New Zealand rural primary health care workforce in 2005: More than just a doctor shortage

Goodyear‐Smith, Felicity; Janes, Ron

doi:10.1111/j.1440-1584.2007.00949.x

Cited by 40 publications

(32 citation statements)

References 11 publications

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“…3 However, there is a general shortage of pharmacists in developed countries that is the most critical in rural areas. 4,5 This shortage has prompted New…”

mentioning

confidence: 99%

International Telepharmacy Education: Another Venue to Improve Cancer Care in the Developing World

Alfaar

Kamal²,

Abouelnaga³

et al. 2012

Telemedicine and e-Health

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Objective: In developed countries, pharmacists play a crucial role in designing and implementing cancer treatments as part of a multidisciplinary oncology team. However, developing countries have a shortage of pharmacists, and their role is generally limited to dispensing and selling drugs. The aim of this study was to investigate the feasibility of providing clinical pharmacy educational activities via international teleconferencing to improve cancer care in developing countries. Materials and Methods: Meticulous preparation and intense promotion of the workshop were done in Egypt before the telepharmacy conferences began. Multiple connectivity tests were performed to resolve technical problems. Nine telepharmacy conferences were delivered during 3-h sessions that were held on three consecutive days. Talks were subsequently made available via Web streaming. Attendees were requested to complete a survey to measure their satisfaction with the sessions. Results: The teleconference was attended by a total of 345 persons, and it was subsequently reviewed online via 456 log-in sessions from 10 countries. Technical issues (e.g., poor auditory quality) were resolved on the first day of the event. The rate of attendees' responses on the survey was 30.1%, and satisfaction with the event was generally good. Conclusions: Telecommunication is a relatively inexpensive approach that may improve pharmacy practices, especially those used to treat patients with cancer in developing countries. Special attention to patient-based telepharmacy education, including the use of cost-effective technology, should be considered.

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“…3 However, there is a general shortage of pharmacists in developed countries that is the most critical in rural areas. 4,5 This shortage has prompted New…”

mentioning

confidence: 99%

International Telepharmacy Education: Another Venue to Improve Cancer Care in the Developing World

Alfaar

Kamal²,

Abouelnaga³

et al. 2012

Telemedicine and e-Health

View full text Add to dashboard Cite

show abstract

“…[3][4][5] These issues will be exacerbated in the future if recruitment is inadequate or if GPs leave rural practice. 6,7 Fees in rural practice are relatively low. 8 It has been estimated that earnings for rural GPs for out-of-hours work and maternity care are less than the minimum wage.…”

Section: Introductionmentioning

confidence: 99%

Rural health care in New Zealand: the case of Coast to Coast Health Centre, Wellsford, an early Integrated Family Health Centre

Raymont¹,

Boyd²,

Malloy³

et al. 2015

J Prim Health Care

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INTRODUCTION: Primary health care is critical, particularly in rural areas distant from secondary care services. AIM: To describe the development of Coast to Coast Health Centre (CTCHC) at Wellsford, north of Auckland, New Zealand and reflect on its achievements and ongoing challenges. METHODS: Interviews were conducted with staff and management of CTCHC and with other health service providers. Surveys of staff and a sample of enrolled patients were undertaken. Numerical data on service utilisation were obtained from the practice and from national datasets. RESULTS: The CTCHC provides a wide range of services, including after-hours care, maternity and radiology, across a network of electronically connected sites, as well as interdisciplinary training for a range of health students. General practitioner (GP) recruitment is problematic and nursing roles have been expanded. Staff report positively on the work environment. Consultation rates are higher than in comparable practices, especially consultations with nurses. Rates of hospital admission are relatively low. The development of the CTCHC was assisted by formation of a local primary health organisation (PHO) and by recognition by the local district health board (DHB). Issues with poor coordination of local services, and less service provision than is characteristic in urban areas, remain. Contracting processes with the DHB were complex and time-consuming. The merging of the local PHO into a larger PHO within the Waitemata DHB catchment inhibited progression towards more complete locality planning. DISCUSSION: A dedicated and locally controlled provider was able to generate a more than usually complete community health service for Wellsford and area. KEYWORDS: Interdisciplinary; New Zealand; primary health care; rural health services

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“…Over the past two decades many countries including New Zealand have faced a shortage of medical practitioners willing to practice in rural areas [1–5]. This problem is compounded by general medical workforce shortages related to increasing demands from the combination of an ageing population and an ageing medical workforce [5–7].…”

Section: Introductionmentioning

confidence: 99%

A Change in Students’ Perceptions of Peer and Faculty Attitudes to Rural Medicine following the Introduction of a Rural Health Rotation

Williamson

2014

International Journal of Family Medicine

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Introduction. In 2000, the Dunedin School of Medicine (one of Otago Medical School's 3 clinical schools) introduced 7-week rural placement. A survey of students conducted before attending the placement showed that most students did not perceive faculty to have a positive view of rural health. In 2007, we explored whether students' perceptions had changed. Method. All 5th year medical students at Otago Medical School were surveyed using items from the original study. The perceptions of students in Dunedin were compared with those of students in the other clinical schools (no rural rotation) and with those of students in the original study. Results. In 2007, there was a significantly increased likelihood of students from Dunedin reporting perceptions of positive faculty attitudes towards rural health compared with students from the other two clinical schools and with Dunedin students from the original survey. Conclusion. The results suggest that student perceptions of faculty attitudes in the school towards rural health may be changed following the introduction of a general practice rural placement to its curriculum.

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New Zealand rural primary health care workforce in 2005: More than just a doctor shortage

Abstract: This is the first NZ-wide rural workforce survey to include a range of rural primary health care providers (GPs, nurses and pharmacists). Ageing rural primary health care workforce and intentions to leave herald worsening workforce shortages.

Cited by 40 publications

References 11 publications

International Telepharmacy Education: Another Venue to Improve Cancer Care in the Developing World

International Telepharmacy Education: Another Venue to Improve Cancer Care in the Developing World

Rural health care in New Zealand: the case of Coast to Coast Health Centre, Wellsford, an early Integrated Family Health Centre

A Change in Students’ Perceptions of Peer and Faculty Attitudes to Rural Medicine following the Introduction of a Rural Health Rotation

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