Penney, SDicker, BHarwood, M2024-01-162024-01-162023-06-131443-9506http://hdl.handle.net/10292/17115Cardiovascular disease is a major contributor to the health inequities between Māori and non-Māori. Reasons are multifactorial and not all differences can be attributed to modifiable risk factors or social circumstances. Research shows that Māori with ACS: often delay calling the emergency number 111; present to their general practitioner or an accident and emergency department, delaying access to hospital; and are less likely to go to the hospital by ambulance. Thus, understanding access to and experiences when utilising pre-hospital care is important. Despite extensive literature demonstrating negative experiences and poor-quality healthcare for Māori, there is very little in the pre-hospital context. This study aimed to explore experiences of cultural (un)safety in acute pre-hospital care by paramedics for cardiac symptoms. A key objective was to enable ambulance services to better respond to Māori.© 2023. This manuscript version (after the embargo period) is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/https://creativecommons.org/licenses/by-nc-nd/4.0/32 Biomedical and Clinical Sciences4203 Health Services and Systems3201 Cardiovascular Medicine and Haematology4206 Public Health42 Health Sciences1102 Cardiorespiratory Medicine and Haematology1117 Public Health and Health ServicesCardiovascular System & Hematology3201 Cardiovascular medicine and haematology4203 Health services and systems4206 Public healthConference ContributionOpenAccess10.1016/j.hlc.2023.04.283