Journal of primary health care最新文献

{"title":"From general practice to primary health care: the importance of interprofessional collaborative practice.","authors":"Tim Stokes, Felicity Goodyear-Smith","doi":"10.1071/HC26062","DOIUrl":"https://doi.org/10.1071/HC26062","url":null,"abstract":"","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"18 1","pages":"1-3"},"PeriodicalIF":0.9,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512852","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}

{"title":"'Piki te Ora', a qualitative exploratory study of a primary care-led, interprofessional team for supporting patients with type 2 diabetes in rural communities.","authors":"Sara Mustafa, Karis Gordon, Hamish Crocket, Keimarire Tibble-Brown, Shemana Cassim, Claire Cannon, Hilde Mullins, Donna Foxall, Rawiri Keenan, Ryan Paul, Lynne Chepulis","doi":"10.1071/HC25034","DOIUrl":"10.1071/HC25034","url":null,"abstract":"<p><strong>Introduction: </strong>Type 2 diabetes is a chronic condition predominantly managed through primary care in Aotearoa New Zealand. Primary care initiatives are being increasingly established to provide culturally safe and interprofessional care to optimise disease management.</p><p><strong>Aim: </strong>This study aimed to qualitatively explore the 'Piki te Ora' (Ascending to Wellness) interprofessional primary care service of Te Korowai Hauora o Hauraki (a Māori general practice network) for supporting whānau (family) with type 2 diabetes.</p><p><strong>Methods: </strong>Semi-structured interviews with patients with type 2 diabetes who were previously or currently enrolled in the Piki te Ora service between January 2021 and October 2023 were conducted between December 2023 and January 2024. Interviews were audio recorded, transcribed and thematically analysed.</p><p><strong>Results: </strong>Nine participants were interviewed (six Māori and three NZ European; mean age 56 ± 16 years). Four overarching themes were identified: healthcare accessibility, care and support (manaakitanga), tailored holistic approach and patient empowerment. Most participants reported improved healthcare access through mobile clinics and telehealth, extended appointment times, approachable interactions with the Piki te Ora team, increased diabetes knowledge and management and a sense of empowerment from the staff. However, some participants were unaware of being enrolled in the Piki te Ora programme and found the written materials unclear, suggesting the need for clearer communication.</p><p><strong>Discussion: </strong>The findings highlight the value of culturally safe, accessible healthcare services like Piki te Ora, particularly in addressing healthcare barriers in rural New Zealand. Further studies are needed to identify strategies for overcoming existing barriers to access and engagement, particularly in enhancing health equity for Māori.</p>","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":"59-65"},"PeriodicalIF":0.9,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145355052","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}

{"title":"Are dementia services meeting the needs of Chinese New Zealanders? A qualitative study of Chinese general practitioners.","authors":"Hoi Kay Kwan, Gary Cheung","doi":"10.1071/HC25137","DOIUrl":"10.1071/HC25137","url":null,"abstract":"<p><strong>Introduction: </strong>There is limited literature on dementia care, support, or services within the New Zealand Chinese community, despite the Chinese community being one of the largest Asian ethnic groups in New Zealand.</p><p><strong>Aim: </strong>This study aimed to explore Chinese general practitioners' (GPs') perspectives on dementia services for the Chinese population in New Zealand; their perceived barriers and shortfalls, as well as improvement opportunities.</p><p><strong>Methods: </strong>A qualitative study investigating the perspectives of Chinese GPs across metropolitan Auckland, New Zealand was performed. Semi-structured in-depth interviews were conducted in 2024. The interviews were recorded, transcribed, and thematically analysed.</p><p><strong>Results: </strong>Ten participants were interviewed. Thematic analysis of the interviews generated four main themes: (i) under-recognition of dementia and lack of dementia information; (ii) stigma and seeking help for dementia; (iii) lack of Chinese friendly dementia services, and (iv) support for dementia, with the overarching theme of language and cultural barriers.</p><p><strong>Discussion: </strong>There are significant barriers to accessing dementia services for the Chinese population in New Zealand, rooted in language and cultural differences, low awareness, stigma, and systemic inefficiencies. Addressing these barriers requires a multifaceted approach that includes culturally tailored services, public education, care coordination, and policy changes.</p>","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":"21-27"},"PeriodicalIF":0.9,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145604687","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}

