Explanipedia

PROTOCOL: Association of Antenatal Cytokine Concentrations With Neurodevelopmental Disorders of the Offspring: A Scoping Review Open

Imasha Upulini Jayasinghe, Hannah Jones, E. Scott Graham, Kyle Eggleton, Russell C. Dale , et al. · 2025

Objective This is a protocol for a Campbell review. The aim of this scoping review is to identify and map the available evidence on the association of antenatal cytokine concentrations with neurodevelopmental disorders (NDDs) of the offspr…

The role of the primary healthcare research community in addressing the social and structural determinants of health: a call to action from NAPCRG 2023 Open

Liesbeth Hunik, Elizabeth Sturgiss, Amanda Terry, David Blane, Kyle Eggleton , et al. · 2024

The need for effective primary healthcare to address social and structural determinants of health and to mitigate health inequalities has been well established. Here, we report on the international forum of the 2023 NAPCRG (formerly known …

Rural Māori experiences of accessing heart health care: a Kaupapa Māori qualitative analysis Open

Taria Tane, Vanessa Selak, Kyle Eggleton, Matire Harwood · 2024

Introduction Rural Māori experience inequities in heart health outcomes compared to rural non-Māori and urban Māori. Access to health care is a significant contributor to these inequities. There is a wealth of literature that explores Māor…

Reframing rural health inequities: a norm-critical approach Open

Kyle Eggleton · 2024

Use of a smartphone-based, non-mydriatic fundus camera for patients with red flag ophthalmic presentations in a rural general practice Open

Scott Davidson, Waldir Rodrigues de Souza, Kyle Eggleton · 2024

Introduction Fundus examination by direct ophthalmoscopy is widely used in general practice; however, it offers limited field of view, requires close approximation to the patient, has a steep learning curve and is a difficult skill to mast…

Non-acute heart failure management in primary care Open

Rachel Roskvist, Kyle Eggleton, Bruce Arroll, Ralph Stewart · 2024

A novel methodological approach to participant engagement and policy relevance for community-based primary medical care research during the COVID-19 pandemic in Australia and New Zealand Open

Katelyn Barnes, Sally Hall Dykgraaf, Kathleen O’Brien, Kirsty Douglas, Kyle Eggleton , et al. · 2024

Community-based primary care, such as general practice (GP) or urgent care, serves as the primary point of access to healthcare for most Australians and New Zealanders. Coronavirus disease 2019 (COVID-19) has created significant and ongoin…

Socio-demographic profile of medical students in Aotearoa, New Zealand (2016–2020): a nationwide cross-sectional study Open

Warwick Bagg, Elana Curtis, Kyle Eggleton, Garry Nixon, Zoë Bristowe , et al. · 2023

Objective To determine the socio-demographic profile of all students enrolled to study medicine in Aotearoa New Zealand (NZ). Design and setting Observational, cross-sectional study. Data were sought from the Universities of Auckland and O…

Rural general practice and ethical issues. A rapid review of the literature Open

Sunshine Menezes, Kyle Eggleton · 2023

Introduction Key New Zealand ethical documents that describe appropriate ethical behaviour for doctors do not consider rurality and how this might impact on the practice of medicine. Aim The aim of this study was to understand the literatu…

Rural secondary school leaver attainment inequities for students entering medical programmes in Aotearoa New Zealand Open

Lucy Mason, Hana Turner-Adams, Garry Nixon, Kyle Eggleton · 2023

The education literature suggests that there are rural-urban differences in educational achievement. Lower educational achievement in rural schools may impact entry into highly competitive medical programmes and disadvantage rural students…

Treatment Harms in Paediatric Primary Care Open

David Reith, Sharon Leitch, Kyle Eggleton, Katharine Wallis, Steven Lillis , et al. · 2023

The aim of this study was to describe the epidemiology in children of harms detectable from general practice records, and to identify risk factors. The SHARP study examined 9076 patient records from 44 general practices in New Zealand, wit…

Teaching medical students in general practice when conducting remote consults: a qualitative study Open

Rachel Roskvist, Andy Wearn, Kyle Eggleton, Shomel Gauznabi, Felicity Goodyear‐Smith · 2023

Clinicians needed to determine practical logistics and develop skills for both remote consulting and teaching. New format and structures of consultations needed planning. Differences from face-to-face teaching included scene-setting for th…

Antidepressants in primary care: limited value at the first visit Open

Bruce Arroll, Rachel Roskvist, Fiona Moir, Matire Harwood, Kyle Eggleton , et al. · 2023

When patients with a depressive condition first visit a general practitioner, they often get the prescription of an antidepressant1. We think that it is better to prescribe medication at a later stage, if at all. Here we explain why. It is…

How does cultural safety embed into our consultation models? A critical reflection Open

Lucy O’Hagan, Kyle Eggleton · 2023

In recent years there has been increasing discourse around cultural safety in medical practice in Aotearoa

Understanding the barriers and facilitators that influence access to quality cardiovascular care for rural Indigenous peoples: protocol for a scoping review Open

Taria Tane, Vanessa Selak, Kyle Eggleton, Matire Harwood · 2022

Introduction Māori (the Indigenous peoples of New Zealand) are disproportionately represented in cardiovascular disease (CVD) prevalence, morbidity and mortality rates, and are less likely to receive evidence-based CVD healthcare. Rural Mā…

