Manawataki Fatu Fatu for ACCESS (Māori and Pacific Hearts in Unison for Achieving Cardiovascular Care in Equity StudieS). Protocol for a Mixed Methods Programme of Research

aut.relation.journalInternational Journal of Qualitative Methods
dc.contributor.authorGrey, Corina
dc.contributor.authorBrewer, Karen Marie
dc.contributor.authorAmeratunga, Shanthi
dc.contributor.authorSelak, Vanessa
dc.contributor.authorHanchard, Sandra
dc.contributor.authorDicker, Bridget
dc.contributor.authorPaynter, Janine
dc.contributor.authorTaueetia-Su’a, Tua
dc.contributor.authorWinter-Smith, Julie
dc.contributor.authorNewport, Rochelle
dc.contributor.authorTane, Taria
dc.contributor.authorHarwood, Matire Louise Ngarongoa
dc.description.abstractMāori and Pacific peoples in Aotearoa New Zealand (NZ) face significant inequities in cardiovascular disease (CVD) risk factors, hospitalisations and management rates, compared with non-Māori, non-Pacific peoples. These inequities are intimately linked to factors such as colonisation and the intergenerational impacts of systemic racism. This is the protocol for Manawataki Fatu Fatu for ACCESS (Māori and Pacific hearts in unison for Achieving Cardiovascular Care in Equity StudieS), a mixed-methods programme of research, combining kaupapa Māori and Pacific research methodologies (i.e. incorporating the knowledges, skills and values of Māori and Pacific peoples). In this Māori and Pacific led research programme, we will use qualitative and quantitative methodologies to identify evidence-practice gaps along the healthcare continuum that can be addressed to improve heart health outcomes for Māori and Pacific people in NZ. The programme is built on three foundation projects: (i) the assessment and management of CVD risk in primary care; (ii) pre-hospital delays in accessing care following an acute cardiac event in the community; and (iii) post-discharge and long-term management of heart failure. There are three phases. Phase 1 aims to systematically document research, completed or underway, about equitable access to evidence-based heart health care. We will establish a national collaboration of equity-focused heart health researchers and providers, and undertake systematic reviews relating to the three foundation projects. In Phase 2, we will undertake qualitative and quantitative research in the three foundational projects, to identify interventions to increase access to heart health care that have most potential to improve Māori and Pacific health outcomes and achieve equity. The quantitative and qualitative studies will be undertaken in parallel and will inform each other. Phase 3 will use findings from Phases 1 and 2 to create a Quality-Improvement-Equity Roadmap to inform interventions to improve Māori and Pacific people’s access to evidence-based CVD care.
dc.identifier.citationInternational Journal of Qualitative Methods, ISSN: 1609-4069 (Print); 1609-4069 (Online), SAGE Publications, 22, 160940692311763-160940692311763. doi: 10.1177/16094069231176348
dc.publisherSAGE Publications
dc.subject4203 Health Services and Systems
dc.subject4206 Public Health
dc.subject42 Health Sciences
dc.subjectHealth Services
dc.subjectHeart Disease
dc.subjectClinical Research
dc.subject8.1 Organisation and delivery of services
dc.subject8 Health and social care services research
dc.subjectGeneric health relevance
dc.subject3 Good Health and Well Being
dc.subject1110 Nursing
dc.subject1607 Social Work
dc.titleManawataki Fatu Fatu for ACCESS (Māori and Pacific Hearts in Unison for Achieving Cardiovascular Care in Equity StudieS). Protocol for a Mixed Methods Programme of Research
dc.typeJournal Article
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