Accessing primary healthcare during COVID-19: health messaging during lockdown

Blake, Denise; Thompson, Jessica; Chamberlain, Kerry; McGuigan, Kathryn

doi:10.1080/1177083x.2021.1950780

Cited by 7 publications

(6 citation statements)

References 24 publications

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“…Our study did not include those aged <18 years and, owing to its snowball sampling method, may not be generalisable to the wider New Zealand population. However, it points to the need to continually evaluate and improve messaging consistency at the national and health system level (a call supported by other New Zealand researchers 6 ) and for different localities to align service access and provision with this information. There is also a need for ongoing public health communication to normalise, and address, mental distress.…”

Section: Discussionmentioning

confidence: 99%

“… 4 These messages were mainly consistent with key crisis communication principles including transparency, timeliness, empathy and clarity. 5 However, research undertaken in New Zealand's 2020 stringent level 4 lockdown highlights the negative impact of ineffective health messaging on accessing primary care services in Palmerston North (New Zealand) throughout the pandemic, 6 suggesting discrepancies between positive national messaging and the real‐time impact on individuals accessing health services. Similarly, international research highlights health communication challenges during the pandemic.…”

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confidence: 99%

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Experiences of New Zealand public health messaging while in lockdown

Officer

McKinlay

Imlach

et al. 2022

Australian and New Zealand Journal of Public Health

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Objective:The COVID-19 pandemic has led to greater societal divides based on alignment with vaccine mandates and social distancing requirements. This paper briefly lays out the experiences of individuals in Aotearoa New Zealand related to public health messaging.Methods: Adults in Aotearoa New Zealand participated in a mixed-methods study involving a survey (n=1,010 analysed results) and then semi-structured interviews with a subset of surveyed participants (38 participants). Results were thematically analysed.Results: Participants highlighted two key areas related to public health messaging, these related to message consistency and the impact of messaging on wellbeing. Conclusions and public health implications:As the COVID-19 pandemic continues and further disrupts health service delivery and normal societal functioning, forward planning is needed to deliver more targeted messaging.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Experiences of New Zealand public health messaging while in lockdown

Officer

McKinlay

Imlach

et al. 2022

Australian and New Zealand Journal of Public Health

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“…The barriers identified in this study may not be applicable to other regions where cultural and ethnic differences may impact service access. Secondly, all but one study in this review took place prior to the Covid‐19 pandemic, and it is likely the results from this review do not reflect access barriers related to Covid‐19 (including lockdowns, high health care demand, and staff shortages) [40]. Finally, although the methodology was designed to increase study rigor and reduce bias through the use of multiple authors when coding and thematizing data, it cannot be ruled out that unintentional subjectivity may have influenced the analysis.…”

Section: Discussionmentioning

confidence: 99%

Patient‐perceived and practitioner‐perceived barriers to accessing foot care services for people with diabetes mellitus: a systematic literature review

McPherson

Carroll

Stewart

2022

Journal of Foot and Ankle Research

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Background Foot-related complications are common in people with diabetes mellitus, however foot care services are underutilized by this population. This research aimed to systematically review the literature to identify patient and practitioner-perceived barriers to accessing foot care services for people with diabetes. Methods PRISMA guidelines were used to inform the data collection and extraction methods. CINAHL, MEDLINE, and Scopus databases were searched in March 2022 to identify original research articles that reported on barriers to accessing diabetes foot care services from the patient and/or practitioner perspective. Both quantitative and qualitative studies were included. The methodological quality of included studies was assessed using the Critical Appraisal Skills Program (CASP) tool for qualitative/mixed methods studies or the National Heart, Lung & Blood Institute (NHLBI) tool for quantitative studies. Following data extraction, content analysis was used to identify reported barriers. Themes and subthemes were presented separately for patient-perspectives and practitioner-perspectives. A narrative summary was used to synthesize the findings from the included studies. Results A total of 20 studies were included. The majority of CASP and NHLBI criteria were met by most studies, indicating good overall methodological quality. Three predominant themes emerged from the patient perspective that represented barriers to accessing foot care services: lack of understanding, socioeconomic factors, and lack of service availability. Four themes emerged from the practitioner perspective: poor interprofessional communication, lack of resources, lack of practitioner knowledge, and perceived patient factors. Conclusions This study has identified a number of barriers to accessing foot care services from both the patient and practitioner perspectives. Although patients focused predominantly on patient-level factors, while practitioners focused on barriers related to the health care system, there was some overlap between them. This emphasizes the importance of recognising both perspectives for the future integration of policy changes and access facilitators that may help to overcome these barriers.

