Ascending the Poutama: culturally responsive diabetes care for Māori communities.

IF 1.1 Q4 PRIMARY HEALTH CARE

Journal of primary health care Pub Date : 2025-12-22 DOI:10.1071/HC25066

Rebekah Crosswell, Hinetu Nikora, Ryan Paul, Cathy Buntting, Tom Roa, Rawiri Keenan, Apo Aporosa, Capri Paekau, Glenda Raumati, Suzanne Moorhouse, Anna Tiatia Fa'atoese Latu

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Abstract

Introduction: Type 2 diabetes (T2D) significantly impacts Māori populations in Aotearoa New Zealand (NZ) who experience health disparities including suboptimal disease management.

Aim: To explore culturally responsive approaches to supporting Māori living with T2D from the perspective of healthcare providers.

Methods: Nine semi-structured interviews were conducted with clinicians from various disciplines (general practitioner, podiatrist, exercise physiologist, three kaiāwhina, dietitian, two pharmacists); five clinicians identify as Māori, four as non-Māori. Kaupapa Māori inductive thematic analysis was used.

Results: Four key themes emerged: empowering patient-centred communication, whānau involvement, interprofessional collaboration, and culturally appropriate analogies.

Discussion: The findings underscore the need for holistic, culturally responsive T2D care that prioritises culturally appropriate communication to improve patient engagement, health outcomes and address Māori health disparities.

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上升的波塔马：文化响应糖尿病护理Māori社区。

导言：2型糖尿病（T2D）显著影响Māori在新西兰（NZ）的人群，他们经历健康差异，包括次优疾病管理。目的：从医疗保健提供者的角度探讨支持Māori T2D患者的文化响应方法。方法：对来自不同学科的临床医生（全科医生、足科医生、运动生理学家、3名kaiāwhina、营养师、2名药剂师）进行9次半结构化访谈；5名临床医生鉴定为Māori， 4名鉴定为non-Māori。采用Kaupapa Māori归纳主题分析法。结果：出现了四个关键主题：授权以患者为中心的沟通，whānau参与，跨专业合作和文化上适当的类比。讨论：研究结果强调需要整体的、文化响应的T2D护理，优先考虑文化上适当的沟通，以提高患者参与度、健康结果和解决Māori健康差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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