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Primary care clinicians should proactively take up latest AI-based technology: Yes. 初级保健临床医生应积极采用基于人工智能的最新技术:是的。
IF 1.2 Q2 Medicine Pub Date : 2024-03-01 DOI: 10.1071/HC24035
Chester Holt-Quick
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引用次数: 0
Primary care clinicians should proactively take up latest AI-based technology: No. 初级保健临床医生应积极采用基于人工智能的最新技术:不
IF 1.2 Q2 Medicine Pub Date : 2024-03-01 DOI: 10.1071/HC24033
Luke Bradford
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引用次数: 0
Prompting lifestyle interventions to promote weight loss is safe, effective and patient-centred: No. 通过生活方式干预来促进减肥是安全、有效和以患者为中心的:否。
IF 1.2 Q2 Medicine Pub Date : 2023-12-01 DOI: 10.1071/HC23163
Angela Ballantyne, Denise Steers, Lesley Gray
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引用次数: 0
Can cranberry products be used to prevent UTIs? 蔓越莓产品可用于预防尿道炎吗?
IF 1.2 Q2 Medicine Pub Date : 2023-12-01 DOI: 10.1071/HC23161
Vanessa Jordan
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引用次数: 0
Holistic health for Pacific seniors from a weekly group gathering run by a Pacific health provider. 由太平洋地区的医疗服务提供者每周举办一次小组聚会,为太平洋地区的老年人提供整体健康服务。
IF 1.2 Q2 Medicine Pub Date : 2023-12-01 DOI: 10.1071/HC23093
Chris Higgs, Finau Taungapeau, Charleen Silcock, Oka Sanerivi, Emily Fruean, Ileana Lameta, Tevita Vungamoeahi, Charlotte Kareroa, Rose Richards

Introduction Manatū Hauora (Aotearoa New Zealand (NZ) Ministry of Health) recognises that respecting and listening to Pacific peoples' knowledge and skills in caring for their communities' wellbeing is a priority, and that novel approaches to care, particularly for chronic health conditions, are necessary. Allied health professionals have the potential to play important roles in primary care design and delivery. Pacific Trust Otago (PTO) provides a weekly seniors' group gathering that has evolved over the years and incorporates exercise, health information and cultural activities. Aim This study aims to explore what Pacific seniors are learning about their health and wellbeing, and what factors contribute to sustained engagement with this weekly group activity. Methods The research team conducted a qualitative study using the Kakala Research Framework and the pan-Pacific Talanoa Research Methodology to gather narratives in a relational and comfortable group space. Participants were recruited from the seniors group gathering. Group Talanoa were used to collect data, which were digitally voice-recorded, transcribed, translated, and de-identified. Ethical approval was granted by the University of Otago School of Physiotherapy Ethics Committee. Results Pacific seniors valued how these gathering The seniors recognised how interconnected and intertwined culture, spirituality, and family were and how this contributed to their sense of individual and collective health and wellbeing. The study highlights the need to consider health beyond the individual to the collective, embracing indigenous perspectives, and authentically nurturing relationships with Pacific health providers. The study recommends primary care funders are supported to understand what is important to Pacific people and partner with Pacific health providers to deliver care in ways that align with indigenous models of care. Discussion A weekly group gathering for Pacific seniors run by Allied Health professionals provides a welcoming, safe, and culturally meaningful environment where seniors can connect, share, and grow in health and wellbeing together. This study highlights the importance of adopting informed and inclusive approaches to promoting and addressing holistic health for Pacific people, especially in light of ongoing health reforms in Aotearoa NZ.

