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Best health outcomes for Maori - Medical Council of New Zealand

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Case studies continued...<br />

CASE SEVEN:<br />

“Such a Simple Solution”<br />

Importance <strong>of</strong> face-to-face interaction<br />

Mr Huata was a 47 year old Mäori man who had been<br />

injured in a crash during his work as a heavy vehicle driver.<br />

The <strong>health</strong> pr<strong>of</strong>essionals involved in his care were finding it<br />

hard to maintain a pleasant demeanour with him, because<br />

he <strong>of</strong>ten seemed surly and uncooperative when they spoke<br />

with him on the telephone. They raised the issue during a<br />

team meeting, and a Mäori staff member at ACC suggested<br />

a face-to-face meeting with the patient and all those involved<br />

in his case.<br />

A meeting was arranged with Mr Huata, his employer, ACC<br />

staff, the Pae Arahi from the ACC branch, and Mr Huata’s<br />

whänau. After a <strong>for</strong>mal welcome and refreshments provided<br />

by the whänau, everyone present introduced themselves<br />

and Mr Huata voiced his concern that, not only had he never<br />

<strong>Best</strong> <strong>health</strong> <strong>outcomes</strong> <strong>for</strong> Mäori: Case studies<br />

actually met most <strong>of</strong> the people present, but he had also<br />

been receiving conflicting advice from his different providers.<br />

He expressed his frustration with what he saw as a very<br />

confusing treatment plan with no clear return to work date.<br />

He also explained that he was worried that his rehabilitation<br />

plan would interfere with his responsibilities at the marae.<br />

With everyone present in the same place at the same time,<br />

it was easy to develop a plan <strong>for</strong> Mr Huata’s further care that<br />

not only provided him with a graduated return to work but<br />

also ensured that he would be able to maintain his marae<br />

duties. Regular face-to-face meetings between Mr Huata<br />

and various groups were scheduled, and within weeks,<br />

Mr Huata had become one <strong>of</strong> the <strong>health</strong>care team’s favourite<br />

patients, with his strong motivation to get the most from his<br />

rehab as well as his interesting stories <strong>of</strong> life as a truck driver.<br />

He quickly made significant progress towards returning to<br />

his normal routine and soon rejoined the paid work<strong>for</strong>ce.

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