
Publications
2023 Upholding te mana o te wā: Māori patients and their families’ experiences of accessing care following an out-of-hospital cardiac event
Journal Article
Abstract
Objective
The purpose of this study was to explore the experiences of Māori patients and their families accessing care for an acute out-of-hospital cardiac event and to identify any barriers or enablers of timely access to care.
Design
Eleven interviews with patients and their families were conducted either face-to-face or using online conferencing. Interviews were audio-recorded and transcribed for thematic analysis using Kaupapa Māori methodology.
Results
Data analysis identified three themes: (1) me and the event, (2) the people (3) upholding te mana ō te wā or self-determined heart wellbeing. Knowledge of symptoms and a desire to maintain personal dignity at the time of the event affected emergency medical service initiation. Participants described relationships with health professionals, the importance of good quality information, having family support, and drawing on cultural practices as vital for their health care journey.
Conclusion
Systemic barriers including racism, discrimination, and inadequate resourcing exist for Māori journeying to and through care following an out of hospital cardiac event. Improving the cultural safety of health professionals, better access to community defibrillation, and improving understanding of the life-long impacts a cardiac event has on patients and whānau is recommended.
- BibTex Key
- Authors B. Dicker | C. Grey | K. Brewer | M. Harwood | R. Newport | S. Amertunga | S. Hanchard | T. Tuaeetia-Su'a | V. Selak
- Tags acute cardiac care | Māori health | Pre-hospital
- DOI Number https://doi.org/10.1016/j.ahjo.2023.100341
2023 Pasifika Medical Association 2023
Conference
Pasifika Medical Association – Pasifika Medical Association Conference 2023 (pacifichealth.org.nz)
PMA Conf Programme WEB.pdf (pacifichealth.org.nz)
Growing the Allied care workforce – Jess Lagaluga Hutchings BPharm (Hons) | PhD Candidate, University of Auckland
Presentation of Hutchings PhD research study from Manawataki Fatu Fatu
- BibTex Key
- Authors J. Hutchings
- Tags Pacific health | Pharmacy
2023 Who are Pacific peoples in terms of ethnicity and country of birth? A cross sectional study of 2,238,039 adults in Aotearoa New Zealand’s integrated data infrastructure
Journal Article
Abstract
Background
The aggregation of Indigenous peoples from Pacific Island nations as ‘Pacific peoples’ in literature may mask diversity in the health needs of these different groups. The aim of this study was to examine the heterogeneity of Pacific groups according to ethnicity and country of birth.
Methods
Anonymised individual-level linkage of administrative data identified all NZ residents aged 30–74 years on 31 March 2013 with known ethnicity and country of birth. All participants were described according to ethnicity and country of birth. Pacific participants were also described according to the number of ethnicities they identified.
Findings
A total of 2,238,039 NZ residents were included, of whom 117,957 (5·0%) were Pacific. Nearly two-thirds of Pacific peoples (65·7%) were born overseas, ranging from 45·3% (Cook Islands Māori) to 82·7% (Fijian) (Māori 2·3%, non-Māori non-Pacific 28·9%). Among NZ-born Pacific peoples, 46·9% (Samoan) to 81·9% (Fijian) were multi-ethnic; the proportion was much lower for overseas-born Pacific peoples (ranging from 3·7% [Tongan] to 23·9% [Tokelauan]).
Interpretation
There is substantial heterogeneity among Pacific peoples in their country of birth and identification with sole or multiple ethnicities. Assumptions regarding homogeneity in the needs of Pacific peoples are not appropriate and government statistics should therefore disaggregate Pacific peoples whenever possible.
Funding
Supported by the Health Research Council of New Zealand and a part of Manawataki Fatu Fatu, a programme of research funded by the National Heart Foundation of New Zealand and Healthier Lives – He Oranga Hauora – National Science Challenge of New Zealand.
Keywords
PacificPacific peoplesPasifikaEthnicityCountry of birth
- BibTex Key
- Authors C. Grey | J. Paynter | J. Winter-Smith | M. Harwood | V. Selak
- Tags Pacific health
- DOI Number https://doi.org/10.1016/j.dialog.2023.100152
2023 Widening ethnic inequities in heart failure incidence in New Zealand
Journal Article
- BibTex Key
- Authors A. Kerr | C. Grey | D. Chan | K. Poppe | M. Harwood | M. Lund | MAW. Lee | R. Doughty
- Tags heart failure
- DOI Number 10.1136/heartjnl-2023-322795
2023 How pharmacist-led health services are tailored to minoritized populations, their acceptability and effectiveness: A scoping literature review
Journal Article
Hutchings, J.L., Grey, C., Brewer, K.M. and Aspden, T.J., 2023. How pharmacist-led health services are tailored to minoritized populations, their acceptability and effectiveness: A scoping literature review. Research in Social and Administrative Pharmacy.
