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Toward making inroads in reducing the disparity of lung health in Australian Indigenous and New Zealand Māori children

Making Education Easy

Authors:
Summary:

This paper concerns the work being undertaken by a partnership formed in 2012 of Australian
and New Zealand Indigenous leaders, paediatric and adult clinicians, laboratory scientists, and educationalists,
under the umbrella of the Centre of Research Excellence (CRE) in Indigenous Children’s Lung Health, funded
by the National Health of Medical Research (Australia). This partnership seeks to improve the lung health of
children, particularly Indigenous children, through high-quality scientific research and care. The paper describes
their framework and key discussions from their second annual workshop held in 2014, which was attended by
CRE partners, external experts, and higher degree research scholars involved in projects linked with the CRE.
This conceptual framework shows the development of severe lung disease (chronic obstructive pulmonary
disease [COPD] and/or bronchiectasis) in adulthood and the possible factors that likely influence the progression
of disease. The workshop highlighted several questions concerning the airway microbiome and related host
responses in children with chronic suppurative lung disease/bronchiectasis. These are discussed in the paper.

Comment:
The authors’ comment that “While a perception remains that Indigenous populations are “overresearched,”in reality there are few RCTs relevant to ethnic disparities in clinical outcomes” is interesting.I wonder if the point is that we are ‘over-researched’ in research that isn’t reducing inequities or contributingto our health gain. As they go on to say, some nations insist that clinical trials have equal explanatory powerfor Indigenous peoples. The hope is that it will build evidence-based medicine but I wonder if we still need tounderstand why this isn’t always put into practice.
Reference: Front Pediatr. 2015;3:9
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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