Understanding barriers to diabetes eye screening in a large rural general practice: an audit of patients not reached by screening services Open

Angel Harbers, Scott Davidson, Kyle Eggleton · 2022

Introduction Diabetes is a leading cause of blindness in New Zealanders, yet a significant proportion of patients with diabetes are not reached by diabetes eye screening. Aim Our study audited patients with diabetes in a large New Zealand …

Understanding and experience of climate change in rural general practice in Aotearoa—New Zealand Open

Krystyna Glavinovic, Kyle Eggleton, Rhoena Davis, Kim Gosman, Alexandra Macmillan · 2022

Background Climate change is already affecting Aotearoa New Zealand (Aotearoa-NZ). The public health effects are varied and complex, and rural primary care staff will be at the front line of effects and responses. However, little is known …

Disruption to the doctor–patient relationship in primary care: a qualitative study Open

Kyle Eggleton, Nam Bui, Felicity Goodyear‐Smith · 2022

Background Starfield described the importance of system-level components of primary care (first contact, continuous, comprehensive, coordinated), on countries’ health systems. It is postulated that, at the individual level, interpersonal i…

Scope and activities of Māori health provider nurses: an audit of nurse–client encounters Open

Kyle Eggleton, Ashleigh Brough, Evelyn Suhren, Jackie McCaskill · 2022

Introduction The activities and consultations undertaken by Māori health provider nurses are likely broad and operate within a Māori nursing model of care. However, there is little quantitative evidence to document and describe these encou…

A place‐based evaluation of a healthy homes initiative Open

Kate McKay, Kyle Eggleton · 2022

Issue addressed Limited qualitative evaluations of healthy homes initiatives exist in the literature and even fewer look past physical health benefits to wider health outcomes. A qualitative evaluation of Manawa Ora, a healthy homes initia…

Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study Open

Sharon Leitch, Susan Dovey, Wayne Cunningham, Katharine Wallis, Kyle Eggleton , et al. · 2021

Objectives To determine the epidemiology of healthcare harm observable in general practice records. Design Retrospective cohort records review study. Setting 72 general practice clinics were randomly selected from all 988 New Zealand clini…

Medication-related harm in New Zealand general practice: a retrospective records review Open

Sharon Leitch, Susan Dovey, Wayne Cunningham, Alesha Smith, Jiaxu Zeng , et al. · 2021

Background The extent of medication-related harm in general practice is unknown. Aim To identify and describe all medication-related harm in electronic general practice records. The secondary aim was to investigate factors potentially asso…

Quick COVID-19 New Zealand Primary Care Survey, series 5-8 Open

Felicity Goodyear‐Smith, Nam Bui, Kyle Eggleton · 2021

These quick surveys of practicing clinicians' experiences dealing with the COVID-19 pandemic in New Zealand, developed with the Larry Green Center in the US, have been administered since May of 2020. This PDF combines the series 5-8 summar…

Broken bodies and broken minds: the need for a general practice approach post trauma Open

Kyle Eggleton · 2018

Research using electronic health records: Balancing confidentiality and public good Open

Katharine Wallis, Kyle Eggleton, Susan Dovey, Sharon Leitch, Wayne Cunningham , et al. · 2018

General practitioners are increasingly approached to participate in research and share de-identified patient information. Research using electronic health records has considerable potential for improving the quality and safety of patient c…

Characteristics of a stratified random sample of New Zealand general practices Open

Sharon Leitch, Susan Dovey, Ari Samaranayaka, David Reith, Katharine Wallis , et al. · 2018

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 com…

Ngātiwai Whakapakari Tinana: strengthening bodies through a Kaupapa Māori fitness and exercise programme Open

Kyle Eggleton, Lynette Stewart, A. Kask · 2018

INTRODUCTION Activity based weight loss programmes may result in modest reductions in weight. Despite the small successes demonstrated by these interventions, there are few examples that specifically address the disparity of obesity for Mā…

A repeat audit of primary care management of group A streptococcal pharyngitis in Northland, New Zealand 2016 Open

Anil Shetty, Clair Mills, Kyle Eggleton · 2018

INTRODUCTION One of the New Zealand Government’s Better Public Services targets was to reduce the rate of acute rheumatic fever (ARF) nationally by two-thirds by 2017. Māori children and young people are disproportionately affected by ARF …

Medication-related Harms to Paediatric Patients in Primary Care Open

David Reith, Susan Dovey, Sharon Leitch, Katharine Wallis, Kyle Eggleton , et al. · 2018

Background: Safety incidents in a primary care setting occur in approximately 2.2% of patient contacts, and 1 in 4 of these incidents have effects on patients, with hospital admission in approximately 3% of incidents (1).Available data ind…

Impact of Gaps in Merit-Based Incentive Payment System Measures on Marginalized Populations Open

Kyle Eggleton, Winston Liaw, Andrew Bazemore · 2017

As the United States enters a new era of value-based payment heavy in emphasis on primary care measurement, careful examination of selected measures and their potential impact on outcomes and vulnerable populations is essential. Applying a…

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