We have one clinical laboratory in the Cook Islands based at Rarotonga Hospital. Our laboratory has not been accredited yet but we are working towards this.
Core laboratory services include:
Te Marae Ora provide pharmacy services on Rarotonga at the hospital and Tupapa Clinic, as well as on Aitutaki. Additionally pharmacy services are delivered through nurses on Rarotonga and the Pa Enua. Other pharmacy services are provided through community pharmacies on Rarotonga.
The Pharmacy Board is responsible for the registration and licensing of pharmacy assistants, technicians and pharmacists, including the establishment and regulation of pharmacies. The Board is enacted through the Ministry of Health (Pharmacy and Therapeutic Products) Regulations 2013. Membership of the Board includes:
There is still no vaccine or antiviral treatment available for COVID-19, however patients should still be able to receive the medicines they need. While it is important to get medical help if you need it, we are currently limiting face to face contact.
Radiology is an important service that assists clinicians in their ability to diagnose and manage conditions, as well as to make appropriate referrals overseas.
Services include:
Te Marae Ora is working to secure a CT scan in country to improve diagnostic capability in country, and inform clinical management and appropriate referrals overseas.
We currently offer physiotherapy services for the treatment of injuries, and to assist patients post-surgery or who have had a stroke. Physiotherapy services assist with pain management, improving joint mobility and movement, and strength and coordination.
Biomedical services relate to the servicing and repairs of medical equipment. Our biomedical technicians are responsible for overseeing equipment, and ensuring it is safe to use and health professionals use this equipment correctly.
The Patient Referrals Policy applies to resident Cook Islanders and permanent residents who have been assessed by Te Marae Ora clinicians for medical transfer. All patient referrals from Te Marae Ora must be approved by the Secretary of Health and the Patient Referrals Committee.
All referrals from the Pa Enua are sent to Rarotonga for care. Most conditions requiring urgent medical transfer include complicated pregnancies, accidents and emergencies. All resident Cook Islanders and permanent residents will be eligible to receive a medical transfer.
All urgent medical transfer from Rarotonga are sent to New Zealand. However, the process to refer a patient to New Zealand requires clinicians from Rarotonga contacting clinicians in New Zealand. A patient can only be referred internationally if there is a hospital or specialist to receive the patient.
The Health Specialist Visits (HSV) programme enables Cook Islanders and residents to access quality specialist services and for Cook Islands based health professionals to build their capability. The HSV programme is funded by the New Zealand Government and started in 1994. This programme has helped Te Marae Ora fill critical gaps in service delivery, and build the capability of our workforce.