scholarly journals Repeat prescribing safety survey

2019 ◽  
Vol 11 (3) ◽  
pp. 243
Author(s):  
Steven Lillis ◽  
Nicki Macklin ◽  
Michael Thorn ◽  
Emma Wicks ◽  
Kristin Good ◽  
...  
Keyword(s):  
General Practice ◽  
New Zealand ◽  
General Practitioners ◽  
Safety Profile ◽  
Response Rate ◽  
Developed Countries ◽  
Expert Group ◽  
Repeat Prescribing ◽  
Accepted Part ◽  
Zealand College

ABSTRACT INTRODUCTIONRepeat prescribing is an accepted part of general practice activities in New Zealand and in many developed countries. However, there has been little research on how this service is used in New Zealand, or on clinicians’ attitudes towards it. AIMTo discover the opinions of vocationally registered general practitioners (GPs) and general practice registrars regarding repeat prescribing, availability of practice policy and mechanisms for issuing such prescriptions. METHODSA survey was developed by an expert group and shared through the Royal New Zealand College of General Practitioners’ (the College) weekly newsletter, epulse, inviting members to participate in the survey. The survey was also emailed to registrars. RESULTSIn total, 144 vocationally registered GPs and 115 registrars responded (n=259), giving a response rate of 3.2% for GPs and 12.7% for registrars. Patient convenience and time efficiency for the practice were the most commonly cited reasons for repeat prescribing. Registrars had low awareness of practice policy on repeat prescribing and only one-quarter of practices had an orientation pack that contained advice on repeat prescribing. DISCUSSIONBetter practice systems are likely to improve the safety profile of repeat prescribing and should be addressed. There is substantial unwanted variability currently in these practice systems.

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

2016 ◽  
Vol 8 (3) ◽  
pp. 196 ◽  
Author(s):  
Deanne L. Wong ◽  
Garry Nixon
Keyword(s):  
General Practice ◽  
New Zealand ◽  
General Practitioners ◽  
Response Rate ◽  
Hospital Medicine ◽  
International Medical Graduates ◽  
Medical Graduates ◽  
Rural And Urban ◽  
Survey Results ◽  
Zealand College

ABSTRACT INTRODUCTION Previous surveys have revealed a New Zealand rural medical generalist workforce that is mainly male, older and dependent on international medical graduates (IMGs). AIMS To provide a snapshot of the New Zealand rural medical generalist workforce in 2014 and to make comparisons with the urban medical generalist workforce. To assess future workforce losses and find ways to address them. METHODS In March/April 2014, a survey of members of The Royal New Zealand College of General Practitioners used the SurveyMonkey tool. A comparative analysis was undertaken ofself-identified rural and urban respondents. RESULTS The response rate was 55.9% (2525/4514). Of the 2203 working respondents, 17.1% self-identified as rural, working in rural general practice or rural hospital medicine. Compared with urban respondents, more rural generalists were male (57.5% rural vs 45.5% urban; P < 0.01), aged ≥ 55 years (38.2% rural vs 32.6% urban; P = 0.04) and involved in teaching (53.0% rural vs 30.0% urban; P < 0.01). IMGs were an integral part of the rural generalist workforce (52.8% rural vs 38.7% urban; P < 0.01). More rural generalists worked ≥ 36 h per week (66.8% rural vs 50.4% urban; P < 0.01) and they were more likely to retire within the next 10 years (40.4% rural vs 34.7% urban; P = 0.0417). DISCUSSION The rural medical generalist workforce continues to be mainly male, older and consist of a high proportion of IMGs. Findings confirm the fragility of this workforce and highlight the need for renewed efforts to improve recruitment and retention.

scholarly journals Repeat prescribing policy in New Zealand general practice: making it better

2020 ◽  
Vol 12 (4) ◽  
pp. 373
Author(s):  
Steven Lillis ◽  
Liza Lack
Keyword(s):  
General Practice ◽  
New Zealand ◽  
General Practitioners ◽  
Local Development ◽  
Policy Research ◽  
Practice Research ◽  
Annual Conference ◽  
Protected Time ◽  
Repeat Prescribing ◽  
General Practices

