Marsden Medical Ltd.  785 Mt Eden Rd, Mt Eden, Auckland.   Ph 09 638-9200
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 !  Marsden Medical Practice - Surgery News

Surgery News is a newsletter to interested members of the public viewing these web pages. It began as a circular posted at regular intervals to regular patients of our practice but in view of increasing demand for on-line information it has evolved to be part of our website. We welcome comments and suggestions. A members only newsletter is accessable through the members page.

How To Get the Best from your General Practitioner

1.  Book adequate time.   Warn the receptionist if you have several issues to discuss or need a comprehensive health check like an insurance medical or full body skin check.   You will need longer than the standard 15 minute consultation.

2.  Book one consultation for each family member.  Feel free to bring along family members but extra children or family members need their own appointment so they too can have sufficient time with the doctor.

3.  Think ahead.  Jotting down what you need to cover in the consultation can be a big help,   especially if you are likely to forget some things.  If you need a prescription repeat you are able to phone, fax or e-mail your request (see prescription policy)– but try to do this at least 24 hours before you run out of medicine.

4. Get your GP all the information. Arrange to transfer any medical notes from other health providers such as an after-hours clinic. Keep the receptionist informed of any change of contact details.

5. Relax. Speak to your doctor as you would a friend. Being open and frank during your consultation will help both you and your doctor – and your confidences will be respected.

6. Remember your allergies. Your doctor should have a record of your allergies, but it never hurts to remind him or her – just to be on the safe side.

7. Don’t be afraid to ask for a second opinion. It’s completely reasonable, and your doctor may make a suggestion about who you can approach. If you feel embarrassed about doing this, one easy way to get around this is with a little white lie, such as “My daughter/wife/husband thinks it’s a good idea to get another opinion.

8. Make plans for the future. Some older people have genuine concerns about medical intervention or being kept alive in the event of a stroke or terminal illness. If you make your thoughts known, your GP can often express your wishes if you no longer can.

9. Make yourself known. Tell the receptionist who you are when you arrive.

10. Bring an interpreter or a chaperone if you would like one.

11. Call if you are running late – and leave a contact number so that staff can inform you if there is a delay at the surgery.

12. Speak up if it’s urgent. If you think your appointment might be urgent, you may be able to see the practice nurse more quickly for an initial assessment. When you arrive, tell the receptionist if you think it’s an emergency – such as chest pain or difficulty breathing.

Women’s Health

Breast Cancer screening & mammography

The practice offers screening for breast cancer as early detection represents one of the most effective ways of reducing the mortality and morbidity from this disease.   As of December 1998 women in Auckland aged between 40 and 64 years can obtain screening mammography free of charge through the Breastcare Screening Programme.   The combination of clinical examination and mammogram represents the best way of detecting early breast cancer at a stage when treatment offers the best outcome. We provide recalls for entry onto this screening programme and reminders for 2 yearly screening.

 

Cervical screening. .  

We offer reminders to all women attending the Surgery about the benefits of regular cervical cancer screening tests.   Normally this should be done every   three years.   While younger women often have all their smear tests up to date in New Zealand we still find that 70% of all diagnosed cervical cancers occur in women aged over 40 years. For those women who wish to have a female smear-taker please make this clear when you phone for an appointment.   Trish holds a weekly womans’ health clinic for family planning advice, smear tests etc.

’Flu vaccinations

Influenza vaccinations are available from mid March.   As in previous years the Ministry of Health recommends these for everyone aged 65 and over for whom vaccination remains free. This year free influenza vaccination has been extended to those who suffer from respiratory disease e.g asthma, or chronic bronchitis and   heart disease or diabetes.   The immunisation otherwise is $25.

Influenza vaccination remains proven prevention for the strains of influenza immunised against and should be considered for all those in whom their jobs or recreation exposes them to infection e.g service industries, teaching, large office situations.

Flu vaccination is available by phoning the surgery and booking a time with the nurse. (more about flu vaccination)

Registration with your family doctor.

 

Members of your family may not have had any reason to visit the surgery and it may well be that the surgery doesn’t have basic information.   Increasingly access to publically-funded health services are requiring this information.

It is becoming more important to register with your local GP, a concept that is common in the UK and some other countries.   If you feel that a family member or relative is not registered with us could you please contact reception or let us know by secure e-mail.

 

 !   News

Health Subsidy cards - Do I qualify for one?

The government currently subsidises your GP care to some degree if you have a Community Services Card (CSC) or a High User Health Card (HUHC).

This card entitles you to a $15 reduction on each consultation with the your GP and a reduction in the maximum prescription co-payment at the Pharmacist (from $15 per item to $3 per item).  Please ask for details at reception if you think you may qualify for this subsidy (or follow this link for more information)

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Capitation and Marsden Medical

Times are changing in the delivery of traditional General Practice Services in New Zealand .  There is an increasing trend to private medical care in some areas and subsidised medical services are more targetted to the socioeconomic profile of the physical area where the surgery is located. Each area of Auckland can be divided into "deciles". Those areas in Auckland considered low income according to Census information are assigned a higher decile rating.  General Practices have traditionally served a local community without regard to the street address!  The " pepper potting" of state housing estates in high affluence residential areas was a government policy in the 1930s and has resulted in an Auckland that doesn't necessarily suit the decile boundaries that define health subsidies currently.  Notwithstanding several concerns about the fair implementation of distributing any government subsidy for primary healthcare Marsden Medical has joined a Public Health Organisation (Procare Network Auckland) in order to offer our registered patients any advantages of the new government health subsidy structure.

 

 

 

 

 

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