Hā Ora: Secondary Care Barriers and Enablers to Early Diagnosis of Lung Cancer for Māori Communities

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aut.relation.articlenumber121en_NZ
aut.relation.issue1en_NZ
aut.relation.journalBMC Canceren_NZ
aut.relation.volume21en_NZ
aut.researcherDrabsch, Julie
dc.contributor.authorKidd, Jen_NZ
dc.contributor.authorCassim, Sen_NZ
dc.contributor.authorRolleston, Aen_NZ
dc.contributor.authorChepulis, Len_NZ
dc.contributor.authorHokowhitu, Ben_NZ
dc.contributor.authorKeenan, Ren_NZ
dc.contributor.authorWong, Jen_NZ
dc.contributor.authorFirth, Men_NZ
dc.contributor.authorMiddleton, Ken_NZ
dc.contributor.authorAitken, Den_NZ
dc.contributor.authorLawrenson, Ren_NZ
dc.date.accessioned2021-04-28T00:04:00Z
dc.date.available2021-04-28T00:04:00Z
dc.date.copyright2021en_NZ
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.identifier.citationBMC Cancer 21, 121 (2021). https://doi.org/10.1186/s12885-021-07862-0
dc.identifier.doi10.1186/s12885-021-07862-0en_NZ
dc.identifier.issn1471-2407en_NZ
dc.identifier.issn1471-2407en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/14144
dc.languageengen_NZ
dc.publisherBioMed Centralen_NZ
dc.relation.urihttps://bmccancer.biomedcentral.com/articles/10.1186/s12885-021-07862-0
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.rights.accessrightsOpenAccessen_NZ
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 Communitiesen_NZ
dc.typeJournal Article
pubs.elements-id397936
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Science
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences/Nursing Department
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