Journal of primary health care最新文献_第6页

Temporary work absence for parental leave: a qualitative study of New Zealand general practitioners' parental leave experiences. 育婴假临时缺勤：新西兰全科医生育婴假经历的定性研究。

IF 1.1

Journal of primary health care Pub Date : 2026-06-26 DOI: 10.1071/HC26026

Rachel Roskvist, Emily Gill, Jess Ho, Fiona Moir

{"title":"Temporary work absence for parental leave: a qualitative study of New Zealand general practitioners' parental leave experiences.","authors":"Rachel Roskvist, Emily Gill, Jess Ho, Fiona Moir","doi":"10.1071/HC26026","DOIUrl":"10.1071/HC26026","url":null,"abstract":"Introduction: Aotearoa New Zealand (NZ) has a significant general practitioner (GP) workforce shortage, which will increase with the large number of GPs retiring shortly. Early and mid-career GPs who will absorb this shortfall are largely women, and many will take a temporary work absence to have children.Aim: This article explores the experiences of GPs in NZ who take a temporary work absence for parental leave, focusing on challenges and facilitators, and how this understanding might inform workforce planning and policy.Methods: A total of 137 participants contributed to an online qualitative survey about their experience of taking and returning from parental leave. Template analysis was used to develop a template and identify themes.Results: Three identified themes encompassed the experience of parental leave, a return to work, and associated consequences. The reality of conflicting obligations and unexpected barriers as a parenting GP was a further integrative theme.Discussion: This first study on GP parental leave in NZ reveals that parenthood influences career decisions, leave factors, and post-leave work patterns. General practice settings offer partial support, but reduced hours and role changes (including a shift towards narrower scope or episodic care) limit career progression and earning potential, disincentivising parenting GPs. With many GPs nearing retirement, the reality of current parental leave policies and general practice models that poorly accommodate GP parents risk exacerbating the primary care workforce crisis.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":"124-132"},"PeriodicalIF":1.1,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774752","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

Factors influencing needle-length selection for adult deltoid intramuscular vaccination: an online survey of New Zealand vaccinators' practice. 影响成人三角肌注射疫苗针长选择的因素：新西兰疫苗接种员实践的在线调查。

IF 1.1

Journal of primary health care Pub Date : 2026-06-26 DOI: 10.1071/HC25222

Sally B Rose, Carmen Timu-Parata, George Parker, Ashlea Gillon, Lesley Gray

{"title":"Factors influencing needle-length selection for adult deltoid intramuscular vaccination: an online survey of New Zealand vaccinators' practice.","authors":"Sally B Rose, Carmen Timu-Parata, George Parker, Ashlea Gillon, Lesley Gray","doi":"10.1071/HC25222","DOIUrl":"10.1071/HC25222","url":null,"abstract":"Introduction: Data from Aotearoa-New Zealand's 2021 COVID-19 mass vaccination programme revealed underutilisation of longer 38 mm needles, which are recommended for big-bodied people. This raises health equity concerns because correct needle length is necessary to achieve intramuscular vaccine delivery.Aim: This study aimed to explore vaccinators' awareness and implementation of needle-length guidance, and to identify barriers and enablers to use of long needles for big-bodied people in New Zealand.Method: Between August and October 2025, an anonymous online survey was distributed to vaccinators in New Zealand through professional organisations with links to vaccinator health professionals. Data collection included demographics, education received on needle-length guidance, barriers and enablers to use of 38 mm long needles, and opportunities to support future practice. Data were summarised using descriptive statistics, and comments summarised using a qualitative descriptive approach.Results: Of 196 respondents, 70% were aware of needle-length guidance and 48.5% recalled receipt of specific information or education about using longer needles. In total, 60% had ever used a 38 mm needle, but only 26% had used a longer needle for at least half of those they thought eligible in the past 12 months. Key barriers to long needle use included supply of vaccines with shorter needle lengths attached, information gaps and uncertainty in determining eligibility for a 38 mm long needle. A total of 62% saw a need for strategies to strengthen their implementation of needle-length guidance.Discussion: A range of strategies need to be implemented across multiple levels (from vaccinators through to policy makers) to overcome these barriers and to support safe and effective vaccine delivery to big-bodied people.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":"165-174"},"PeriodicalIF":1.1,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774728","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

Corrigendum to: Uncertain times for health research in Aotearoa New Zealand. 新西兰奥特罗阿健康研究的不确定时期的勘误表。

IF 1.1

Journal of primary health care Pub Date : 2026-06-26 DOI: 10.1071/HC25162_CO

Tim Stokes, Felicity Goodyear-Smith

引用次数: 0

New Zealand green-lipped mussel (kuku). 新西兰绿唇贻贝（库库）。

IF 1.1

Journal of primary health care Pub Date : 2026-06-22 DOI: 10.1071/HC26148

Joanne Barnes, Brendon McIntosh

引用次数: 0

Can vitamin D supplementation prevent respiratory infections in young children? 补充维生素D能预防幼儿呼吸道感染吗？

