Research / Culturally centred health interventions for Māori and Pacific peoples

Manawataki Fatu Fatu

Investigating access-gaps in cardiovascular disease treatment for Māori and Pacific Peoples

illustration of community-centred health
Funding: $2,000,000 Timeframe: July 2020 – June 2024

Tā mātou e tūhura ana

What we are investigating

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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 aimed 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

Systematic reviews were undertaken to document barriers to equitable care 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.

and also in rural areas.

In-depth kōrero (conversations) with patients, whānau and kaimahi (health providers) were conducted across Aotearoa to better understand the barriers to accessing care, to ensure that the research would be mana-enhancing by elevating the voices of patients and whānau in healthcare planning.

Co-funding

This project is co-funded by:

The National Heart Foundation of New Zealand and Healthier Lives National Science Challenge.

NGA PUTANGA ME TE PĀNGA

Outcomes and Impact

Putanga | Outcome

A national network of investigators undertaking research on equitable access to evidence-based heart healthcare was established.

The quantitative arm of the programme used hospitalisation, ambulance and other routinely collected data to identify and quantify access to care across the heart health spectrum, including risk assessment and management, paramedic and hospital care.

The qualitative arm of the programme captured stories of people’s journey through the health system and their ideas for how it could be improved.

Te Ara Kei Mua | Next Steps

A workforce that is representative of the population it serves is needed to deliver and sustain equitable heart healthcare. This entails building the capacity, and addressing the cultural safety, of Māori and Pacific health providers and researchers.

Nga Hua O Te Rangahau | Research Products

A Quality-Improvement-Equity Roadmap, a living plan for the health system to focus attention on the gaps between evidence and practice in heart healthcare, is underway.

YouTube video

Video

Research presentation: Designing heart health services to achieve Māori and Pacific health equity

Healthier Lives Kōrero Tahi 2024: equity and beyond (13-14 February 2024) 

View the website for this project

WHAKAWHITI MŌHIOTANGA

Knowledge Exchange

Puka Rangahau | Academic Publications

2024

2023

2022

2021

Ētahi Atu Puka | Other Publications

Ngā Rā Nunui | Events

Kōnae Whakaata | Video

Project Team

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