ArticleBMC health services research2023
Disrupted mana and systemic abdication: Māori qualitative experiences accessing healthcare in the 12 years post-injury.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Inpatient non-communicable disease patterns and influencing factors at two tertiary hospitals in New Zealand and China: a mixed-methods study protocol.Global health action · 2026Article
- Experiences of Racial Discrimination: Qualitative Findings from Injured New Zealand Migrants.Journal of immigrant and minority health · 2026Article
- 'If You Don't Fight for Yourself, No One Else Will': An In-Depth Interpretative Phenomenological Analysis of Rare Disorder Care Advocacy in Aotearoa New Zealand.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Enhancing Patient-Centred Care and Cultural Safety in Medical Imaging: The Radiographers Experience of Communicating With Patients in a Multicultural and Multilingual Setting in Auckland.Journal of medical radiation sciences · 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
- Unpacking how trust, communication and flow interact to sustain quality relationships between disabled people, family and support workers: a realist qualitative study.Disability and rehabilitation · 2025Article
- Experiences of accessing injury prevention, treatment and rehabilitation services for older Māori.Australasian journal on ageing · 2025Article
- Describing long-term postinjury outcomes for older New Zealanders.Australasian journal on ageing · 2025Article
- Cohort profile: The Trauma Outcomes Project, a prospective study of New Zealanders experiencing major trauma.BMJ open · 2023Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMāori have been found to experience marked health inequities compared to non-Māori, including for injury. Accessing healthcare services post-injury can improve outcomes; however, longer-term experiences of healthcare access for injured Māori are unknown. This paper reports on data from the longitudinal Prospective Outcomes of Injury Study - 10 year follow up (POIS-10) Māori study in Aotearoa/New Zealand (NZ), to qualitatively understand Māori experiences of accessing injury-related healthcare services long-term.
methodsFollow-up telephone interviews were conducted with 305 POIS-10 Māori participants, who were injured and recruited 12-years earlier, experiencing a range of injury types and severities. Free text responses about trouble accessing injury-related health services were thematically analysed.
resultsSixty-one participants (20%) reported trouble accessing injury-related health services and provided free text responses. Three related themes describing participants' experiences were connected by the overarching concept that participants were engaging with a system that was not operating in a way it was intended to work: 1) Competing responsibilities and commitments encapsulates practical barriers to accessing services, such as a lack of time and having to prioritise other responsibilities such as work or whānau (family); 2) Disrupted mana refers to the feelings of personal disempowerment through, for example, receiving limited support, care or information tailored to participants' circumstances and is a consequence of patients contending with the practical barriers to accessing services; and 3) Systemic abdication highlights systemic barriers including conflicting information regarding diagnoses and treatment plans, and healthcare provider distrust of participants.
conclusionsTwelve years post-injury, a considerable proportion of Māori reported experiencing barriers to accessing healthcare services. To restore a sense of manaakitanga and improve Māori access to healthcare, Māori-specific supports are required and systemic barriers must be addressed and removed.
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