Journal of primary health care最新文献_第9页

Inequities in pre-pregnancy folic acid use in Central and South Auckland: secondary analysis from a postpartum contraception survey. 奥克兰中部和南部地区孕前叶酸使用的不平等现象：产后避孕调查的二次分析。

IF 1.2

Journal of primary health care Pub Date : 2023-12-01 DOI: 10.1071/HC23103

Esther Tutty, Jordon Wimsett, Charlotte Oyston, Sue Tutty, Matire Harwood, Emelia Legget, Lynn Sadler

{"title":"Inequities in pre-pregnancy folic acid use in Central and South Auckland: secondary analysis from a postpartum contraception survey.","authors":"Esther Tutty, Jordon Wimsett, Charlotte Oyston, Sue Tutty, Matire Harwood, Emelia Legget, Lynn Sadler","doi":"10.1071/HC23103","DOIUrl":"10.1071/HC23103","url":null,"abstract":"Introduction In Aotearoa New Zealand (NZ), there is inequity in rates of neural tube defects (NTDs). Among Maaori, NTD occur in 4.58/10 000 live births, and for Pacific peoples, it is 4.09/10 000 live births; this is compared to 2.81/10 000 live births for non-Maaori, non-Pacific peoples. Aim To describe self-reported pre-pregnancy folic acid supplementation and to determine the association between pregnancy intendedness, ethnicity, parity, maternal age, care provider and pre-pregnancy folic acid supplementation. Methods Secondary analysis of postpartum survey data collected at Te Whatu Ora Te Toka Tumai and Counties Manukau birthing facilities in 2020 was conducted. Descriptive analyses explored pregnancy intendedness and self-reported folic acid use by demographic variables. Multivariable logistic regression explored independent associations between demographic variables and folic acid use among intended pregnancies. Results In total, 398 participants completed the survey. The response rate was (140/149) 94% at Counties Manukau and (258/315) 82% at Te Toka Tumai. Pre-pregnancy supplementation was reported by 182 of 398 participants (46%). Use was higher among those who intended their pregnancy (151/262, 58%) compared to those who were 'pregnancy ambivalent' (9/33, 27%) or did not intend to become pregnant (22/103, 21%). Factors independently associated with supplementation among intended pregnancies included: 'Other ethnicity' (European, Middle Eastern, Latin American, African) compared to Maaori (aOR 5.3 (95% CI 1.3, 21.8)), age ≥30 years compared to Discussion Low rates of pre-pregnancy folic acid supplementation exist in Auckland with significant ethnic disparity. Mandatory fortification of non-organic wheat is important, but supplementation is still recommended to maximally reduce risk.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"15 4","pages":"308-315"},"PeriodicalIF":1.2,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138805587","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 do we know about the new government's plans for funding primary health care? 我们对新政府资助初级医疗保健的计划了解多少？

IF 1.2

Journal of primary health care Pub Date : 2023-12-01 DOI: 10.1071/HC23165

Peter Crampton

引用次数: 0

Normal or diseased? Navigating indeterminate gut behaviour. 正常还是患病？驾驭不确定的肠道行为

IF 1.2

Journal of primary health care Pub Date : 2023-12-01 DOI: 10.1071/HC23090

Christina McKerchar, Lee Thompson, Susan Bidwell, Aaron Hapuku

{"title":"Normal or diseased? Navigating indeterminate gut behaviour.","authors":"Christina McKerchar, Lee Thompson, Susan Bidwell, Aaron Hapuku","doi":"10.1071/HC23090","DOIUrl":"10.1071/HC23090","url":null,"abstract":"Introduction Delayed diagnosis of gut disease is a continuing problem, variously attributed to a range of patient, doctor, and health system factors. Gut disease often begins with indeterminate gut behaviours that are hard to classify. Aim This study aimed to investigate delayed diagnosis from the point of view of the patient, or prospective patient. How gut and gut disease was understood, what might prompt them to seek care, and their experiences of seeking care. Methods Using a qualitative design, we interviewed 44 people in New Zealand. Thirty-three had a diagnosis of gut disease, and 11 did not, though some of the patients in this latter group had symptoms. Results Some participants had a smooth trajectory from first noticing gut symptoms to diagnosis. However, a subgroup of 22 participants experienced long periods of troublesome gut behaviours without a diagnosis. For this subgroup of 22 participants, we found people struggled to work out what was normal, thus influencing when they sought health care. Once they sought health care, experiences of that care could be frustrating, and achieving a diagnosis protracted. Some who remained undiagnosed felt abandoned, though had developed strategies to self-manage. Discussion Indeterminate gut behaviours remain complex to deal with and it can difficult for both patients and doctors to assess when a symptom or group of symptoms need further investigation, watchful waiting or the use of other supportive strategies. Effectively communicating with healthcare staff can be a significant problem and there is currently a gap in support for patients in this regard.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"15 4","pages":"350-357"},"PeriodicalIF":1.2,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138805593","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

