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

Ethical assessment of virtual consultation services: application of a practical ethical checklist to direct-to-consumer services in Aotearoa New Zealand. 虚拟咨询服务的伦理评估：新西兰奥特亚罗瓦地区直接面向消费者服务的实用伦理清单应用。

IF 1.1

Journal of primary health care Pub Date : 2024-09-01 DOI: 10.1071/HC24030

Madeleine Reid, Tania Moerenhout

{"title":"Ethical assessment of virtual consultation services: application of a practical ethical checklist to direct-to-consumer services in Aotearoa New Zealand.","authors":"Madeleine Reid, Tania Moerenhout","doi":"10.1071/HC24030","DOIUrl":"https://doi.org/10.1071/HC24030","url":null,"abstract":"Introduction Evaluating digital health services from an ethical perspective remains one of the more difficult challenges in telemedicine and health technology assessment. We have previously developed a practical ethical checklist comprising 25 questions covering six ethical themes: privacy, security, and confidentiality; equity; autonomy and informed consent; quality and standards of care; patient empowerment; and continuity of care. The checklist makes ethical analysis more easily accessible to a broader audience, including health care providers, technology developers, and patients. Aim This project applies the previously developed practical ethical checklist to direct-to-consumer virtual primary care consultation services in Aotearoa New Zealand to conduct an ethical assessment. Method We first mapped the available services. The ethical framework was then applied to assess these services based on publicly available information. Results Our findings show that the examined virtual consultation services adequately address ethical considerations, particularly regarding patient data privacy and informed consent. We identified areas for improvement in equity, patient empowerment, and continuity of care. Discussion The application of this framework raises fundamental questions on how continuity of care, equity, and comprehensive care can be protected when virtual care becomes more ubiquitous. The checklist can help virtual consultation services identify areas of improvement and ensure they meet ethical criteria, thus contributing to quality of care. The framework may be adapted to other digital health services and tools, providing ethical guidance to technology developers, clinicians, and patients and their whānau (family).","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 3","pages":"295-300"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348918","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

Worldviews of hearing health for Pacific peoples in Aotearoa New Zealand: a mixed methods study. 新西兰奥特亚罗瓦太平洋岛屿族裔的听力健康世界观：一项混合方法研究。

IF 1.1

Journal of primary health care Pub Date : 2024-09-01 DOI: 10.1071/HC23123

Elizabeth A-L Holt, Latasi Koro, Fiona Langridge, Vili Nosa

{"title":"Worldviews of hearing health for Pacific peoples in Aotearoa New Zealand: a mixed methods study.","authors":"Elizabeth A-L Holt, Latasi Koro, Fiona Langridge, Vili Nosa","doi":"10.1071/HC23123","DOIUrl":"10.1071/HC23123","url":null,"abstract":"Introduction Pacific peoples experience inequity in accessing hearing health care and are disproportionately exposed to the underlying determinants impacting ear and hearing health in Aotearoa New Zealand. Understanding community members' worldviews, including perspectives, beliefs and values, is essential in developing appropriate and responsive hearing healthcare services to meet the needs of Pacific peoples. Aim The purpose of this paper is to understand the worldviews, knowledge and beliefs held by Pacific peoples regarding hearing health in Aotearoa New Zealand. Methods A mixed-methods approach was used. Twelve semi-structured face-to-face interviews were conducted with Pacific community members. Twenty-five participants completed an online questionnaire. A simultaneous, integrated mixed-methods approach was used to analyse the qualitative and quantitative data. Results Five main themes were established, which were: The Meaning of Hearing; Causes of hearing loss; Consequences of hearing loss and Disability; and Improving health care for ear disease and hearing loss. Discussion Pacific peoples value hearing health to communicate and connect with their families and communities. Participants highlighted the importance of hearing health across the life course. Although the study findings revealed there is potentially less stigma and shame around hearing loss in New Zealand, denial and fatalistic attitudes towards hearing loss may delay some people from seeking healthcare services. Participants expressed key ways in which the health system can be more responsive to the hearing health needs of Pacific peoples in Aotearoa New Zealand.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 3","pages":"250-257"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348937","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

