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Compounding inequity: a qualitative study of gout management in an urban marae clinic in Auckland

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From Māori Health Review Issue 91
Authors:
  • Te Karu L et al.
Summary:

Ten clinicians and staff at an urban marae practice were interviewed to determine the barriers and challenges to delivering effective care to a Māori and Pacific community with a high burden of gout. Results showed that a high prevalence and heavy impact of gout on wellbeing in the community was intermingled with socioeconomic disadvantage, precariousness of employment and entrenched, inaccurate patient views on gout. Staff focus on the clear community need was inhibited by structural and funding demands. Community empowerment with appropriate clinical tools and adequate resourcing is needed to provide effective care for Māori and Pacific patients with gout.

Comment:
A wonderful study because Leanne has taken the time to understand a health issue, and its management, from the perspective of a Maori provider. Her conclusion – for adequate resourcing for Maori providers – could also apply to the recent announcements about the Maori Health Authority.
Reference: J Prim Health Care. 2021 Mar;13(1):27-35.
Abstract
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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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