Organisational views on health care access for hauä (disabled) Mäori in Murihiku (Southland), Aotearoa New Zealand: A mixed methods approach

New Zealand journal of physiotherapy

article

Leigh Hale¹  Katrina Potiki Bryant¹  Aimee L. Ward²  Amy Falloon³  Aroha Montgomery⁴  Brigit Mirfin-Veitch⁵  Kelly Tikao⁵  Stephan Milosavljevic⁸ 

[1] School of Physiotherapy, Centre for Health, Activity and Rehabilitation Research, University of Otago;Postdoctoral Fellow, Department of Medicine, Dunedin School of Medicine, University of Otago;Lead Physiotherapist for Silvermoon Tactix, Performance Physio;Senior Physiotherapist, The Corrective Clinic Physiotherapy;Donald Beasley Institute;Senior Registered Nurse, Child, Adolescent and Family Inpatient Unit, Prince Margaret Hospital, Canterbury District Health Board;Doctoral candidate, Department of Health Sciences, University of Canterbury;School of Rehabilitation Science, University of Saskatchewan

关键词: Disability;    Mäori;    Accessibility;    Health Service;    Indigenous;   

DOI  :  10.15619/NZJP/46.2.03

学科分类：医学（综合）

来源: Physiotherapy New Zealand

【 摘 要 】

We report and discuss the findings of a survey of a range of health care providers serving hauä (disabled) Mäori in the Murihiku (Southland) region of Aotearoa New Zealand. To explore hauä Mäori access to health services, we used a mixed methods approach beginning with a quantitative survey and followed by qualitative interviews. Twenty-nine (58%) completed surveys were returned and we interviewed representatives from 15 organisations. We found all organisations were disability accessible in the physical sense, but were less accessible from a cultural perspective. There appeared a misunderstanding between what could be deemed a non-racial, human rights approach of respect for all people, no matter the ethnicity (“We treat everyone who walks through the door the same”) and the importance of tikaka (customary Mäori practice), for services provided for Mäori. The most significant proposal resulting from this research was for organisations to have a local, trusted, cultural advisor to regularly discuss and review Mäori clients. Individually, health facilities that provide services to Mäori should evaluate their cultural awareness, service access and promotion, health information, and service effectiveness. This paper provides insights and suggestions to health organisations, such as physiotherapy services, on how they can improve their service accessibility to hauä Mäori.

【 授权许可】

Unknown