疗效的影响：一项回顾性研究。

IF 1.1

Journal of primary health care Pub Date : 2025-03-01 DOI: 10.1071/HC24108

Sara Mustafa, Claire Cannon, Rawiri Keenan, Martin Mikaere, Tammy Dehar, Suzanne Moorhouse, Janine Thompson, Lynne Chepulis

{"title":"Evaluating the impact of the Piki te Ora extended primary care team on clinical outcomes in type 2 diabetes patients: a retrospective study.","authors":"Sara Mustafa, Claire Cannon, Rawiri Keenan, Martin Mikaere, Tammy Dehar, Suzanne Moorhouse, Janine Thompson, Lynne Chepulis","doi":"10.1071/HC24108","DOIUrl":"https://doi.org/10.1071/HC24108","url":null,"abstract":"Introduction Type 2 diabetes (T2D) is a significant health issue in New Zealand with a disproportionate effect for Māori. To address inequities and optimise care, Te Korowai Hauora o Hauraki, an Iwi Māori health provider, established the 'Piki te Ora service' to support its five rural clinics by providing culturally safe, multidisciplinary support for patients with T2D. Aim This study aimed to undertake a service review, describing and evaluating the available clinical data, of the Piki te Ora service. Methods Patients enrolled in the Piki te Ora service between January 2021 and March 2024 were invited to have their data (sociodemographic, HbA1c, cholesterol and blood pressure) included in the review. Frequency and mode of health care/patient contact were also explored. Results A total of 112 patients were contacted and 64 (mean age 58years, 62.5% Māori) consented to data review. Over 6months, patients in the Piki te Ora service were contacted an average of 9.5 times, with phone calls being the predominant mode of contact. Median HbA1c levels significantly decreased by 16.0mmol/mol at 6months post enrolment in the Piki te Ora service (P =0.011) but no significant changes were observed in cholesterol or blood pressure. Discussion The Piki te Ora service appears to provide effective support for T2D management, particularly glycaemic control, however more clinical data is needed to evaluate its effectiveness. Its flexible and accessible approach, including free consultations, may enhance care accessibility, especially for economically deprived patients.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 1","pages":"88-92"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735919","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

Tertiary institution's duty of care for the health and well-being of Pacific students during COVID-19 pandemic: a cross sectional survey.

IF 1.1

Journal of primary health care Pub Date : 2025-03-01 DOI: 10.1071/HC24039

Faafetai Sopoaga, Shyamala Nada-Raja, Malia Lameta

{"title":"Tertiary institution's duty of care for the health and well-being of Pacific students during COVID-19 pandemic: a cross sectional survey.","authors":"Faafetai Sopoaga, Shyamala Nada-Raja, Malia Lameta","doi":"10.1071/HC24039","DOIUrl":"https://doi.org/10.1071/HC24039","url":null,"abstract":"Introduction There is increasing concern about the wellbeing of tertiary students, and this is likely to be further exacerbated by the COVID-19 pandemic. There is minimal information about what support is being provided. In New Zealand, there is even less information available on Pacific students in the tertiary environment. Aim This study explored the role of one tertiary institution in the provision of support for Pacific tertiary students during the COVID-19 pandemic. Methods Pacific students' perceptions of all the support they received from the University of Otago during the COVID-19 pandemic were obtained from a cross-sectional survey between April to June 2022. All Pacific students attending the University in 2022 were eligible to participate. An online survey was emailed to all students. Results There were 1277 Pacific students enrolled at the University in 2022. Of all eligible Pacific students, 358 (28%) completed the survey. Three quarters of students had to isolate since the start of the academic year, either because they had COVID-19, or they were a close contact of someone with the disease. Of all participants, 356 (99%) received a health pack. At least two-thirds (67.6%) had accessed other support from the University. A third (32.4%) accessed support through the Otago University Students' Association and some from the community and local Pacific health provider. The support was highly valued by students who utilised these services. Discussion Institutions can provide effective leadership in the coordination of support for their students through working together with student-led, government and non-governmental organisations in the community.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 1","pages":"17-22"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736006","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

Horny Goat Weed/Epimedium.

IF 1.1

Journal of primary health care Pub Date : 2025-03-01 DOI: 10.1071/HC24183

E Lyn Lee, Jo Barnes

引用次数: 0

Expert patient and general practitioners' perspectives on the clinical attributes needed to deal with uncertainty: a qualitative study.

