Improving Access to Health Care Among New Zealand’s Maori Population

Ellison-Loschmann, Lis; Pearce, Neil

doi:10.2105/ajph.2005.070680

Cited by 222Indigenous Health, Education, and RightsPublic Health and Social InequalitiesIndigenous Health and Education

The DOI matches its Crossref record.

Improving Access to Health Care Among New Zealand’s Maori Population

Open access

Ellison-Loschmann, Lis, Pearce, Neil·2006·American Journal of Public Health

DOI 10.2105/ajph.2005.070680PMC PMC1470538

Open this paper in CoChat — free account

Abstract

The health status of indigenous peoples worldwide varies according to their unique historical, political, and social circumstances. Disparities in health between Maoris and non-Maoris have been evident for all of the colonial history of New Zealand. Explanations for these differences involve a complex mix of components associated with socioeconomic and lifestyle factors, availability of health care, and discrimination. Improving access to care is critical to addressing health disparities, and increasing evidence suggests that Maoris and non-Maoris differ in terms of access to primary and secondary health care services. We use 2 approaches to health service development to demonstrate how Maori-led initiatives are seeking to improve access to and quality of health care for Maoris.

Integrity signals

Registry

Crossref · 10.2105/ajph.2005.070680

Cites

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Interventions aimed at the general population may contribute to increased health inequalities for Māori and Pasifika communities.
“Interventions aimed at the general population tend to be less effective for Māori and Pasifika communities [28], possibly contributing to increased health inequalities [29].”
From British South Asian Patients’ Perspectives on the Relevance and Acceptability of Mobile Health Text Messaging to Support Medication Adherence for Type 2 Diabetes: Qualitative Study (2020) · cites this paper as [29]

No references could be resolved yet.

Research works printed but not linked: 26

Sorrenson MPK. Land purchase methods and their effects on Maori population 1865–1901. J Polynesian Soc . 1956;65:183–199.
Te Ropu Rangahau Hauora a Eru Pomare. Counting for nothing: understanding the issues in monitoring disparities in health. Soc Policy J N Z . 2000; 14:1–16.
Hall A, Stewart R. Obesity: time for sanity and humanity. N Z Med J . 1989;102:134–136.
10.1136/bmj.328.7447.1070 · DOI
10.1136/jech.39.1.9 · DOI
Pearce NE, Pomare E, Marshall S, Borman B. Mortality and social class in Maori and non-Maori New Zealand men: changes between 1975–1977 and 1985–1987. N Z Med J . 1992;106: 193–196.
Sporle A, Pearce N, Davis P. Social class mortality differences in Maori and non-Maori men aged 15–64 during the last two decades. N Z Med J . 2002;115: 127–131.
10.1136/bmj.309.6967.1465 · DOI
10.1136/bmj.312.7026.287 · DOI
10.1136/jech.53.8.476 · DOI
Smith AH, Pearce NE. Determinants of differences in mortality between New Zealand Maoris and non-Maoris aged 15–64. N Z Med J . 1984; 97:101–108.
10.2105/AJPH.86.5.678 · DOI · Paper page
Westbrook I, Baxter J, Hogan J. Are Maori under-served for cardiac interventions? N Z Med J . 2001;114: 484–487.
Malcolm L. Inequities in access to utilisation of primary medical care services for Maori and low income New Zealanders. N Z Med J . 1996;109: 356–358.
Davis P, Lay-Yee R, Sinclair O, Gribben B. Maori/non-Maori patterns of contact, expressed morbidity and resource use in general practice: data from the Waikato Medical Care Survey 1991–2. N Z Med J . 1997;110: 390–392.
10.1016/j.healthpol.2003.09.006 · DOI
10.2105/AJPH.93.2.194 · DOI
10.2105/AJPH.93.2.200 · DOI · Paper page
10.1002/(SICI)1096-9136(1998110)15:11<958::AID-DIA687>3.0.CO;2-9 · DOI
10.1016/0277-9536(91)90309-Z · DOI
Scott C. Reform of the New Zealand healthcare system. Leadership Health Serv . 1996;5:32–39.
10.1016/0168-8510(94)90118-X · DOI
Crengle S. The development of Maori primary care services. Pacific Health Dialog . 2000;7:48–53.
Papps E, Ramsden I. Cultural safety in nursing: the New Zealand experience. Int J Qual Health Care . 1996; 8:491–497. · DOI
Ramsden I. Cultural safety/kawa whakaruruhau ten years on: a personal overview. Nurs Praxis N Z . 2000;15: 4–12. · DOI
Kearns RA. A place for cultural safety beyond nursing? N Z Med J . 1997;110:23–24.

