Diffusion of the primary health care strategy in a small district health board in New Zealand

Robertson, Heather; Carryer, Jenny; Neville, Stephen

doi:10.36951/ngpxnz.2015.008

Cited by 3 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite M aori making up 10% of the population in the Southern District, 19% of women in this cohort identified as M aori. 22 This overrepresentation of M aori aligns with the findings of Goldspink et al, 17 suggesting a systemic issue rather than a statistical anomaly. Considering the higher prevalence of bipolar disorder among M aori compared to other ethnic groups, there is a possibility that M aori WOCP with bipolar disorder face a disproportionately higher risk of being prescribed SV.…”

Section: Discussionsupporting

confidence: 85%

See 1 more Smart Citation

Prescription of sodium valproate to women of childbearing potential in Southern District Mental Health Services in New Zealand

Corfe-Tan,

McLay,

Mentzel

2023

Australas Psychiatry

View full text Add to dashboard Cite

Objective This study aimed to assess the adherence to guidelines in the prescription of sodium valproate (SV) to women of childbearing potential (WOCP) in Southern District Mental Health Services (SMHS) in New Zealand (NZ). Methods Electronic records of women aged 18–54 who were newly prescribed SV by SMHS between the 1st of January 2018 and the 31st of December 2019, were retrospectively reviewed. Documentation of the following criteria was examined: pre-commencement pregnancy test, education education on the teratogenic potential of SV and/or the importance of avoiding unplanned pregnancy, information on contraception, and the rationale for prescribing SV over alternative treatments. Results Among the 3065 WOCP who had contact with SMHS during the study period, 51 women were newly prescribed SV and at risk of pregnancy. Twenty-one women (41%) had a recorded reason for prescribing SV over alternative treatments, four women (8%) underwent a pre-commencement pregnancy test, 10 women (20%) received information about the teratogenic potential of SV and/or the importance of avoiding unplanned pregnancy, and 21 women (41%) had documentation regarding contraception. Conclusion The study findings indicate heterogeneous and suboptimal documentation of specific risks associated with SV use in WOCP in SMHS. Interventions are needed to improve prescribing and documentation practices.

show abstract

Section: Discussionsupporting

confidence: 85%

“…Considering the higher prevalence of bipolar disorder among M aori compared to other ethnic groups, there is a possibility that M aori WOCP with bipolar disorder face a disproportionately higher risk of being prescribed SV. 22 Further research is necessary to explore SV prescribing patterns specifically in M aori and other minority WOCP.…”

Section: Discussionmentioning

confidence: 99%