Hā Ora: secondary care barriers and enablers to early diagnosis of lung cancer for Māori communities.

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dc.contributor.authorKidd, Jacquieen_NZ
dc.contributor.authorCassim, Shemanaen_NZ
dc.contributor.authorRolleston, Annaen_NZ
dc.contributor.authorChepulis, Lynne Merranen_NZ
dc.contributor.authorHokowhitu, Brendanen_NZ
dc.contributor.authorKeenan, Rawirien_NZ
dc.contributor.authorWong, Janiceen_NZ
dc.contributor.authorFirth, Melissaen_NZ
dc.contributor.authorMiddleton, Karenen_NZ
dc.contributor.authorAitken, Deniseen_NZ
dc.contributor.authorLawrenson, Rossen_NZ
dc.coverage.spatialEnglanden_NZ
dc.date.accessioned2021-02-16T21:23:16Z
dc.date.available2021-02-16T21:23:16Z
dc.date.issued2021en_NZ
dc.description.abstractBACKGROUND: Lung Cancer is the leading cause of cancer deaths in Aotearoa New Zealand. Māori communities in particular have higher incidence and mortality rates from Lung Cancer. Diagnosis of lung cancer at an early stage can allow for curative treatment. This project aimed to document the barriers to early diagnosis and treatment of lung cancer in secondary care for Māori communities. METHODS: This project used a kaupapa Māori approach. Nine community hui (focus groups) and nine primary healthcare provider hui were carried out in five rural localities in the Midland region. Community hui included cancer patients, whānau (families), and other community members. Healthcare provider hui comprised staff members at the local primary healthcare centre, including General Practitioners and nurses. Hui data were thematically analysed. RESULTS: Barriers and enablers to early diagnosis of lung cancer were categorised into two broad themes: Specialist services and treatment, and whānau journey. The barriers and enablers that participants experienced in specialist services and treatment related to access to care, engagement with specialists, communication with specialist services and cultural values and respect, whereas barriers and enablers relating to the whānau journey focused on agency and the impact on whānau. CONCLUSIONS: The study highlighted the need to improve communication within and across healthcare services, the importance of understanding the cultural needs of patients and whānau and a health system strategy that meets these needs. Findings also demonstrated the resilience of Māori and the active efforts of whānau as carers to foster health literacy in future generations.en_NZ
dc.format.mimetypeapplication/pdf
dc.identifier.citationKidd, J., Cassim, S., Rolleston, A., Chepulis, L. M., Hokowhitu, B., Keenan, R., … Lawrenson, R. (2021). Hā Ora: secondary care barriers and enablers to early diagnosis of lung cancer for Māori communities. BMC Cancer, 21(1), 121. https://doi.org/10.1186/s12885-021-07862-0en
dc.identifier.doi10.1186/s12885-021-07862-0en_NZ
dc.identifier.eissn1471-2407en_NZ
dc.identifier.urihttps://hdl.handle.net/10289/14116
dc.language.isoenen_NZ
dc.relation.isPartOfBMC Canceren_NZ
dc.rights© The Author(s). 2021 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
dc.subjectBarriersen_NZ
dc.subjectDiagnosisen_NZ
dc.subjectHospitalen_NZ
dc.subjectLung Canceren_NZ
dc.subjectMāorien_NZ
dc.subjectSecondary careen_NZ
dc.titleHā Ora: secondary care barriers and enablers to early diagnosis of lung cancer for Māori communities.en_NZ
dc.typeJournal Article
pubs.begin-page121
pubs.elements-id259586
pubs.issue1en_NZ
pubs.organisational-group/Waikato
pubs.organisational-group/Waikato/ALPSS
pubs.organisational-group/Waikato/ALPSS/NIDE
pubs.organisational-group/Waikato/ALPSS/NIDE/NIDE/SDVC Staff (Manual Group)
pubs.organisational-group/Waikato/VICH
pubs.organisational-group/Waikato/VICH/SDVC
pubs.publication-statusPublished onlineen_NZ
pubs.user.infoCassim, Gnei (cassim@waikato.ac.nz)
pubs.volume21en_NZ
uow.verification.statusunverified
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