Primary Care Physician, Clinical Horizons New Zealand (NZ) Ltd, Tauranga, NZ
Andrew, a New Zealand trained doctor and award-winning author, has been working in General Practice in Tauranga since 1997 and completed his Fellowship for the Royal New Zealand College of General Practitioners in 2001. He works full time as a primary care physician and clinical researcher.
Andrew has had medical experience in Ireland, Kenya and the Philippines, including work for emergency relief and mission organisations.
He has been an owner and director of medical practices in New Zealand since 2000, and has extensive experience in governance roles for health and community organisations.
Andrew is an advisor to Pharmac, and is a founder of the clinical trials centre Clinical Horizons.
Andrew has been keen to embrace the dynamic and artful side of his profession, and challenge conventional thinking and practice, where it appears outdated. Writing has been a delightful creative release for him, whether in the form of coaxing life out of a dry, academic article, or embracing the unpredictability of crafting fiction. He has published his first work of short fiction, called This Old Stick. Outside of work hours you will find Andrew growing avocados on his orchard and trying his hand at most outdoor pursuits.
Being Well and Wellbeing: Better Understanding of Patient Priorities in Primary Care Achieving desired health outcomes in the primary care context faces significant challenges. Important among these is an appreciation of the dissonance that exists between the theory and reality of medicine, an understanding of patient perspectives and priorities regarding wellness, well-being and goals of treatment, and understanding the concept of whole person care in the doctor-patient relationship. Exploring the motivation of patients in well-being, particularly when initiating new therapies and at the end of life, can be a powerful, life-giving, and patient-centric way of bringing clarity and engagement to treatment decisions. This evaluation describes a project attempting to give a framework to sucha process.
The project provided highly valuable, and at times surprising, information to the clinical consultation which had not previously been obtained from, or offered by, the patient. Such information requires an intentional, engaged, and collaborative interaction with the patient, and enhances the patient-centric consultation with a focus on whole person care, and wellness in the journey to therapeutic goals and health outcomes.