Senior medical students at the University of Auckland, New Zealand spend most their learning time in clinical attachments. Experiential apprentice-style training is traditionally recognised as an important aspect obtaining competency. In March 2020 they were stood down from general practice placements context a national response to COVID-19 pandemic. Acute conversion education experiential exposure online and offsite was required. This paper describes steps taken underlying theoretical...

Introduction Fundus examination by direct ophthalmoscopy is widely used in general practice; however, it offers limited field of view, requires close approximation to the patient, has a steep learning curve and difficult skill master maintain. Non-mydriatic fundus photography (NMFP) an alternative with wider ability for image analysis transmission, able be conducted allied healthcare staff. Aim This study aimed compare use smart-phone NMFP large rural practice. It also analyse number...

Introduction Rural Māori experience inequities in heart health outcomes compared to rural non-Māori and urban Māori. Access care is a significant contributor these inequities. There wealth of literature that explores access care; however, the voice within limited. Under Te Tiriti o Waitangi (The Treaty Waitangi), have legislative rights access, engage, participate system equitably. Aim This study aimed investigate barriers facilitators accessing for Methods The was informed by Kaupapa...

Starfield described the importance of system-level components primary care (first contact, continuous, comprehensive, coordinated), on countries' health systems. It is postulated that, at individual level, interpersonal interactions and relationship-centred are central to care.To explore impact COVID-19 disruption doctor-patient relationship subsequent development new models care.A series 11 cross-sectional surveys New Zealand (NZ) urban rural doctors, nurses, managers, from May 2020...

Abstract Community-based primary care, such as general practice (GP) or urgent serves the point of access to healthcare for most Australians and New Zealanders. Coronavirus disease 2019 (COVID-19) has created significant ongoing disruptions care. Traditional research methods have contributed gaps in understanding experiences care workers during pandemic. This paper describes a novel design method that intended capture evolving impact COVID-19 pandemic on Australia Zealand. Recurrent, rapid...

Objectives To assess the effect of a point care (POC) device for testing lipids and HbA1c in addition to by community laboratory facilities (usual practice) on completion cardiovascular disease (CVD) risk assessments general practice. Methods We conducted pragmatic, cluster randomised controlled trial 20 New Zealand practices stratified size rurality POC plus usual practice or alone (controls). Patients aged 35–79 years were eligible if they met national guideline criteria CVD assessment....

For members of vulnerable populations, articulating feelings and emotions about a place to cultural outsider may be challenging. This article describes study using participatory visual methodology, in which participants were invited create drawings explore their experiences as patients general practice waiting rooms, interacting with receptionists. Set New Zealand, the Pākehā (white) male researcher used traditional meeting protocol (hui process) process for trust building participants; most...

Problem: Reflection is important for lifelong learning and professional development, discussion forums have been highlighted as a potential platform enhancing reflection further through peer interaction teacher feedback. Forums provide students on general practice (GP) placement the opportunity to engage in collaborative reflective despite their geographical isolation disparate schedules. This case report seeks explore whether online demonstrate community presence among medical GP placement....

As the United States enters a new era of value-based payment heavy in emphasis on primary care measurement, careful examination selected measures and their potential impact outcomes vulnerable populations is essential. Applying theoretical model health quality as coding matrix, we used directed content analysis approach to categorize individual Merit Based Incentive Payment System (MIPS) measures. We found that most MIPS related aspects clinical effectiveness, whereas few, if any, access,...

INTRODUCTION: Reducing the rate of acute rheumatic fever nationally by two-thirds 2017 is a New Zealand Ministry Health priority. Northland District Board (DHB) has high rates fever, disproportionately impacting on Maori children and young people. School-based programmes general practice both contribute to prevention in detecting appropriately treating group A streptococcal (GAS) pharyngitis. AIM: The aim this study was assess adherence practitioners school-based sore throat national...

Knowing where and why harm occurs in general practice will assist patients, doctors, others making informed decisions about the risks benefits of treatment options. Research to date has been unable verify safety primary health care epidemiological research patient harms is now a top priority for advancing systems safety. We aim study incidence, distribution, severity, preventability patients experience due their care, from whole-of-health-system lens afforded by electronic records. "Harm"...

Social theories of learning consider and thinking as social activities. These activities may occur within a community practice. Communities practice position learners legitimate peripheral participants. This study tests whether participation provides an overarching theory to assist in evaluating teaching medical students undertaking short primary care attachments.A questionnaire was delivered all Year 4 at the University Auckland 2015. A deductive content analysis undertaken on data...

Māori health providers emerged in Aotearoa/New Zealand the 1980s as a mechanism to achieve self-determination for communities. However, contracts funding limit expressions of and fail reflect Te Tiriti O Waitangi, founding treaty Zealand. Significant reforms are proposed Zealand, including creation Health Authority that will commission services from providers. This paper aims critique government provided light reforms. A discourse analysis was undertaken on held by provider. The study...

ABSTRACT INTRODUCTION Practice size and location may affect the quality safety of health care. Little is known about contemporary New Zealand general practice characteristics in terms staffing, ownership services. AIM To describe compare small, medium large practices rural urban Zealand. METHODS Seventy-two were randomly selected from 2014 Primary Health Organisation database invited to participate a records review study. Forty-five recruited located throughout provided data on staff,...

Care Plus is a New Zealand chronic care initiative. It provides funding for extra primary visits patients with diseases and aims to improve management, health team work reduce inequalities in care. This mixed methodology study aimed explore characteristics within practices that may contribute improved clinical outcomes Plus.A focus group interview was conducted of professionals involved North Island Primary Health Organisation (PHO). Participants were selected because their 'expert status'....

ABSTRACT INTRODUCTION Activity based weight loss programmes may result in modest reductions weight. Despite the small successes demonstrated by these interventions, there are few examples that specifically address disparity of obesity for Māori compared to non-Māori. AIM This research highlights results a Kaupapa fitness and exercise programme aimed assist mainly adults, lose The was designed support participants using cultural values. METHODS A Muay Thai kickboxing developed with community...

General practitioners are increasingly approached to participate in research and share de-identified patient information. Research using electronic health records has considerable potential for improving the quality safety of care. Obtaining individual consent use information is usually not feasible. In this article we explore ethical issues personal without including threat confidentially doctor-patient relationship, discuss how risks can be minimised managed drawing on our experience as...