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BPJ 13 May 2008

Best Practice Journal

Upfront: Diverse realities of Māori

Māori have poorer health outcomes, die younger and have higher rates of chronic disease than other New Zealanders. Reducing health inequalities that affect Māori is a key priority for primary care. View Article

Disparities in care

Data shows that Māori have a greater burden of illness, yet receive less healthcare. Training in cultural competency and targeted programmes can help to reduce these inequalities. View Article

Practical solutions for improving Māori health

So what can primary healthcare professionals do about disparities in care for Māori? We have developed a framework that can be applied to the treatment and management of health conditions. A key component is taking the time to build an effective relationship between clinician and patient. View Article

Cardiovascular disease and diabetes in Māori

Cardiovascular disease and type II diabetes are major causes of hospitalisations and mortality in Māori. There are many things that a clinician can do to reduce risks and inequalities, including addressing the increased prevalence of modifiable risk factors in Māori, screening earlier and enrolling patients in targeted management programmes. View Article

Asthma and chronic cough in Māori children

Māori children with asthma have greater hospital admission rates, present with more severe symptoms and require more days off school. Educating about the level of asthma control that is achievable and creating a practical action plan can help to address these issues.
Bronchiectasis is a rare cause of cough, however it may be seen more commonly in some groups of Māori children. Prevention includes improving vaccination coverage, treating chest infections early and educating that chronic cough is not normal. View Article

Why we still need to think of rheumatic fever

Māori living in the upper North Island have one of the highest rates of acute rheumatic fever in the world. This disease can be prevented by addressing risk factors and treating sore throats early in high risk groups. In this article we profile a community intervention that appears to have successfully eradicated rheumatic fever. View Article

Update: Gout in the Māori community

Gout is a significant health issue for Māori. This article explores Māori perception of gout and updates evidence from New Zealand and overseas. View Article

Demystifying Rongoā Māori: Traditional Māorihealing

Rongoā Māori is an important aspect of health care to many Māori, representing diversity of practice and a holistic approach to health. Native plant based remedies are an integral part of treatment along with physical therapies and spiritual healing. View Article

10 Minute tutorial

Creating a cardiovascular risk assessment alert in your PMS. View Article

Snippets: Varenicline & Smoking

Varenicline and suicidal behaviour.
Wider access to quit cards.
The lung age of smokers. View Article

Correspondence: Dexamethasone; Lithium; Evidence based medicine

View Article