Respiratory physician Lutz Beckert considers chronic obstructive pulmonary disease management, including the prevention of COPD, the importance of smoking cessation and pulmonary rehabilitation, and the lifesaving potential of addressing treatable traits. He also discusses the logic of inhaler therapy, moving from single therapy to dual and triple therapy when indicated, as well as other aspects of management
Te Tumu Waiora: The integrated primary mental health and addiction model
Te Tumu Waiora: The integrated primary mental health and addiction model

This article describes the three new roles in the integrated primary mental health and addiction model – health improvement practitioners, health coaches and Awhi Ora support workers. It also gives “a day in the life” vignettes for each role and explains how they work with the existing GP and nurse workforce to provide primary care focused on holistic wellbeing
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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References:
1. Oakley Browne MA, Wells JE, Scott KM (Eds). Te Rau Hinengaro: The New Zealand Mental Health Survey. Wellington, NZ: Ministry of Health; 2006. health.govt.nz
2. Dowell AC, Garrett S, Collings S, et al. Evaluation of the Primary Mental Health Initiatives: Summary Report. Wellington, NZ: Ministry of Health; 2009. health.govt.nz
3. Bodenheimer T, Ghorob A. Health Coach Curriculum. San Francisco, CA: Center for Excellence in Primary Care; 2014. cepc.ucsf.edu/content/health-coaching-curriculum
4. Robinson PJ, Reiter JT. Behavioral Consultation and Primary Care: A Guide to Integrating Services, 2nd edition. Switzerland: Springer International Publishing; 2016. behavioralconsultationandprimarycare.com
5. Appleton-Dyer S, Andrews S, Reynolds J, et al. Fit for the Future: Evaluating Enhanced Integrated Practice Teams. Synergia; 2018. tetumuwaiora.co.nz
6. Paterson R, et al. He Ara Oranga: Report of the Government Inquiry into Mental Health and Addiction. Wellington, NZ: Government Inquiry into Mental Health and Addiction; 2018. mentalhealth.inquiry.govt.nz