IF 1.1

Journal of primary health care Pub Date : 2025-03-01 DOI: 10.1071/HC24055

Tania Ghosh, Erik Blair

{"title":"Expert patient and general practitioners' perspectives on the clinical attributes needed to deal with uncertainty: a qualitative study.","authors":"Tania Ghosh, Erik Blair","doi":"10.1071/HC24055","DOIUrl":"https://doi.org/10.1071/HC24055","url":null,"abstract":"Introduction Clinical uncertainty is not uncommon; however, the current conception of the professional clinician has meant that discussion on uncertainty has focused on elimination rather than recognition. Uncertainty comes from an imbalance in knowledge, data, clinical experience, evidence-based guidelines, judgement, and decision-making. There is a strong argument for improving tolerance of clinical uncertainty, particularly in primary care where general practitioners might be especially vulnerable to uncertainty due to their exposure to undifferentiated illness. Aim This research aims to establish expert patient and general practitioners' perspectives on the clinical attributes needed to deal with uncertainty. Methods Two focus groups, consisting of three general practitioners and five expert patients, discussed uncertainty regarding restless legs syndrome. This topic was used as a rhetorical proxy to examine expert patient and general practitioner perspectives on the clinical attributes needed to deal with uncertainty. The qualitative data were then analysed to form overarching thematic areas. Results Four overarching professional attributes were identified: collaboration, compassion, insight, and unconventional thinking. These are all attributes that lie within a clinician's skillset, but the evidence here suggests that they need to be foregrounded in practice. Discussion In attempting to assess professional clinical practice in relation to uncertainty, this research recommends that clinicians work to adopt a holistic, patient-centred approach, where they explicitly share uncertainties, focus on a patient's emotional state during the diagnostic phases of treatment, and see the merits of challenging themselves to look beyond routine algorithms.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 1","pages":"23-29"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735922","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

Respiratory research with Māori and Pacific children living in Aotearoa, New Zealand: a systematic review and narrative synthesis.

IF 1.1

Journal of primary health care Pub Date : 2025-03-01 DOI: 10.1071/HC23066

Amio Matenga-Ikihele, Jacinta Fa'alili-Fidow, Dantzel Tiakia, Dudley Gentles, John Natua, Gemma Malungahu, Bernadette Tatafu, Rudy Roodhouse-Hill, Ruby Tuesday, Maria Ngawati, Mataroria Lyndon

{"title":"Respiratory research with Māori and Pacific children living in Aotearoa, New Zealand: a systematic review and narrative synthesis.","authors":"Amio Matenga-Ikihele, Jacinta Fa'alili-Fidow, Dantzel Tiakia, Dudley Gentles, John Natua, Gemma Malungahu, Bernadette Tatafu, Rudy Roodhouse-Hill, Ruby Tuesday, Maria Ngawati, Mataroria Lyndon","doi":"10.1071/HC23066","DOIUrl":"https://doi.org/10.1071/HC23066","url":null,"abstract":"Introduction Improving the respiratory health of Māori and Pacific children in Aotearoa, New Zealand is a priority. Respiratory studies over the past decade have continued to highlight the ongoing inequities among Māori and Pacific children. Aim This systematic review aimed to explore the characteristics of respiratory research with Māori and Pacific children (0-14 years) living in New Zealand. Research objectives were to evaluate the types of study designs used, summarise participant demographics including ethnicity and evaluate whether culturally relevant frameworks were incorporated. Methods Studies were located across four databases: Medline, EBSCOHost, Scopus and PubMed, from 2010 to 2022. To qualify, studies needed to include (1) Māori or (2) Pacific children aged (3) 0-14 years and (4) describe a respiratory research project conducted in New Zealand. A narrative synthesis of the studies meeting the inclusion criteria was performed. Results Of the 539 studies identified, 29 met the inclusion criteria. Most studies were retrospective cohort studies with respiratory conditions focused mainly on asthma, group A streptococcus and lower respiratory tract infections. Four studies were qualitative, and only 2 of the 29 studies reported using a Kaupapa Māori framework. Discussion Despite the increased attention to the respiratory health of Māori and Pacific children, there is a lack of research on the lived experiences of whānau and their children who endure these conditions. Few studies incorporated culturally relevant approaches. Further research that incorporates culturally responsive approaches is urgently needed to enhance ourunderstanding of Māori and Pacific child respiratory health and to advance health equity.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 1","pages":"63-82"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735944","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

