Decolonising outcome measurement: a systematic review of health and wellbeing measures for Māori

The objective of the study is to conduct a systematic review and methodological quality appraisal on studies reporting the development of health and wellbeing outcome measures for Māori (Indigenous people of New Zealand), identify common features and processes, and critically appraise the measures using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN).

Refining the definitions of cultural safety, cultural competency and Indigenous health: lessons from Aotearoa New Zealand

Eliminating Indigenous and ethnic health inequities requires culturally-competent and culturally-safe health workforces and systems. Health professional training institutions and regulatory bodies are increasingly including cultural competency and cultural safety in health professional accreditation standards, and pre-service and in-service training programmes. However, there are mixed definitions and understandings of cultural competency and cultural safety, and how best to achieve them.

Te Oranga Pūkahukahu research programme: intentional steps towards a national equity-focused lung cancer screening programme in Aotearoa New Zealand

Screening of at-risk, asymptomatic people can significantly reduce mortality from lung cancer. However, evidence about how to optimise lung cancer screening for specific populations, including Aotearoa New Zealand’s Indigenous Māori, who experience disproportionately higher rates of lung cancer, is needed to ensure that a future lung screening programme in Aotearoa New Zealand is equitable.

The potential of a population register for addressing health inequities: an observational study using data linkage to improve breast cancer screening enrolment and participation in Indigenous Māori women in Aotearoa New Zealand

The data linkage approach has evidenced the benefit of a population register to facilitate equitable access to breast screening services. Further work is needed on choices of combined approaches for optimising screening uptake equitably.

TIKANGA-INFORMED CONSIDERATIONS FOR MĀORI GENDER DIVERSITY

This research proposes that there is a tikanga-informed basis for current Māori expressions of gender diversity and explores the early imposition of colonial gender roles onto Māori, the principles that informed gender diversity and fluidity for Māori before these colonial roles, and the traditional narratives that may have gender diversity woven into them.

Key issues

HEALTH SERVICES AND SYSTEMS

Covering developments in the provision, funding and organisation of health care services.

EQUITY

Exploring the impacts of the health system on minorities within the population, notably including Māori, Pacifica, Asians and LGBTQI.

DRUGS, DEVICE AND DIAGNOSTICS

Covering prescription medicines and medical devices.

PUBLIC HEALTH

Focusing on efforts to promote health and prevent disease through social and economic interventions.

DIGITAL HEALTH

Exploring the potential digital transformation to provide a more connected and accessible health system.

TE TIRITI

Monitoring how the health reforms and the performance of the health sector uphold Te Tiriti obligations.