December 2010

Journal of Primary Health Care

Volume 02, No.4 December 2010 JPHC index ISSN 1172-6156 (Online)

The Journal is indexed in the MEDLINE database.

Please note: To view to the JPHC you will need to have Adobe Acrobat Reader.

JPHC is also available as a single PDF of the entire issue.

JPHC December 2010


Table of Contents

Table of Contents


From the Editor 

Preparation for castastrophe
Felicity Goodyear-Smith

Original Scientific Papers

Quantitative Research

Digital monitoring by whole body photography and sequential digital dermoscopy detects thinner melanomas
Marius Rademaker, Amanda Oakley

Melanomas detected by screening using whole body photography and sequential digital dermoscopy imaging services  are thinner than those diagnosed by traditional diagnostic methods.

Review of registration requirements for new part-time doctors in New Zealand, Australia, the United Kingdom, Ireland and Canada
Sharon Leitch, Susan Dovey

A review of requirements by different countries for medical registration recommends that increased flexibility would help address workforce shortages.

Appetite for life:  an evaluation of a primary care lifestyle programme
Liz Cutler, Bronwen King, Nicky McCarthy, Greg Hamilton, Lynley Cook

A healthy lifestyle programme offered through primary care that is based on a non-dieting approach may help overweight women develop and sustain positive lifestyle changes.

The Flinders Programme of Chronic Condition Self-Management in New Zealand:  survey findings
Margaret Horsburgh, Janine Bycroft, Felicity Goodyear-Smith, Dianne Roy, Faith Mahony, Erin Donnell, Denise Miller

Despite the considerable resource being directed into training primary care nurses in the Flinders Programme, there is limited use of the Flinders tools and processes in clinical practice.

The feasibility of assessing the Flinders Programme of Patient Self-Management in New Zealand primary care settings
Margaret Horsburgh, Janine Bycroft, Felicity Goodyear-Smith, Dianne Roy, Faith Mahony, Erin Donnell, Denise Miller

Undertaking a substantive trial to evaluate the effectiveness of the Flinders Model is not feasible until the difficulties of introducing a new and complex intervention in primary care with structured support are resolved.

How do newly diagnosed patients with type 2 diabetes in the Waikato get their diabetes education?
Ross Lawrenson, Grace Joshy, Yoska Eerens, Wayne Johnstone

Most people access education about their type 2 diabetes through primary care.

Qualitative Research

'Going-to-have-cancerness':  a study of living with increased risk of BRCA1 and BRCA2 mutations for six South Island women
Raewyn Crump, Ruth Fitzgerald, Michael Legge

A study involving cancer screening explored experiences of women with high familial risk of breast cancer gene mutations finds that contrary to expectations, genetic testing, screening and prophylaxis may reduce rather than improve the women’s peace of mind.

Improving Perfomance 

An audit of two methods of anticoagulation monitoring in a general practice
Kerr Wright

Use of a standardised protocol by practice nurses to request International Normalised Ratio (INR) tests and adjust warfarin dosage is to be more efficient than the usual ad hoc GP method, without compromising patient care.

Influenza H1N1 2009 in Canterbury:  a case study in pandemic response co-ordination
Daniel Williams, Annabel Begg, Kim Burgess, Michele Hider, Lance Jennings, Mary Martin-Smith, Paul McCormack, Jon Mitchell, Alan Pithie, Phil Schroeder, Anja Wermo, Sue Wells

Description of coordinated response of the Canterbury health sector to the Influenza A H1N1 09 pandemic.

Back to Back

All people over 75 years with a five-year CVD risk of > 15% should be treated with statins unless specifically contraindicated
Yes Sue Wells; No Dee Mangin

Continuing Professional Development

String of PEARLS about exzema and asthma

Cocharane Corner:  Spironolactone (when all else fails) in hypertension
Bruce Arroll

Charms & Harms:  Feverfew


Primary health care funding for children under six years of age in New Zealand:  why is this so hard?
Nicholas Fancourt, Nikki Turner, M Innes Asher, Tony Dowell


Obesity, autonomy and the harm principle
Monique Jonas

Letters to the Editor

Letters to the Editor

Book Reviews

Introduction to Obstetrics and Gynaecology-3rd edition-Cynthia Farquhar and Helen Roberts
Reviewer:  John Wilcox

Health Care and the Law-Edited by Rebecca Keenan
Reviewer:  John Kennelly

A Bitter Pill:  How the Medical System is Failing the Elderly-John Sloan
Reviewer:  Bruce Arroll

Gems of NZ Primary Health Care Research

Gems of New Zealand Primary Health Care Research

About the Journal of Primary Health Care

About the Journal of Primary Health Care - December 2010