This systematic review of 54 qualitative studies of Māori consumer experiences of health services and programmes was conducted to assess Māori experiences and characterise how recommendations inform strategies to address inequities. Experiences mapped to social determinants of health inequities mostly related to direct interactions, in particular patient-clinician communication and relationships, and clinician and systemic cultural competency. Key recommendations mapped to potential strategies at all levels of the political, social and health system ranging from individual interactions, community change, to broader public and system-level strategies. Recommendations focused on actions that reduce risks of exposure to health-damaging factors including health literacy interventions, increased cultural competency resources and increased Māori health service development and workforce capacity.
