scholarly journals Characteristics of a stratified random sample of New Zealand general practices

2018 ◽  
Vol 10 (2) ◽  
pp. 114 ◽  
Author(s):  
Sharon Leitch ◽  
Susan M. Dovey ◽  
Ari Samaranayaka ◽  
David M. Reith ◽  
Katharine A. Wallis ◽  
...  
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Health Care Services ◽  
Chi Square ◽  
Care Services ◽  
Practice Characteristics ◽  
Practice Size ◽  
Rural And Urban ◽  
General Practices ◽  
Review Study

ABSTRACT INTRODUCTION Practice size and location may affect the quality and safety of health care. Little is known about contemporary New Zealand general practice characteristics in terms of staffing, ownership and services. AIM To describe and compare the characteristics of small, medium and large general practices in rural and urban New Zealand. METHODS Seventy-two general practices were randomly selected from the 2014 Primary Health Organisation database and invited to participate in a records review study. Forty-five recruited practices located throughout New Zealand provided data on staff, health-care services and practice ownership. Chi-square and other non-parametric statistical analyses were used to compare practices. RESULTS The 45 study practices constituted 4.6% of New Zealand practices. Rural practices were located further from the nearest regional base hospital (rural median 65.0 km, urban 7.5 km (P < 0.001)), nearest local hospital (rural 25.7 km, urban 7.0 km (P = 0.002)) and nearest neighbouring general practitioner (GP) (rural 16.0 km, urban 1.0 km (P = 0.007)). In large practices, there were more enrolled patients per GP FTE than both medium-sized and small practices (mean 1827 compared to 1457 and 1120 respectively, P = 0.019). Nurses in large practices were more likely to insert intravenous lines (P = 0.026) and take blood (P = 0.049). There were no significant differences in practice ownership arrangements according to practice size or rurality. CONCLUSION Study practices were relatively homogenous. Unsurprisingly, rural practices were further away from hospitals. Larger practices had higher patient-to-doctor ratios and increased nursing scope. The study sample is small; findings need to be confirmed by specifically powered research.

scholarly journals An Analysis of Utilization of Postnatal Care Services Among Mothers in Nigeria

2019 ◽  
Vol 10 (01) ◽  
pp. 20691-20699
Author(s):  
Adigun A.O ◽  
Adigun K.A
Keyword(s):  
Health Care ◽  
Postnatal Care ◽  
Health Care Services ◽  
Universal Coverage ◽  
Cultural Barriers ◽  
Vulnerable Groups ◽  
Chi Square ◽  
Place Of Delivery ◽  
Care Services ◽  
Structured Questionnaire

This study examined the factors influencing postnatal health care attendance among Women in Ekiti State, Nigeria. The data used for the study was gathered by making use of structured questionnaire. Five hypotheses were formulated, chi-square and multiple linear regressions were used to analyze the data. From the result obtained, it was revealed that employment status, nature of settlement, religious belief, and place of delivery of women goes a long way in influencing their postnatal health care attendance. While educational levels of women do not influence their postnatal health care attendance. Based on the findings, it was recommended that effort to strengthen postnatal care should focus on universal coverage by addressing financial, religion, nature of settlement, place of delivery, education and cultural barriers to vulnerable groups, quality improvement to increase women’s satisfaction and carry the less privilege along and integration programmes to maximize the contact between women and health care services during and after delivery and enhance economic development.

Characterizing the health experience of Tuvaluan migrants in Auckland, New Zealand

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jordan Paul Emont ◽  
Seipua O’Brien ◽  
Vili Nosa ◽  
Elizabeth Terry Toll ◽  
Roberta Goldman
Keyword(s):  
Climate Change ◽  
Health Care ◽  
New Zealand ◽  
Health Care Services ◽  
Participant Observation ◽  
Full Time ◽  
Structured Interviews ◽  
Content Type ◽  
Care Services ◽  
Full Time Employment

Purpose It is predicted that increasing numbers of citizens of the Pacific Island nation of Tuvalu will migrate to New Zealand in the coming decades due to the threat of climate change. Tuvaluans currently living in New Zealand face disparities in income, education and health. This study aims to understand the views of recent Tuvaluan immigrants to Auckland, New Zealand on health behaviors, health care and immigration. Design/methodology/approach The authors conducted semi-structured interviews, key informant interviews and participant observation using a focused ethnography methodology. Findings Participants explained that Tuvaluans in New Zealand do not fully use primary care services, have a poorer diet and physical activity compared to those living in Tuvalu, and struggle to maintain well-paying, full-time employment. Practical implications As Tuvaluan immigration to New Zealand continues, it will be important to educate the Tuvaluan community about the role of primary health-care services and healthy behaviors, facilitate the current process of immigration and provide job training to recent immigrants to improve their opportunities for full-time employment and ensure cultural survival in the face of the threat of climate change. Originality/value This paper contributes to a greater understanding of the challenges to be faced by Tuvaluan environmental migrants in the future and features a high proportion of study participants who migrated due to climate change.

Rural And Urban Medicare Beneficiaries Use Remarkably Similar Amounts Of Health Care Services

2013 ◽  
Vol 32 (11) ◽  
pp. 2040-2046 ◽  
Author(s):  
Jeffrey Stensland ◽  
Adaeze Akamigbo ◽  
David Glass ◽  
Daniel Zabinski
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Medicare Beneficiaries ◽  
Care Services ◽  
Rural And Urban
Sign in / Sign up

Export Citation Format

Share Document