The new coalition government: a step forward for primary care funding? 新联合政府：向初级医疗拨款迈进了一步？

IF 1.2

Journal of primary health care Pub Date : 2023-12-01 DOI: 10.1071/HC23166

Felicity Goodyear-Smith, Tim Stokes

引用次数: 0

The enrolment gap and the COVID-19 pandemic: an exploration of routinely collected primary care enrolment data from 2016 to 2023 in Aotearoa New Zealand. 入学差距与 COVID-19 大流行：对新西兰奥特亚罗瓦地区 2016 年至 2023 年常规收集的初级保健入学数据的探索。

IF 1.2

Journal of primary health care Pub Date : 2023-12-01 DOI: 10.1071/HC23128

Megan Pledger, Nisa Mohan, Pushkar Silwal, Maite Irurzun-Lopez

{"title":"The enrolment gap and the COVID-19 pandemic: an exploration of routinely collected primary care enrolment data from 2016 to 2023 in Aotearoa New Zealand.","authors":"Megan Pledger, Nisa Mohan, Pushkar Silwal, Maite Irurzun-Lopez","doi":"10.1071/HC23128","DOIUrl":"10.1071/HC23128","url":null,"abstract":"Introduction For many countries, primary health care (PHC) serves as the gateway for individuals to access healthcare services. It has been shown to not only improve health but also health equity. To maximise this benefit, a substantial proportion of the population needs to be connected with PHC. The aim here was to assess the degree and evolution of enrolment in light of the coronavirus disease 2019 (COVID-19) pandemic in Aotearoa New Zealand. Methods We examined data on the enrolment of people in PHC organisations between 2016 and 2023. This analysis included breakdowns by sex, age groups, ethnicity, and socioeconomic deprivation levels. Poisson regression models were used to explore whether enrolment changed because of the COVID-19 pandemic. Results In 2016, Māori, young people and the most deprived had lower enrolment rates relative to their peers. Although young people's enrolment rate increased over time, especially during the COVID-19 pandemic, the Māori enrolment rate declined, as did the rate for Pacific people, and those who were the most deprived. The groups who had increases in enrolment rates were those with the lowest levels of socioeconomic deprivation and those in the 'Other' ethnic category, predominantly made up of European New Zealanders. Conclusion Enrolment statistics reveal disparities across sociodemographic lines. The COVID-19 pandemic was associated with changed patterns of enrolment that appear to have consequences for population health.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"15 4","pages":"316-323"},"PeriodicalIF":1.2,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138805625","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

Prompting lifestyle interventions to promote weight loss is safe, effective and patient-centred: Yes. 通过生活方式干预来促进减肥是安全、有效和以患者为中心的：是的。

IF 1.2

Journal of primary health care Pub Date : 2023-12-01 DOI: 10.1071/HC23167

Ross Lawrenson

引用次数: 0

Developing a toolkit to enhance nursing students’ health promotion practice 开发一个工具包，以加强护理学生的健康促进实践

Journal of primary health care Pub Date : 2023-10-19 DOI: 10.7748/phc.2023.e1812

Rebecca Reynolds, Sarah Neill

引用次数: 0

Implementing civic engagement placements for nursing students in community organisations: a pilot project 为护理学生在社区组织实施公民参与实习:试点项目

Journal of primary health care Pub Date : 2023-10-04 DOI: 10.7748/phc.2023.e1813

Pamela Donaghy, Mark Arnold

{"title":"Implementing civic engagement placements for nursing students in community organisations: a pilot project","authors":"Pamela Donaghy, Mark Arnold","doi":"10.7748/phc.2023.e1813","DOIUrl":"https://doi.org/10.7748/phc.2023.e1813","url":null,"abstract":"Non-clinical placements for nursing students may be beneficial in preparing students for providing care in integrated environments, supporting a focus on health promotion and increasing placement capacity. This article discusses the benefits and challenges of implementing the Clinical Placement Expansion Programme (CPEP) using a long-arm supervision model. Non-clinical practice learning opportunities were developed in partnership with local community organisations, in a spirit of civic engagement. As a result of these placements, nursing students developed their understanding of health inequalities, vulnerable populations and the effects of asset-based community development, while contributing positively to the activities of the organisation through involvement in well-being initiatives. The placements also improved students’ well-being, enhanced their knowledge of services and enabled them to experience alternative leadership models. To implement a civic engagement strategy for future healthcare professionals, further research is necessary to develop a sustainable framework for non-clinical placements. Additionally, universities will need to expand civic partnerships to affirm their role as anchor institutions for health in the community.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135591878","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

Improving diabetes care for care home residents 改善对养老院居民的糖尿病护理

Journal of primary health care Pub Date : 2023-10-02 DOI: 10.7748/phc.33.5.12.s4

Jo-Anne Wilson

引用次数: 0

What you need to know about supervising students 指导学生须知

Journal of primary health care Pub Date : 2023-10-02 DOI: 10.7748/phc.33.5.20.s8

Lynne Pearce

引用次数: 0