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Journal of Primary Health Care

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https://www.readbyqxmd.com/read/27477564/potion-of-poison-cannabis-oil
#1
Nataly Martini
No abstract text is available yet for this article.
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477563/string-of-pearls-about-heart-health
#2
Anne Buckley
No abstract text is available yet for this article.
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477562/pearls-a-locally-produced-resource-for-new-zealand-primary-care-with-a-global-reach
#3
Brian R McAvoy, Anne Buckley
No abstract text is available yet for this article.
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477561/cochrane-corner-will-topical-nsaids-help-with-chronic-musculoskeletal-pain
#4
Vanessa Jordan
No abstract text is available yet for this article.
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477560/using-run-charts-for-cardiovascular-disease-risk-assessments-in-general-practice
#5
Susan Wells, Natasha Rafter, Kyle Eggleton, Catherine Turner, Ying Huang, Chris Bullen
INTRODUCTION Run charts are quality improvement tools. AIM To investigate the feasibility and acceptability of run charts displaying weekly cardiovascular disease (CVD) risk assessments in general practice and assess their impact on CVD risk assessments. METHODS A controlled non-randomised observational study in nine practices using run charts and nine control practices. We measured the weekly proportion of eligible patients with completed CVD risk assessments for 19 weeks before and after run charts were introduced into intervention practices...
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477559/deprescribing-in-a-family-health-team-a-study-of-chronic-proton-pump-inhibitor-use
#6
Kate Walsh, Debbie Kwan, Patricia Marr, Christine Papoushek, W Kirk Lyon
BACKGROUND Proton pump inhibitors (PPIs) are often used inappropriately, without an indication, or for longer durations than recommended. Few tools exist to guide reassessment of their continued use and deprescribing if required. We aimed to reduce inappropriate drug use by developing and implementing a PPI deprescribing tool and process in a family medicine unit. ASSESSMENT OF PROBLEM Primary care providers of adults taking a PPI for 8 weeks with an upcoming periodic health examination were reminded to reassess therapy via electronic medical record (EMR) messaging...
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477558/symptoms-and-signs-of-acromegaly-an-ongoing-need-to-raise-awareness-among-healthcare-practitioners
#7
Redzuan Zarool-Hassan, Helen M Conaglen, John V Conaglen, Marianne S Elston
INTRODUCTION Chronic excess growth hormone production results in acromegaly, a condition associated with widespread physical changes, including soft tissue and bony overgrowth. When untreated, acromegaly reduces life expectancy. Patients usually remain undiagnosed for years after the onset of symptoms, by which stage irreversible physical changes have often occurred. METHOD A cross-sectional questionnaire study involving patients with acromegaly from the Waikato Endocrine Unit and the New Zealand Acromegaly Society evaluated features of acromegaly that were present before diagnosis...
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477557/a-qualitative-study-to-explore-health-professionals-experience-of-treating-gout-understanding-perceived-barriers-to-effective-gout-management
#8
Chloe Humphrey, Richard Hulme, Nicola Dalbeth, Peter Gow, Bruce Arroll, Karen Lindsay
INTRODUCTION The management of gout is challenging and mainly occurs in primary care. This study aims to explore the experience of treating gout among primary care clinicians and understand the perceived barriers to effective therapy. METHODS Fourteen health professionals from primary care practices in South Auckland were recruited. Each participated in a semi-structured interview exploring their experience of treating and managing gout patients were analysed thematically. FINDINGS Participants described the large burden of gout in their communities and the importance of the clinician-patient relationship in gout management...
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477556/patient-awareness-knowledge-and-use-of-colchicine-an-exploratory-qualitative-study-in-the-counties-manukau-region-auckland-new-zealand
#9
Caraliese Rebello, Maree Thomson, Deborah Bassett-Clarke, Nataly Martini
INTRODUCTION Treatment of gout, specifically with colchicine, varies globally. Colchicine can be fatal due to its narrow therapeutic index and potential for interactions. In New Zealand, cases of intentional and unintentional colchicine overdose have been documented. AIMS To explore patients' knowledge on the use of gout medicines, and in particular their awareness of the maximum dose of colchicine, the dangers of colchicine overdose, and their opinions on restricting colchicine dispensing. The study also investigates where patients receive gout information...
