title: The Pacific primary health care workforce in New Zealand: what are the needs?
abstract: OBJECTIVE
  To scope future needs of the NZ Pacific primary care workforce.
  
  
  METHODS
  Semi-structured interviews with key informants including Pacific primary care workers in both Pacific and mainstream primary health care organisations and managers at funding, policy and strategy levels. Qualitative thematic analysis using general inductive approach.
  
  
  RESULTS
  Thirteen stakeholders interviewed (four males, nine females) in 2006. Included both NZ- and Island-born people of Samoan, Tongan, Niuean, Fijian and NZ European ethnicities; age 20-65 years. Occupations included general practitioner, practice nurse, community worker, Ministry of Health official and manager representing mainstream and Pacific-specific organisations. Key themes were significant differences in attributes, needs and values between 'traditional' and contemporary Pacific people; issues regarding recruitment and retention of Pacific people into the primary health care workforce; importance of cultural appropriateness for Pacific populations utilising mainstream and Pacific-specific primary care services and both advantages and disadvantages of 'Pacific for Pacific' services.
  
  
  CONCLUSIONS
  Interviews demonstrated heterogeneity of Pacific population regarding ethnicity, age, duration of NZ residence and degree of immersion in their culture and language. Higher rates of mental disorder amongst NZ-born Pacific signpost urgent need to address the impact of Western values on NZ-born Pacific youth. Pacific population growth means increasing demands on health services with Pacific worker shortages across all primary health care occupations. However it is not possible for all Pacific people to be treated by Pacific organisations and/or by Pacific health workers and services should be culturally competent regardless of ethnicity of providers.
authors.affiliation: Pacific Health, School of Population Health, The University of Auckland, New Zealand.
authors.forename: Luisa
authors.initials: L
authors.lastname: Ape-Esera
authors.forename: Vili
authors.initials: V
authors.lastname: Nosa
authors.forename: Felicity
authors.initials: F
authors.lastname: Goodyear-Smith
mesh_terms: D000328:Adult; D000368:Aged; D005006:Ethnicity; D005260:Female; D006301:Health Services Needs and Demand / Q000639:trends*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D011320:Primary Health Care; D012196:Review Literature as Topic; D000078329:Workforce; D055815:Young Adult