导言:Manatū Hauora(新西兰卫生部)认识到,尊重和倾听太平洋岛屿居民在照顾其社区福祉方面的知识和技能是当务之急,而且有必要采取新的护理方法,尤其是针对慢性疾病的护理方法。联合保健专业人员有可能在初级保健的设计和提供方面发挥重要作用。奥塔哥太平洋信托基金会(PTO)提供每周一次的老年人团体聚会,该聚会经过多年的发展,已融合了锻炼、健康信息和文化活动。研究目的 本研究旨在探讨太平洋地区老年人在健康和福祉方面的知识,以及哪些因素有助于他们持续参与每周的小组活动。研究方法 研究小组采用卡卡拉研究框架(Kakala Research Framework)和泛太平洋塔拉诺阿研究方法(Pan-Pacific Talanoa Research Methodology)开展了一项定性研究,在一个亲切舒适的小组空间中收集叙述。参与者是从老年人小组聚会中招募的。小组塔拉诺阿被用来收集数据,这些数据经过数字语音录制、转录、翻译和去身份化处理。奥塔哥大学物理治疗学院伦理委员会批准了该项目。结果 太平洋地区的老年人重视这些聚会的价值。老年人认识到文化、精神和家庭是如何相互联系和交织在一起的,以及这如何促进了他们个人和集体的健康和幸福感。该研究强调了将健康问题从个人扩展到集体、接受土著观点以及真正培养与太平洋地区医疗服务提供者的关系的必要性。研究建议支持初级保健资助者了解什么对太平洋裔人重要,并与太平洋裔医疗服务提供者合作,以符合原住民保健模式的方式提供保健服务。讨论 由专职医疗人员管理的太平洋裔老年人每周一次的小组聚会,为老年人提供了一个温馨、安全和具有文化意义的环境,使他们能够相互交流、分享,并在健康和福祉方面共同成长。这项研究强调了采用知情和包容性方法促进和解决太平洋岛屿族裔整体健康问题的重要性,尤其是考虑到新西兰奥特亚罗瓦正在进行的医疗改革。
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引用次数: 0
Inequities in pre-pregnancy folic acid use in Central and South Auckland: secondary analysis from a postpartum contraception survey. 奥克兰中部和南部地区孕前叶酸使用的不平等现象:产后避孕调查的二次分析。
IF 1.2 Q2 Medicine Pub Date : 2023-12-01 DOI: 10.1071/HC23103
Esther Tutty, Jordon Wimsett, Charlotte Oyston, Sue Tutty, Matire Harwood, Emelia Legget, Lynn Sadler

Introduction In Aotearoa New Zealand (NZ), there is inequity in rates of neural tube defects (NTDs). Among Maaori, NTD occur in 4.58/10 000 live births, and for Pacific peoples, it is 4.09/10 000 live births; this is compared to 2.81/10 000 live births for non-Maaori, non-Pacific peoples. Aim To describe self-reported pre-pregnancy folic acid supplementation and to determine the association between pregnancy intendedness, ethnicity, parity, maternal age, care provider and pre-pregnancy folic acid supplementation. Methods Secondary analysis of postpartum survey data collected at Te Whatu Ora Te Toka Tumai and Counties Manukau birthing facilities in 2020 was conducted. Descriptive analyses explored pregnancy intendedness and self-reported folic acid use by demographic variables. Multivariable logistic regression explored independent associations between demographic variables and folic acid use among intended pregnancies. Results In total, 398 participants completed the survey. The response rate was (140/149) 94% at Counties Manukau and (258/315) 82% at Te Toka Tumai. Pre-pregnancy supplementation was reported by 182 of 398 participants (46%). Use was higher among those who intended their pregnancy (151/262, 58%) compared to those who were 'pregnancy ambivalent' (9/33, 27%) or did not intend to become pregnant (22/103, 21%). Factors independently associated with supplementation among intended pregnancies included: 'Other ethnicity' (European, Middle Eastern, Latin American, African) compared to Maaori (aOR 5.3 (95% CI 1.3, 21.8)), age ≥30 years compared to Discussion Low rates of pre-pregnancy folic acid supplementation exist in Auckland with significant ethnic disparity. Mandatory fortification of non-organic wheat is important, but supplementation is still recommended to maximally reduce risk.

导言:在新西兰奥特亚罗瓦地区(NZ),神经管畸形(NTDs)的发病率存在不平等现象。毛利人的神经管畸形发生率为 4.58/10,000,太平洋岛屿族裔的神经管畸形发生率为 4.09/10,000,而非毛利人和非太平洋岛屿族裔的神经管畸形发生率为 2.81/10,000。目的 描述自我报告的孕前叶酸补充情况,并确定怀孕意愿、种族、奇偶性、产妇年龄、护理提供者与孕前叶酸补充之间的关联。方法 对 2020 年在 Te Whatu Ora Te Toka Tumai 和 Counties Manukau 生育机构收集的产后调查数据进行二次分析。描述性分析根据人口统计学变量探讨了怀孕意愿和自我报告的叶酸使用情况。多变量逻辑回归探讨了人口统计学变量与计划妊娠中叶酸使用情况之间的独立关联。结果 共有 398 名参与者完成了调查。马努考县的回复率为(140/149)94%,特托卡图迈县的回复率为(258/315)82%。398 名参与者中有 182 人(46%)报告了孕前补充营养的情况。与 "怀孕矛盾 "者(9/33,27%)或不打算怀孕者(22/103,21%)相比,打算怀孕者使用补充剂的比例更高(151/262,58%)。与打算怀孕者补充营养素独立相关的因素包括其他种族"(欧洲人、中东人、拉丁美洲人、非洲人)与毛利人相比(aOR 5.3 (95% CI 1.3, 21.8)),年龄≥30 岁与讨论 在奥克兰,孕前叶酸补充率很低,而且存在明显的种族差异。强制强化非有机小麦非常重要,但仍建议补充叶酸,以最大限度地降低风险。
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引用次数: 0
What do we know about the new government's plans for funding primary health care? 我们对新政府资助初级医疗保健的计划了解多少?
IF 1.2 Q2 Medicine Pub Date : 2023-12-01 DOI: 10.1071/HC23165
Peter Crampton
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引用次数: 0
Eating behaviour, body image, and mental health: updated estimates of adolescent health, well-being, and positive functioning in Aotearoa New Zealand. 饮食行为、身体形象和心理健康:新西兰奥特亚罗瓦青少年健康、幸福和积极功能的最新估计。
IF 1.2 Q2 Medicine Pub Date : 2023-12-01 DOI: 10.1071/HC23048
Katie M Babbott, Nathan S Consedine, Marion Roberts

