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Journal J Prim Health Care

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An initiative to improve equity, timeliness and access to District Health Board-funded physiotherapy in Canterbury, Christchurch, New Zealand.

Lisa McGonigle, Graham McGeoch,

Background and context General practice teams frequently request orthopaedic and musculoskeletal physiotherapy. In the Canterbury District Health Board (DHB) region, before November 2018, the criteria for DHB-funded physiotherapy were unclear. Wait times were many months. Care was provided on hospital sites. Limited data were available about the service. Assessment of ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(4):377-383]

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Like using a refrigerator to heat food: capacity and capability funding in primary care and the legacy of the Primary Health Organisation Performance Programme.

Reuben Olugbenga Ayeleke, Timothy Tenbensel, Pushkar Raj Silwal, Lisa Walton,

INTRODUCTION In 2016, the New Zealand Ministry of Health introduced the System Level Measures (SLM) framework as a new approach to health system improvement that emphasised quality improvement and integration. A funding stream that was a legacy of past primary care performance management was repurposed as 'capacity and capability' funding ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(4):345-351]

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Response to letter from Sundborn et al. on: 'Chasing elimination through lockdowns is stamping out livelihoods and lives'.

Ian Town,

J Prim Health Care (Journal of primary health care)
[2020, 12(4):302-304]

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Pacific Fono: a community-based initiative to improve rheumatic fever service delivery for Pacific Peoples in South Auckland.

, Anneka Anderson, Rachel Brown, Jadene Wheeler, Rawiri McKree Jansen,

BACKGROUND AND CONTEXT Rheumatic fever inequitably affects Māori and Pacific children in New Zealand. School-based throat swabbing services, such as the South Auckland Mana Kidz programme, are a key element of rheumatic fever prevention interventions. ASSESSMENT OF THE PROBLEM Counties Manukau has the highest national rates of rheumatic fever (4.7 ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(4):384-390]

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Blood glucose testing in the community: who are the users and do they have elevated blood glucose?

Andrew N Reynolds, Xiao Amelie Li, Jim Mann,

INTRODUCTION On-the-spot blood glucose testing is a health service performed in public spaces to raise diabetes awareness and screen for elevated blood glucose levels. AIM To describe the users of this service and the frequency of detecting elevated blood glucose. METHODS Data collected at point-of-testing on a standardised form over ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(4):352-357]

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High prevalence of malnutrition and frailty among older adults at admission to residential aged care.

Idah Chatindiara, Jacqueline Allen, Dushanka Hettige, Stacey Senior, Marilize Richter, Marlena Kruger, Carol Wham,

INTRODUCTION Malnutrition is an under-recognised and under-treated problem often affecting older adults. AIM The aim of this study was to evaluate the prevalence of and factors associated with malnutrition and frailty among older adults at early admission to residential aged care. METHODS A cross-sectional study was undertaken among eligible older ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(4):305-317]

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Repeat prescribing policy in New Zealand general practice: making it better.

Steven Lillis, Liza Lack,

INTRODUCTION Repeat prescribing is common in New Zealand general practice. Research also suggests that repeat prescribing is a process prone to error. All New Zealand general practices have to comply with requirements to have a repeat prescribing policy, with the details of the policy to be designed by the practice. ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(4):373-376]

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Health services for sexually transmitted infections: Where are we at in New Zealand? A narrative literature review.

Alesha J Smith, Kyle J Wilby,

INTRODUCTION Sexually transmitted infection (STI) rates continue to rise in New Zealand. To effectively prevent, test and diagnose STIs in a timely manner to limit their health effects, health services must be appropriate and accessible for all. AIM The aim of this review was to identify and collate the existing ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(4):335-344]

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Chasing elimination through lockdowns is stamping out livelihoods and lives [includes Addendum].

Gerhard Sundborn, Simon Thornley, Michael Jackson, Grant Morris, Mark Blackham, Grant Schofield, Richard Doehring, Ronald Goedeke, Ananish Chaudhuri,

J Prim Health Care (Journal of primary health care)
[2020, 12(4):298-301]

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Cochrane Corner: Coronavirus (COVID-19): implementation facilitators to supporting programmes for improving the resilience and mental health of frontline workers during and after an epidemic.

Vanessa Jordan,

J Prim Health Care (Journal of primary health care)
[2020, 12(4):395-396]

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Macroscopic and dermoscopic evaluation used to differentiate subungual haemorrhage from melanocytic lesions.

Mirain Phillips, Amanda Oakley,

INTRODUCTION Subungual haemorrhage describes blood located between the nail matrix and nail plate caused by trauma. Lack of recalled trauma and long duration of nail pigmentation results in specialist referrals to rule out malignant pathology. AIM This report aims to describe the macroscopic and dermoscopic characteristics of subungual haemorrhage and ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(4):368-372]

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Monitoring the use of dabigatran etexilate for stroke prevention: compliance with renal function guidelines.

Bryan H Simpson, David M Reith, Natalie J Medlicott, Alesha J Smith,

INTRODUCTION Dabigatran etexilate has become widely used in New Zealand, but information relating to when renal function monitoring is being undertaken is lacking. AIM To investigate if clinically appropriate renal function monitoring is being undertaken in New Zealand primary care for stroke prevention in non-valvular atrial fibrillation patients prescribed dabigatran ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(4):327-334]

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From the Editor: Health policy: articulating the vision and how to get there.