{"title":"Is intermittent fasting an effective intervention for adults living with obesity?","authors":"Vanessa Jordan","doi":"10.1071/HC26061","DOIUrl":"10.1071/HC26061","url":null,"abstract":"","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":"92-93"},"PeriodicalIF":0.9,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147486472","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}

{"title":"Launching a new interprofessional education programme in a rural setting: a qualitative study of the first two years.","authors":"Eileen McKinlay, Melanie Brown, Louise Beckingsale, Fiona Doolan-Noble, Amanda Garnett, Susan Pullon","doi":"10.1071/HC24109","DOIUrl":"10.1071/HC24109","url":null,"abstract":"<p><strong>Introduction: </strong>Delivery of interprofessional education (IPE) in rural settings can support pre-registration health sciences students to achieve interprofessional collaborative practice (teamwork) competencies. It can also grow the rural workforce with previous students recommending the programme to their peers and some choosing to work in a rural workplace as graduates. Launching and implementing a rural IPE programme in a new location is challenging, even when comparable IPE models exist in other settings.</p><p><strong>Aim: </strong>We aimed to evaluate the implementation of a new rural IPE programme in Greymouth, New Zealand.</p><p><strong>Methods: </strong>Qualitative evaluation data were collected through several rounds of interviews during the first 2 years of the programme. The interviews included students, stakeholders (Education Operations Group - the tertiary education providers who sent students, clinical placement providers, community stakeholders), and local programme staff. Focus group and interview data were explored using thematic analysis.</p><p><strong>Results: </strong>Three themes were identified, each with subthemes: (1) allow sufficient lead-in time, (2) ensure there is time to bed down, and (3) undertake location-specific quality improvement. These themes pointed to aspects that were important when implementing a new IPE programme, particularly to enable development of a local flavour.</p><p><strong>Discussion: </strong>Rural IPE programmes are complex, expensive to establish, and difficult to sustain, but such programmes may be key to increasing the rural workforce. It is critical to have local staff who can work effectively with all the stakeholder groups, all of whom are important to continuing the programme.</p>","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":"11-20"},"PeriodicalIF":0.9,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145355272","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}

{"title":"Impact of a clinical diabetes specialist mentoring programme on type 2 diabetes management among nurses in primary care: a qualitative study.","authors":"Sara Mustafa, Hamish Crocket, Timothy Kenealy, Rinki Murphy, Jo Scott-Jones, Leanne Te Karu, Ryan Paul, Lynne Chepulis","doi":"10.1071/HC25025","DOIUrl":"10.1071/HC25025","url":null,"abstract":"<p><strong>Introduction: </strong>Management of type 2 diabetes (T2D) occurs predominantly in primary health care in Aotearoa New Zealand. Optimising the delivery of clinical diabetes management by upskilling healthcare professionals can reduce the strain on the healthcare system and improve patient care.</p><p><strong>Aim: </strong>This study aimed to qualitatively evaluate the importance of an education programme delivered by a non-physician diabetes specialist on nurses' knowledge and confidence of T2D management in primary care.</p><p><strong>Methods: </strong>Semi-structured interviews with nurses enrolled in the programme for at least 6 months and their nurse leads across two clinics in the Waikato region were conducted to assess their confidence and knowledge in T2D management, as well as the acceptability of the programme. Transcripts were analysed using quantitative content analysis.</p><p><strong>Results: </strong>Four nurses and two nurse leads were interviewed, lasting between 15 and 60 min. Nurses reported improved knowledge of diabetes medications and interpreting clinical measures. Nurses also felt more confident in their communication skills with patients, advocating for their patients, and improved patient engagement. Further education was needed on administering diabetes medication, knowledge of medical devices such as continuous glucose monitoring, and understanding the pathophysiology of diabetes.</p><p><strong>Discussion: </strong>Self-efficacy and self-reported skills of nurses in T2D management improved following the diabetes mentoring programme. Further research is needed to assess quantitative clinical measures and whether the programme is effective in improving patient health outcomes.</p>","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":"71-74"},"PeriodicalIF":0.9,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145355271","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}

