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This Issue in the Journal
Complementary
and alternative medicines (including traditional Māori treatments) used by
presenters to an emergency department in New Zealand: a survey of prevalence and
toxicity
T Nicholson A survey of 1043 people presenting to
the Emergency
Department at Waikato Hospital was undertaken to assess their use of
complementary and alternative medicines (CAM), including traditional Māori
therapies.1 in 3 people had used CAM, and use was more likely in females, those
aged 20–60 years, and those of European ethnicity. Few people told
their medical practitioners about using CAM, and over a quarter (25.9%) had
simultaneously used conventional medicines with their CAM. Most people believed
that CAM had been beneficial, and only 4% reported adverse effects from their
use.
Antibiotic use for upper
respiratory tract infections before and after a education campaign as reported
by general practitioners in New Zealand
L Sung, J Arroll, B Arroll, F Goodyear-Smith, N Kerse, P Norris This study reported changes in GP perceptions of antibiotic
use for the common cold from 1998 to 2002. This spanned the campaign run by
PHARMAC (Wise Use of Antibiotics) which
was accompanied by a 30% reduction in antibiotic usage over those 5 years. The
GPs reported that they were less likely to prescribe antibiotics for patients
with the common cold. They also reported that patients were less likely to
expect an antibiotic for the common cold.
Public views and use of
antibiotics for the common cold before and after an education campaign in New
Zealand
M Curry, L Sung, B Arroll, F Goodyear-Smith, N Kerse, P Norris This study reported changes in public perceptions of
antibiotic use for the common cold from 1998 to 2002. This spanned the campaign
run by PHARMAC (Wise Use of
Antibiotics) which was accompanied by a 30% reduction in antibiotic usage
over those 5 years. Members of the public reported that they were less likely to
see a GP for their colds and that if they did they were less likely to receive
an antibiotic.
How many antibiotic
prescriptions are unsubsidised in New Zealand?
P Norris, S Funke, G Becket, D Ecke, L Reiter, P Herbison Only some prescriptions are subsidised by the New Zealand
Government. Whether a prescription is subsidised depends on the medicine, the
patient, and the quantity of medicine prescribed. Because unsubsidised
prescriptions stay in pharmacies and are not sent to any central agency, it is
impossible to know how many there are. This means we do not know how much people
are really paying for medicines, or how many medicines are being used. This
study compared information from pharmacy computers in one town, with records of
subsidised prescriptions from the same pharmacies. We found that only 64.4% of
prescriptions for antibiotics were subsidised, and we developed a method to
estimate the number of unsubsidised prescriptions.
Patients consulting outside
of funded practices within primary health organisations: implications for
utilisation reporting
J MacRae, C O’Malley, M Brown Primary health organisations (PHOs) are tasked with
providing primary care services to their enrolled populations of patients. They
must also report encounter rates back to health funding agencies. This paper
investigates the implications of artificial changes in volumes based on
different interpretations of contract definitions and applied methodologies for
collecting and summarising the data. Large differences (>25%) in the reported
volumes is shown for some categories of patients, including those grouped by
ethnicity, age, and deprivation, depending on which reporting interpretation is
applied.
Inhalant abuse in New
Zealand
M Beasley, L Frampton, J Fountain Inhalant abuse is predominantly
an activity of teenagers, and those even younger can get involved. Currently
favoured substances include propane or butane, used as propellants in many
products which are inexpensive and easy to obtain. They have been responsible
for most recent (investigated) fatalities. We discuss medical management, though
this can be difficult, as serious effects can onset rapidly—yet
presentation to health services can be relatively late, and there are
controversies regarding some aspects of treatment. Efforts towards more
effective prevention should be encouraged.
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