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Understanding the workforce that supports Māori and Pacific peoples with type 2 diabetes to achieve better health outcomes

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Authors:
Summary:

Supporting community-based, non-clinical workers to build meaningful and culturally safe relationships with Māori and Pacific people with type 2 diabetes has the potential to improve health outcomes, according to a qualitative study underpinned by the Tangata Hourua research framework. Focus groups with dietitians, community health workers and kai manaaki were held in South Auckland to gather information, and thematic analysis of transcripts was used to identify key themes. Themes common across all groups were whakawhanaungatanga (actively building relationships), cultural safety (mana enhancing) and cultural alignment to role. When compared with dietitians, kai manaaki and community health workers both strongly associated a multidisciplinary approach to experiences of feeling un/valued in their roles. All groups generally agreed that their roles required good relationships and understanding of the people they were working with.

Comment:
With the recent health reforms in Aotearoa, including the development of a health charter and its focus on a relevant health workforce for communities, this paper provides useful information on ways to develop and support a diabetes workforce. Importantly, the authors note that non-clinical roles bring critical cultural, local and interpersonal skills and expertise that are integral to building relationships and trust with the whānau and communities they work within.
Reference: BMC Health Serv Res. 2022;22(1):672.
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.

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