ABSTRACT INTRODUCTIONRepeat prescribing is common in New Zealand general practice. Research also suggests that repeat prescribing is a process prone to error. All New Zealand general practices have to comply with requirements to have a repeat prescribing policy, with the details of the policy to be designed by the practice. AIMTo inform the development of practice policy, research was undertaken with experienced general practitioners to identify and mitigate risk in the process. METHODSAt the 2019 annual conference of the Royal New Zealand College of General Practitioners, a workshop was held with 58 experienced general practitioner participants. The group was divided into six small groups, each with the task of discussing one aspect of the repeat prescribing process. The results were then discussed with the whole group and key discussion points were transcribed and analysed. RESULTSIssues identified included: improving patient education on appropriateness of repeat prescribing; having protected time for medicine reconciliation and the task of repeat prescribing; reducing the number of personnel and steps in the process; and clarity over responsibility for repeat prescribing. DISCUSSIONThis research can inform the local development of a repeat prescribing policy at the practice level or be used to critique existing practice policies. Attention was also drawn to the increasing administrative burden that repeat prescribing contributes to in general practice.

‘Quit while you are ahead – and smell the roses!’ A survey of retired Fellows of the Australian and New Zealand College of Anaesthetists

2021 ◽  
pp. 0310057X2110057
Author(s):  
Diana Strange Khursandi ◽  
Victoria Eley
Keyword(s):  
Clinical Practice ◽  
New Zealand ◽  
Standard Deviation ◽  
Response Rate ◽  
Common Factors ◽  
Published Data ◽  
Factors Affecting ◽  
Retirement Decisions ◽  
Zealand College ◽  
The Mean

There are no published data on the age of retirement of anaesthetists in Australia and New Zealand. We surveyed 622 retired Fellows of the Australian and New Zealand College of Anaesthetists to determine their ages of complete retirement from clinical practice, demographics, and whether they had retired at the age they had intended to retire. We also aimed to explore factors affecting the decision to retire, the practice of ‘winding down’, common post-retirement activities, and the arrangement of personal and professional affairs. Responses were received from 371 specialists (response rate 60%). The mean (standard deviation) age of retirement was 65.2 (6.9) years. The mean (standard deviation) retirement ages ranged from 62.0 (7.1) years (those who retired earlier than planned) to 68.0 (4.3) years (those who retired later than they had intended). The mean (standard deviation) age of retirement of the male respondents was 66.0 (6.5) years, and for female respondents was 62.7 (7.7) years. Two hundred and thirty-three respondents (63%) reported winding down their practice prior to retirement, and 360 (97%) had made a will. Poor health and loss of confidence were the two most common factors in the retirement decisions of those who retired earlier than they had planned. Our results may assist current practitioners plan for retirement, and suggest strategies to help health services, departments and private groups accommodate individuals in winding down their practice.

scholarly journals Doctors' attitudes and confidence towards providing nutrition care in practice: Comparison of New Zealand medical students, general practice registrars and general practitioners

2015 ◽  
Vol 7 (3) ◽  
pp. 244 ◽  
Author(s):  
Jennifer Crowley ◽  
Lauren Ball ◽  
Dug Yeo Han ◽  
Anne-Thea McGill ◽  
Bruce Arroll ◽  
...  
Keyword(s):  
General Practice ◽  
New Zealand ◽  
Medical Students ◽  
General Practitioners ◽  
Health Knowledge ◽  
Nutrition Therapy ◽  
Routine Care ◽  
Nutrition Care ◽  
Positive Attitudes ◽  
Health Knowledge Attitudes Practice

INTRODUCTION: Improvements in individuals' nutrition behaviour can improve risk factors and outcomes associated with lifestyle-related chronic diseases. AIM: This study describes and compares New Zealand medical students, general practice registrars and general practitioners' (GPs') attitudes towards incorporating nutrition care into practice, and self-perceived skills in providing nutrition care. METHODS: A total of 183 New Zealand medical students, 51 general practice registrars and 57 GPs completed a 60-item questionnaire investigating attitudes towards incorporating nutrition care into practice and self-perceived skills in providing nutrition care. Items were scored using a 5-point Likert scale. Factor analysis was conducted to group questionnaire items and a generalised linear model compared differences between medical students, general practice registrars and GPs. RESULTS: All groups indicated that incorporating nutrition care into practice is important. GPs displayed more positive attitudes than students towards incorporating nutrition in routine care (p<0.0001) and performing nutrition recommendations (p<0.0001). General practice registrars were more positive than students towards performing nutrition recommendations (p=0.004), specified practices (p=0.037), and eliciting behaviour change (p=0.024). All groups displayed moderate confidence towards providing nutrition care. GPs were more confident than students in areas relating to wellness and disease (p<0.0001); macronutrients (p=0.030); micronutrients (p=0.010); and women, infants and children (p<0.0001). DISCUSSION: New Zealand medical students, general practice registrars and GPs have positive attitudes and moderate confidence towards incorporating nutrition care into practice. It is possible that GPs' experience providing nutrition care contributes to greater confidence. Strategies to facilitate medical students developing confidence in providing nutrition care are warranted. KEYWORDS: General practitioner; health knowledge, attitudes, practice; medical education; nutrition therapy

