Māngere Integrated Community Health

Three major concerns are:

  1. communication
  2. how gender issues are dealt with
  3. the role of doctors

We also want health care providers to take on board our community’s ideas about health and wellness.

Click on the button below to find out more about community ideas on health and wellness:

Community ideas

Using people’s own language

Many people in Māngere want to talk with health professionals in their own language. This is an issue of empowerment. We know that it presents a number of challenges, some of which are logistical.

People in Māngere say that they feel cared about when professionals use their own language. It is an encouraging signal to the person and usually invites a positive response. This can be a key starting point for relationship development.

Good things take time

Some Māngere people want professionals to understand the different things that time means to them. They would like to know that they can take the time that they need. Then they are more likely to share the issues openly in order to get help that is relevant.

Time slots often work counterproductively for patients and clients and this needs to change.

Women and men feeling safe and respected

Women do not want to consult male doctors or men to consult women doctors in some Māngere communities. This relates to privacy and the importance of preserving male and female roles in our different cultures.

There are logistical issues about how to work with the reality of too few male or female doctors and other staff. However this challenge presents a practical opportunity to explore the value of male and female roles in health service and delivery.

We can also explore how gender separation can strengthen the mana of males and females in relation to taking ownership of our health and wellness.

The role of the doctor

When the community owns its health and wellness, the role of doctors will change. There will be more supportive, collaborative relationships between doctors and patients. Doctors will move from being expert dispensers to expert supporters.

We believe it is worth both parties working at this. It is important that doctors are confident in their role and that patients have faith in the doctor as well. When doctors are confident and act as expert supporters then the patients feel, at the psychological level, that their advice is more effective.

In no part of the community did people want to be the doctor. Their desire for change springs from the general view that they want the services around health to be focused on them and their health.

Often the services are driven by system requirements, current aspirations, funding and measurement regimes and their ongoing development.