Medicines use and polypharmacy in retirement village residents in Aotearoa New Zealand: a point prevalence observational study. 新西兰奥特罗阿退休村居民药物使用和综合用药：一项点流行观察研究。

IF 1.1

Journal of primary health care Pub Date : 2024-12-01 DOI: 10.1071/HC24038

Joanna Hikaka, Zhenqiang Wu, Michal Boyd, Martin J Connolly, Joanna B Broad, Cheryl Calvert, Annie Tatton, Kathy Peri, Katherine Bloomfield

{"title":"Medicines use and polypharmacy in retirement village residents in Aotearoa New Zealand: a point prevalence observational study.","authors":"Joanna Hikaka, Zhenqiang Wu, Michal Boyd, Martin J Connolly, Joanna B Broad, Cheryl Calvert, Annie Tatton, Kathy Peri, Katherine Bloomfield","doi":"10.1071/HC24038","DOIUrl":"https://doi.org/10.1071/HC24038","url":null,"abstract":"Introduction Polypharmacy increases the risk of medicines-related harm, including falls, in older adults. Falls have a significant impact on quality of life and health system resources. Little is known about medicine use in retirement village (RV) residents in Aotearoa New Zealand (NZ). Aim Our study aimed to describe medicine use and the point prevalence of polypharmacy among a cohort of RV residents in Auckland, NZ. Methods Data collection occurred from July 2016 to June 2018. Eligible participants (those residing permanently in a RV) were recruited from RVs in Auckland, New Zealand. Medicines use data were collected using an interRAI assessment tool. Descriptive statistics, t -tests and Chi-squared tests were used for analysis. Results A total of 578 residents were recruited from 33 RVs and the median age was 81.6 years. Participants took a mean of 4.8 regular medicines (standard deviation = 2.9) and 0.7 'as required' medicines. Anti-hypertensives (68.5%), lipid-lowering medicines (45.2%), antacids (39.4%) and antiplatelet agents (37.9%) were the most prescribed medicine classes. Polypharmacy (five-plus medicines; 51.8%) was common and hyperpolypharmacy (10-plus medicines; 5.7%) occurred infrequently. Discussion This study provides insight into medicines use by RV residents in Auckland, NZ. Medicines used for primary and secondary prevention of cardiovascular disease were used most commonly and polypharmacy was common. Active review of RV residents' medicines is warranted, based on these findings and increasing evidence regarding the use of medicines, including those for primary prevention of cardiovascular disease. Trial registration Australia and New Zealand Clinical Trials Registry: CTRN12616000685415. Registered 25.5.2016. Universal Trial Number (UTN): U111-1173-6083.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 4","pages":"407-411"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864711","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

Community pharmacy service provision to adults with palliative care needs in their last year of life: a scoping review. 社区药房服务提供与缓和护理需要的成年人在他们的生命的最后一年：范围审查。

IF 1.1

Journal of primary health care Pub Date : 2024-12-01 DOI: 10.1071/HC24089

Sheng-Ting Chiu, Trudi Aspden, Shane Scahill

{"title":"Community pharmacy service provision to adults with palliative care needs in their last year of life: a scoping review.","authors":"Sheng-Ting Chiu, Trudi Aspden, Shane Scahill","doi":"10.1071/HC24089","DOIUrl":"10.1071/HC24089","url":null,"abstract":"Introduction The provision of palliative care is central to primary health care delivery. In this setting, community pharmacies often act in a medication supply role, yet their broader involvement in supporting people in the last year of life is less well understood. Aim This study aimed to review the literature on community pharmacies supporting adults with palliative care needs in their last year of life, emphasising challenges to optimising their role and improving equity and service accessibility. Methods A five-stage scoping review using a comprehensive literature search was conducted using MEDLINE, EMBASE, CINAHL, Web of Science, Scopus, and grey literature up to 30 April 2024. Eligible articles were charted, descriptively analysed, and mapped to a bicultural and holistic health care model, Te Whare Tapa Whā Older Person's Palliative Care model. Results Twenty-five studies from seven countries were reviewed, revealing that community pharmacies provide a range of services to support people with palliative care needs. The main role of community pharmacies resides in Tinana, the physical health domain of Te Whare Tapa Whā Older Person's Palliative Care model. Challenges experienced by pharmacy staff include communication with palliative care service providers and users, integrating their role into palliative care provision, addressing their educational needs, and managing palliative medication stock. Discussion The role of community pharmacy in providing palliative care is not widely understood. If the challenges identified in these studies can be addressed, there is potential for community pharmacies to offer a more proactive palliative care approach to their communities.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 4","pages":"398-406"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864645","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

