Pharmacist prescribers Linda Bryant and Leanne Te Karu discuss positive polypharmacy for heart failure. Current evidence shows the intensive implementation of four medications offers the greatest benefit to most patients with heart failure, with significant reductions in cardiovascular mortality, heart failure hospitalisations and all-cause mortality
Thanks to GPs’ productivity, the taxpayer receives a billion-dollar bonus every year
Thanks to GPs’ productivity, the taxpayer receives a billion-dollar bonus every year
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NZMA GP COUNCIL
Vanessa Weenink calculates that the costs of a salaried GP system would be far in excess of today’s mix in which many GPs are owners and contractors
References
1.Kluge H, Kelley E, Swaminathan S, et al. After Astana: building the economic case for increased investment in primary health care. The Lancet 2018;392(10160):2147–2152.
2.Pereira Gray DJ, Sidaway-Lee K, White E, et al. Continuity of care with doctors – a matter of life and death? A systematic review of continuity of care and mortality. BMJ Open 2018;8(6):e021161.
3.Martinez-Gonzalez NA, Rosemann T, Djalali S, et al. Task-shifting from physicians to nurses in primary care and its impact on resource utilization: A systematic review and meta-analysis of randomized controlled trials. Med Care Res Rev 2015;72(4):395–418.
4.RNZCGP. Workforce Survey 2018. Wellington, New Zealand: RNZCGP; 2019.