Indigenous adaptation of a model for understanding the determinants of ethnic health inequities

Making Education Easy

Authors:

Curtis E et al.

May 30, 2023

Summary:

An Indigenous adaptation of the ‘Williams model’, known as the Te Kupenga Hauora Māori modified model, has been developed to understand the causes of racial/ ethnic disparities in health. The modified model spearheads colonisation as a critical determinant of health inequities, underpinning all levels from basic to surface causes. It also attempts to reflect the dynamic interplay between causes at different levels. The influence of worldviews/positioning is included as a cause of health inequities, and privilege alongside racism is emphasised. The model creators provide a critique of its limitations, and indicate areas for further strengthening.

Comment:

Many years in the ‘writing’, this is an important resource/reference for those of us who are teaching, researching and planning.

Reference: Discov Soc Sci Health. 2023;3(1):10.

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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