Provider Perspectives on Heart Healthcare Inequities Among Māori and Pacific Peoples in Aotearoa New Zealand: A Qualitative Study
Date
Authors
Taueetia-Su'a, T
Brewer, KM
Ameratunga, S
Hanchard, S
Selak, V
Dicker, B
Rahiri, JL
Grey, C
Harwood, M
Supervisor
Item type
Journal Article
Degree name
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier BV
Abstract
Objective: We explored service providers’ views on evidence–practice gaps and inequities in heart health care for Māori and Pacific peoples, alongside solutions to address these issues. Methods: Employing Kaupapa Māori and Pacific research methodologies, we recruited Māori, Pacific, and non-Māori/Pacific providers, purposively sampled from a range of disciplines. Semi-structured interviews were conducted individually and in focus groups. Differences in perspectives offered by Māori and Pacific providers are compared to those of non-Māori/Pacific providers. Results: Twenty-three providers, identifying as Māori (6), Pacific (5), or non-Māori/Pacific (12), shared their views of the healthcare system, experiences of providing care, and observations of Māori and Pacific patient and whānau experiences. Results were grouped into three themes: Tikanga Māori and Fa'a Pasifika versus non-Māori/Pacific ways; gaps in the health system for Māori and Pacific patients; and solutions. Māori and Pacific providers emphasised structural determinants, systemic failures and workforce inadequacies underlying inequities. Conclusions: There is a critical need for equity-focused, holistic and relational models of heart health care that are co-designed with Māori and Pacific patients and whānau, and delivered by a culturally safe workforce. Implications for Public Health: Adequately resourced services, designed by and for Māori and Pacific peoples, have the potential to achieve equitable heart health care outcomes.Description
Keywords
Indigenous health, Māori, Pacific, cardiovascular, heart, qualitative, 4203 Health Services and Systems, 4206 Public Health, 42 Health Sciences, Clinical Research, Social Determinants of Health, Health Services, 8.1 Organisation and delivery of services, Generic health relevance, 3 Good Health and Well Being, 1117 Public Health and Health Services, 1402 Applied Economics, 1605 Policy and Administration, Public Health, 4202 Epidemiology, 4203 Health services and systems, 4206 Public health
Source
Australian and New Zealand Journal of Public Health, ISSN: 1326-0200 (Print); 1753-6405 (Online), Elsevier BV, 50(1), 100303-. doi: 10.1016/j.anzjph.2025.100303
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© 2025 The Authors. Published by Elsevier B.V. on behalf of Public Health Association of Australia. This article is available under the Creative Commons CC-BY-NC-ND license and permits non-commercial use of the work as published, without adaptation or alteration provided the work is fully attributed.