A Professional Myth: Personal Continuity of Care and New Zealand General Practice in the Twentieth Century

2005 ◽  
Vol 18 (2) ◽  
pp. 265-282
Author(s):  
Marjan Kljakovic ◽  
Melanie Nolan
Author(s):  
Alistair Fox

This chapter analyses the earliest of the New Zealand coming-of-age feature films, an adaptation of Ian Cross’s novel The God Boy, to demonstrate how it addresses the destructive impact on a child of the puritanical value-system that had dominated Pākehā (white) society through much of the twentieth century, being particularly strong during the interwar years, and the decade immediately following World War II. The discussion explores how dysfunction within the family and repressive religious beliefs eventuate in pressures that cause Jimmy, the protagonist, to act out transgressively, and then to turn inwards to seek refuge in the form of self-containment that makes him a prototype of the Man Alone figure that is ubiquitous in New Zealand fiction.


2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711713
Author(s):  
Riaan Swanepoel

BackgroundContinuity of care is a fading type of care because GPs are working more flexibly and at reduced working hours. The GP Contract gave a financial incentive to provide prompt GP appointments, but to the detriment of continuity of care. Increased patient demand for appointments has seemingly led to patients favouring ‘any’ appointment with a GP rather than ‘an appointment with the same GP’. Continuity of care in general practice is associated with greater patient satisfaction and is the preferred type of care for patients with chronic disease or psychological problems. In the Northeast of England there is a multi-partner GP practice that operates a true personalised list system. Other GP practices in the area do offer a degree of continuity of care, but this has not been measured.AimTo measure and compare the relational continuity of care index of four matched GP practices, one of which operates a personalised list.MethodA written protocol enabled the authors to extract comparable anonymised data from four GP practices over a year (January to December 2019). Two standardised indexes of continuity of care (UPC and SLICC) were calculated and compared.ResultsContinuity of care was consistently higher with personalised lists. UPC index results show that all GP practices provide surprisingly high continuity of care, albeit not with patients’ assigned GPs. Higher monthly UPC scores versus overall scores indicate patients are receiving continuity of care in relation to their condition.ConclusionContinuity of care is still observed in GP practices that do not have personalised lists.


Author(s):  
David Thackeray

Brexit is likely to lead to the largest shift in Britain’s economic orientation in living memory. Some have argued that leaving the EU will enable Britain to revive markets in Commonwealth countries with which it has long-standing historical ties. Their opponents argue that such claims are based on forms of imperial nostalgia which ignore the often uncomfortable historical trade relations between Britain and these countries, as well as the UK’s historical role as a global, rather than chiefly imperial, economy. This book explores how efforts to promote a ‘British World’ system, centred on promoting trade between Britain and the Dominions, grew and declined in influence between the 1880s and 1970s. At the beginning of the twentieth century many people from London, to Sydney, Auckland, and Toronto considered themselves to belong to culturally British nations. British politicians and business leaders invested significant resources in promoting trade with Australia, Canada, New Zealand, and South Africa out of a perception that these were great markets of the future. However, ideas about promoting trade between ‘British’ peoples were racially exclusive. From the 1920s onwards colonized and decolonizing populations questioned and challenged the bases of British World networks, making use of alternative forms of international collaboration promoted firstly by the League of Nations and then by the United Nations. Schemes for imperial collaboration amongst ethnically ‘British’ peoples were hollowed out by the actions of a variety of political and business leaders across Asia and Africa who reshaped the functions and identity of the Commonwealth.


2021 ◽  
Vol 27 (1) ◽  
pp. 22
Author(s):  
Sarah L. Hewitt ◽  
Nicolette F. Sheridan ◽  
Karen Hoare ◽  
Jane E. Mills

Limited knowledge about the nursing workforce in New Zealand general practice inhibits the optimal use of nurses in this increasingly complex setting. Using workforce survey data published biennially by the Nursing Council of New Zealand, this study describes the characteristics of nurses in general practice and contrasts them with the greater nursing workforce, including consideration of changes in the profiles between 2015 and 2019. The findings suggest the general practice nursing workforce is older, less diverse, more predominately New Zealand trained and very much more likely to work part-time than other nurses. There is evidence that nurses in general practice are increasingly primary health care focused, as they take on expanded roles and responsibilities. However, ambiguity about terminology and the inability to track individuals in the data are limitations of this study. Therefore, it was not possible to identify and describe cohorts of nurses in general practice by important characteristics, such as prescribing authority, regionality and rurality. A greater national focus on defining and tracking this pivotal workforce is called for to overcome role confusion and better facilitate the use of nursing scopes of practice.


2021 ◽  
Author(s):  
◽  
Ailish Wallace-Buckland

<p>In January 1932, the Sydney-based lifestyle magazine Health and Physical Culture published an article titled ‘The Menace of Effeminacy’. This article, written by Carl Hertzig, and read by magazine-subscribers across the Tasman, documented anxieties around the state of men and masculinity following the upheaval of the Great War. Touching on topics such as gender, psychology, eugenics, and sexuality this article and its concerns represent those that this thesis explores in order to understand what the ‘fear of effeminacy’ actually meant for New Zealanders during the interwar years (c.1918-1939). This thesis documents and analyses contemporary discussions of male sexuality and masculinity through a series of sources in order to establish the ways in which these concepts were understood in interwar New Zealand. Firstly, it examines some of the key pieces of legislation and reports that demonstrated official approaches, and ways of thinking, towards mental defectives, sexual offenders, and those with war neuroses. It then explores medical journals, and the dissertations of medical students; and finally, it analyses parts of popular print culture in Aotearoa/New Zealand, such as magazines and newspapers, in order to investigate and piece together the landscape in which said anxieties around effeminacy, masculinity, mental stability, and other deviations from the societally prescribed norm met. This thesis approaches these primary sources in such a way that acknowledges the evolutionary framework of understanding that was pervasive in medical circles during this era.  By thus examining the connections between constructions of the male body, homosexuality and effeminacy, late nineteenth to early twentieth century ideas around eugenics, and psychology and psychiatry, this work further uncovers the state of masculinity and male sexuality in New Zealand during the interwar period. This thesis argues that the ‘threat’ to masculinity perceived in a variety of venues was a mixture of anxieties around physical and mental wounds inflicted by the Great War; population concerns exacerbated by the exposure of the health-standards of troops, and worries of how to recover and reconstruct a virile society following four years of strife; concerns at the apparent loosening of sexual mores, and the changing manifestations of both masculinity and femininity; and ever increasing interest in the psychology of self, sexuality, and society. It adds to existing work on post-World War One masculinity by centring New Zealand discussions and understandings in a way that contributes to the broader literature on New Zealand twentieth-century masculinity, psychology and psychiatry, eugenics, and male sexuality.</p>


Author(s):  
Rupert S Tipples

This paper des cribes and analyses how a labour and skills shortage in agriculture (used in the generic and inclusive sense) emerged here in New Zealand towards the end of the twentieth century and how it has been responded to by the industry and government. It delineates a collaborative response to a type of problem affecting many sectors of the New Zealand economy at the present time. A serendipitous conjunction of improved industry economics, productive policy provision, and ministerial and industry will facilitated the creation of a new pan primary industry organisation with the somewhat unwieldy title Human Capability in Agriculture and Horticulture. A picture of what happened has been built up using a range of methodologies (historical- both documentary and oral; case studies; participant observation: and action research) to explain what led to its formation and sub sequent progress. Prospects for the future are reviewed with a view to isolating critical features which may be of benefit to other industries experiencing similar labour and skills shortages.


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