IF 1.1

Journal of primary health care Pub Date : 2026-06-22 DOI: 10.1071/HC26150

Vanessa Jordan

引用次数: 0

Workload in general practice: the importance of quantifying 'seen' and 'unseen' work. 一般实践中的工作量：量化“看得见”和“看不见”工作的重要性。

IF 1.1

Journal of primary health care Pub Date : 2026-06-22 DOI: 10.1071/HC26116

Felicity Goodyear-Smith, Tim Stokes

引用次数: 0

End-user perspectives on the use of personal health information for AI development and the use of AI in care: an interview study. 终端用户对使用个人健康信息促进人工智能开发和在护理中使用人工智能的看法：一项访谈研究。

IF 0.9

Journal of primary health care Pub Date : 2026-05-21 DOI: 10.1071/HC26041

Rosie Dobson, Melanie Stowell, Tāria Tane, Rochelle Style, Kerry Hiini, Robyn Whittaker

{"title":"End-user perspectives on the use of personal health information for AI development and the use of AI in care: an interview study.","authors":"Rosie Dobson, Melanie Stowell, Tāria Tane, Rochelle Style, Kerry Hiini, Robyn Whittaker","doi":"10.1071/HC26041","DOIUrl":"https://doi.org/10.1071/HC26041","url":null,"abstract":"Introduction: The rapid advancement of artificial intelligence (AI) in health care necessitates that decision-makers consider end-user views on secondary data use and the application of AI in clinical settings.Aim: The aim of this study was to explore the perspectives of patients and health professionals on the use of personal health information for the development of AI tools and the implementation of these tools into health care.Methods: An observational, cross-sectional study involving semi-structured, scenario-based interviews with 51 participants; grouped as health professionals, patients with chronic, mental health, or rare conditions, and individuals undergoing routine screening.Results: Participants from all groups found it acceptable to use patient health information for AI on the condition that the information was intended to serve the greater good. All groups emphasised the potential for AI to support health professional staff by streamlining processes and reducing administration time. All groups also agreed on the importance of maintaining patient trust in health services and emphasised transparency, appropriate use of data, responsible data security measures, obtaining patient consent, and strong governance. Although these thematic overlaps demonstrated broad end-user agreement, there were also notable group-level differences in the emphases within these overarching themes.Discussion: Although this research has shown that patients and health professionals shared broadly aligned but nuanced views on the use of AI in health care, a one-size-fits-all approach to seeking social licence in this area is unlikely to be possible. Recommendations include ongoing and continued engagement with health professionals and consumers that reflects the diversity of interest-holders and perspectives involved.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147982339","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

Communicating health messages to children and families in primary care: a mixed-methods study in Aotearoa New Zealand. 在初级保健中向儿童和家庭传达健康信息：新西兰奥特罗阿的一项混合方法研究。

IF 0.9

Journal of primary health care Pub Date : 2026-05-14 DOI: 10.1071/HC25158

Victoria Egli, Criselda Meneses, Kim Ward, Melody Smith, Fa'asisila Savila, Lisa Te Morenga

{"title":"Communicating health messages to children and families in primary care: a mixed-methods study in Aotearoa New Zealand.","authors":"Victoria Egli, Criselda Meneses, Kim Ward, Melody Smith, Fa'asisila Savila, Lisa Te Morenga","doi":"10.1071/HC25158","DOIUrl":"https://doi.org/10.1071/HC25158","url":null,"abstract":"Introduction: Primary care professionals routinely discuss health issues with children and families, including difficult or taboo topics. Although clinicians want better resources to support these conversations, existing evidence largely reflects health professionals' perspectives.Aim: This study aimed to understand how parents/caregivers/whānau and children want common health messages communicated to them.Methods: A qualitative mixed-methods sequential design was used, comprising three stages: (1) an online survey of parents/caregivers of children aged 7-12 years living in Aotearoa New Zealand; (2) interviews with children whose parents opted in for participation; and (3) development of a health professional specific resource. Thematic analysis was applied to open-ended survey responses and interview transcripts.Results: Eighty parents/caregivers completed the survey, and 25 children participated in interviews. Three themes were identified: (1) Speak to the child but… highlighting the importance of direct, respectful, and non-judgemental communication; (2) Connection, emphasising rapport, trust, and tailoring information to a child's developmental level; and (3) Give kids choice, reflecting children's desire for autonomy, honesty, and involvement in decisions about their care. These findings informed the design of a lanyard-based resource to support health professionals' communication practices.Discussion: Children valued being spoken to directly in ways that respected their understanding and agency, and parents stressed the importance of trust, inclusion, and reinforcement through written or visual aids. The study highlights the need for child and whānau-centred approaches to communication in primary care. Future research will evaluate the resource's acceptability and effectiveness in real-world settings.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147930581","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

