It's about having that knowledge, tino rangatiratanga!’ Understanding structural barriers to accessing aged residential care services among older Māori in New Zealand
Bibliographic Data
| ID | 12494656 |
|---|---|
| Authors | Karen Keelan (0000-0002-8392-1299, Māori Innovation Health Institute (MIHI) University of Otago Christchurch New Zealand, corresponding author), Suzanne Pitama (0000-0002-1664-0518, Māori Innovation Health Institute (MIHI) University of Otago Christchurch New Zealand), Tim Wilkinson (0000-0002-4905-0522), Tim J Wilkinson (0000-0002-4080-4164, Māori Innovation Health Institute (MIHI) University of Otago Christchurch New Zealand), Cameron Lacey (0000-0001-9898-6784, Māori Innovation Health Institute (MIHI) University of Otago Christchurch New Zealand) |
| Year | 2023 |
| Volume | 19 |
| Issue | 3 |
| Pages | 335-353 |
| Publication date | 2023-11-27 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Kōtuitui New Zealand Journal of Social Sciences Online (JOURNAL) |
| Journal identifiers | ISSN: 1177-083X • E-ISSN: 1177-083X |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/1177083x.2023.2284132 |
| OpenAlex | W4389069405 |
| Language | EN |
| References cited | 44 |
New Zealand's older Indigenous people (Māori) are underserved and underrepresented as consumers of aged residential care services (ARC). This study seeks to ascertain, from the perspectives of older Māori and whānau (family), the influence of structural factors that impact the process of seeking aged residential care. This study used a qualitative Kaupapa Māori research approach. In‐depth interviews were undertaken with older Māori ( n = 30) and whānau members ( n = 18). Interviews were audio recorded and transcribed with themes identified using thematic analysis. Structural barriers related to ‘Navigation’ and ‘Service design and locality’ were identified by older Māori and whānau which provide insight into the oppressive nature of structural racism and highlighting various factors that affect older Māori and whānau access to ARC. Equity approaches that focus on optimising Māori access to ARC are needed in order to move ARC services towards equity. ARC services provide an important service for older New Zealanders. Our findings challenge and disrupt the universalistic nature that underpin New Zealand health structures. Health decision‐makers should consider these findings to address the powerful and damaging effects structural racism has that compromise older Māori and whānau uptake and access to ARC services
Business · Compromise · Equity (law · Health care · Indigenous · Locality · Political science · Public relations · Qualitative research · Racism · Service (business · Social science · Sociology · Thematic analysis · Gender Studies · Geriatric Care and Nursing Homes · Grief, Bereavement, and Mental Health · Intergenerational Family Dynamics and Caregiving · Medicine · Psychology · Gerontology · Marketing
Indigenous health in Australia, New Zealand, and the Pacific
Conducting qualitative research in mental health
Consolidated criteria for strengthening reporting of health research involving indigenous peoples
Racism and health service utilisation
Saturation controversy in qualitative research
‘Two-eyed seeing’
Differences in the Health Care Needs and Service Utilization of Women in Nursing Homes
Defining cultural competence
Confronting Institutionalized Racism
Exploring elderly Māori experiences of aged residential care using a kaupapa Māori research paradigm
Health literacy in action
Indigenous peoples’ experiences and preferences in aged residential care
Realising the rhetoric
Navajo Elderly People in a Reservation Nursing Home
The impact of racism on the future health of adults
Systemic And Structural Racism
Sites of institutional racism in public health policy making in New Zealand
A consultation journey
The Treaty and "Treating" Māori Health
| Citation velocity | historical |
|---|---|
| Highly cited | No |