Rural health in Aotearoa New Zealand: current state and future challenges. 新西兰奥特亚罗瓦的农村卫生：现状与未来挑战。

IF 1.1

Journal of primary health care Pub Date : 2024-09-01 DOI: 10.1071/HC24136

Tim Stokes, Felicity Goodyear-Smith

引用次数: 0

Who uses yoga and why? Who teaches yoga? Insights from a national survey in New Zealand. 谁在使用瑜伽，为什么？谁在教瑜伽？新西兰全国调查的启示。

IF 1.1

Journal of primary health care Pub Date : 2024-09-01 DOI: 10.1071/HC23102

Sridhar Maddela, Stephen Buetow, Ruth Teh, Fiona Moir

{"title":"Who uses yoga and why? Who teaches yoga? Insights from a national survey in New Zealand.","authors":"Sridhar Maddela, Stephen Buetow, Ruth Teh, Fiona Moir","doi":"10.1071/HC23102","DOIUrl":"https://doi.org/10.1071/HC23102","url":null,"abstract":"Introduction Globally, yoga has gained popularity as a health-promoting and disease-prevention discipline. The common health conditions prompting yoga use include musculoskeletal disorders, mental health conditions, asthma, fibromyalgia, arthritis, diabetes, and cancers. Although the therapeutic benefits of using yoga are well documented, little is known about the characteristics of yoga instructors (YIs) and yoga users (YUs) in New Zealand (NZ). Aim This paper seeks to profile the characteristics of NZ YIs and YUs and explore reasons for yoga use. Methods Online surveys for YIs and YUs were conducted to collect the sociodemographic characteristics of 84 YIs and 267 YUs. Descriptive statistics were used to determine trends. Results The surveys were conducted between September 2020 and February 2021. The YIs were predominantly female (87.1%) with mean ± s.d. years of practice of 9.8 ± 0.8 (95% CI: 8.2, 11.4). YUs were most commonly female (86%), of NZ European descent (63%), aged 45-64 years (56%), not married (52.5%), and with a university or higher education qualification (61.5%). They use yoga to alleviate chronic health conditions like back pain (18%), menopausal symptoms (14.5%), anxiety (13.5%) and depression (11.5%). Discussion Most YIs in NZ are females facilitating moderate-sized yoga classes. YUs in NZ are disproportionately NZ European, female, middle-aged and tertiary educated. They use yoga to help manage long-term conditions, including mental ill-health and musculoskeletal disorders. The study findings could inform health professionals regarding the utilisation of yoga in NZ. Further research is required to gain insights into yoga use.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 3","pages":"232-242"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348936","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

A supported primary health pathway for mild traumatic brain injury quality improvement report. 轻度脑外伤辅助初级保健路径质量改进报告。

IF 1.1

Journal of primary health care Pub Date : 2024-09-01 DOI: 10.1071/HC23131

A Theadom, J Chua, A Sintmaartensdyk, S Kara, R Barnes, R Macharg, E Leckey, A Mirza

