Tā mātou e tūhura ana
What we are investigating
Take | Issue
Despite proven treatments that can halve rates of heart disease, Māori and Pacific people are less likely to receive treatment and more likely to die from heart disease than other New Zealanders. Barriers to accessing healthcare are important contributors to these disparities.
Whāinga | Aim
This research aims to systematically identify and understand the key barriers faced by Māori and Pacific people in accessing treatments for heart disease across the healthcare-continuum. Given the availability of effective interventions, identifying access barriers, investigating their causes, and developing solutions, could rapidly improve heart health outcomes in Māori and Pacific people.
Huarahi I Whāia | Approach
Qualitative and quantitative studies to investigate access-related gaps in treatment for Māori and Pacific people will be undertaken at three points along the healthcare-continuum:
- assessment and management of the risk of heart disease in general practice;
- accessing hospital care for heart attacks;
- post-hospital management of heart failure.
At each point we will ask whether gaps in treatment are due to access barriers which could be reduced. This will inform the development of a Quality-Improvement-Equity roadmap to systematically reduce the barriers.
This project is co-funded by:
The National Heart Foundation of New Zealand and Healthier Lives National Science Challenge.
Puka Rangahau | Academic Publications
- Cardiovascular disease and its management among Pacific people: a systematic review by ethnicity and place of birth BMC Cardiovascular Disorders (2021) 21,515.
- Cardiovascular risk prediction in type 2 diabetes before and after widespread screening: a derivation and validation study. The Lancet (2021);397:2264–74.
- Cardiovascular disease preventive medication dispensing for almost every New Zealander 65 years and over: a preventive treatment paradox? Age and Ageing (2022);51.
- What are the gaps in cardiovascular risk assessment and management in primary care for Māori and Pacific people in Aotearoa New Zealand? Protocol for a systematic review. BMJ Open (2022); 10.1136/bmjopen-2021-060145.
- Understanding the barriers and facilitators that influence access to quality cardiovascular care for rural Indigenous peoples: protocol for a scoping review BMJ Open 2022;12:e065685. 10.1136/bmjopen-2022-065685
- Identification of clinically relevant cohorts of people with heart failure from electronic health data in Aotearoa: potential, pitfalls and a plan NZ Medical Journal (2022)
- Manawataki Fatu Fatu for ACCESS (Māori and Pacific Hearts in Unison for Achieving Cardiovascular Care in Equity StudieS). Protocol for a Mixed Methods Programme of Research. International Journal of Qualitative Methods (2023), 22.
- Reasons for Ethnic Disparities in the Prehospital Care Pathway Following an Out-of-Hospital Cardiac Event: Protocol of a Systematic Review. JMIR research protocols vol. 12 e40557. 12 Jul. 2023.
- How pharmacist-led health services are tailored to minoritized populations, their acceptability and effectiveness: A scoping literature review. Research in social & administrative pharmacy : RSAP vol. 19,9 (2023): 1256-1266.
- “Widening ethnic inequities in heart failure incidence in New Zealand.” Heart (British Cardiac Society), heartjnl-2023-322795. 3 Aug. 2023.