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Exploring Māori health worker perspectives on colorectal cancer and screening

Making Education Easy

Authors:
Summary:

In this pilot study, 30 Māori health workers were interviewed about their experience with screening programmes, knowledge of colorectal cancer and their perspective on a potential colorectal screening programme. This perspective was informed by both their own whānau and whānau they encountered professionally through their health work. While participants were largely positive about potential colorectal screening, various access barriers that they identified included patient-clinician engagement and communication, lack of provision for patient’s privacy during screening and patients feeling discouraged to take part in screening. Factors enabling screening included having an established relationship with their General Practitioner, screening clinicians taking time to build rapport, answer questions and share information, screening practices that were inclusive of Māori cultural norms and having high health literacy.

Comment:
This study has provided valuable information on ways to improve screening programmes for Māori. Interestingly, there have been major concerns about the ‘cultural appropriateness’ of colorectal screening (i.e. test kits for tiko); yet comments from participants appeared to focus on relationships and service issues.
Reference: N Z Med J. 2012;125(1356):75-84.
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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