{"title":"A supported primary health pathway for mild traumatic brain injury quality improvement report.","authors":"A Theadom, J Chua, A Sintmaartensdyk, S Kara, R Barnes, R Macharg, E Leckey, A Mirza","doi":"10.1071/HC23131","DOIUrl":"https://doi.org/10.1071/HC23131","url":null,"abstract":"Introduction Best-practice guidelines recommend that patients are followed-up to check if they have recovered following a mild traumatic brain injury (mTBI) and to refer to concussion services, if needed. However, in New Zealand, rates of follow-up are low and access to concussion services can be delayed. Aim We aimed to improve rates of follow-up and access to concussion services for mTBI patients aged ≥8 years by the implementation of a supported health pathway and test its success. Methods The pathway included a decision support tool, funded follow-up appointments, clinician training and a patient education resource. Sociodemographics, injury details and proportions of patients receiving a follow-up by type and time were extracted from the Accident Compensation Corporation (ACC) database between 18 May 22 and 30 June 23 and compared to national ACC data prior to implementation. Results Data were extracted for 220 patients, with a mean age of 31.5 years, 51.4% female and 21.4% Māori and Pacific. There was an increase in the proportion of patients receiving a follow-up from 36% pre-implementation to 56.8% post-implementation. Sixty-three patients (28.6%) accessed a concussion service post-implementation compared to 10% pre-implementation. Time to concussion service reduced from an average of 55 (s.d. = 65.4) to 37 days (29.5). Discussion Risk factor criteria within the decision support tool need to be weighted to improve specificity of referrals. Timing from injury to medical review in primary care needs to be considered. This quality improvement project provides preliminary evidence for implementation of a supported health care pathway for mTBI.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 3","pages":"308-314"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348914","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

Checklists for assessing ethical aspects of health technologies and services. 评估医疗技术和服务伦理问题的核对表。

IF 1.1

Journal of primary health care Pub Date : 2024-09-01 DOI: 10.1071/HC24092

Bjørn Hofmann

引用次数: 0

Aotearoa New Zealand general practice workforce crisis: what are our solutions? 新西兰全科医生队伍危机：我们的解决方案是什么？

IF 1.1

Journal of primary health care Pub Date : 2024-06-01 DOI: 10.1071/HC23178

Albert Andrew

引用次数: 0

The experiences of healthcare providers who refer to a campus-based pharmacy clinic: a qualitative analysis. 转诊到校园药房诊所的医疗服务提供者的经验：定性分析。

IF 1.1

Journal of primary health care Pub Date : 2024-06-01 DOI: 10.1071/HC24022

Tara F Wheeler, Sharon Leitch, Carlo A Marra

{"title":"The experiences of healthcare providers who refer to a campus-based pharmacy clinic: a qualitative analysis.","authors":"Tara F Wheeler, Sharon Leitch, Carlo A Marra","doi":"10.1071/HC24022","DOIUrl":"https://doi.org/10.1071/HC24022","url":null,"abstract":"Introduction The University of Otago School of Pharmacy Clinic (the Clinic) is a campus-based non-dispensing clinic that offers consultation-based medicines optimisation services to patients. Aim This project aims to understand the experiences and opinions of healthcareproviders who have referred patients to the School of Pharmacy Clinic, specifically: their motivation for referring patients; how the Clinic impacts providers, patients and the wider health system; provider satisfaction; and opportunities for further collaboration. Methods Semi-structured interviews were used to collect data from 15 participants who represented five health professions. An inductive reflexive thematic analysis approach was used to analyse the dataset from which codes and themes were developed. Normalisation Process Theory (NPT) was used to structure the interview guide and as a framework to present themes. Results Seven themes were developed; 'Perceptions of Pharmacists' (Coherence), 'Motivators for Engagement' and 'Barriers to Engagement' (Cognitive Participation), 'Utility of Pharmacist Feedback' and 'Opportunities' (Collective Action) and 'Referrers' Experiences' and 'Patient-centred Care' (Reflexive Action). Discussion Healthcare providers described predominantly positive experiences. Medically complex cases and patients requiring medicines education were most likely to be referred for consultation. Engaging with the Clinic presented valuable opportunities for interprofessional collaborative practice and continuing professional education. Referrers would like more regular contact with Clinic pharmacists to encourage interprofessional collaborative relationships. Patients were thought to benefit from their pharmacist's clinical expertise, time, patient-centred approach and subsequent medication and health optimisation. Integration of Clinic pharmacists into specialist outpatient clinics at Dunedin Hospital may broaden the scope and improve efficiency of their services.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 2","pages":"190-197"},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468905","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

A community of practice intervention to increase education-focused mental health promotion actions among interdisciplinary professionals: a qualitative study. 在跨学科专业人员中开展以教育为重点的心理健康促进行动的实践社区干预：定性研究。

