A5080951174- Dementia and Cognitive Impairment Research
- Neurological Disease Mechanisms and Treatments
- Pharmaceutical Practices and Patient Outcomes
- Global Health Workforce Issues
- Healthcare Policy and Management
- Nursing Roles and Practices
- Telemedicine and Telehealth Implementation
- Primary Care and Health Outcomes
- Advanced MRI Techniques and Applications
- Health and Conflict Studies
- COVID-19 and healthcare impacts
- Migration, Health and Trauma
- COVID-19 and Mental Health
- Diet and metabolism studies
- Interprofessional Education and Collaboration
- Web Data Mining and Analysis
- Functional Brain Connectivity Studies
- Nonmelanoma Skin Cancer Studies
- Medical Imaging Techniques and Applications
- Emergency and Acute Care Studies
- Marketing and Advertising Strategies
- Online and Blended Learning
- Cutaneous Melanoma Detection and Management
- South Asian Studies and Conflicts
- Alzheimer's disease research and treatments
University of Otago
2016-2024
Royal Free London NHS Foundation Trust
2024
University of London
2024
Victoria University of Wellington
2024
Queen Mary University of London
2023
American Academy of Dermatology
2022
University of Michigan
2022
Broward Health Medical Center
2022
Northwell Health
2022
SUNY Upstate Medical University
2021-2022
During the first COVID-19 pandemic 'lockdown' in Aotearoa/New Zealand (March-May 2020, which strict 'stay at home' measures were introduced), general practices advised to use telephone and video consultations (telehealth) wherever possible instead of usual in-person visits. This was a sudden change for most patients. research aimed explore how patients accessed practice during lockdown evaluate their experiences with telehealth, inform telehealth could be effectively used future.
Teledermatology is an effective method for delivering health care, with strong evidence supporting its use, yet barriers have stalled implementation, including lack of reimbursement, liability concerns, and licensing restrictions. 1,2The coronavirus disease 2019 (COVID-19) pandemic crisis led to rapid adoption telemedicine continue care while minimizing inperson contact. 3 Historically, most teledermatology studies focused on store-and-forward models, whereas during the COVID-19 pandemic,...
In 2020, in the first COVID-19 pandemic lockdown, Aotearoa New Zealand consistently maintained stringent public health measures including stay-at-home lockdowns and distancing responses. Considering widespread disruption to social functioning caused by pandemic, this paper aimed explore environmental factors that influenced wellbeing of individuals during lockdown Zealand. Our mixed-methods study involved a survey (n = 1010) semi-structured interviews subset surveyed undertaken at tail end...
In Aotearoa/New Zealand, the first nation-wide coronavirus disease 2019 (COVID-19) lockdown occurred from March 23, 2020 to May 13, 2020, requiring most people stay at home. Health services had suddenly change how they delivered healthcare and some were limited or postponed. This study investigated access during this period, whether patients delayed seeking reasons for these delays, focusing on accessibility of primary care services.Adults (aged 18 years older) who contact with invited...
Associations have been found between COVID-19 and subsequent mental illness in both hospital- population-based studies. However, evidence regarding which illnesses are associated with by vaccination status these populations is limited.
Abstract Background Health services internationally have been compelled to change their methods of service delivery in response the global COVID-19 pandemic, mitigate spread infection amongst health professionals and patients. In Aotearoa/New Zealand, widespread electronic prescriptions (e-prescribing) was enabled. The aim research explore patients’ experiences how lockdown, changes prescribing interface between general practices community pharmacy affected access prescription medications....
Inequities in the provision of accessible primary health care contribute to poor outcomes and inequity. This study evaluated inequities prevalence consequences barriers that children face seeing a general practitioner (GP) Aotearoa New Zealand. We analysed data on 5,947 from Growing Up Zealand longitudinal cohort GP previous year, reported by mothers when their were aged 24 months 54 (in 2011/12 2013/14 respectively); maternal-reported hospitalisations year prior age months. used logistic...
Posterior cortical atrophy (PCA) is a neurodegenerative condition characterized by progressive loss of visual processing skills and other posterior functions. Diagnosis often delayed in PCA as symptoms can be difficult for the patient to articulate clinician detect. particularly challenging earliest stages disease since are mistaken being related ocular rather than dysfunction. This report describes 61-year-old man who volunteered healthy control participant longitudinal research study was...