Overuse of knee ultrasound in acute knee injury pathways in primary care: a quality improvement report. 过度使用膝关节超声在急性膝关节损伤途径的初级保健：质量改善报告。

IF 0.9

Journal of primary health care Pub Date : 2026-05-08 DOI: 10.1071/HC26033

Sanjeev Krishna, Simon Young, Mark Fulcher

{"title":"Overuse of knee ultrasound in acute knee injury pathways in primary care: a quality improvement report.","authors":"Sanjeev Krishna, Simon Young, Mark Fulcher","doi":"10.1071/HC26033","DOIUrl":"https://doi.org/10.1071/HC26033","url":null,"abstract":"Introduction: Knee injuries are a common presentation in primary care in Aotearoa New Zealand (NZ). Knee ultrasound (US) is widely available, despite evidence and Accident Compensation Corporation (ACC) guidelines indicating limited diagnostic value in most acute knee trauma.Aim: This study aimed to evaluate the quality of imaging pathways prior to specialist review.Methods: A retrospective audit of consecutive patients referred to a sport and exercise physician-led Acute Knee Clinic (AKC) was undertaken to assess the appropriateness of pre-referral knee US use against ACC imaging guidelines.Results: Of 305 patients reviewed, 9.8% had undergone knee US prior to specialist assessment. Only one scan met ACC guideline criteria. Most USs were requested by physiotherapists (80%, P = 0.015) and performed at US-only clinics (66%). One in five patients had no prior imaging, and 21% had not received a knee X-ray. There was a trend suggesting that having an US increased the time to MRI; however, this difference was not statistically significant (P = 0.173).Discussion: Potential improvement strategies identified include targeted education and individual feedback on imaging pathways, increased use of guideline-based decision support, and system-level safeguards for US referral.Knee US represents a low-value investigation in most acute knee injury presentations. Improving adherence to evidence-based imaging pathways in primary care may reduce unnecessary imaging and costs, and streamline care of patients presenting with acute knee injuries in primary and community settings.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839362","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

Funding community eye care in Aotearoa: a preliminary cost estimate based on the Australian approach. 资助奥特罗阿的社区眼科护理：基于澳大利亚方法的初步成本估算。

IF 0.9

Journal of primary health care Pub Date : 2026-04-29 DOI: 10.1071/HC25218

Lucy Goodman, Pushkar Silwal, Niamh Taylor, Ellie Zou, Jacqueline Ramke

{"title":"Funding community eye care in Aotearoa: a preliminary cost estimate based on the Australian approach.","authors":"Lucy Goodman, Pushkar Silwal, Niamh Taylor, Ellie Zou, Jacqueline Ramke","doi":"10.1071/HC25218","DOIUrl":"https://doi.org/10.1071/HC25218","url":null,"abstract":"Introduction: In Australia, Medicare-funded optometric eye examinations are available to eligible residents, and state-funded subsidies support specific population groups to access spectacles. Meanwhile, public funding for optometry services in Aotearoa New Zealand (NZ) is limited, and many people cannot access the services they need.Aim: This study aimed to estimate the cost of funding eye examinations and spectacle subsidies in NZ based on the Australian model.Methods: We identified publicly available data describing uptake of Medicare-funded optometry services (2022-2024) and the NSW Spectacles Program (2022-2023). We assumed that uptake would be similar across age groups, male/female gender, and ethnicity groups (First Nations Australians vs Māori or Pacific Peoples in NZ, and non-Indigenous Australians vs other New Zealanders) between the two countries, and applied Australia's uptake rates to NZ's 2024 population. The cost of itemised eye examinations was defined using the current Medicare rebates (eg A$66.15/~NZ$73.35 for comprehensive examinations) and Optometry Australia's recommended consultation fees (A$153.54/~NZ$170.24), and the median value of available state-level spectacle subsidy (A$200/~NZ$221.76).Results: Extrapolating Australian uptake rates to our population in NZ would see ~2.4 million examinations delivered per annum at a cost of NZ$143m (using the Medicare rebate) and NZ$349m (using Optometry Australia's rate), as well as ~60,500 spectacles dispensed at a cost of NZ$13m. Targeting eye examinations and spectacles only to Community Services Card holders would cost NZ$50m to NZ$102m annually.Discussion: Australia's eye care models may guide future policies in NZ with discussion needed on the most appropriate rebates to avoid exacerbating inequities.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774711","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