{"title":"Using AI scribes in New Zealand primary care consultations: an exploratory survey.","authors":"Angela Ballantyne, Rochelle Style, Maria Stubbe, Samantha Murton, Tony Dowell","doi":"10.1071/HC25079","DOIUrl":"10.1071/HC25079","url":null,"abstract":"<p><strong>Introduction: </strong>AI scribes have had a rapid uptake in primary care across New Zealand (NZ). The benefits of this new technology must be weighed against the potential risks they may pose.</p><p><strong>Aim: </strong>This study provides a snapshot of AI scribes use in primary care to generate clinical notes. We aimed to understand emerging provider experiences, identify perceived clinical benefits and concerns, and flag potential ethical and legal issues as a basis for future research and policy development.</p><p><strong>Methods: </strong>GPs and health providers working in primary care across NZ were invited to participate in an anonymous survey about their experience with AI scribes (February-March 2024).</p><p><strong>Results: </strong>One hundred and ninety-seven respondents completed the survey, 88% (n = 164) of whom were GPs. Of these, 40% (n = 70) had experience with AI scribes. Reported benefits included: reduced multitasking (n = 46), saved time (n = 43), and improved rapport with patients (n = 43). Key concerns included: compliance with NZ legal and ethical frameworks (n = 108), data security (n = 98), errors or omissions (n = 93), and data leaving New Zealand (n = 91). Only 66% (n = 41) had read the terms and conditionss of the AI scribe tool, and 59% (n = 35) reported seeking patient consent. Most (80%, n = 50) found AI scribes helpful or very helpful, and 56% (n = 35) said the tool changed consultation dynamics.</p><p><strong>Discussion: </strong>While there is strong uptake and enthusiasm for AI scribes in primary care in NZ, critical issues remain around legal and ethical oversight, patient consent, data security, and the broader impact on clinician-patient interactions. Health providers need clearer guidance and regulatory support for safe, ethical, and legal use of AI tools.</p>","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":"75-81"},"PeriodicalIF":0.9,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145355152","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}

{"title":"Implementation considerations for a school-based digital health intervention: school staff perspectives.","authors":"Katie M Babbott, Emily Grover, Anna L Boggiss, Hiran Thabrew, Anna Serlachius","doi":"10.1071/HC25132","DOIUrl":"https://doi.org/10.1071/HC25132","url":null,"abstract":"<p><strong>Introduction: </strong>Adolescents in Aotearoa New Zealand (NZ) face rising mental health challenges amidst strained school support systems. Digital mental health interventions (DMHIs) offer scalable and cost-effective support, yet little is known about their real-world implementation in school settings, particularly for culturally diverse populations.</p><p><strong>Methods: </strong>This study explored qualitative considerations of implementing Whitu for Schools (WFS), a digital wellbeing app, within secondary schools in NZ. A qualitative design using semi-structured interviews was conducted with 12 high school staff across 12 schools from the North Island, guided by the Exploration, Preparation, Implementation, Sustainment (EPIS) framework.</p><p><strong>Results: </strong>Participants described escalating student mental health concerns and limited access to timely support. WFS was welcomed as a timely, low-barrier intervention with engaging and culturally affirming content. However, challenges emerged around digital access, policy constraints (eg phone bans), staff digital literacy, and concerns about sustaining engagement. Effective implementation was seen as contingent on flexible, embedded delivery within school routines, tailored training, and ongoing student feedback. Equity was a recurring theme, with concerns that digital divides may reinforce existing disparities.</p><p><strong>Discussion: </strong>WFS holds promise as a school-based digital wellbeing intervention, but successful implementation requires contextual responsiveness, strong staff and leadership buy-in, and equity-driven infrastructure. Findings highlight the importance of co-design, relational engagement, and sustained adaptation to ensure that digital tools meet the dynamic and diverse needs of rangatahi in NZ.</p>","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147365880","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}

