Evidence map›Paper›PMID 35460284›Full record

ArticleThe International journal of health planning and management2022

"If we can just dream…" Māori talk about healthcare for bipolar disorder in New Zealand: A qualitative study privileging Indigenous voices on organisational transformation for health equity.

Tracy Haitana, Suzanne Pitama, Donna Cormack, Mau Te Rangimarie Clark, Cameron Lacey

Abstract read
In one paragraph

Article in The International journal of health planning and management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tracy HaitanaDepartment of Māori Indigenous Health Innovation (MIHI), University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0003-2918-8249
Suzanne PitamaUniversity of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0002-1664-0518
Donna CormackDepartment of Public Health, Te Rōpū Rangahau Hauora a Eru Pōmare, University of Otago, Wellington, New Zealand.ORCID https://orcid.org/0000-0003-2854-3595
Mau Te Rangimarie ClarkDepartment of Māori Indigenous Health Innovation (MIHI), University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0002-7133-8020
Cameron LaceyDepartment of Māori Indigenous Health Innovation (MIHI), University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0001-9898-6784

Funding

Health Research Council of New ZealandNgā Pae o te Māramatanga
6 · The paper itself

Abstract

objectivesThis paper identifies barriers to equity and proposes changes to improve the organisation of healthcare in New Zealand for Māori with bipolar disorder (BD) and their families.

designA qualitative Kaupapa Māori methodology was used. Twenty-four semi-structured interviews were completed with Māori with BD and members of their family. Structural and descriptive coding was used to organise and analyse the data, including an analytic frame that explored participants' critique of attributes of the organisation of healthcare and alignment with Māori health policy.

resultsTransformation to the organisation of healthcare is needed to achieve health equity. Executive management must lead changes to organisational culture, deliver an equity partnership model with Māori, embed cultural safety and redesign the organisation of healthcare to improve wellbeing. Healthcare incentive structures must diversify, develop and retain a culturally competent health workforce. Information management and technology systems must guide continued whole system improvements.

conclusionThis paper provides recommendations that should be considered in planned reforms to the organisation of healthcare in New Zealand. The challenge remains whether resourcing for an equitable healthcare organisation will be implemented in partial fulfilment of promises of equity in policy.

Indexed as

Bipolar DisorderHealth EquityDelivery of Health CareHumansNew Zealandbipolar disorderhealthcare organisationhealthcare quality improvementhealth equityIndigenous peoplesinstitutional racismMāori

Identifiers

PMID35460284
PMCPMC9546144

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.