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Journal of Primary Health Care Journal of Primary Health Care Society
Journal of The Royal New Zealand College of General Practitioners
Table of Contents

Volume 15 Number 4 2023

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.

HC23103Inequities in pre-pregnancy folic acid use in Central and South Auckland: secondary analysis from a postpartum contraception survey

Esther Tutty 0000-0001-6997-6077, Jordon Wimsett 0000-0002-4465-3949, Charlotte Oyston 0000-0002-1762-7905, Sue Tutty 0000-0001-6905-7556, Matire Harwood 0000-0003-1240-5139, Emelia Legget 0000-0003-1164-5261 and Lynn Sadler 0000-0003-0681-6652
pp. 308-315

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.

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.

HC23021New Zealand pharmacists’ views regarding the current prescribing courses: questionnaire survey

Mariam Ghabour 0000-0002-9636-7645, Caroline Morris 0000-0002-8751-0657, Kyle Wilby 0000-0002-1670-2512 and Alesha Smith 0000-0003-1056-9527
pp. 324-332

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.

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.

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.

HC23090Normal or diseased? Navigating indeterminate gut behaviour

Christina McKerchar 0000-0003-4443-4241, Lee Thompson, Susan Bidwell and Aaron Hapuku
pp. 350-357

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.

HC23093Holistic health for Pacific seniors from a weekly group gathering run by a Pacific health provider

Chris Higgs 0000-0003-4207-5513, Finau Taungapeau, Charleen Silcock, Oka Sanerivi, Emily Fruean, Ileana Lameta, Tevita Vungamoeahi, Charlotte Kareroa and Rose Richards
pp. 358-365

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.

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.

HC23083Describing the consumer profile of different types of community pharmacy in Aotearoa New Zealand

James Nind 0000-0002-7760-7586, Carlo A. Marra 0000-0002-2625-2121, Shane Scahill 0000-0001-5350-696X and Alesha Smith 0000-0003-1056-9527
pp. 376-381

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.

Committee on Publication Ethics

Announcement

JPHC's 2023 Journal Impact Factor is 1.1. The 2023 5-Year Impact Factor is 1.3.

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