{"title":"Consumer's experiences with emergency contraception in Aotearoa New Zealand: a qualitative study.","authors":"Emma McKay, Ragnar Anderson, Helen Paterson","doi":"10.1071/HC25201","DOIUrl":"https://doi.org/10.1071/HC25201","url":null,"abstract":"<p><strong>Introduction: </strong>Effective emergency contraception (EC) must be available to prevent unintended pregnancy after unprotected sexual intercourse. In Aotearoa New Zealand (NZ), approved EC options include an oral levonorgestrel emergency contraceptive pill and the copper IUD. There is currently no published qualitative research about EC in NZ.</p><p><strong>Aim: </strong>This study aimed to explore consumers' experiences with EC in NZ.</p><p><strong>Method: </strong>Participants were recruited through an advertisement on Sexual Wellbeing social media platforms in November 2024. Eligibility criteria included being between 16 and 55 years of age and having used EC previously. Semi-structured interviews were conducted to find out about participants' experiences using EC in NZ. Transcripts were analysed using descriptive thematic analysis.</p><p><strong>Results: </strong>Eleven participants were interviewed. The consumer experiences built on the deductive themes: knowledge of EC, experience with EC, acceptability, accessibility, availability, and affordability. Inductive subthemes were identified, including lack of education, privacy, judgement, delays in access, and the expense. Participants felt either fully or partially informed by healthcare providers in terms of side effects.</p><p><strong>Discussion: </strong>Our findings show that despite EC being available, consumers faced challenges specifically related to accessibility, acceptability, and affordability. Education around EC is lacking, both in the context of consumers and health professionals alike. Thus, our findings demonstrate a need for better sexual health education and better EC training for health professionals. They show clearly that an attitude shift is needed by both healthcare providers and society to improve EC for consumers.</p>","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344588","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}

{"title":"Barriers and facilitators to adverse drug reaction reporting among New Zealand community pharmacists: a qualitative investigation.","authors":"Eliza Jani, Mudassir Anwar","doi":"10.1071/HC25183","DOIUrl":"https://doi.org/10.1071/HC25183","url":null,"abstract":"<p><p>Introduction Adverse drug reactions (ADRs) represent a significant public health burden, accounting for 3-6% of hospital admissions internationally and costing New Zealand taxpayers $280 million between 2015/16 and 2017/18. Community pharmacists are uniquely positioned to identify and report ADRs, yet their contribution to ADR reporting in New Zealand remains understudied. Aim This study aimed to investigate factors influencing ADR reporting by New Zealand community pharmacists, including current practices, barriers, facilitators, and potential improvements. Methods A descriptive qualitative study using semi-structured interviews was conducted with 12 registered community pharmacists across New Zealand. Participants were recruited through purposive and snowball sampling. Interviews were audio-recorded, transcribed verbatim, and analysed using thematic analysis. Results The study resulted in three main themes: workplace environment, education/training, and patient information access. All themes were underpinned by insufficient time and resources, resulting in ADR reporting not being viewed as integral to pharmacy practice. Key barriers included a lack of workplace reporting culture, inadequate education/training, and incomplete patient information access. The COVID-19 pandemic paradoxically served as the primary facilitator by increasing system visibility. Most participants had previously submitted ADR reports, with online submission being preferred. Discussion: Despite understanding the importance of ADR reporting, New Zealand community pharmacists face systemic barriers preventing optimal reporting practices. Addressing these requires comprehensive solutions, including integration of reporting tools into dispensing software, enhanced education/training programs, improved patient information access, and adequate professional recognition and compensation. These findings provide a foundation for targeted interventions to improve pharmacovigilance in community pharmacy settings.</p>","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105708","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}