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
The path to curing a sick system: Primary care at a crossroads without a map
The path to curing a sick system: Primary care at a crossroads without a map

Don Matheson, Johanna Reidy and Rawiri Keenan suggest primary care reform may go in one of two ways: intensely competitive or built on trust. In the second of two articles, the authors suggest the competition scenario is a risky move
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
Not a subscriber? Unlock this article by subscribing here.
1.
District Health Board Financial Performance to 2016 and 2017 Plans. New Zealand Treasury, Wellington; 2017.
2.
Lillis S. The end of general practice as we know it. J Prim Health Care 2022;14(1):10–12.
3.
Workforce Survey 2020. RNZCGP, Wellington; 2020.
4.
Sibley CG, Greaves LM, Satherley N, et al. Effects of the COVID-19 pandemic and nationwide lockdown on trust, attitudes toward government, and well-being. Am Psychol 2020;75:618–630. DOI:10.10137/amp0000662
5.
McLeod M, Gurney J, Harris R, et al. COVID-19: we must not forget about Indigenous health and equity. Aust N Z J Public Health 2020;44(4):253–256. doi.org/10.1111/1753-6405.13015
6.
Whānau Ora: Report of the Taskforce on Whānau-Centred Initiatives. Ministry of Social Development, Wellington; 2010.
7.
Lynch JM, van Driel M, Meredith P, et al. The Craft of Generalism: clinical skills and attitudes for whole person care. J Eval Clin Pract (online 15 October 2021). doi.org/10.1111/jep.13624
8.
Jatrana S, Crampton P. Do financial barriers to access to primary health care increase the risk of poor health? Longitudinal evidence from New Zealand. Soc Sci Med 2020;113255. doi.org/10.1016/j.socscimed.2020.113255.
9.
Health and Disability System Review Final report Pūrongo whakamutunga, Health and Disability System Review Panel, Wellington; 2020.
10.
Gauld R, Atmore C, Baxter J, et al. The ‘elephants in the room’ for New Zealand’s health system in its 80th anniversary year: General practice charges and ownership models. NZ Med J. 2019;132(1489):8–14.