Does exercise benefit people with osteoarthritis of the knee? 运动对膝关节骨关节炎患者有益吗？

IF 1.1

Journal of primary health care Pub Date : 2024-12-01 DOI: 10.1071/HC24182

Vanessa Jordan

引用次数: 0

Prescribing deprescribing for polypharmacy in Aotearoa New Zealand; experiences of a medication review activity in final year medical students on a general practice module. 新西兰奥特罗阿综合药房的处方解方医学生最后一年全科实践单元的药物回顾活动的经验。

IF 1.1

Journal of primary health care Pub Date : 2024-12-01 DOI: 10.1071/HC23169

Samantha A Murton, Lynn McBain, Caroline Morris, Estelle Jaine, Lesley Gray

{"title":"Prescribing deprescribing for polypharmacy in Aotearoa New Zealand; experiences of a medication review activity in final year medical students on a general practice module.","authors":"Samantha A Murton, Lynn McBain, Caroline Morris, Estelle Jaine, Lesley Gray","doi":"10.1071/HC23169","DOIUrl":"https://doi.org/10.1071/HC23169","url":null,"abstract":"Introduction This study explored the experiences of students and their supervisors undertaking a medication review activity during a 6-week general practice module in their final year of medical school at University of Otago, Wellington, Aotearoa New Zealand. Aim The study sought the self-reported value of the activity in learning about prescribing, reflecting on polypharmacy, deprescribing, and changes to future practice for both student and supervisor. Methods All students in the final year general practice module were invited to complete a survey over a 12-month period, as were their supervisors. An abductive thematic analysis of survey results was performed. Results Fifty-eight percent (48/87) of students and 30% (10/33) of supervisors completed surveys. Five themes were identified in the analysis of qualitative data: value of the medication review, complexities of medicines, importance of monitoring, value of resources, and supervisor reflections on value to the student. Student and supervisor responses reflected on prescribing practice beyond what medication to give when. All responses described benefit to patients and the majority expressed thoughts on how it would change their future prescribing. Discussion The medication review activity in the final year general practice module provides learning opportunities for both student and general practitioner supervisor. This activity emphasises the risks of polypharmacy and how to deprescribe. This study underlines the value of medication reviews as intraprofessional communication activities, allowing reflection beyond what medication to prescribe and for what condition. The results underline the importance of reflecting on practice and aids quality improvement benefit to patients.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 4","pages":"357-363"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864728","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

Practice pharmacists in the primary healthcare team in Aotearoa New Zealand: a national survey. 实习药师在初级保健队在新西兰奥特罗阿：一项全国性调查。

IF 1.1

Journal of primary health care Pub Date : 2024-12-01 DOI: 10.1071/HC24049

Janet McDonald, Caroline Morris, Tara N Officer, Jacqueline Cumming, Jonathan Kennedy, Lynne Russell, Eileen McKinlay, Mona Jeffreys

{"title":"Practice pharmacists in the primary healthcare team in Aotearoa New Zealand: a national survey.","authors":"Janet McDonald, Caroline Morris, Tara N Officer, Jacqueline Cumming, Jonathan Kennedy, Lynne Russell, Eileen McKinlay, Mona Jeffreys","doi":"10.1071/HC24049","DOIUrl":"https://doi.org/10.1071/HC24049","url":null,"abstract":"Introduction The integration of pharmacists into general practice settings is increasingly common internationally. Within Aotearoa New Zealand, the role has evolved variably in different regions. Recent health policy and professional guidance support further development. Aim To describe the current status of pharmacists working in primary healthcare settings other than community pharmacy. Methods An online survey of all pharmacists in Aotearoa New Zealand primary healthcare settings was conducted in 2022, and covered employment, current services, patient consultations, relationships with other health professionals, and service costs and benefits. Descriptive statistical analyses were performed. Results Responses from 39 pharmacists (~35% response rate) working in primary healthcare practice roles are reported. Most were female (84%), New Zealand European (81%), and 45% had Discussion Practice pharmacists have both patient- and practice-facing roles. The proportion with a prescribing qualification has increased over time. There is some capacity for additional consultations, but this requires funding, space and time spent in a service/setting.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 4","pages":"332-340"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864717","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