Sorted by citations

Characteristics of Indigenous primary health care service delivery models: A systematic scoping review
Harfield, S. G., Davy, C., McArthur, A., Munn, Z., Brown, A., & Brown, N. (2018) · Globalization and Health · doi:10.1186/s12992-018-0332-2 · Cited by 270
“This has resulted in a combination of national and locally controlled Māori led initiatives that are committed to improving Māori health [7].”
BackgroundInfluential
Wellness for all: the possibilities of cultural safety and cultural competence in New Zealand
DeSouza, R. (2008) · Journal of research in nursing · doi:10.1177/1744987108088637 · Cited by 135
“Research suggests that there are differences in access ‘to’ health care and ‘through’ health care for Maori (Ellison-Loschmann and Pearce, 2006).”
Background
Creating an Indigenous Māori‐centred model of relational health: A literature review of Māori models of health
Wilson, D., Moloney, E., Parr, J. M., Aspinall, C., & Slark, J. (2021) · Journal of Clinical Nursing · doi:10.1111/jocn.15859 · Cited by 133
“…less likely to be prescribed effective medication or surgical interventions, more likely to be discharged from hospital earlier, and more likely to die from amenable diseases (Ellison-Loschmann & Pearce, 2006; Rumball-Smith & Hider, 2009; Rumball-Smith et al., 2013; Wilson & Barton, 2012).”
Indigenous inequalities in cancer: what role for health care?
Hill, S., Sarfati, D., Robson, B., & Blakely, T. (2013) · ANZ journal of surgery · doi:10.1111/ans.12041 · Cited by 90
COVID-19 Vaccine Hesitancy and Acceptance in a Cohort of Diverse New Zealanders
Prickett, K. C., Habibi, H., & Carr, P. A. (2021) · The Lancet Regional Health - Western Pacific · doi:10.1016/j.lanwpc.2021.100241 · Cited by 72
“[39-42] It is known that the current primary health care system in New Zealand fails to deliver on these points, and fails to meet legal obligations to M ¯aori.”
Cluster randomized controlled trial of TIA electronic decision support in primary care
Ranta, A., Dovey, S., Weatherall, M., O'Dea, D., Gommans, J., & Tilyard, M. (2015) · Neurology · doi:10.1212/wnl.0000000000001472 · Cited by 66
“Unauthorized reproduction of this article is prohibited. and cost-effective way of improving care and outcomes for patients with TIA/stroke.12,13 We developed an electronic decision support tool for use by GPs to achieve this aim.”
MethodInfluential
Engagement and recruitment of Māori and non‐Māori people of advanced age to LiLACS NZ
Dyall, L., Kepa, M., Hayman, K., Teh, R., Moyes, S., Broad, J., & Kerse, N. (2013) · Australian and New Zealand Journal of Public Health · doi:10.1111/1753-6405.12029 · Cited by 64
“For example, Ellison-Loschmann and Pearce noted that life expectancy has increased among the indigenous populations of New Zealand (NZ), Australia, Canada and the United States (US) over time, but has not yet matched that of the non-indigenous populations of these countries.(6) However, recruiting in ethnically divers…”
Background
Risk factors for respiratory syncytial virus bronchiolitis hospital admission in New Zealand
Grimwood, K., Cohet, C., Rich, F. J., Cheng, S., Wood, C., Redshaw, N., Cunningham, C., Pearce, N., & Kirman, J. R. (2008) · Epidemiology and Infection · doi:10.1017/s0950268807000180 · Cited by 58
“viously ascribed to genetic factors, but subsequent analyses found this was from disparities in access to primary health care rather than underlying disease susceptibility [35].”
BackgroundSelf-citation
Indigenous Peoples’ Help-Seeking Behaviors for Family Violence: A Scoping Review
Fiolet, R., Tarzia, L., Hameed, M. A., & Hegarty, K. L. (2019) · Trauma Violence & Abuse · doi:10.1177/1524838019852638 · Cited by 69