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2023 Reasons for ethnic disparities in pre-hospital care pathway following an Out of Hospital Cardiac Events: protocol of a systematic review.
Journal Article
Newport R, C. Dicker, B. Ameratunga, S. Harwood, M. Reasons for ethnic disparities in pre-hospital care pathway following an Out of Hospital Cardiac Events: protocol of a systematic review. JMIR Res Protoc (forthcoming). 2023
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2022 Pacific advisory fono
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2022 Whānau and Hapori Māori Advisory Group online hui
Conference
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2023 Understanding the barriers and facilitators that influence access to quality cardiovascular care for rural Indigenous peoples: protocol for a scoping review
Journal Article
Understanding the barriers and facilitators that influence access to quality cardiovascular care for rural Indigenous peoples: protocol for a scoping review | BMJ Open
Abstract
Introduction Māori (the Indigenous peoples of New Zealand) are disproportionately represented in cardiovascular disease (CVD) prevalence, morbidity and mortality rates, and are less likely to receive evidence-based CVD healthcare. Rural Māori experience additional barriers to treatment access, poorer health outcomes and a more significant burden of CVD risk factors compared with non-Māori and Māori living in urban areas. Importantly, these inequities are similarly experienced by Indigenous peoples in other nations impacted by colonisation. Given the scarcity of available literature, we are conducting a scoping review of literature exploring barriers and facilitators in accessing quality CVD healthcare for rural Māori and other Indigenous peoples in nations impacted by colonisation.
Methods and analysis A scoping review will be conducted to identify and map the extent of research available and identify any gaps in the literature. This review will be underpinned by Kaupapa Māori Research methodology and will be conducted using Arksey and O’Malley’s (2005) methodological framework. A database search of MEDLINE (OVID), PubMed, Embase, SCOPUS, CINAHL Plus, Australia/New Zealand Reference Centre and NZResearch.org will be used to explore empirical research literature. A grey literature search will also be conducted. Two authors will independently review and screen search results in an iterative manner. The New Zealand Ministry of Health Te Tiriti o Waitangi (Treaty of Waitangi) Framework principles will be used as a framework to summarise and construct a narrative of existing literature. Existing literature will also be appraised using the CONSolIDated critERia for strengthening the reporting of health research involving Indigenous Peoples (CONSIDER) statement.
Ethics and dissemination Ethical approval has not been sought for this review as we are using publicly available data. We will publish this protocol and the findings of our review in an open-access peer-reviewed journal. This protocol has been registered on Open Science Framework (DOI:10.17605/osf.io/xruhy).
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- Authors K.Eggleton | M. Harwood | T.Tane | V. Selak
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2023 Te Whatu Ora Te Tai Tokerau – Manager – Patient Experience
Presentation
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- Authors T.Tane
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Northland Research Symposium
All types
Taria Tane on 23/03/23
Project introduction and Scoping Review
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- Authors T.Tane
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Cardiac Society of Auckland and New Zealand Annual Scientific Meeting June 2023
All types
Home | CSANZ New Zealand Annual Scientific Meeting 2023 (csanzasm.nz)
Presentations from MFF team:
Heart Foundation Lecture – Corina Grey
Ethnicity/equity and CVD risk factor distribution in Aotearoa New Zealand – Matire Harwood
Ethnicity/equity and CVD risk factor distribution in Aotearoa New Zealand – Vanessa Selak
Manawataki Fatu Fatu: Achieving Cardiovascular Care for equity – Karen Brewer
Cultural safety in paramedic practice: Experiences of Māori and whānau – Sarah Penney
Achieving equitable health outcomes for Pacific people living with cardiovascular disease in Aotearoa New Zealand: exploring the contribution of community pharmacists – Jess Hutchings
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2023 Manawataki Fatu Fatu for ACCESS (Māori and Pacific Hearts in Unison for Achieving Cardiovascular Care in Equity StudieS). Protocol for a Mixed Methods Programme of Research
Journal Article
Available at https://doi.org/10.1177/16094069231176348
- BibTex Key
- Authors B. Dicker | C. Grey | J. Paynter | J. Winter-Smith | K. Brewer | M. Harwood | R. Newport | S. Amertunga | S. Hanchard | T. Tuaeetia-Su'a | T.Tane | V. Selak
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- DOI Number 16094069231176348
- Publisher SAGE Publishing
- Edition International Journal of Qualitative Methods
2023 TUTOR PHC training and conference
Proceeding
TUTOR-PHC – Taria Tane
27/04/23
Scoping Review – Poster Presentation
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- Authors T.Tane | taria
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2022 Pacific Health Research Symposium 2022
