Delivering on Outcomes

Gifford, Heather; Batten, Lesley; Boulton, Amohia; Cragg, Melissa; Cvitanovic, Lynley

doi:10.26686/pq.v14i2.5095

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…These workshops confirmed that the research results resonate at a provider, funder and policy level. The results discussed in the following section focus largely on the provider and whānau level as the policy context is reported elsewhere 35 …”

Section: Methodsmentioning

confidence: 99%

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Chronic conditions in the community: Preventative principles and emerging practices among Māori health services providers

Gifford

Cvitanovic

Boulton

et al. 2020

Health Prom J of Aust

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Issue The pressing chronic conditions prevention needs of Māori (the Indigenous peoples of Aotearoa New Zealand) are yet to be adequately addressed using mainstream approaches. This study investigated how Māori health service providers (MHSP) are positioning themselves to better meet the chronic conditions prevention needs of Māori. Methods Kaupapa Māori methodology underpinned a three‐phase research project that investigated three Māori health service provider‐based chronic conditions prevention cases, in different regions of Aotearoa New Zealand, using an instrumental case study design. Two small group interviews with seven participants and 44 individual key informant interviews were conducted. All participants were associated with one of the three MHSP. Document reviews and observations were also carried out. Following the identification of a prevention case study, within each provider, in‐depth investigation of prevention practices was undertaken. Results Achieving well‐being through health service delivery is challenging for the three providers which are largely reliant on state funding to support their work through defined contract outputs. The drivers of service delivery norms impacting providers include the dominant medical conditions focused discourse and addressing the high levels of acute need characteristic of provider communities. There are examples of shifts in organisational structure and delivery configurations that demonstrate challenging and reframing these norms. We identified emerging approaches to prevention that move beyond being “the ambulance at the bottom of the cliff” to “building a fence at the top.” Conclusion Consolidation of provider prevention approaches, increased resources and a broader health services systems level response that prioritises prevention are required. So what? MHSP are reframing services to better meet the well‐being needs of the communities they serve.

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Section: Methodsmentioning

confidence: 99%

“…The results discussed in the following section focus largely on the provider and whānau level as the policy context is reported elsewhere. 35…”

Section: Me Thodsmentioning

confidence: 99%

Chronic conditions in the community: Preventative principles and emerging practices among Māori health services providers

Gifford

Cvitanovic

Boulton

et al. 2020

Health Prom J of Aust

Self Cite

View full text Add to dashboard Cite

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The 2022 restructure of Aotearoa New Zealand's health system: Will it succeed in advancing equity where others have failed?

2023

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Strategies to support culturally safe health and wellbeing evaluations in Indigenous settings in Australia and New Zealand: a concept mapping study

Cargo

Potaka-Osborne

Cvitanovic

et al. 2019

Int J Equity Health

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Background: In recent decades, financial investment has been made in health-related programs and services to overcome inequities and improve Indigenous people's wellbeing in Australia and New Zealand. Despite policies aiming to 'close the gap', limited evaluation evidence has informed evidence-based policy and practice. Indigenous leaders have called for evaluation stakeholders to align their practices with Indigenous approaches. Methods: This study aimed to strengthen culturally safe evaluation practice in Indigenous settings by engaging evaluation stakeholders, in both countries, in a participatory concept mapping study. Concept maps for each country were generated from multi-dimensional scaling and hierarchical cluster analysis.

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Delivering on Outcomes

Cited by 4 publications

References 8 publications

Chronic conditions in the community: Preventative principles and emerging practices among Māori health services providers

Chronic conditions in the community: Preventative principles and emerging practices among Māori health services providers

The 2022 restructure of Aotearoa New Zealand's health system: Will it succeed in advancing equity where others have failed?

Strategies to support culturally safe health and wellbeing evaluations in Indigenous settings in Australia and New Zealand: a concept mapping study

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