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This Issue in the Journal
New Zealand general
practitioners’ characteristics and workload: The National Primary
Medical Care Survey
A Raymont, R Lay-Yee, J Pearson, P Davis Based on a national survey undertaken in 2001, the workload
of general practitioners (GPs) is described and related to their age, gender,
and practice circumstances. Increasing numbers of GPs are women and more work
part time. The average GP works 4 days (and undertakes 102 consultations) in a
week; about 8% of visits occur after hours. Workload is higher in rural areas,
which suggests recruitment difficulties there. If workload increases under the
Primary Health Care Strategy, then the distribution of GPs may become an issue.
Advertising of medicines on
New Zealand television
P Norris, L Nelson, K-L Ling, L Skellett, J Hoo, C Va’ai, A Gates This paper describes the advertising of medicines on New
Zealand television. During the 35 days sampled, there was (on average) 1
advertisement for medicine every 102 minutes; 37%of advertisements were for
medicines available for general sale, 24% for dietary supplements, 21% for
pharmacy- or pharmacist-only medicines, and 18% for prescription-only medicines.
Advertisements for medicines were found in a wide range of programmes, including
children’s programmes. People who watch particular programmes, or who
watch television at certain times of days, may be exposed to considerably more
than 1 medicine advertisement per 102 minutes. While this study does not examine
the effect of medicine advertisements on people’s choices about medicines,
previous research suggests this may be a significant factor.
New Zealand general
practitioners’ views on direct-to-consumer advertising (DTCA) of
prescription medicines: a qualitative analysis
N Maubach, J Hoek The debate over against direct-to-consumer advertising
(DTCA) of prescription medicines has received detailed attention. The opinions
of different interest groups are well represented, although the views of general
practitioners (GPs) have received less comprehensive attention. Using a
qualitative methodology, this research explored how a small sample of GPs’
viewed DTCA and their perceptions of its effects on their practice. Informants
held ambivalent views of DTCA, but outlined concerns that should be urgently
addressed if this advertising is to continue.
Does the Priority Scoring
System for Joint Replacement really identify those in most need?
B Coleman, S McChesney, B Twaddle The joint replacement scoring system has been utilised to
determine the priority for total hip and knee surgery within the public health
system since its introduction in 1998. This study tested the scoring system
compared to two internationally validated scoring systems for disability due to
musculoskeletal illness. It demonstrated that the current scoring system
(utilised to determine priority) is not a reliable assessor of disability (due
to osteoarthritis of the hip or knee), thus indicating that the most disabled
patients may not be receiving priority for surgery.
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