Proceeding
Pacific Health Research Symposium 2022
Our events – The University of Auckland
Date: Wednesday 30 November
Time: 8am – 4.40pm
Venue: Te Papa Ako o Tai Tonga | South Auckland Campus, 6 Osterley Way, Manukau City Centre, Auckland 2104
Tania Mullane & Dr Matire Harwood
Understanding the workforce for diabetes management with Māori and Pacific Peoples: Using tangata hourua as the framework method for analysis of qualitative research
Dr Corina Grey
Manawataki Fatu Fatu for ACCESS: a Māori and Pacific-led research programme focused on heart health equity
Jess Lagaluga Hutchings
Achieving equitable health outcomes for Pacific people living with heart disease in Aotearoa: Exploring the role of pharmacist led health services tailored to specific ethnic groups
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- Authors C. Grey | J. Hutchings | M. Harwood
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2022 Identification of clinically relevant cohorts of people with heart failure from electronic health data in Aotearoa: potential, pitfalls and a plan
Journal Article
Authors: Vanessa Selak (Corresponding Author), Katrina Poppe (Co-author), Daniel Chan (Co-author), Corina Grey (Co-author), Matire Harwood (Co-author), Shanthi Ameratunga (Co-author), Sandra Hanchard (Co-author), Susan Wells (Co-author), Andrew J Kerr (Co-author), Mayanna Lund (Co-author), Robert Doughty (Co-author)
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- Tags heart failure
- Publisher New Zealand Medical Journal
2022 Counties Manukau Research Week
Proceeding
Manawataki Fatu Fatu for CMH Research Week
Dr Karen Brewer
Whakatoohea/Ngaiterangi
Research title: Manawataki: Fatu Fatu for ACCESS (Māori and Pacific hearts in unison for Achieving Cardiovascular Care in Equity StudieS)
Karen is a speech-language therapist and kaupapa Māori researcher. She is leading the qualitative aspects of the Manawataki Fatu Fatu research programme. Karen’s main interest is in stroke and aphasia but she is quickly learning about the heart so she can keep up in team discussions and understand what the research participants are talking about.
Name: Julie Winter-Smith
Iwi or ethnic group: Tongan (`Alaki Fonua/Pelehake, Tongatapu)
Role title: PhD candidate
Short biography for introduction: Julie Winter-Smith is a doctoral candidate based in the Section of Epidemiology and Biostatistics at the University of Auckland. She is part of the Manawataki Fatu Fatu for Achieving Cardiovascular Care for Equity StudieS (ACCESS) research programme, which is focused on achieving equity in cardiovascular disease for Māori and Pacific people. Her doctoral research is using Statistics New Zealand’s Integrated Data Infrastructure to investigate patterns of cardiovascular disease and its management among different Pacific ethnic groups, including how this differs for Pacific peoples born outside of New Zealand. Julie’s research is generously funded through the Health Research Council of New Zealand.
Dr Sandra Hanchard
Research Fellow
Research Title: Equity-focused discharge planning for heart failure
Sandra is a Pacific researcher of Tongan heritage who is researching what equity looks like for heart health services. Her current focus is discharge planning for heart failure from secondary care to long-term management in the community. She is passionate about redesigning health systems that empower Māori and Pacific patients with long-term conditions to live well and to be partners in their own care. Sandra has a research background in information and communication systems and has recently returned to Aotearoa after a decade living in South-East Asia.
Pablo A. Callejas
Clinical Support Officer with the Clinical Audit and Research Team, Hato Hone (St John)
Iwi or ethnic group: Latin American
Research Title: Ethnicity findings from the 2020/21 Out-of-Hospital ST-segment Elevation Myocardial Infarction Registry
Pablo has over 10 years’ experience working as a Paramedic. Pablo started with the New York City EMS and has held a variety of Clinical positions. Currently, Pablo holds a Clinical Support position within Hato Hone (St John) as one of the team leading the focused audit portfolio. In his role as a focused auditor, he has authored the inaugural annual STEMI report.
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- Authors J. Winter-Smith | K. Brewer | P. Callejas | S. Hanchard
- Tags Equity
2022 U21 Health Sciences
Proceeding
Award to Manawataki Fatu Fatu, PhD candidate, Jess Hutchings
- BibTex Key
- Authors J. Hutchings
- Tags Pharmacy
2022 Understanding the barriers and facilitators that influence access to quality cardiovascular care for rural indigenous peoples: a scoping review
Proceeding
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.
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- Authors T.Tane | taria
- Tags rural care
2022 Paramedicine Research Day
Proceeding
Paramedicine Research Day 2022 Registration, Thu 20/10/2022 at 9:00 am | Eventbrite
Hear from our Paramedicine Academic Staff, Postgraduate and Undergraduate students, who will present the latest research from their research projects.
Manawataki Fatu Fatu will be represented by Rochelle Newport, Sarah Penney and Aroha Ormsby-Brett
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- Authors A. Ormsby-Brett | R. Newport | S. Penney
- Tags Paramedicine