IF 1.1

Journal of primary health care Pub Date : 2024-06-01 DOI: 10.1071/HC23142

Ema Tokolahi, Deirdre Richardson, Susan Bazyk

{"title":"A community of practice intervention to increase education-focused mental health promotion actions among interdisciplinary professionals: a qualitative study.","authors":"Ema Tokolahi, Deirdre Richardson, Susan Bazyk","doi":"10.1071/HC23142","DOIUrl":"https://doi.org/10.1071/HC23142","url":null,"abstract":"Introduction Through a unique, inter-sectoral and interprofessional initiative, practitioners from education, health and social service sectors were invited to participate in communities of practice, facilitated online. The focus was on building workforce capacity to address the mental health needs of children and youth. Aim This paper explores interprofessional workforce development by translating knowledge from a mental health promotion initiative developed overseas into the Aotearoa New Zealand context. Methods Over a 6-month period, practitioners engaged in an iterative, capacity-building process, where they had access to the initiative materials and resources, shared practice stories, networked, and discussed barriers and facilitators for implementation. Qualitative thematic analysis was used to interpret data. Results Members of the communities of practice engaged in storytelling and made sense of the initiative in relation to their previous knowledge and experiences: practice and thinking were validated. Mental health promotion was positioned as the responsibility of all sectors and the need for effective interprofessional collaboration was deemed essential. Furthermore, translation of the initiative into the bicultural context of Aotearoa New Zealand demanded and deserved sustained attention. Discussion This study contributes interprofessional and inter-sectoral evidence for building workforce capacity to address the mental health needs of children and youth. Further research is warranted to investigate the outcomes for the children and youth served. Interprofessional communities of practice were shown to provide a sustainable mechanism by which knowledge can be received, transformed and translated into practice.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 2","pages":"206-209"},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468851","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

Advanced practice physiotherapists in primary health care: stakeholders' views of a new scope of practice. 初级医疗保健中的高级物理治疗师：利益相关者对新执业范围的看法。

IF 1.1

Journal of primary health care Pub Date : 2024-06-01 DOI: 10.1071/HC24029

Gill Stotter, Eileen McKinlay, Ben Darlow

{"title":"Advanced practice physiotherapists in primary health care: stakeholders' views of a new scope of practice.","authors":"Gill Stotter, Eileen McKinlay, Ben Darlow","doi":"10.1071/HC24029","DOIUrl":"https://doi.org/10.1071/HC24029","url":null,"abstract":"Introduction Advanced and extended primary health care practice roles have been developed in Aotearoa New Zealand (NZ) for dietetics, nursing, pharmacy, and physiotherapy professions. Advanced musculoskeletal physiotherapy roles in primary health care could address escalating health care costs, challenges to workforce sustainability and inefficient primary/secondary care interfaces. Little is known about how stakeholders perceive the recently introduced Advanced Practice Physiotherapist (APP) scope of practice. Aim This study aimed to explore health professionals' perceptions of the APP scope of practice in NZ and how APPs could influence physiotherapy service delivery for people with musculoskeletal conditions in primary health care. Methods Qualitative, face-to-face, semi-structured interviews were conducted with 15 participants including physiotherapists, general practitioners, medical specialists and Accident Compensation Corporation case managers. Inductive interpretive analysis was undertaken. Results Five themes were identified: perceptions of current musculoskeletal management in primary health care; lack of a career pathway; ways in which APPs might facilitate change and what their role would be; characteristics of an APP; and the implementation of the APP role into practice. Discussion Stakeholders were supportive of the APP scope of practice and thought it has the potential to improve patient pathways, health care delivery and health outcomes for those with musculoskeletal conditions. Stakeholders also thought it would fill an important gap in the physiotherapy clinical career pathway. Successful implementation will require assessment of applicants' personal attributes as well as clinical experience and academic qualifications to ensure all stakeholders have confidence to engage with the service, clear communication, active promotion and specific funding.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 2","pages":"160-169"},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468860","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