The impact of cultural concordance between health professionals and patients

Making Education Easy

Authors:

Loring B et al.

August 25, 2026

Summary:

A narrative review has shown that cultural concordance between patients and their health professionals impacts on patient experience, communication quality, engagement and adherence, clinical decision-making and some clinical outcomes. A total of 25 systematic reviews, meta-analyses and research studies were identified from database searches conducted in 2025 and included for analysis. Most evidence was from the US and findings were variable. Impacts of cultural concordance included improved communication quality, trust, satisfaction and perceived respect, as well as improved healthcare utilisation, medication adherence and uptake of preventative interventions. Some studies found cultural concordance changed clinical decision-making and influenced caesarean section rates, diabetes management, surgical outcomes and addiction treatment, while others found no impact.

Comment:

Really important findings. Obtaining similar evidence here in Aotearoa may be challenging given the relatively small Māori health workforce and methodological difficulties in studying concordance. Nevertheless, the findings align with lived experiences shared by Māori, who often describe feeling more understood, respected and comfortable when receiving care from health professionals who share or deeply understand their cultural/ethnic background.

Reference: N Z Med J. 2026;139(1634):65-78.

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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