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“…The pandemic highlighted and amplified already existing inequities in health and society more broadly 1. The impact of border and regional closures on people movement (which were pivotal for successful pandemic control), changed the way that people accessed healthcare services 2–4. These impacts were particularly evident for screening services and planned interventions 5.…”

Section: Introductionmentioning

confidence: 99%

“…1 The impact of border and regional closures on people movement (which were pivotal for successful pandemic control), changed the way that people accessed healthcare services. [2][3][4] These impacts were particularly evident for screening services and planned interventions. 5 How health systems 'restarted' postlockdown periods are also likely to have contributed to non-COVID-19-related illnesses and health outcomes (in addition to COVID-19 itself).…”

Section: Introductionmentioning

confidence: 99%

Examining the impact of COVID-19 on Māori:non-Māori health inequities in Aotearoa, New Zealand: an observational study protocol

Curtis,

Jaung,

Paine

et al. 2024

BMJ Open

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IntroductionThe COVID-19 pandemic has had both direct and indirect impacts on the health of populations worldwide. While racial/ethnic health inequities in COVID-19 infection are now well known (and ongoing), knowledge about the impact of COVID-19 pandemic management on non-COVID-19-related outcomes for Indigenous peoples is less well understood. This article presents the study protocol for the Health Research Council of New Zealand funded project ‘Mā te Mōhio ka Mārama: Impact of COVID-19 on Māori:non-Māori inequities’. The study aims to explore changes in access to healthcare, quality of healthcare and health outcomes for Māori, the Indigenous peoples of Aotearoa New Zealand (NZ) and non-Māori during the COVID-19 outbreak period across NZ.Methods and analysisThis observational study is framed within a Kaupapa Māori research positioning that includes Kaupapa Māori epidemiology. National datasets will be used to report on access to healthcare, quality of healthcare and health outcomes between Māori and non-Māori during the COVID-19 pandemic in NZ. Study periods are defined as (a) prepandemic period (2015–2019), (b) first pandemic year without COVID-19 vaccines (2020) and (c) pandemic period with COVID-19 vaccines (2021 onwards). Regional and national differences between Māori and non-Māori will be explored in two phases focused on identified health priority areas for NZ including (1) mortality, cancer, long-term conditions, first 1000 days, mental health and (2) rheumatic fever.Ethics and disseminationThis study has ethical approval from the Auckland Health Research Ethics Committee (AHREC AH26253). An advisory group will work with the project team to disseminate the findings of this project via project-specific meetings, peer-reviewed publications and a project-specific website. The overall intention of the project is to highlight areas requiring health policy and practice interventions to address Indigenous inequities in health resulting from COVID-19 pandemic management (both historical and in the future).

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Accessing primary healthcare during COVID-19: health messaging during lockdown

Cited by 7 publications

References 24 publications

Experiences of New Zealand public health messaging while in lockdown

Experiences of New Zealand public health messaging while in lockdown

Patient‐perceived and practitioner‐perceived barriers to accessing foot care services for people with diabetes mellitus: a systematic literature review

Examining the impact of COVID-19 on Māori:non-Māori health inequities in Aotearoa, New Zealand: an observational study protocol

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