From Mother’s Little Helper to General Practitioner’s Dilemma: Confidence in the Recognition and Management of Benzodiazepine Dependence in the Great Southern Region of Western Australia

2017 ◽  
Vol 1 (1) ◽  
Keyword(s):  
General Practice ◽  
General Practitioners ◽  
Western Australia ◽  
Response Rate ◽  
National Level ◽  
Southern Region ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Survey Response Rate ◽  
Benzodiazepine Dependence

Introduction: Benzodiazepines are among the most commonly prescribed medications in general practice in Australia. This offers an important opportunity to recognise and manage dependence. Objectives: investigate the level of confidence General Practitioners in the Great Southern Region of Western Australia have in recognizing and managing benzodiazepine dependence. Method: a cross sectional survey was sent to all the general practitioners in the Great Southern Region practicing at the time the survey was disseminated. Results: the survey response rate was 35%. The majority of respondents were more confident in recognizing, rather than managing, dependence. The most common barrier to recognition and management was inconsistent prescribing within practices, followed by lack of time and experience. Discussion: Barriers to managing benzodiazepine dependence appear to play a significant part in undermining General Practitioner (GP) confidence and practice, suggesting that additional practical and systems supports need to be available at a practice, regional and national level.

scholarly journals Relational Coordination and Organisational Social Capital Association with Characteristics of General Practice

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Sanne Lykke Lundstrøm ◽  
Kasper Edwards ◽  
Thomas Bøllingtoft Knudsen ◽  
Pia Veldt Larsen ◽  
Susanne Reventlow ◽  
...  
Keyword(s):  
Social Capital ◽  
General Practice ◽  
General Practitioners ◽  
Questionnaire Survey ◽  
Response Rate ◽  
The Self ◽  
Survey Study ◽  
Relational Coordination ◽  
Number Of Patients

Background. Relational coordination (RC) and organisational social capital (OSC) are measures of novel aspects of an organisation’s performance, which have not previously been analysed together, in general practice. Objectives. The aim of this study was to analyse the associations between RC and OSC, and characteristics of general practice. Methods. Questionnaire survey study comprising 2074 practices in Denmark. Results. General practitioners (GPs) rated both RC and OSC in their general practice higher than their secretaries and nurses. The practice form was statistically significantly associated with high RC and OSC. RC was positively associated with the number of patients listed with a practice per staff, where staff is defined as all members of a practice including both owners and employees. Conclusion. The study showed that RC and OSC were significantly associated with type of profession and practice type. RC was also found to be significantly positively associated with number of patients per staff. However, the low response rate must be taken into consideration when interpreting the self-reported results of this study.

Improved communication between hospital and general practice using online patient discharge summaries

2007 ◽  
Vol 13 (1_suppl) ◽  
pp. 56-58 ◽  
Author(s):  
Paul Scullard ◽  
Nosheen Iqbal ◽  
Lindsay White ◽  
Edward Olla ◽  
George A Thomson
Keyword(s):  
General Practice ◽  
General Practitioners ◽  
Response Rate ◽  
Patient Discharge ◽  
Online System ◽  
Discharge Communication ◽  
Discharge Summaries

We compared the information contained in traditional ‘To Take Out (TTO)’ discharge prescriptions and dictated letters with the information in discharge summaries from an online system. We also investigated the satisfaction of general practitioners (GPs) with the two types of discharge communication. One group of 30 patients were discharged using traditional TTOs and dictated letters and a second group of 30 patients was discharged using the computer generated summary. The summaries were assessed against the 17 criteria of the Scottish Intercollegiate Guidelines Network. The number of criteria met in the conventional summaries was 10.5 (SD 4.3); the number of criteria met in the computer-generated summaries was 14 (SD 1.2), which was significantly higher (P<0.002). Twelve of the 30 traditional TTOs (40%) were considered illegible. The response rate to the questionnaire was 86%. Eighty-three percent of responding GPs preferred computer generated discharge summaries. The computer generated discharge summaries largely satisfied the guidelines and were enthusiastically received by the GPs surveyed.

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