National Rural Healthcare Conference: Home | NRHC 2022 (nationalruralhealthconference.org.nz)

Presentation by Taria Tane

Background: Māori are disproportionately represented in cardiovascular disease (CVD) prevalence, morbidity, and mortality rates, and are less likely to receive evidence-based CVD healthcare. Rural Māori in Aotearoa New Zealand experience additional barriers to treatment access, poorer health outcomes, and a greater burden of CVD risk factors, compared to Non-Māori and Māori living in urban areas. Despite these inequities in access and outcomes, little is known about the barriers and facilitators that may influence rural Māori accessing quality CVD healthcare. Importantly, inequities in CVD outcomes and access to quality CVD healthcare in Aotearoa New Zealand are similar to those experienced by Indigenous Peoples, in other nations impacted by colonisation. 

Aims/ objectives: To explore the barriers and facilitators in accessing quality CVD healthcare for rural Māori and international Indigenous Peoples in nations impacted by colonisation.  

Methods: A scoping review will be performed in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews Checklist. A thematic analysis approach, underpinned by Kaupapa Māori Research principles, will be used to describe the literature. In addition, literature will be appraised according to the Consolidated Criteria for Strengthening Reporting of Health Research Involving Indigenous Peoples (CONSIDER) statement. 

Findings and implications: We will describe the extent of research available and gaps in research, key barriers and facilitators, and recommendations for future research to benefit of healthcare access for rural Māori and other rural Indigenous Peoples.