It may be teaching clinicians to suck eggs, but without a doubt, patient communication and cultural competence are two key principles to good CVD prescribing. This is nicely discussed in a BPACnz article penned by Dr Trevor Walker of his interview with Te Aroha GP Dave Colquhoun titled “What is Māori Patient-Centred Medicine for Pākehā GPs.”9
Dr Colquhoun’s key messages are:
- act with humility, warmth and respect
- establish linkages and connections
- involve the whānau
- offer to participate in some way.
Te ao Māori can teach us much wisdom for not only Māori but for all cultures, Western or non-Western and remember that even the best patients miss their medication. I know. Three times this month I have missed my perindopril and rivaroxaban. I may need that humility.
Jim Vause is an emeritus GP, living in Māpua, Tasman