The rural medical generalist workforce: The Royal New Zealand College of General Practitioners’ 2014 workforce survey results

Wong, Deanne L; Nixon, Garry

doi:10.1071/hc15055

Cited by 13 publications

(10 citation statements)

References 3 publications

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“…At the same time that this study was published, the RNZCGP undertook its 2014 workforce survey [4]. This provides a snapshot of the New Zealand Rural General Practice workforce (response rate 55.9%) with 17.1% of GPs identifying themselves as rural.…”

Section: Editorialmentioning

confidence: 99%

Rural Medical Education in New Zealand

Mayer

Renouf

2016

Cureus

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Despite a large number of yearly medical graduates, rural New Zealand is faced with a scarcity of practicing physicians. Opportunities to learn and practice in rural settings start at the undergraduate level and extend to practicing physicians. There are a number of different programs available to facilitate rural medical education for all students and physicians. These programs will be discussed in this article.

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Section: Editorialmentioning

confidence: 99%

Rural Medical Education in New Zealand

Mayer

Renouf

2016

Cureus

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“…6 In New Zealand, a high proportion of rural GPs are male, nearing retirement and work more hours than their urban colleagues. 7 Having fewer available Open access practitioners can mean rural residents are required to travel further to access healthcare.…”

Section: Introductionmentioning

confidence: 99%

Attitudes of rural communities towards the use of technology for health purposes in New Zealand: a focus group study

et al. 2020

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ObjectivesExamine attitudes to using online health and wellness services, and determine what barriers may exist to this in two rural communities in New Zealand.DesignA thematic analysis informed by a social constructivist paradigm explored the attitudes of youth and adults to give voice to these communities. Eighteen focus groups—nine in each region—were held for an hour each, with between three and nine participants in each group.SettingTwo rural areas at the Northern and Southern ends of New Zealand were chosen. In each area, we partnered with a local health centre providing primary care services. Three localities were identified within each region where we conducted the data collection.ParticipantsParticipants were youth aged 12–15 years, aged 16–20 years and adults over 21 years. Overall, 74 females and 40 males were recruited. Recruitment occurred through schools, community organisations or personal contacts of the facilitators, who were youth workers in their respective communities. Ethnicity of the participants was representative of each area, with a higher percentage of Māori participants in Northland.ResultsEight themes were identified which described participants’ attitudes to technology use in healthcare. Themes covered accessibility, cost, independence, anonymity and awareness issues: technology makes health information easily accessible; access to technology can be limited in rural communities; technology can reduce the cost of healthcare but it is too expensive for some; technology increases independence and autonomy of people’s own health; independent healthcare decisions come with risks; anonymity encourages people to seek help online; technology can help raise awareness and provide peer-support for people with health issues; technology impacts on social relationships.ConclusionsParticipants—particularly youth—were generally positive about the role of technology in healthcare delivery, and interested in ways technology could improve autonomy and access to health and wellness services.

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“…8 In rural areas the workforce shortage may be more pronounced. 9 Appointment availability is likely more complex than simple demand and supply. Systemic or structural issues are likely to influence availability.…”

Section: Introductionmentioning

confidence: 99%

Measuring doctor appointment availability in Northland general practice

2017

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INTRODUCTION Primary care access is associated with improved patient outcomes. Availability of appointments in general practice is one measure of access. Northland's demographics and high ambulatory sensitive hospitalisation rates may indicate constrained appointment availability. Our study aims were to determine appointment availability and establish the feasibility of measuring appointment availability through an automated process. METHODS An automated electronic query was created, run through a third party software programme that interrogated Northland general practice patient management systems. The time to third next available appointment (TNAA) was calculated for each general practitioner (GP) and a mean calculated for each practice and across the region. A research assistant telephone request for an urgent GP appointment captured the time to the urgent appointment and type of urgent appointment used to fit patients in. Regression analysis was used to determine the relationships between deprivation, patients per GP, and the use of walk-in clinics. RESULTS The mean TNAA was 2.5 days. 12% of practices offered walk-in clinics. There was a significant relationship between TNAA and increasing number of walk-in clinics. CONCLUSION The TNAA of 2.5 days indicates the possibility that routine appointments are constrained in Northland. However, TNAA may not give a reliable measure of urgent appointment availability and the measure needs to be interpreted by taking into account practice characteristics. Walk-in clinics, although increasing the availability of urgent appointments, may lead to more pressure on routine appointments. Using an electronic query is a feasible way to measure routine GP appointment availability.

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The rural medical generalist workforce: The Royal New Zealand College of General Practitioners’ 2014 workforce survey results

Cited by 13 publications

References 3 publications

Rural Medical Education in New Zealand

Rural Medical Education in New Zealand

Attitudes of rural communities towards the use of technology for health purposes in New Zealand: a focus group study

Measuring doctor appointment availability in Northland general practice

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