Healthcare providers could have an enhanced role ensuring equitable access to welfare for those with long-term conditions but are underfunded and unsupported, according to a recent qualitative study. The study used Kaupapa Māori methodology and the He Pikinga Waiora framework to engage with 130 healthcare providers across the Waikato region. Providers noted that patients have difficulty accessing the right type and level of welfare support, which likely impacts their health outcomes. The study authors stated that a more integrated approach to accessing welfare support is needed.
We know income and material security are fundamental determinants of health, and yet I’m sure many of us hear about the structural barriers people with long-term conditions and disabilities face when trying to access welfare and income from agencies. Strengthening integration between health services and welfare systems, and resourcing providers to support whānau to access entitlements, is therefore critical to improving whānau outcomes.
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.
