Utilising te Tiriti o Waitangi to approach health intervention development and research: pharmacist-facilitated medicines review interventions for Māori older adults

Joanna Hikaka · Rhys Jones · Carmel M Hughes · Martin Joseph Connolly · Nataly Dominica Martini

10 citations0/0 files storedJournal of Primary Health Care

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Indigenous Health, Education, and Rights Pharmacy and Medical Practices Pharmaceutical Practices and Patient Outcomes

Abstract

INTRODUCTION te Tiriti o Waitangi guarantees Māori the right to: self-determination, equitable health outcomes, be well informed, health care options, including kaupapa Māori and culturally safe mainstream services, and partnership in the health care journey. Despite integration of these principles into policy, there remains a lack of application in health service development, and health inequities remain. AIM We aimed to use te Tiriti o Waitangi to structure the development of a culturally safe health intervention, using as an exemplar pharmacist-facilitated medicines review for Māori older adults. METHODS Previous research undertaken by our group (a systematic review, and interviews with stakeholders including Māori older adults) was used to inform the aspects to include in the intervention. Kaupapa Māori theory was used to underpin the approach. Intended outcomes, requirements for change, and outcome measures to assess change were mapped to te Tiriti o Waitangi principles as a way to structure the pharmacist-facilitated medicines review intervention and research processes. RESULTS Findings from our previous research identified 12 intended intervention outcomes, including that the intervention be flexible to adapt to diverse needs in a way that is acceptable and culturally safe for Māori and that it supports Māori older adults to control and have confidence in their medicine treatment and wellbeing. DISCUSSION We present an approach to the development of a pharmacist-facilitated medicines review intervention for Māori older adults, structured around the principles of te Tiriti o Waitangi, to support the implementation of a culturally safe, pro-equity intervention.

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References

2008Closing the gap in a generation: health equity through action on the social determinants of health 2007Reclaiming Indigenous Voice and Vision 2019Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition 2012Kaupapa Māori Theory: Transforming Theory in Aotearoa 2016Indigenous Positioning in Health Research: The importance of Kaupapa Māori theory-informed practice 2020Seeing the unseen: evidence of kaupapa Māori health interventions 2018Te Wero tonu-the challenge continues: Māori access to medicines 2006/07-2012/13 update.2020Social inequalities over the lifecourse and healthy ageing in Aotearoa/New Zealand: differences by Māori ethnicity and gender

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