Introduction Body image dissatisfaction and its associated challenges have been related to poorer health outcomes among adolescents worldwide, including disordered eating behaviour, depression, and anxiety. However, current prevalence estimates of these issues in Aotearoa New Zealand or, relatedly, the estimates of positive attitudes and behaviours, such as intuitive eating and body appreciation are dated. Aim The primary aim of this paper was to provide updated estimates for a variety of constructs related to eating behaviours and body image, sourced from a diverse range of early adolescent participants. Methods For this report, a brief online survey was advertised to adolescents throughout Aotearoa New Zealand (n  = 893) via school and community noticeboards. Results Approximately one-in-three male participants and one-in-two female participants reported body image dissatisfaction. One in four participants reported clinically significant symptoms of depression and anxiety. Discussion Given such issues, there is clearly still much progress to be made in advancing positive health among early adolescents. Identifying potentially protective constructs such as intuitive eating and body appreciation may offer guidance into the best targets for prevention and early intervention.

导言:身体形象不满意及其相关挑战与全球青少年较差的健康结果有关,包括饮食行为紊乱、抑郁和焦虑。然而,目前对这些问题在新西兰奥特亚罗瓦地区的流行率的估计,或与此相关的积极态度和行为的估计,如直觉饮食和身体欣赏,都是过时的。目的 本文的主要目的是提供与饮食行为和身体形象相关的各种构建的最新估计值,这些估计值来自不同的青少年早期参与者。方法 为撰写本报告,我们通过学校和社区布告栏向新西兰奥特亚罗瓦地区的青少年(n = 893)发布了一份简短的在线调查。结果 大约三分之一的男性参与者和二分之一的女性参与者表示对身体形象不满意。每四名参与者中就有一人报告了严重的抑郁和焦虑症状。讨论 鉴于这些问题,在促进青少年积极健康方面显然还有许多工作要做。识别直觉饮食和身体鉴赏等潜在的保护性建构,可为预防和早期干预的最佳目标提供指导。
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引用次数: 0
New Zealand pharmacists' views regarding the current prescribing courses: questionnaire survey. 新西兰药剂师对当前处方课程的看法:问卷调查。
IF 1.2 Q2 Medicine Pub Date : 2023-12-01 DOI: 10.1071/HC23021
Mariam Ghabour, Caroline Morris, Kyle Wilby, Alesha Smith

Introduction New Zealand pharmacists must complete a joint prescribing course offered by Otago and Auckland universities only, to be qualified as pharmacist prescribers. Aim To identify knowledge and perceptions of New Zealand registered pharmacists, who are not pharmacist prescribers, on: pharmacist prescribing roles, courses and perceived barriers and facilitators to course uptake. Methods Participants comprised registered practising New Zealand pharmacists (n  = 4025), across all New Zealand regions. Invitations to participate in a questionnaire survey were sent in March 2021. Data were analysed using thematic analysis and descriptive statistics. Results The response rate was 12% (482/4025), with 94% community pharmacists. Almost two-thirds (65%) had over 10 years of working experience. Nearly all (95%) agreed that pharmacist prescribing would improve healthcare delivery in New Zealand. Most reported that barriers to pharmacist prescribing course uptake were funding, lack of institutional support, up-to-date pharmacological/pharmaceutical knowledge, and 2 years of experience in collaborative health team prerequisites for enrolment, finding medical supervisors, and lack of remuneration for prescribing roles. Discussion Pharmacist prescribing in New Zealand is still in its growing phase. Optimising uptake of prescribing courses and role requires a multi-level approach including all stakeholders. Government/policymakers should consider pharmacist prescribing training and remuneration in their funding plans. Employing institutions should provide required time and human resources (staff backfills). Training providers should consider methods of course delivery and assessment that are suitable for trainees in full-time employment.