“…there are historical and racial barriers that prevent Indigenous peoples accessing services, even when they are needed (Amnesty International, 2004; Ellison-Loschmann & Pearce, 2006; Kelaher, Ferdinand, & Paradies, 2014; World Health Organization, 1 Department of General Practice, The University…”
Background
What are the priorities for developing culturally appropriate palliative and end-of-life care for older people? The views of healthcare staff working in New Zealand.
Bellamy, G., & Gott, M. (2013) · Health and Social Care in the community · doi:10.1111/j.1365-2524.2012.01083.x · Cited by 54
“…of partnership, participation and protection (Durie 1989), the Treaty underpins all social and economic policies in supporting the rights of indigenous peoples (against a colonial legacy), but is yet to be realised in terms of actual health gains for M aori (Ellison-Loschmann & Pearce 2006).”
Background
Geographical and population disparities in timely access to prehospital and advanced level emergency care in New Zealand: a cross-sectional study
Lilley, R., Graaf, B. D., Kool, B., Davie, G., Reid, P., Dicker, B., Civil, I., Ameratunga, S., & Branas, C. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-026026 · Cited by 52
“9–11 21 Our study provides further evidence of disparities in timely theoretical access to healthcare for Māori and for rural communities, and the unequal distribution of healthcare resources across New Zealand providing a further pathway for health disparities for Māori and rural populations: difficulties in achieved…”
Background
Urban-indigenous therapeutic landscapes: a case study of an urban American Indian health organization.
Wendt, D., & Gone, J. P. (2012) · Health and Place · doi:10.1016/j.healthplace.2012.06.004 · Cited by 52
Co-designing an mHealth tool in the New Zealand Māori community with a “Kaupapa Māori” approach
Morenga, L. T., Pekepo, C., Corrigan, C., Matoe, L., Mules, R., Goodwin, D., Dymus, J., Tunks, M., Grey, J., Humphrey, G., et al. (2018) · AlterNative An International Journal of Indigenous Peoples · doi:10.1177/1177180117753169 · Cited by 65
“…Māori, 7.4% Pacific (Statistics New Zealand, 2013)), however, tend to be less effective for Māori and Pacific communities than for the predominant NZ-European population (Robson & Harris, 2007; Rush et al., 2012) and may contribute to increased health inequities (Ellison-Loschmann & Pearce, 2006).”
BackgroundInfluential
Impact of colonialism on Māori and Aboriginal healthcare access: a discussion paper†
Zambas, S. I., & Wright, J. (2016) · Contemporary Nurse: health care across the lifespan · doi:10.1080/10376178.2016.1195238 · Cited by 48
“…are more likely to be discharged from hospital earlier than non-Māori and are less likely to be referred to specialist medical and surgical services compared with non-Māori despite statistically significant higher rates of disease morbidity (Ellison-Loschmann & Pearce, 2006; Wilson & Barton, 2012).”
Background
'It's whanaungatanga and all that kind of stuff': Maori cancer patients' experiences of health services.
Slater, T., Matheson, A., Davies, C., Tavite, H., Ruhe, T., Holdaway, M., & Ellison-Loschmann, L. (2013) · Journal of Primary Health Care · doi:10.1071/hc13308 · Cited by 43
Self-citation
Characteristics of Indigenous primary health care models of service delivery: A scoping review protocol
Harfield, S., Davy, C., Kite, E., McArthur, A., Munn, Z., Brown, N., & Brown, A. (2015) · JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/jbisrir-2015-2474 · Cited by 42
Challenges to addressing obesity for Māori in Aotearoa/New Zealand
Theodore, R., McLean, R., & TeMorenga, L. (2015) · Australian and New Zealand Journal of Public Health · doi:10.1111/1753-6405.12418 · Cited by 42
Effect of antimicrobial locks for tunneled hemodialysis catheters on bloodstream infection and bacterial resistance: a quality improvement report.
