A5002770805- Primary Care and Health Outcomes
- Interprofessional Education and Collaboration
- Cervical Cancer and HPV Research
- Innovations in Medical Education
- Health, psychology, and well-being
- Global Cancer Incidence and Screening
- Diabetes Management and Education
- Child and Adolescent Health
- Palliative Care and End-of-Life Issues
- Chronic Disease Management Strategies
- Obesity and Health Practices
- Health disparities and outcomes
- Healthcare Policy and Management
- Emergency and Acute Care Studies
- Healthcare cost, quality, practices
- Pharmaceutical Practices and Patient Outcomes
- Mental Health Treatment and Access
- Healthcare Systems and Technology
- Global Health Workforce Issues
- Health Systems, Economic Evaluations, Quality of Life
- Mental Health and Psychiatry
- Diversity and Career in Medicine
- Medical Coding and Health Information
- Reproductive tract infections research
- Healthcare Quality and Management
University of Otago
2016-2025
Victoria University of Wellington
2024
Whakauae Research (New Zealand)
2024
Primary Health Care
2009-2019
Marymount University
2011
For more than a century, Māori have experienced poorer health non-Māori. In 2019 an independent Tribunal found the Government had breached Te Tiriti o Waitangi by "failing to design and administer current primary care system actively address persistent inequities". Many (44%) unmet needs for care. Seven models of were identified funders research team, including Māori-owned practices. We hypothesised patient outcomes would differ between
Abstract Background Primary care in Aotearoa New Zealand is largely delivered by general practices, heavily subsidised government. Te Tiriti o Waitangi (1840) guarantees equal health outcomes for Māori and non-Māori, but differences are stark longstanding. Seven models of primary have evolved. We hypothesised that patient would differ between care; Māori, Pacific peoples those living material deprivation poorer from care. Methods conducted a cross-sectional study patient-level data national...
ABSTRACT Objective Determine the feasibility of high‐risk human papillomavirus (HPV)‐based cervical screening that included option a vaginal swab HPV test ( self‐test ). Design Implementation trial. Setting 17 primary care practices. Population or Sample People due for test. Methods Participants could choose clinician‐taken (undertaken in clinic at home), unless co‐test (HPV and cytology) was clinically indicated. Main Outcome Measures Proportion participants who had (a) , (b) an...
GPs are an accessible health care provider for most patients with mental disorders and gatekeepers to specialist care. The extent which consider their primary team as relevant problems needs be explored.To explore reasons why choose not disclose psychological GPs, discuss the implications provision of care.A cross-sectional survey consecutive attending general practices in New Zealand (part MaGPIe study). Patients were screened using GHQ-12 a stratified sample participated structured...
Background. Previous studies report GPs under-treat mental health disorders, particularly depression, and treatments are non-specific lack an evidence base. They conclude further training education of GP's is required.
The recent growth of arts and humanities in medical education shows recognition that these disciplines can facilitate a breadth thinking result personal professional growth. However creative work be challenge to incorporate into busy curriculum. Offering the option media as way reflecting is an example how this occur. This study aimed examine student response being given explore visit patient hospice.This was mainly qualitative study. In 2012 academic programme, class 86 students were using...
Learning to undertake intimate female and male examinations is an important part of medical student training but opportunities participate in practical, supervised learning a safe environment can be limited. A collaborative, integrated programme provide such was developed by two university teaching departments specialist sexual health service, utilising associates trained for simulated clinical educational setting. The objective this research determine changes senior students' self- reported...
To develop a natural language processing software inference algorithm to classify the content of primary care consultations using electronic health record Big Data and subsequently test algorithm's ability estimate prevalence burden childhood respiratory illness in care.Algorithm development validation study. consultations, is designed interrogate clinical narrative entered as free text, diagnostic (Read) codes created medications prescribed on day consultation.Thirty-six consenting...
To identify childhood respiratory tract-related illness presentation rates and service utilisation in primary care by interrogating free text coded data from electronic medical records.Retrospective cohort study. Data interrogation used a natural language processing software inference algorithm.36 practices New Zealand. analysed January 2008 to December 2013.The records 77 582 children enrolled were reviewed over 6-year period estimate the of utilisation. This represents 268 919 person-years...
We designed and validated a rule-based expert system to identify influenza like illness (ILI) from routinely recorded general practice clinical narrative aid larger retrospective research study into the impact of 2009 pandemic in New Zealand. Rules were assessed using pattern matching heuristics on routine narrative. The was trained data 623 encounters as gold standard against mutually exclusive set 901 records. calculated 98.2 % specificity 90.2 sensitivity across an ILI incidence 12.4...
To describe and compare how men health professionals perceive men's care.A qualitative study with an inductive thematic analysis of transcripts from three sequential sets focus groups. The first set included groups totalling 21 general practitioners 10 practice nurses; the second a group 12 under 25 years older over 35 years; third original professionals. Datasets were analysed individually, sequentially comparatively for professionals' beliefs about care.In initial groups, reported system,...
This study was undertaken to evaluate the impact on medical student learning of a revised chronic conditions teaching programme based care model utilizing patients-as-teachers.A qualitative questionnaire completed by students at start primary healthcare rotation determine existing impressions/understandings about conditions. Following programme, reflective essay home-visit person with end rotation.Analysis showed have some knowledge differences between acute and care, rather negative...
MCKINLAY E., GARRETT S., MCBAIN L., DOWELL T., COLLINGS & STANLEY J. (2011) New Zealand general practice nurses' roles in mental health care. International Nursing Review 58 , 225–233 Aim: To examine the of nurses interdisciplinary teams caring for people with mild to moderate conditions. Background: Supporting and well‐being is an important aspect primary Until now settings have had variable providing The Primary Mental Health Initiatives are 26 government‐funded, time‐limited projects...
Non-steroidal anti-inflammatory drugs (NSAIDs) are widely prescribed in primary care despite being a high-risk drug group causing significant adverse events, yet little is known about GPs' perceptions of NSAID risks and benefits.To explore experiences with prescribing views the benefits this medicines.A qualitative, inductive study general practice.Individual interviews 15 GPs using semi-structured interview guide. Interviews were audiorecorded transcribed. An inductive, thematic approach...
Introduction Integrating oral health into primary care (PHC) is recommended, thereby ensuring comprehensive patient care. Primary teams are well placed to promote and protect patients’ health, frequently see health-related complaints, so need be sufficiently knowledgeable manage such presentations. There limited local evidence inform acceptable feasible ways of integrating PHC in Aotearoa New Zealand. Aim To explore the views doctors nurses on place how improve its inclusion, PHC. Methods...
Introduction Continuity of care is considered vital to achieving high-quality health care. Traditionally, general practitioners have played a key role in managing continuity and largely been accountable for prescribing decision-making primary Following legislation changes, range disciplines make decisions regarding medicines the practice setting. To date, few studies investigated how different view management medicines-related Understanding views these clinicians important safe, effective...
Introduction Optimal use of the workforce in primary care is critical due to increasing complexity and demand resulting from multi-morbidity ageing populations. Improving public access medicines by making them available via a pharmacist without prescription can support self-care while ensuring oversight health professional. Aim The aim this paper was identify explore key differences between New Zealand Australia classified nationally for pharmacist-only non-prescription supply. Methods...
Objective To investigate the incidence of primary care presentations for herpes zoster (zoster) in a representative New Zealand population and to evaluate utilisation healthcare services following diagnosis. Design A cross-sectional retrospective cohort study used natural language processing software inference algorithm identify general practice consultations by interrogating 22 million electronic medical record (EMR) transactions routinely recorded from January 2005 December 2015. Data...