SynthesisInternational journal for equity in health2019
Reported Māori consumer experiences of health systems and programs in qualitative research: a systematic review with meta-synthesis.
Synthesis in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
42 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Food systems literacy in Indigenous health and nutrition.Nature food · 2026Pooled it
- Hybrid Leadership for Māori Health: A Systematic Review.International journal of environmental research and public health · 2026Pooled it
- What Is Known About Family-Inclusive Inpatient Care From Patient and Family Perspectives? An Integrative Review.Journal of advanced nursing · 2025Pooled it
- Values in health and health care for Indigenous people globally: an umbrella review.The Medical journal of Australia · 2025Pooled it
- Equitable access to cerebral palsy assessments and diagnosis through an early detection Hub: a feasibility study.Pediatric research · 2026Article
- The role of community pharmacies in the provision of human papillomavirus (HPV) self-testing: A range of delivery models and proof-of-concept study.Exploratory research in clinical and social pharmacy · 2026Article
- Experiences of New Zealand Māori Mothers' Engagement with Health and Social Services Post-COVID-19 2020 Lockdown.Journal of racial and ethnic health disparities · 2026Article
- Clinician and patient experiences with opportunistic offer of HPV self-testing in Aotearoa New Zealand primary care clinics: interview and survey findings.BMC primary care · 2026Article
- Opportunistic offer of human papillomavirus (HPV) self-testing in ethnically diverse primary care clinics in Aotearoa New Zealand: an implementation study.BMC primary care · 2025Article
- Experiences of whānau Māori with pēpi at risk of neonatal hypoglycaemia: A qualitative study.Journal of health psychology · 2025Article
- "They were my anchors" Māori with perinatal mental illness identify culturally safe and clinically excellent health care.International journal for equity in health · 2025Article
- "I'd probably just say that they probably just don't care": a qualitative study of the experiences of wāhine Māori of mental health screening during the perinatal period.BMC pregnancy and childbirth · 2025Article
- The Landscape of Supportive Care Needs Among Prostate Cancer Patients in New Zealand: A Cross-Ethnic Analysis.Psycho-oncology · 2025Article
- Call for equitable hearing healthcare provision: an exploration of Māori adults' perspectives and lived experiences of ear and hearing healthcare services in Te Waipounamu.Journal of the Royal Society of New Zealand · 2025Article
- Ngā Māuiui Kai: creating Indigenous Māori terms for eating disorders in Aotearoa New Zealand.Journal of eating disorders · 2024Article
- General practitioner and nurse experiences of type 2 diabetes management and prescribing in primary care: a qualitative review following the introduction of funded SGLT2i/GLP1RA medications in Aotearoa New Zealand.Primary health care research & development · 2024Article
- Social determinants of respiratory health from birth: still of concern in the 21st century?European respiratory review : an official journal of the European Respiratory Society · 2024Review
- Patient experiences and perspectives of health service access for carpal tunnel syndrome in Aotearoa New Zealand: a normalisation process theory-informed qualitative study.BMC health services research · 2024Article
- Adapting an equity-focused implementation process framework with a focus on ethnic health inequities in the Aotearoa New Zealand context.International journal for equity in health · 2024Review
- Rural-urban variation in COVID-19 vaccination uptake in Aotearoa New Zealand: Examining the national roll-out.Epidemiology and infection · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPersistent inequities in health experiences and outcomes are observed for Māori compared to non-Māori in Aotearoa New Zealand. We conceptualised factors associated with Māori consumer experiences of health programs and services and characterise how the recommendations arising from qualitative research inform strategies to address inequities.
methodsIn this systematic review, electronic literature searching was conducted in February 2018. Qualitative studies reporting Māori consumer experiences of health services and programs in Aotearoa New Zealand were eligible. Māori consumer experiences of health services were mapped to the WHO Commission of Social Determinants of Health (CSDH) conceptual framework on health inequities as related to: (i) the socioeconomic and political context; (ii) socioeconomic positioning; or (iii) intermediary factors that increase exposure to health-compromising conditions. Recommendations to improve consumer experiences were mapped to the CSDH framework for tackling social determinants of health inequities as policy directions on: (i) unequal consequences of illness (individual interaction); (ii) risks of exposure to health-damaging factors (community); (iii) exposures to health-damaging factors (public policies); and (iv) mitigating effects of socioeconomic and political stratification (environment).
resultsFifty-four studies were included. Māori consumer experiences mapped to social determinants of health inequities were most frequently related to direct interactions with health services and programs, particularly patient-clinician interactions (communication, relationships) and cultural competencies of clinicians and the system. Key recommendations by researchers mapped to potential strategies to address inequity were identified at all levels of the political, social and health system from individual interactions, community change, and broader public and system-level strategies. Recommendations were predominantly focused on actions to reduce risks of exposure to health-damaging factors including health literacy interventions, increased resources in cultural competencies and Māori capacity in health service development and workforce.
conclusionsMāori consumer experiences of health services and programs are an important informer of variables that impact health inequity. Strategies to tackle health inequities informed by Māori consumer experiences can be drawn from existing empirical research. Future qualitative exploration of how socioeconomic, political and public policies influence Māori consumer experiences of health services and programs could inform a broader range of structural policies to address health inequities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.