Abbas, S. A., Haloob, I., Taylor, S., Curry, E., King, B. B., van der Merwe, W., & Marshall, M. (2009) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2008.09.019 · Cited by 42
Health disparities among indigenous populations in Latin America: a scoping review
Garza, M., & Miguel, L. A. (2025) · International Journal for Equity in Health · doi:10.1186/s12939-025-02495-2 · Cited by 41
Do community‐dwelling Māori and Pacific peoples present with dementia at a younger age and at a later stage compared with NZ Europeans?
Cullum, S. J., Mullin, K., Zeng, I. S. L., Yates, S., Payman, V., Fisher, M., & Cheung, G. (2018) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4898 · Cited by 39
British South Asian Patients’ Perspectives on the Relevance and Acceptability of Mobile Health Text Messaging to Support Medication Adherence for Type 2 Diabetes: Qualitative Study
Prinjha, S., Ricci-Cabello, I., Newhouse, N., & Farmer, A. (2020) · JMIR mHealth and uHealth · doi:10.2196/15789 · Cited by 34
“Interventions aimed at the general population tend to be less effective for Māori and Pasifika communities [28], possibly contributing to increased health inequalities [29].”
Background
Surviving neoliberalism, maintaining values: Community health mergers in Victoria, Australia
Roussy, V., & Livingstone, C. (2018) · International Journal of Health Planning and Management · doi:10.1002/hpm.2513 · Cited by 34
“Internationally, some of the better known examples of comprehensive PHC include community health centres in the United States of America and Canada,(11,13) primary health care clinics established under the Misión Barrio Adentro program in Venezuela,(14) and Maori health service providers.(15) Across Australia, compreh…”
Background
The incidence, diagnostic clinical manifestations and severity of juvenile systemic lupus erythematosus in New Zealand Maori and Pacific Island children: The Starship experience (2000−2010)
Concannon, A., Rudge, S., Yan, J., & Reed, P. (2013) · Lupus · doi:10.1177/0961203313503051 · Cited by 33
The influence of ethnicity and gender on caregiver health in older New Zealanders.
Alpass, F. M., Pond, R., Stephens, C., Stevenson, B., Keeling, S., & Towers, A. (2013) · The journals of gerontology. Series B, Psychological sciences and social sciences · doi:10.1093/geronb/gbt060 · Cited by 33
Demographic Differences in Stage at Diagnosis and Cervical Cancer Survival in New Zealand, 1994–2005
Brewer, N., Pearce, N., Jeffreys, M., White, P., & Ellison-Loschmann, L. (2009) · Journal of Women's Health · doi:10.1089/jwh.2008.1163 · Cited by 33
Self-citation
Factors that impact access to ongoing health care for First Nation children with a chronic condition
Coombes, J., Hunter, K., Mackean, T., Holland, A., Sullivan, E., & Ivers, R. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3263-y · Cited by 31
“Access to a holistic health care system that is culturally appropriate and culturally sensitive is essential to produce good long term health and wellbeing outcomes [27, 40].”
Background
Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States: a systematic scoping review
Beks, H., Ewing, G., Charles, J., Mitchell, F., Paradies, Y., Clark, R. A., & Versace, V. L. (2020) · International Journal for Equity in Health · doi:10.1186/s12939-020-01306-0 · Cited by 42
Indigenous adolescent health in Aotearoa New Zealand: Trends, policy and advancing equity for rangatahi Maori, 2001–2019
Clark, T., Ball, J., Fenaughty, J., Drayton, B., Fleming, T., Rivera-Rodriguez, C., Legrice, J., Peiris-John, R., Bavin, L. M., Schwencke, A., et al. (2022) · The Lancet Regional Health - Western Pacific · doi:10.1016/j.lanwpc.2022.100554 · Cited by 29
“29 These factors, in tandem with increasing racism and inequitable healthcare access signals a health system ill-equipped to respond.”
