Improving access to health care among New Zealand's Maori population.
The health status of indigenous peoples worldwide varies according to their unique historical, political, and social circumstances. Disparities in health between Maoris and non-Maoris have been evident for all of the colonial history of New Zealand. Explanations for these differences involve a complex mix of components associated with socioeconomic and lifestyle factors, availability of health care, and discrimination. Improving access to care is critical to addressing health disparities, and increasing evidence suggests that Maoris and non-Maoris differ in terms of access to primary and secondary health care services. We use 2 approaches to health service development to demonstrate how Maori-led initiatives are seeking to improve access to and quality of health care for Maoris.
Ellison-Loschmann
Lis
L
Centre for Public Health Research, Massey University, Wellington Campus, Private Box 756, Wellington, New Zealand. l.ellison-loschmann@massey.ac.nz
Pearce
Neil
N
D003256:Community Participation / Q000379:methods*; D003466:Cultural Characteristics; D003695:Delivery of Health Care / Q000458:organization & administration; D006297:Health Services Accessibility / Q000458:organization & administration*; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008019:Life Style; D009520:New Zealand; D012959:Socioeconomic Factors