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 silence of a policy void
Wednesday 17 August 2022, 12:45 AM

In one scenario, digital technologies replace face-to-face and resource-intensive, in-person modes of care [image: Everythingpossible on iStock]
Don Matheson, Johanna Reidy and Rawiri Keenan say the health reforms have not presented a coherent vision for primary and community care. In this, the first of two articles, they fill in some gaps in a bid to spark policy discussion
The health reforms in Aotearoa New Zealand have been far too quiet on the policy direction planned for primary healthcare.
This silence ignores th
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
Not a subscriber? Unlock this article by subscribing here.
References
- Matheson D, Reidy J, Keenan R. Bringing primary health and community care in from the cold in the New Zealand health reforms? Tracing reform recommendations to budgets and structures. J Prim Health Care 2022; forthcoming.
- Huston P, Campbell J, Russell G, et al. COVID-19 and primary care in six countries. BJGP Open 2020;4(4). DOI:10.3399/bjgpopen20X101128
- Haggerty JL, Reid RJ, Freeman GK, et al. Continuity of care: a multidisciplinary review. BMJ 2003;327(7425):1219–1221. DOI:10.1136/bmj.327.7425.1219
- Hansen AH, Halvorsen PA, Aaraas IJ, et al. Continuity of GP care is related to reduced specialist healthcare use: a cross-sectional survey. Br J Gen Pract 2013;63(612):482–489. DOI:10.3399/bjgp13X669202
- Hirpa M, Woreta T, Addis H, et al. What matters to patients? A timely question for value-based care. PLoS One 2020;15(7):e0227845. DOI:10.1371journal.pone.0227845