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)

  • BibTex Key
  • Authors
  • Tags heart failure
  • Publisher New Zealand Medical Journal

    2022 Counties Manukau Research Week


    Manawataki Fatu Fatu for CMH Research Week

    Dr Karen Brewer


    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.

    • BibTex Key
    • Authors J. Winter-Smith | K. Brewer | P. Callejas | S. Hanchard
    • Tags Equity

      2022 U21 Health Sciences


      U21 Health Sciences Group

      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


        National Rural Healthcare Conference: Home | NRHC 2022 (

        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


          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

            2022 Pasifika Medical Association Conference


            Pasifika Medical Association Conference

            4 – 6 September, 2022

            Te Papa Museum, Wellington

            Conference programme: PMA Conference 2022 – Programme Booklet ONLINE.pdf (

            Julie Winter-Smith

            Who Are Pacific People In Aotearoa New Zealand? Findings From A Pacific-Led Analysis Of National Health And Non-Health Datasets In The Idi

             Julie Winter-Smith

            Is It Appropriate To Homogenise Pacific People When Considering Their Need For Cvd Health

            Services? A Systematic Review Of The Epidemiology and Management Of CVD Among Pacific People

            • BibTex Key
            • Authors J. Winter-Smith
            • Tags Pacific health

              2022 Indigenous Health Council Symposium


              Dr Karen Brewer presentation at Indigenous Health Symposium – CSANZ 2022 (

              Title of talk: Examples of good practice: Population Health / clinical perspective


              • BibTex Key
              • Authors K. Brewer
              • Tags Equity | Heart health services

                2022 What are the gaps in cardiovascular risk assessment and management in primary care for Māori and Pacific people in Aotearoa New Zealand: protocol for a systematic review.

                Journal Article

                What are the gaps in cardiovascular risk assessment and management in primary care for Māori and Pacific people in Aotearoa New Zealand? Protocol for a systematic review | BMJ Open


                Introduction In New Zealand, significant inequities exist between Māori and Pacific peoples compared with non-Māori, non-Pacific peoples in cardiovascular disease (CVD) risk factors, hospitalisations and management rates. This review will quantify and qualify already-reported gaps in CVD risk assessment and management in primary care for Māori and Pacific peoples compared with non-Māori/non-Pacific peoples in New Zealand.

                Methods and analysis We will conduct a systematic search of the following electronic databases and websites from 1 January 2000 to 31 December 2021: MEDLINE (OVID), EMBASE, Scopus, CINAHL Plus,, National Library Catalogue (Te Puna), Index New Zealand (INNZ), Australia/New Zealand Reference Centre. In addition, we will search relevant websites such as the Ministry of Health and research organisations. Data sources will include published peer reviewed articles, reports and theses employing qualitative, quantitative and mixed methods.

                Two reviewers will independently screen the titles and abstracts of the citations and grade each as eligible, not eligible or might be eligible. Two reviewers will read each full report, with one medically qualified reviewer reading all reports and two other reviewers reading half each. The final list of included citations will be compiled from the results of the full report reading and agreed on by three reviewers. Data abstracted will include authors, title, year, study characteristics and participant characteristics. Data analysis and interpretation will involve critical inquiry and a strength-based approach that is inclusive of Māori and Pacific values. This means that critical appraisal includes an assessment of quality from an Indigenous perspective.

                Ethics and dissemination Ethical approval is not required. The findings will be published in a peer-reviewed journal and shared with stakeholders. This review contributes to a larger project which creates a Quality-Improvement Equity Roadmap to reduce barriers to Māori and Pacific peoples accessing evidence-based CVD care.


                • BibTex Key
                • Authors C. Grey | J. Paynter | J. Winter-Smith | K. Brewer | M. Harwood | S. Amertunga | S. Hanchard | V. Selak
                • Tags CVD risk assessment | Māori health | Pacific health
                • DOI Number
                • Publisher BMJ Open
                • Edition 12(6), p.e060145

                  2022 The epidemiology of cardiovascular disease among Pacific people in New Zealand


                  Julie Winter-Smith, a Tongan PhD candidate in Manawataki Fatu Fatu, will be presenting her research at the School of Population Health, University of Auckland Doctoral Showcase on Wednesday 22 June, 2-4:30pm.

                  • BibTex Key
                  • Authors J. Winter-Smith
                  • Tags Pacific health