Best health outcomes for Maori - Medical Council of New Zealand

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Tawhiti: ancestral home of the Mäori Te reo: the language, Mäori language Te taha: dimension, aspect Te ao türoa: environment, the land Tiakitanga: stewardship Tikanga: a set of rules for living, which both support Mäori social systems and reflect Mäori knowledge and traditions Tinana: physical, bodily Tino rangatiratanga: chieftainship, authority Tohunga: traditional Mäori healer Tüpäpaku: cadaver, body Tüpuna: ancestors Urupä: cemetery Wairua: spirit, soul Whakapapa: genealogical connections over many generations Whänau: family, community Whanaungatanga: the importance of interpersonal connections Whare: building, house Whenua: land, placenta Best health outcomes for Mäori: Glossary
References 1. Tapsell R. Mäori health in 2004. In: Cole’s Medical Practice in New Zealand 2005. St George, I. 2. Owens J. New Zealand before annexation. In: The Oxford History of New Zealand. Wellington: Oxford University Press, 1981. 3. Firth R. Economics of the New Zealand Mäori. 2nd ed. Wellington: Government Printer 1959. 4. Orange C. The Treaty of Waitangi. City: Bridget Williams Books, 1987. 5. Pool I. Te iwi Mäori: A New Zealand population past, present, and projected. Auckland: Auckland University Press, 1991. 6. ACC (Te Kaporeihana Awhina Hunga Whara). Summary guidelines on Mäori cultural competencies for providers. Wellington: ACC, 2004. 7. Ajwani S, Blakely T, Robson B, Tobias M, Bonne M. Decades of Disparity: Ethnic mortality trends in New Zealand 1980-1999. Wellington, Ministry of Health and University of Otago. 2003. 8. Blakely T, Fawcett J, Atkinson, J, Tobias M, Cheung J. Decades of Disparity II: Socioeconomic Mortality Trends in New Zealand 1981-1999, Public Health Intelligence Occasional Bulletin #25. Wellington, Ministry of Health. 2005. 9. Ministry of Health. Reducing inequalities in health. Wellington: Ministry of Health, 2002. 2 Best health outcomes for Mäori: Glossary 10. Carr J, Robson BH, Reid P, Purdie GL, Workman P. Heart failure: ethnic disparities in morbidity and mortality in New Zealand. NZMJ 2002 Jan 25;115(1146):15-7. 11. Ellison-Loschmann L, King R, Pearce N. Time trends and seasonal patterns of asthma deaths and hospitalisations among Mäori and non-Mäori. NZMJ 2002 Jan 25;115(1146):6-9. 12. Sporle A, Pearce ,N, Davis P. Social class mortality differences in Mäori and non-Mäori men aged 15-64 during the last two decades. NZMJ 2002 Mar 25;115(1150):127-31. 13. Skegg DCG, McCredie MRE. Comparison of cancer mortality and incidence in New Zealand and Australia. NZMJ 2002 May 10;115(1153):205-8. 14. Ministry of Health. Our health, our future. Hauora pakari, koiora roa. The health of New Zealanders. Wellington: Ministry of Health, 1999. 15. Tipene-Leach David. ‘Mäoris: our feelings about the medical profession’ in Primary health care and the community. 1981. Note - this article is also available at: http://www.bopdhb.govt.nz/insideout/Forms/Culture_ PreRead.pdf 16. Jansen P, Sorenson D, Jansen P, Sorenson D. Culturally competent health care. NZFP 2002 Oct;29(5):306-11 . 17. Durie M. Mäori attitudes to sickness, doctors, and hospitals. NZMJ 1977;86:483–5.
Page 1 and 2: A resource booklet prepared for the
Page 3 and 4: Contents INTRODUCTION 03 BACKGROUND
Page 5 and 6: Background evidence Mäori history
Page 7 and 8: the Mäori population reached its l
Page 9 and 10: Differential approaches to treatmen
Page 11 and 12: The impact of culture on health Pro
Page 13 and 14: way of reducing the risk of infecti
Page 15 and 16: Principles of culturally competent
Page 17 and 18: are asked in a consistent manner, w
Page 19 and 20: Mäori patients. In general, Mäori
Page 21 and 22: (“I see you come from Rotorua; do
Page 23 and 24: Sharing information and consent Sin
Page 25 and 26: In some cases, the whänau may need
Page 27 and 28: In fact, one approach need not excl
Page 29 and 30: Following the removal of the tüpä
Page 31 and 32: Case studies CASE ONE: “Smoking C
Page 33 and 34: Case studies continued... CASE THRE
Page 35 and 36: Case studies continued... CASE FIVE
Page 37 and 38: Case studies continued... CASE SEVE
Page 39 and 40: Case studies continued... family th
Page 41: Glossary of M - aori words Hakari:
Page 45 and 46: References continued... 32. Ministr
Page 47: ISBN 0-9 582671-5-4 9 780958 267151

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