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

Making Education Easy

From Māori Health Review Issue 88
Authors:
  • Gifford H, et al.
Summary:

The practices of three Māori health service providers in the prevention of chronic conditions in Māori were investigated in a three-phase research project using Kaupapa Māori methodology and an instrumental case study design. The research phases included interviews with seven participants in two small groups, individual interviews with 44 key informants and in-depth investigation of prevention practices in a prevention case study for each Māori health service provider. Each provider found it challenging to achieve well-being through health service delivery in the state-funded and contract-defined environment. The research identified high levels of acute need in the provider communities requiring increased resources and a broader health services response to prioritise prevention.

Comment:
Good to see this information published. In my experience many of these changes have been driven by the providers themselves. Consolidating and presenting the evidence for better funding models, including Waitangi Tribunal claims in health, requires huge effort which is not only taxing for Māori services and their workforce but can stymie innovation.
Reference: Health Promot J Austr. 2020 Apr 18. doi: 10.1002/hpja.346. Epub ahead of print.
Abstract
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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.

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