Tēnā koutou katoa, Ko Thomas Evans toku ingoa. E mahi ana ahau i te Poari Hauora o Te Tai Tokerau. I'm a Renal and General Physician at Northland DHB. I have a particular interest in improving our services to help address the health inequities that our vulnerable populations face. My other interests include home dialysis, indigenous health, advanced care planning and medical education.
Whakawhanaungatanga O Te Tai Tokerau, General Medicine In The Far North
Manaaki whenua, Manaaki tangata, Haere whakamua
Healthcare provision in the Far North of New Zealand poses multiple challenges. The dichotomous population comprising of 40% Māori and aging NZ European not only carry an excess burden of chronic disease, but are amongst the most socially deprived in the country. Geography and deficiencies of infrastructure and basic utilities contribute to health inequities and add further barriers to the provision of healthcare.
This is a descriptive poster presentation of an evolving General Medical collaboration with Rural Hospital Physicians at Kaitaia hospital.
Nāu te rourou, nāku te rourou, ka ora ai te iwi
A partial restructure of the General Medicine department of Northland DHB has increased visits to Kaitaia hospital by General Physicians to primarily undertake clinics. In collaboration with the Rural hospital team, the department has opted to partake in inpatient handover and ward rounds with the Rural Physicians.
He waka eke noa
This evolving new innovation has led to several benefits by:
Tackling inequity – Improved access to specialist general physician
Promoting whanau centred care – Facilitating care in regional hospital
Building professional relationships – Improved understanding of colleague’s scope of practice; promoting trust, teamwork and collaboration
Collaborative learning – Mutual learning environment incorporating pragmatic and innovative delivery of healthcare and contributing to local continuing medical education
Physician Wellbeing – Variety of work environment in an area of natural beauty where rest and relaxation can also occur.
This evolving collaborative initiative has demonstrated initial success for patients, whanau and health professionals alike. This partnership has resulted in a sense of belonging and connection to the local community in keeping with the concept of whakawhanaungatanga.
Further development of the service will occur in the future including considering the role of IT solutions as an adjunct to regular visits to the regional hospitals of Northland.