Māori Health: Issues relating to health care services

Elers, Phoebe

doi:10.24135/tekaharoa.v7i1.51

Cited by 12 publications

(12 citation statements)

References 11 publications

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“…Durie () described Māori often experiencing disempowerment and alienation in a system underpinned by Western perspectives and Western clinicians. The disparities between the two models continue to create division and inequalities for Māori (Elers ; Mark & Lyons ). A preliminary step in addressing this disparity would involve the incorporation of whakawhanaungatanga into all mental health service delivery for Māori.…”

Section: Discussionmentioning

confidence: 99%

Effective care for Māori with bipolar disorder: A qualitative study

Staps

Crowe

Lacey

2019

Int J Mental Health Nurs

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Māori have high rates of bipolar disorder (BD) and mental health service use. Despite the high prevalence and the impact on functioning and whānau (family), there is limited research on treatment interventions for Māori with bipolar disorder and indeed on Māori and indigenous mental health generally. A qualitative study combining individual interviews and focus groups was conducted with the aim to explore mental health clinicians’ and Māori mental health workers’ perspectives of effective treatment for Māori with BD. Sixteen participants took part in either individual interviews, focus groups or both. The study found the importance of a Māori worldview; tikanga Māori (rituals); understanding the whānau context, whakawhanaugatanga (connection), the powhiri (introduction) process, and whakarongo (listening) were key to working effectively with Māori who had BD. Both the interviews and focus groups identified similar concepts. The concept of whakawhanaungatanga (connection) captures the themes from the individual interviews and focus groups. The participants in this study identified the person and their culture rather than the psychiatric diagnosis as crucial to providing effective care to Māori with BD. Without a foundation in whakawhanaungatanga, engagement, diagnosis, treatment adherence, and the process of recovery are unlikely to be as effective for Māori with BD. It was evident from the findings that it was the person not the diagnosis that was central to therapeutic engagement.

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Section: Discussionmentioning

confidence: 99%

Effective care for Māori with bipolar disorder: A qualitative study

Staps

Crowe

Lacey

2019

Int J Mental Health Nurs

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“…Notwithstanding, this pilot study was still able to capture elastometry data pre‐ and post‐delivery for 80 women, which is a novel finding. It is well recognized that there is often disparity between dropout rates of women from different cultural backgrounds . This is likely multifactorial, but challenges in health literacy, different cultural views of health and illness, and practical issues such as lack of transportation and childcare may have influenced follow‐up attendance.…”

Section: Discussionmentioning

confidence: 99%

Characterizing levator‐ani muscle stiffness pre‐ and post‐childbirth in European and Polynesian women in New Zealand: a pilot study

Kruger

Budgett

Wong

et al. 2017

Acta Obstet Gynecol Scand

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“…23,37,38 This may be attributable, at least in part, to the New Zealand primary health-care system not meeting the needs of the Māori population. 24,39 However, we also note that in our limited dataset, Māori were younger at diagnosis for many of these cancers. This may explain why the ASR was higher for Māori than for non-Māori, but crude rates were similar.…”

Section: Discussionmentioning

confidence: 68%

“…16 New Zealand GPs should be aware of marked inequities in cancer care 17,18 and outcomes [19][20][21][22][23] for Māori cancer patients and survivors that occur along the entire cancer care pathway, largely attributable to the westernised model of health care widely used in New Zealand not catering to the needs of many Māori patients. 24 The aim of this study was to determine the prevalence of primary invasive cancer in a large general practice patient population and to measure differences in cancer prevalence between Māori and non-Māori patients.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of invasive cancer in a large general practice patient population in New Zealand

et al. 2020

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INTRODUCTIONThe prevalence of cancer in the community is likely to be increasing due to an ageing population, implementation of cancer screening programmes and advances in cancer treatment. AIMTo determine the prevalence of primary invasive cancers in a large general practice patient population in New Zealand and to characterise the health-care status of these cancer patients. METHODSData were sourced from the patient management system of a large general practice (n=11,374 patients) in a medium-sized Waikato town and from the New Zealand Cancer Registry dataset to identify patients diagnosed with cancer between January 2009 and December 2018. RESULTSThere were 206 cancer diagnoses in 201 patients; 35 cancers were diagnosed in 1887 Māori patients (1.9%) and 171 in 9487 non-Māori patients (1.8%). The age-standardised prevalence was 3092/100,000 in Māori patients and 1971/100,000 in non-Māori patients. The most prevalent cancers were breast, male genital organ, digestive organ and skin cancers. In May 2019, 81 of 201 (40.8%) patients with cancer were receiving only usual care from their general practitioner, whereas 66 (32.8%) were having their cancer managed in secondary care. Comorbidities were common, including hypertension (38.8%), gastrointestinal disorders (29.9%) and mood disorders (24.4%). DISCUSSIONResults suggest that there may be disparities in cancer prevalence between Māori and non-Māori patients, although this needs to be confirmed in other general practices. Furthermore, primary care appears to be responsible for most of the care in this patient cohort and workloads should be planned accordingly, particularly with the high incidence of comorbidities.

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Māori Health: Issues relating to health care services

Cited by 12 publications

References 11 publications

Effective care for Māori with bipolar disorder: A qualitative study

Effective care for Māori with bipolar disorder: A qualitative study

Characterizing levator‐ani muscle stiffness pre‐ and post‐childbirth in European and Polynesian women in New Zealand: a pilot study

Prevalence of invasive cancer in a large general practice patient population in New Zealand

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