Website intended for a NZ health professional readership
The world is rapidly changing, as is the practice of healthcare within it. Primary care has adapted to recent challenges but must be ready to face the next ones. In this article, Jo Scott-Jones provides resources around equity, planetary health, continuity of care and technology, with the caveats of funding, workforce and workload – essentially, a toolkit to help you plan for the year ahead
1. Ministry of Social Development. The Social Report 2016 – Te pūrongo oranga tangata. Economic standard of living: Income inequality.
2. NIWA. Climate change and possible impacts for New Zealand.
3. Betty B, Scott-Jones J, Toop L. State of general practice in New Zealand. N Z Med J 2023;136(1582):8–10.
4. The Equality Trust. Health.
5. Curtis E. Why we need to abandon cultural competency. Newsroom, 7 January 2020.
6. Neuwelt P. Community Participation Toolkit: a resource for primary health organisations. Wellington, NZ: Steele Roberts Ltd; 2007.
7. Aubusson K. David Morrison defends Australian of the Year honour on Q&A. The Age, 2 February 2016.
8. Lillis S, Milligan E. Ageing doctors. Australas J Ageing 2017;36(1):14–18.
9. United Nations. Hottest July ever signals ‘era of global boiling has arrived’ says UN chief. 27 July 2023.
10. World Health Organization. Climate Change. 12 October 2023.
11. Smith L. The nexus between climate change and healthcare. The Health Policy Partnership, 19 January 2022.
12. Coffey D, Wright S, Chauhan AS. Prescribing a healthy planet: The vital link between climate, healthcare, and empowering medical students for change in Aotearoa. N Z Med Stud J 2023;36:7–10.
13. Huffman P, Hough E. A Hidden Contributor to Climate Change – Asthma Inhalers. The Commonwealth Fund, 16 May 2023.
14. WONCA. WONCA five-star doctors.
15. WHO. Climate Change and Health.
16. Scott-Jones J. The New Zealand General Practice Podcast.
17. Sandvik H, Hetlevik Ø, Blinkenberg J, Hunskaar S. Continuity in general practice as predictor of mortality, acute hospitalisation, and use of out-of-hours care: a registry-based observational study in Norway. Br J Gen Pract 2022;72(715):e84–90.
18. Ralston JD, Yu O, Penfold RB, et al. Changes in clinician attitudes toward sharing visit notes: Surveys pre-and post-implementation. J Gen Intern Med 2021;36(11):3330–36.
19. OpenNotes. OpenNotes for Health Professionals.
20. McBeth R. GPs trial ‘digital assistants’. Health Informatics New Zealand, 28 September 2023.
Prostate cancer consultations are common in primary care and there is no one approach to testing and treatment that fits all patients. Urologist Simon van Rij discusses the key considerations and options for personalised care, appropriate investigation and treatment
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