Experiences of Māori of Aotearoa New Zealand's public health system: a systematic review of two decades of published qualitative research

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dc.contributor.authorGraham, Rebekah Sarahen_NZ
dc.contributor.authorMasters-Awatere, Bridgetteen_NZ
dc.date.accessioned2020-06-11T02:43:19Z
dc.date.available2020-01-29en_NZ
dc.date.available2020-06-11T02:43:19Z
dc.date.issued2020en_NZ
dc.description.abstractObjective: This paper aims to synthesise the broader perspectives of Māori patients and their whānau (extended family, family group) of their treatment within the public health system. Our research question was ‘What are the experiences of Māori in the public health and/or hospital system in Aotearoa New Zealand?’ Methods: A systematic search using PRISMA protocols and reflexive typology organised around the categories of Māori, public healthcare and qualitative research identified 14 papers that covered all three categories. We undertook a qualitative metasynthesis on these papers using a critical community psychology approach. Results: Māori patients and whānau from the included papers mention both barriers and facilitators to health. We categorised barriers as organisational structures, staff interactions and practical considerations. Facilitators were categorised as the provision of whānau support in the form of practical assistance, emotional care and health system navigation. Conclusions: For many Māori, the existing public health system is experienced as hostile and alienating. Whānau members provide support to mitigate this, but it comes as a cost to whānau. Implications for public health: Public health providers must find ways to ensure that Māori consistently experience positive, high-quality healthcare interactions that support Māori ways of being.en_NZ
dc.format.mimetypeapplication/pdf
dc.identifier.citationGraham, R. S., & Masters-Awatere, B. (2020). Experiences of Māori of Aotearoa New Zealand’s public health system: a systematic review of two decades of published qualitative research. Australian and New Zealand Journal of Public Health. https://doi.org/10.1111/1753-6405.12971en
dc.identifier.doi10.1111/1753-6405.12971en_NZ
dc.identifier.issn1326-0200en_NZ
dc.identifier.urihttps://hdl.handle.net/10289/13619
dc.language.isoen
dc.publisherWiley Open Accessen_NZ
dc.relation.isPartOfAustralian and New Zealand Journal of Public Healthen_NZ
dc.relation.urihttp://10.0.4.87/1753-6405.12971
dc.rights© 2020 The Authors This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
dc.subjectIndigenous healthen_NZ
dc.subjecthealthcare barriersen_NZ
dc.subjectinequitiesen_NZ
dc.subjectwhanauen_NZ
dc.subjectinstitutional racismen_NZ
dc.titleExperiences of Māori of Aotearoa New Zealand's public health system: a systematic review of two decades of published qualitative researchen_NZ
dc.typeJournal Article
pubs.elements-id250644
pubs.organisational-group/Waikato
pubs.organisational-group/Waikato/2024 PBRF
pubs.organisational-group/Waikato/ALPSS
pubs.organisational-group/Waikato/ALPSS/2024 PBRF - DASL
pubs.organisational-group/Waikato/ALPSS/SPSY
pubs.organisational-group/Waikato/ALPSS/SPSY/2024 PBRF - SPSY
pubs.organisational-group/Waikato/FASS - Old
pubs.organisational-group/Waikato/FASS - Old/School of Psychology
pubs.organisational-group/Waikato/FASS - Old/School of Psychology/MPRU
pubs.organisational-group/Waikato/Manually Created Groups
pubs.organisational-group/Waikato/Manually Created Groups/DASL - Manually Created Groups - MPRU
pubs.publication-statusAccepteden_NZ
pubs.user.infoMasters-Awatere, Bridgette (bridge@waikato.ac.nz)
uow.verification.statusverified
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