Across the spectrum of primary health: from rainbow health to end-of-life care

A viewpoint article by Kathleen Potter explores how both the quality of life and the quality of death in the elderly might be improved by understanding the care trajectories of people experiencing age-related terminal decline.2 She suggests that aged residential care providers are a rich source of d...

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Published in:Journal of primary health care Vol. 15; no. 2; pp. 101 - 103
Main Authors: Goodyear-Smith, Felicity, Stokes, Tim
Format: Journal Article
Language:English
Published: Australia CSIRO 01.06.2023
CSIRO Publishing
Subjects:
At risk populations
Contact tracing
Diabetes
Drug use
Endocrine therapy
Gonorrhea
Health care
Human papillomavirus
Humans
Infections
Islands
Life expectancy
Medical marijuana
Medical screening
Medical students
Mental health
Non-binary gender
Palliative care
Population
Primary care
Primary Health Care
Sexually transmitted diseases
STD
Surveillance
Syphilis
Terminal Care
Transgender persons
New Zealand
Cook Islands
ISSN:1172-6156, 1172-6164, 1172-6156
Online Access:Get full text
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Summary:A viewpoint article by Kathleen Potter explores how both the quality of life and the quality of death in the elderly might be improved by understanding the care trajectories of people experiencing age-related terminal decline.2 She suggests that aged residential care providers are a rich source of data that could be tapped and analysed to inform end-of-life care. A qualitative study has found that vaping in this population is used to facilitate social interaction and manage stress, in addition to smoking cessation.5 Carroll and colleagues surveyed fifth-year medical students about providing health care to lesbian, gay, bisexual, transgender, queer, intersex and asexual (LGBTQIA+) patients, and concluded that the curriculum needs to include more opportunities to improve students’ knowledge and confidence in this area.6 A student health centre which initiates gender-affirming hormone therapy (GAHT) reviewed the clinical notes of these patients.7 Fifty-four had been assigned female at birth, and 31 male at birth, with 94% aged between 18 and 25 years. In a viewpoint article, Adams and Neville ask whether Rainbow people (LGBTQIA+) have access to health services that work for them.8 While Te Pae Tata promises a ‘new health system’ and improved health outcomes for Rainbow people, the authors caution that more specific and detailed action plans are needed on how equity will be achieved. A survey of primary care clinicians with over half their enrolled patients identified as Pacific pleasingly found that their management of patients with prediabetes included use of health coaches, diabetes nurse specialists and community workers of Pacific descent to educate and discuss management plans.13 We finish this issue with a Charms and Harms which looks into benefits and possible adverse effects of pine bark supplement,14 and a Cochrane Corner on whether obesity is associated with a higher risk of adverse outcomes for COVID-19.15 Conflicts of interest Felicity Goodyear-Smith and Tim Stokes are Editors in Chief of the Journal of Primary Health Care. 1 Baker R. Improving life expectancy with primary health care.
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ISSN:1172-6156
1172-6164
1172-6156
DOI:10.1071/HC23063