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Reciprocal relations between cardiovascular disease, employment, financial insecurity, and post cardiac event recovery among Māori men

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Authors:
Summary:

Financial (in)security and personal income are key determinants of participant experiences and outcomes among Māori men undergoing cardiac investigation and treatment at Waikato Hospital, according to a case-comparative study. The study involved three 1- to 3-hour interviews with four Māori men, with the first interview taking place 5-16 weeks after surgery/ discharge. Kaupapa Māori Research practices were used. Rather than medical problems, major financial disruptions were at the forefront of concerns for participants with financial insecurity. Financial hardship impacted access to care, and access to funding contributed to psychological distress for several participants. Positive treatment experiences and recovery were facilitated by economic security and reciprocal relationships between employers and employees.

Comment:
I’ve heard similar concerns from Māori after stroke – with return to work being a significant issue that is ignored or not considered by health providers. The researchers tease this out further here, with a key message being to ‘ask and not assume’.
Reference: J Med Case Rep. 2023;17(1):468.
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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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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