A5012755979- Primary Care and Health Outcomes
- Occupational and environmental lung diseases
- Family and Patient Care in Intensive Care Units
- Healthcare Policy and Management
- Nursing Roles and Practices
- Pharmaceutical Practices and Patient Outcomes
- Family Support in Illness
- Family and Disability Support Research
- Interprofessional Education and Collaboration
- Emergency and Acute Care Studies
- Geriatric Care and Nursing Homes
- Palliative Care and End-of-Life Issues
- Chronic Disease Management Strategies
- Innovations in Medical Education
- Healthcare Systems and Technology
- Migration, Aging, and Tourism Studies
- Retirement, Disability, and Employment
- Radiation Dose and Imaging
- Health disparities and outcomes
- Healthcare innovation and challenges
- Intergenerational Family Dynamics and Caregiving
- Child and Adolescent Health
- Sarcoidosis and Beryllium Toxicity Research
- Congenital gastrointestinal and neural anomalies
- Stoma care and complications
Victoria University of Wellington
2009-2024
University of Otago
2015-2017
Primary Health Care
2017
Lung Institute
2001
Imperial College London
1999-2000
Fred Hutch Cancer Center
1996
University of Occupational and Environmental Health Japan
1984
McGill University
1973-1984
University of Pittsburgh
1973-1975
McGill University Health Centre
1972-1974
The results of studies respiratory symptoms and function, roentgenographic changes, mortality in relation to dust exposure the Quebec chrysotile industry, which has employed some 28,000 workers, are brought together their implications for control examined. Breathlessness on exercise, diminished inspiratory capacity, parenchymal pleural disease were related each other. Respiratory cancer was also exposure. overall excess deaths from cancers, including five with malignant mesothelioma, at most...
To describe the learning process of family carers who manage technical health procedures (such as enteral tube feeding, intravenous therapy, dialysis or tracheostomy care) at home.Increasingly, complex are being undertaken home but little attention has been paid to experiences such procedures.Grounded theory, following Charmaz's constructivist approach.Interviews with 26 managed and 15 professionals taught procedures. Data collection took place in New Zealand over 19 months during 2011-2013....
Abstract In a survey in Montreal before and after the introduction of health insurance (Medicare), questions were asked about 14 common symptoms for which medical advice should probably be sought. The selected generally more frequent lower-income families. Though there was little overall change frequency doctor visits, 13 higher proportion persons saw doctor. Before Medicare those from higher-Income families often consulted whereas afterward difference adults but children some economic...
A standard questionnaire was administered to an age-stratified random sample of 1,015 current male employees in the Quebec chrysotile asbestos mines and mills, The prevalence persistent cough phlegm (bronchitis) related age smoking habits perhaps, nonsmokers light smokers, also dust exposure. Breathlessness on exercise exposure but not smoking.
Abstract Interviews with random samples of practicing physicians in Montreal were conducted before and after the introduction a universal health-insurance plan. The size composition physician population not affected by There was reduction 8 1/2 hours, however, physician's average workweek, from 54.8 hours to 46.3 large declines time spent telephone consultations seeing patients at home or hospital. Average daily patient contacts also fell — 82,262 74,463 —owing hospital visits. Patients seen...
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...
Abstract The 2008 New Zealand Carers' Strategy recognises the role that "young carers" play in supporting family members who are ill or disabled, but we know little about this group of carers Zealand. In study, utilising grounded theory methods, interviews were undertaken with 14 young and nine other families to explore their experiences caring. Young caring occurs context relationships expectations, involving both choice obligation, for some, a strong sense responsibility. contribute wide...
To explore the experiences of family carers who manage technical health procedures at home and describe their learning process.
INTRODUCTION Multimorbidity impacts on patients' health and wellbeing, but relationships experienced within social networks can support people to live well. AIM This study sought elicit the views of New Zealanders with multimorbidity about their nominated supporters. METHODS Ten patients supporters each independently recorded patient's network a five-concentric-circle template, indicating supporting role importance patient. Sets supporters' templates were compared followed by comparing...
To explore relationships between the housing tenure of older New Zealanders and their health-related behaviours, physical mental health.Pooled data were analysed for 15,626 adults (aged 55+) from three consecutive, annual, nationally representative Zealand Health Surveys to compare owner-occupiers, private renters public renters.Most in sample owner-occupiers (83.2%), with 12.4% 4.5% renters. A higher proportion aged 75+ female. Māori Pacific people more likely be Renters living alone, on...
Abstract Background Changes in pharmacy models of care, services and funding have been occurring internationally, moving away from the traditional dispensing role to more extended patient-facing roles utilising pharmacists’ clinical skills. This study aimed identify offered by community Aotearoa New Zealand barriers facilitators provision. The is unique that it includes intern (pre-registration) pharmacists. Methods An online survey, conducted 2018, all pharmacists working a pharmacy. Data...
IN 2009, THE NLN COMMISSIONED A NATIONAL SURVEY TO EXAMINE CLINICAL EDUCATION PRELICENSURE RN PROGRAMS (Ironside & McNelis, 2010). Respondents were asked to identify the organizational and structural barriers pedagogical challenges they faced in optimizing students' clinical learning. For each of top five chose, respondents strategies used, along with their perceptions effectiveness those strategies. The most frequently identified barrier was lack quality sites that can accommodate number...
Recently published analyses have shown that the risks of mesothelioma and lung cancer in Quebec chrysotile miners millers were related to estimated level fibrous tremolite mines where they had worked. An analysis has therefore been made radiographic changes men who 1965 employed by companies Thetford Mines same question could be examined for fibrogenicity. Of 294 met necessary requirements, 129 worked six centrally located mines, content was thought high, 81 10 peripheral it low 84 both. The...
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...
Objective This study reports on the characteristics of individuals conducting health service research (HSR) in Australia and New Zealand, perceived accessibility resources for HSR, self-reported impact HSR projects barriers to HSR. Methods A sampling frame was compiled from funding announcements, trial registers organisation membership. Listed researchers were invited complete online surveys. Close-ended survey items analysed using basic descriptive statistics. Goodness fit tests determined...
Using grounded theory methodology, members of nine families with 'young carers' were interviewed to explore their experiences caring. A dynamic change and adaptation emerged in relation changes who cares within families, external support the attitudes young carers towards Adaptations included becoming used way life is, knowing how care, balancing trading off, rewarding anticipating future adaptations. model has been developed offer an explanation factors which influence caring families....
Purpose The COVID-19 pandemic has had significant health, social and economic impacts around the world. We established a national, population-based longitudinal cohort to investigate immediate longer-term physical, psychological of on affected people in Aotearoa New Zealand (Aotearoa), with resulting evidence assist designing appropriate health well-being services for COVID-19. Participants All residing aged 16 years or over, who confirmed probable diagnosis prior December 2021, were invited...
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...
Objectives: Our study aimed to determine the lung tissue concentration of asbestos and other mineral fibres by type length in persons with mesothelioma aged 50 yr or less at time diagnosis, compared controls similar age geographical region. In this group it was thought that most, but not all, work-related exposures would have been since 1970, when importation crocidolite, amosite, virtually eliminated. Methods: Eligible cases were sought from recent reports chest physicians SWORD...
Over the last 50 years, increasingly complex care (such as tracheostomy management, dialysis or enteral feeding) has shifted from hospital to home, with a concomitant rise in patient self-management and given by family members. Recognition of importance contribution health system is also growing. This article reports findings New Zealand study which explored experiences carers who manage technical procedures at home. It then draws attention some broader issues raised shifting professional...