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477555/outcomes-of-a-community-based-lifestyle-programme-for-adults-with-diabetes-or-pre-diabetes
#10
Chris Higgs, Margot Skinner, Leigh Hale
INTRODUCTION Diabetes, a long-term condition increasing in prevalence, requires ongoing healthcare management. Exercise alongside lifestyle education and support is effective for diabetes management. AIM To investigate clinical outcomes and acceptability of a community-based lifestyle programme for adults with diabetes/prediabetes at programme completion and 3-month follow-up. METHODS The 12-week community programme included twice-weekly sessions of self-management education and exercise, supervised by a physiotherapist, physiotherapy students and a nurse...
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477554/the-care-work-of-general-practice-receptionists
#11
Pat M Neuwelt, Robin A Kearns, Isobel R Cairns
INTRODUCTION The care work of general practice receptionists has received limited research attention, despite receptionists position at the beginning of patients' journeys in many health care systems. We examine receptionists' perceptions of their work and the opportunities and constraints they experience in caring for patients while providing administrative support to practices. METHODS Data were collected in focus group interviews with 32 receptionists from urban and rural general practices in the Auckland and Northland regions of New Zealand...
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477553/educating-vocationally-trained-family-physicians-a-survey-of-graduates-from-a-postgraduate-medical-education-programme
#12
Wayne K Cunningham, Susan M Dovey
INTRODUCTION Since 1991 the University of Otago, Dunedin, New Zealand has offered postgraduate qualifications specifically designed to educate general practitioners (GPs) about their unique work environment. AIM To determine motivations and impacts of postgraduate education for practising GPs. METHODS Survey of the 100 graduates of the University of Otago, Dunedin postgraduate general practice programme. Ninety five living graduates were approached and 70 (73.7%) responded. Quantitative data about disposition of respondents before enrolling and after completion of the programme were analysed using chi-square and paired t-tests...
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477552/master-of-primary-health-care-degree-who-wants-it-and-why
#13
Abby Andrews, Katharine A Wallis, Felicity Goodyear-Smith
INTRODUCTION The Department of General Practice and Primary Health Care at the University of Auckland is considering developing a Master of Primary Health Care (MPHC) programme. Masters level study entails considerable investment of both university and student time and money. AIM To explore the views of potential students and possible employers of future graduates to discover whether there is a market for such a programme and to inform the development of the programme. METHODS Semi-structured interviews were conducted with 30 primary health care stakeholders...
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477551/vocational-thresholds-developing-expertise-without-certainty-in-general-practice-medicine
#14
Karen Vaughan
INTRODUCTION This paper argues that particular experiences in the workplace are more important than others and can lead to transformational learning. This may enable practitioners to cross 'vocational thresholds' to new ways of being. AIM A notion of 'vocational thresholds' is developed, aiming to help build an understanding of the most powerful learning experiences of general practitioners (GPs). Vocational thresholds takes its cue from the idea of 'threshold concepts' - concepts that transform perspectives and integrate previously disconnected or hidden knowledge, sometimes in ways that are 'troublesome' to previously held beliefs...
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477550/new-zealand-among-global-social-media-initiative-leaders-for-primary-care-advocacy
#15
Kyle Hoedebecke, Joseph Scott-Jones, Luís Pinho-Costa
The international '#1WordforFamilyMedicine' initiative explores the identity of General Practitioners (GPs) and Family Physicians (FPs) by allowing the international Family Medicine community to collaborate on advocating for the discipline via social media. The New Zealand version attracted 83 responses on social media. Thematic analysis was performed on the responses and a 'word cloud' image was created based on an image identifying the country around the world - that of the silver fern. The '#1WorldforFamilyMedicine' project was promoted by WONCA (World Organisation of Family Doctors) globally to help celebrate World Family Doctor Day on 19 May 2015...
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477549/guest-editorial-improving-the-general-practice-discipline-through-higher-degree-study
#16
EDITORIAL
J Campbell Murdoch
No abstract text is available yet for this article.
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477548/from-the-editor-he-aha-te-mea-nui-o-te-ao
#17
EDITORIAL
Susan Dovey
No abstract text is available yet for this article.
June 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477382/not-our-problem-ian-cowan
#18
Reviewed By Susan Dovey
No abstract text is available yet for this article.
March 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477381/ageing-positively
#19
Terence Ong
No abstract text is available yet for this article.
March 2016: Journal of Primary Health Care
https://www.readbyqxmd.com/read/27477380/nuggets-of-knowledge-copd-targeting-the-use-of-inhaled-corticosteroids
#20
Linda Bryant
No abstract text is available yet for this article.
March 2016: Journal of Primary Health Care
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