简介 新西兰药剂师必须完成奥塔哥大学和奥克兰大学联合开设的处方课程,才能获得药剂师处方资格。目的 了解新西兰注册药剂师(非处方药剂师)对以下方面的了解和看法:处方药剂师的角色、课程以及参加课程的障碍和促进因素。方法 参与者包括新西兰所有地区的注册执业药剂师(n = 4025)。问卷调查邀请函于 2021 年 3 月发出。采用专题分析和描述性统计对数据进行了分析。结果 答复率为 12%(482/4025),其中 94% 为社区药剂师。近三分之二(65%)的药剂师拥有 10 年以上的工作经验。几乎所有人(95%)都认为药剂师开处方可以改善新西兰的医疗服务。大多数人表示,药剂师处方课程学习的障碍是资金、缺乏机构支持、最新的药理学/药物学知识、在合作医疗团队中拥有 2 年的工作经验、寻找医疗主管以及处方角色缺乏报酬。讨论 新西兰的药剂师处方仍处于成长阶段。优化处方课程和角色的吸收需要包括所有利益相关者在内的多层次方法。政府/政策制定者应在其资助计划中考虑药剂师处方培训和薪酬问题。用人机构应提供所需的时间和人力资源(员工后补)。培训机构应考虑适合全职受训人员的课程讲授和评估方法。
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引用次数: 0
Normal or diseased? Navigating indeterminate gut behaviour. 正常还是患病?驾驭不确定的肠道行为
IF 1.2 Q2 Medicine Pub Date : 2023-12-01 DOI: 10.1071/HC23090
Christina McKerchar, Lee Thompson, Susan Bidwell, Aaron Hapuku

Introduction Delayed diagnosis of gut disease is a continuing problem, variously attributed to a range of patient, doctor, and health system factors. Gut disease often begins with indeterminate gut behaviours that are hard to classify. Aim This study aimed to investigate delayed diagnosis from the point of view of the patient, or prospective patient. How gut and gut disease was understood, what might prompt them to seek care, and their experiences of seeking care. Methods Using a qualitative design, we interviewed 44 people in New Zealand. Thirty-three had a diagnosis of gut disease, and 11 did not, though some of the patients in this latter group had symptoms. Results Some participants had a smooth trajectory from first noticing gut symptoms to diagnosis. However, a subgroup of 22 participants experienced long periods of troublesome gut behaviours without a diagnosis. For this subgroup of 22 participants, we found people struggled to work out what was normal, thus influencing when they sought health care. Once they sought health care, experiences of that care could be frustrating, and achieving a diagnosis protracted. Some who remained undiagnosed felt abandoned, though had developed strategies to self-manage. Discussion Indeterminate gut behaviours remain complex to deal with and it can difficult for both patients and doctors to assess when a symptom or group of symptoms need further investigation, watchful waiting or the use of other supportive strategies. Effectively communicating with healthcare staff can be a significant problem and there is currently a gap in support for patients in this regard.

导言:肠道疾病的诊断延迟是一个持续存在的问题,可归因于患者、医生和医疗系统的各种因素。肠道疾病通常始于难以分类的不确定肠道行为。本研究旨在从患者或潜在患者的角度调查延迟诊断的问题。如何理解肠道和肠道疾病,什么可能促使他们寻求治疗,以及他们寻求治疗的经历。方法 采用定性设计,我们在新西兰采访了 44 人。其中 33 人被诊断出患有肠道疾病,11 人未被诊断出患有肠道疾病,尽管后一组中的一些患者有症状。结果 一些参与者从首次发现肠道症状到确诊的过程很顺利。然而,有 22 名参与者经历了长时间的肠道症状困扰,却没有得到诊断。在这 22 名参与者中,我们发现他们很难确定什么是正常的,因此影响了他们寻求医疗服务的时间。一旦他们寻求医疗服务,医疗服务的经历可能会令人沮丧,而获得诊断的时间也会延长。一些仍未确诊的人感觉自己被抛弃了,尽管他们已经制定了自我管理的策略。讨论 肠道行为不确定仍然是一个复杂的问题,患者和医生都很难评估何时需要对某一症状或某一组症状进行进一步检查、观察等待或使用其他支持性策略。与医护人员进行有效沟通可能是一个重大问题,目前在为患者提供这方面的支持方面还存在差距。
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引用次数: 0
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Journal of primary health care
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