Mäori are less likely to use cardiovascular rehabilitation services than other ethnicities, despite far greater rates of cardiovascular morbidity and mortality. The authors report on the first 6-months of a specialist mobile cardiovascular rehabilitation service provided by Te Kohao Health and based on Kirikiriroa marae. Data were collected from clinical and support assessment tools, client case notes, minutes from meetings and kanohi ki te kanohi (face to face) discussions with staff. Mäori referred to the service presented with complex socioeconomic and socio-cultural issues. In general Mäori accessing the service were younger than comparable Pakeha. Retention rates were higher for this service than for other cardiovascular rehabilitation services. The authors suggest that the success of this service may be as a result of providing a multi-faceted approach addressing the need for cultural support combined with clinical services.
A great study undertaken by up and coming researchers, Helen, Nina and Te Aro describe the reality of Mäori using a mobile cardiovascular rehabilitation service. Although data was from just the first 6 months since implementation of the service, the results are positive and provide evidence that a service tailored to Mäori does work.
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.
