HC23166 Full Text | HC23166PDF (657 KB) Open Access Article
Volume 15 Number 4 2023
HC23165What do we know about the new government’s plans for funding primary health care?
HC23165 Full Text | HC23165PDF (632 KB) Open Access Article
What is already known: Historic self-reported prevalence data demonstrate high rates of disordered eating and body dissatisfaction in early adolescence. Overseas data suggest that more positive constructs of functioning may be useful interventional targets for this age group. What this study adds: This research offers preliminary estimates of prevalence for a variety of metrics, as well as an exploration of cross-sectional relationships between constructs. The research adds representation from male participants to a body of research that is often focused on the experiences of females.
HC23048 Abstract | HC23048 Full Text | HC23048PDF (882 KB) Open Access Article
HC23103Inequities in pre-pregnancy folic acid use in Central and South Auckland: secondary analysis from a postpartum contraception survey
What is already known: Pre-pregnancy folic acid supplementation reduces neural tube defects. Neural tube defect rates vary by ethnicity in Aotearoa New Zealand. What this study adds: In a diverse sample of birthing people across two large hospitals in Auckland, self reported pre-pregnancy folic acid supplementation was found to be low. We observed significant differences in pre-pregnancy supplementation by age, ethnic grouping, and pregnancy care provider.
HC23103 Abstract | HC23103 Full Text | HC23103PDF (728 KB) Open Access Article
What is already known: Māori, young people and those who are more socioeconomically deprived are less likely to be enrolled in a primary health organisation. What this study adds: This study refines the enrolment rate statistics to get more accurate estimates of access to primary healthcare enrolment. It looks at trends over time in enrolment and any changes that have occurred between the pre-COVID-19 era and the COVID-19 era.
HC23128 Abstract | HC23128 Full Text | HC23128PDF (1.3 MB) | HC23128Supplementary Material (610 KB) Open Access Article
HC23021New Zealand pharmacists’ views regarding the current prescribing courses: questionnaire survey
What is already known: Pharmacist prescribing is a novel approach that is expanding globally, with the aim of resolving health sector challenges such as improving healthcare delivery and achieving equity of access to medicine. Pharmacist prescribing in New Zealand is lagging behind other countries such as the UK and Canada. What this study adds: A multi-level approach including all stakeholders is required as an initiative to improve the pharmacist prescribing course and role uptake in New Zealand. Government, employing institutions, and training providers should consider pharmacist prescribing training and role requirements (eg funding, time, staff backfill) in their strategic annual plans for healthcare development.
HC23021 Abstract | HC23021 Full Text | HC23021PDF (753 KB) | HC23021Supplementary Material (722 KB) Open Access Article
What is known about the topic: The context surrounding improvement efforts contributes to observed variation in initiative outcomes. Studies into factors influencing QI success generally focus on secondary care organisations and little is understood about the relationship between the initiative, implementation process and context in primary care. What this study adds: This is an extension of a previous cross-case comparison. Additional cases enabled deeper understanding and refinement of key factors and proposed directionality of interrelationships influencing QI. A refined model is shared, depicting factors and relationships for effective QI.
HC23046 Abstract | HC23046 Full Text | HC23046PDF (1.3 MB) | HC23046Supplementary Material (812 KB) Open Access Article
What is already known: The COVID-19 pandemic has led to further emphasis on distance education as the solution for education for rural health professionals remote from major centres and training to work in rural areas. What this study adds: This research considers the value of and the important limitations for both students and teachers in the virtual adaptation of a culturally focussed educational workshop in a remote marae setting for postgraduate rural medical trainees.
HC23089 Abstract | HC23089 Full Text | HC23089PDF (717 KB) Open Access Article
What is already known: The South Island of New Zealand has high rates of gut disease such as bowel cancer and coeliac disease, compared to elsewhere in New Zealand. Delayed diagnosis is one contributing factor to poor outcomes from these diseases. What this study adds: Distinguishing between normal and abnormal gut behaviours can be difficult for lay people. Patients who have long-running gut issues without overtly alarming symptoms find them difficult to articulate, might not be taken seriously when they see a doctor, and are more likely to have a delayed diagnosis.
HC23090 Abstract | HC23090 Full Text | HC23090PDF (733 KB) | HC23090Supplementary Material (427 KB) Open Access Article
HC23093Holistic health for Pacific seniors from a weekly group gathering run by a Pacific health provider
What is already known: Delivering primary health care in diverse and culturally responsive ways will be necessary to meet the goals of Te Pae Tata (Interim NZ Health Plan 2022) and Te Mana Ola (Pacific Health Strategy 2023) to ensure equitable health outcomes for Pacific seniors. What this study adds: Allied Health professionals and the primary healthcare system are challenged to consider how they best work alongside Pacific health providers to support seniors’ social gatherings, that respond to the voices of the seniors themselves, and enable holistic community health and wellbeing.
HC23093 Abstract | HC23093 Full Text | HC23093PDF (724 KB) Open Access Article
What is already known: There is little published literature on the ethical issues facing rural doctors. In particular, there is little to guide New Zealand rural general practitioners that takes into account the intersecting relationships in rural areas. What this study adds: This rapid review highlights the major ethical issues that may be seen in rural areas.
HC23069 Abstract | HC23069 Full Text | HC23069PDF (833 KB) Open Access Article
HC23083Describing the consumer profile of different types of community pharmacy in Aotearoa New Zealand
What is already known: There are a range of different types of community pharmacy in Aotearoa New Zealand; however universal definitions have not been established. Within Aotearoa New Zealand, there is inequitable access to medicine where prescription co-payments act as a barrier. Although the decision to universally remove prescription co-payments should help, we do not know who is already accessing free prescriptions through corporate and hybrid pharmacies. What this study adds: This research provides a current consumer profile for each type of community pharmacy in Aotearoa New Zealand, which can serve as a comparator to assess how removing prescription co-payments changes consumer habits. Information is provided regarding the geographic distribution of the different types of community pharmacy throughout Aotearoa New Zealand.
HC23083 Abstract | HC23083 Full Text | HC23083PDF (773 KB) Open Access Article
HC23167Prompting lifestyle interventions to promote weight loss is safe, effective and patient-centred: Yes
HC23167 Full Text | HC23167PDF (655 KB) Open Access Article
HC23163Prompting lifestyle interventions to promote weight loss is safe, effective and patient-centred: No
HC23163 Full Text | HC23163PDF (752 KB) Open Access Article
HC23106 Full Text | HC23106PDF (631 KB) Open Access Article
HC23161 Full Text | HC23161PDF (634 KB) Open Access Article