Best health outcomes for Maori - Medical Council of New Zealand
Best health outcomes for Maori - Medical Council of New Zealand
Best health outcomes for Maori - Medical Council of New Zealand
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Contents<br />
INTRODUCTION 03<br />
BACKGROUND EVIDENCE 04<br />
Mäori history and the Treaty <strong>of</strong> Waitangi 04<br />
The Treaty <strong>of</strong> Waitangi and <strong>health</strong> 06<br />
Mäori <strong>health</strong> 06<br />
Health inequalities 07<br />
DIFFERENTIAL APPROACHES TO TREATMENT 08<br />
CULTURAL COMPETENCE AND CLINICAL COMPETENCE 09<br />
THE IMPACT OF CULTURE ON HEALTH 10<br />
KEY M - AORI CONCEPTS 11<br />
PRINCIPLES OF CULTURALLY COMPETENT CARE FOR M - AORI 14<br />
Mäori community involvement 14<br />
Ethnicity data collection and use 15<br />
The central place <strong>of</strong> effective communications 16<br />
Guidance on Mäori preferences 17<br />
i. Mäori pronunciation and communication 17<br />
ii. Family/whänau support 19<br />
iii. Initial contacts and protocols 19<br />
iv. Examining patients 20<br />
v. Physical contact 21<br />
vi. Body language 21<br />
vii. Sharing in<strong>for</strong>mation and consent 22<br />
viii. Traditional medicine/Rongoa 22<br />
ix. Karakia and use <strong>of</strong> cultural experts 23<br />
x. Special issues 23<br />
1. Surgery 23<br />
2. Anaesthesia 24<br />
3. Mental <strong>health</strong> 24<br />
4. Pain 25<br />
5. Hospitals 25<br />
6. Mate Mäori 25<br />
xi. Death and dying 26<br />
xii. Autopsies 28<br />
CASE STUDIES 30<br />
SUMMARY 39<br />
GLOSSARY OF M - AORI wORDS 40<br />
REFERENCES 42<br />
<strong>Best</strong> <strong>health</strong> <strong>outcomes</strong> <strong>for</strong> Mäori: Practice implications
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