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Implementation of the Integrated Primary Mental Health and Addiction programme across metro Auckland is well under way. This article, written by David Codyre, Ainsleigh Cribb-Su’a and David Todd, outlines progress in rollout, challenges faced and what is being learnt, including as a result of implementation through periods of COVID-19 lockdown and then Omicron. A range of data is presented regarding programme outputs, outcomes and patient experience
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1. Massoud MR, Nielsen GA, Nolan K, et al. A Framework for Spread: From Local Improvements to System-Wide Change. Cambridge, MA: Institute for Healthcare Improvement; 2006. tinyurl.com/FrameworkForSpread
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
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