Susan Dovey,

J Prim Health Care (Journal of primary health care)
[2020, 12(4):295-297]

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Unilateral knee effusion in an elderly patient: an unusual presentation of rheumatoid arthritis.

Morteza Khodaee, Lindsay Ogle, Cleveland Piggott,

Unilateral atraumatic knee effusion is a relatively common presenting complaint among geriatric patients in primary care and musculoskeletal speciality clinics. Gout, pseudogout, degenerative joint diseases and reactive arthritis are the most common causes of the atraumatic knee effusions. Rheumatoid arthritis very rarely presents as arthritis of one or two large ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(4):391-394]

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'We're just seen as people that give out the methadone…': exploring the role of community pharmacists in the opioid substitution treatment team.

Rebecca Lukey, Ben Gray, Caroline Morris,

INTRODUCTION People receiving opioid substitution treatment are a vulnerable population who experience significant health inequities and stigma, but have regular interactions with community pharmacists. Many pharmacists now work collaboratively with other health providers to ensure effective and safe use of medicines, as well as being involved in the prevention and ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(4):358-367]

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Metformin adherence in patients with type 2 diabetes and its association with glycated haemoglobin levels.

Lynne Chepulis, Christopher Mayo, Brittany Morison, Rawiri Keenan, Chunhuan Lao, Ryan Paul, Ross Lawrenson,

INTRODUCTION Metformin is the initial medication of choice for most patients with type 2 diabetes. Non-adherence results in poorer glycaemic control and increased risk of complications. AIM The aim of this study was to characterise metformin adherence and association with glycated haemoglobin (HbA1c) levels in a cohort of patients with ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(4):318-326]

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Perinatal e-screening and clinical decision support: the Maternity Case-finding Help Assessment Tool (MatCHAT).

Tanya Wright, Kate Young, Margot Darragh, Arden Corter, Ian Soosay, Felicity Goodyear-Smith,

INTRODUCTION Screening tools assist primary care clinicians to identify mental health, addiction and family violence problems. Electronic tools have many advantages, but there are none yet available in the perinatal context. AIM To assess the acceptability and feasibility of the Maternity Case-finding Help Assessment Tool (MatCHAT), a tool designed to ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(3):265-271]

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Prevalence of invasive cancer in a large general practice patient population in New Zealand.

Dong Hyun Kim, Lynne Chepulis, Rawiri Keenan, Chunhuan Lao, Fraser Hodgson, Chris Bullen, Ross Lawrenson,

INTRODUCTION The prevalence of cancer in the community is likely to be increasing due to an ageing population, implementation of cancer screening programmes and advances in cancer treatment. AIM To determine the prevalence of primary invasive cancers in a large general practice patient population in New Zealand and to characterise ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(3):215-224]

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Guest Editorial: New Zealand research and international perspectives on the pandemic.

Alex Romain,

J Prim Health Care (Journal of primary health care)
[2020, 12(3):191-192]

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Ageing badly: indicators of old-age structure in Australia and New Zealand.

Yoram Barak, Shona Neehoff, Paul Glue,

INTRODUCTION Until 2050, Australia and New Zealand will experience continuing increase in the population aged >65 years. Studying differences in indicators of old-age structure between these countries can inform policymakers. AIM To calculate and analyse indicators of old-age structure for Australia and New Zealand. METHODS Five indicators of old-age structure ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(3):272-276]

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Chronic pain: good management of practical pain control strategies is associated with being older, more health activated and having better mental health.

Claire Budge, Melanie Taylor, Materoa Mar, Chiquita Hansen, Folole Fai,

INTRODUCTION Chronic pain affects a large proportion of the adult population and people in pain need to learn how to manage it in order to maintain quality of life. AIM This study aimed to examine how well people with long-term conditions make use of self-management strategies to control their pain, ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(3):225-234]

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What services should be guaranteed in universal health-care systems?

Kadjo Yves Cedric Adja, Davide Golinelli,

COVID-19 pandemic highlighted the importance of public, universal and equal access health-care, and reminded us that challenges are always incumbent for health-care systems. Because accessible and universal health-care systems will be critical into the future, it will be crucial to earmark adequate resources, fostering the financing of sectors that for ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(3):193-194]

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Physical activity behaviour and barriers to activity in adults at high risk of obstructive sleep apnoea.

Sarah Rhodes, Debra Waters, Ben Brockway, Margot Skinner,

INTRODUCTION Physical inactivity is a risk factor for disease severity among people with obstructive sleep apnoea. AIM To determine physical activity levels in patients at risk of obstructive sleep apnoea and explore their perceptions about barriers to participation in physical activity. METHODS This was a cross-sectional observational study. Eligible participants ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(3):257-264]

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Management of the emergency response to the SARS-CoV-2 (COVID-19) outbreak in Stockholm, Sweden, and winter preparations.

Mikael Ohrling, John Øvretveit, Ulf Lockowandt, Mats Brommels, Vibeke Sparring,

INTRODUCTION Sweden is unique in adopting a 'no-lockdown' public health approach to the SARS-CoV-2 (COVID-19) outbreak. There were fears that health services would not be able to care for high numbers of COVID-19 patients. AIM To describe and review the emergency response of a public primary and community health-care organisation ... Read more >>

J Prim Health Care (Journal of primary health care)
[2020, 12(3):207-214]

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From the Editor: Rapid research for rapidly evolving healthcare needs.

Susan M Dovey,

J Prim Health Care (Journal of primary health care)
[2020, 12(3):189-190]

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