There is widespread agreement that civil war obstructs efforts to eradicate polio. It suggested Islamist insurgents have a particularly negative effect on vaccination programmes, but this claim controversial.We analyse cross-national data for the period 2003-14 using binomial regressions investigate relationship between and non-Islamist insurgency global distribution of The dependent variable annual number polio cases in country according WHO. Insurgency operationalized as armed conflict...
Introduction The integration of pharmacists into general practice settings is increasingly common internationally. Within Aotearoa New Zealand, the role has evolved variably in different regions. Recent health policy and professional guidance support further development. Aim To describe current status working primary healthcare other than community pharmacy. Methods An online survey all Zealand was conducted 2022, covered employment, services, patient consultations, relationships with...
Background: Quality patient care in primary settings, especially for patients with complex long-term health needs, is improved by interprofessional collaborative practice. Effective collaboration achieved large part frequent informal face-to-face “on-the-fly” communication between team members. Research undertaken hospitals shows that interior architecture influences and staff. However, little known about how the of practices might facilitate or hinder among Objectives: This research...
Introduction Migraine is a complex neurological condition which requires evidence based treatment, tailored to the individual. International shows that treatment often sub-optimal, but experience of people with migraine in NZ unknown. Aim This study aimed describe barriers disease face when seeking care for their Aotearoa New Zealand (NZ). Methods The Survey (MiANZ) was delivered online via SurveyMonkey from 22 August 2022 7 October 2022. Questions included: sociodemographics, Disability...
Internationally, community pharmacy models of care have been moving away from a focus on dispensing to extended, clinically-focused roles for pharmacists. To identify how strategies were being implemented in Aotearoa New Zealand; changes expected influence health and system outcomes; what extended services delivered; the responses pharmacists, other professionals consumers these developments; contexts mechanisms supporting successful implementation new services. A realist evaluation...
Background Refugees and asylum seekers have specific health social care needs on arrival in a resettlement country. A third group — migrants with refugee-like background (refugee-like migrants) are less well defined or understood. Aim Using routinely collected data, this study compared demographics, interpreter need, healthcare utilisation for cohorts of refugees. Design & setting retrospective cohort was undertaken Wellington, New Zealand. Method Data were obtained refugees accepted...
Former quota refugees are known to have higher health and social care needs than the general population in resettlement countries. However, migrants with a refugee-like background (refugee-like migrants) New Zealand not currently offered systematic government-sponsored induction or services. This study explored experiences of providers practice. Staff at two Wellington region practices populations former were approached participate an exploratory qualitative study. Semistructured...
This study examines and compares health service utilisation patterns between New Zealand's (NZ) three main refugee groups the general NZ population. We used Statistics NZ's Integrated Data Infrastructure to identify quota, family-sponsored convention refugees arriving in (2007-2013). analysed contact with primary care, emergency department (ED), specialist mental services for first five years NZ. Logistic regression models, adjusted age, sex deprivation, compared use population 1 5. Quota...
The COVID-19 pandemic has led to greater societal divides based on alignment with vaccine mandates and social distancing requirements. This paper briefly lays out the experiences of individuals in Aotearoa New Zealand related public health messaging.
Improving intercultural competence through a combined virtual exchange and simulated pandemic response exercise 1 | WHAT PROBLEMS WERE ADDRESSED?'Intercultural competence' refers to the ability communicate cooperate with people from different backgrounds.As most healthcare workers frequently encounter colleagues patients who have been shaped by diverse values, beliefs experiences, can improve quality outcomes in healthcare. 1The dominant approach developing higher education is international...
Integrated care systems join up health and services, so that people have the support they need, in right place, at time. The aims include improving outcomes healthcare, tackling inequalities access enhancing productivity value for money. This is needed neuroscience as traditional delivery of inefficient, outdated expensive, can involve complex referral pathways long waiting times. In preparation formation integrated system (ICS), a novel innovative collaboration across multiple NHS trusts...
Abstract Background Recognition is growing of the contributions community pharmacists make to primary health care team, as their role shifts from a traditional dispensing focus greater emphasis on fully applying clinical skills. Some extended pharmacist services (e.g., vaccinations) are becoming increasingly common in New Zealand (Aotearoa). Community pharmacies provided key during COVID-19 response. Methods An online survey was sent and intern 2022, regarding delivery enablers barriers...