This embodies the spirit of generosity, reciprocity and sharing. It recognizes that environments and human systems are productive because they are valued, cherished and cared for.
Translated into clinical practice, this implies that the clinician accepts that he/she becomes a member of the community and whanau through rendering services to his community.
This is in contrast with the European model, in which professionals generally maintain a more distanced, formal relationship with the community served.
Tuku atu tuku mai implies a much closer, more intimate relationship between community and the clinician, who becomes a closely attached and appreciated asset, rather than remaining distanced as a 'service' in an impersonal way.