Background
Retesting and repeat positivity following diagnosis of Chlamydia trachomatis and Neisseria gonorrhoea in New Zealand: a retrospective cohort study
Rose, S. B., Garrett, S., Stanley, J., & Pullon, S. (2017) · BMC Infectious Diseases · doi:10.1186/s12879-017-2635-y · Cited by 29
“Ethnic disparities in STI rates are well documented in New Zealand and are indicative (at least in part) of issues relating to inequitable access to appropriate healthcare [26].”
Background
Preschool children's vision screening in New Zealand: a retrospective evaluation of referral accuracy
Langeslag-Smith, M. A., Vandal, A., Briane, V., Thompson, B., & Anstice, N. S. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-009207 · Cited by 29
How family caregivers help older relatives navigate statutory services at the end of life: A descriptive qualitative study
Williams, L., Moeke-Maxwell, T., Wiles, J., Black, S., Trussardi, G., Kerse, N., & Gott, M. (2018) · Palliative Medicine · doi:10.1177/0269216318765853 · Cited by 28
Barriers to accessing specialist care for older people with chronic obstructive pulmonary disease in rural New Zealand.
Hopley, M., Horsburgh, M., & Peri, K. (2009) · Journal of Primary Health Care · doi:10.1071/hc09207 · Cited by 28
Caregiver experiences of racism and child healthcare utilisation: cross-sectional analysis from New Zealand
Paine, S., Harris, R. B., Stanley, J., & Cormack, D. (2018) · Archives of Disease in Childhood · doi:10.1136/archdischild-2017-313866 · Cited by 27
Rating Health and Social Indicators for Use with Indigenous Communities: A Tool for Balancing Cultural and Scientific Utility
Daniel, M., Cargo, M., Marks, E., Paquet, C., Simmons, D. E., Williams, M., Rowley, K., & O'Dea, K. (2009) · doi:10.1007/s11205-008-9420-7 · Cited by 26
Clinical practice of health professionals working in early detection for infants with or at risk of cerebral palsy across New Zealand
Williams, S., Mackey, A. H., Sorhage, A., Battin, M., Wilson, N., Spittle, A., & Stott, N. S. (2020) · Journal of Paediatrics and Child Health · doi:10.1111/jpc.15263 · Cited by 25
Outcomes of a community-based lifestyle programme for adults with diabetes or pre-diabetes
Higgs, C., Skinner, M. A., & Hale, L. A. (2016) · Journal of Primary Health Care · doi:10.1071/hc15038 · Cited by 25
Incidence of Transient Ischemic Attack in Auckland, New Zealand, in 2011 to 2012
Barber, P. A., Krishnamurthi, R., Parag, V., Anderson, N. E., Ranta, A., Kilfoyle, D., Wong, E., Green, G., Arroll, B., Bennett, D., et al. (2016) · Stroke · doi:10.1161/strokeaha.116.014010 · Cited by 23
“Previous stroke 172 (23) 129 (22) 24 (27) 19 (26) 0.”
Barriers to Maori sole mothers' primary health care access.
Lee, R., & North, N. (2013) · Journal of Primary Health Care · doi:10.1071/hc13315 · Cited by 23
Health policy responses to rising rates of multi‐morbid chronic illness in Australia and New Zealand
Aspin, C. S., Jowsey, T., Glasgow, N., Dugdale, P., Nolte, E., O'Hallahan, J., & Leeder, S. (2010) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1753-6405.2010.00571.x · Cited by 23
Diabetic eye disease and screening attendance by ethnicity in New Zealand: A systematic review
Ramke, J., Jordan, V., Vincent, A. L., Harwood, M. L. N., Murphy, R., & Ameratunga, S. N. (2019) · Clinical and Experimental Ophthalmology · doi:10.1111/ceo.13528 · Cited by 28
“These factors are conceivably all at play in New Zealand, in addition to gaps in the health literacy, cultural competence and safety of DR services.(38) A recent Cochrane systematic review identified a range of strategies aimed at patients, health-care professionals or health-care systems that were effective at improv…”
Background
Ethnic differences in stroke outcomes in Aotearoa New Zealand: A national linkage study
Denison, H., Corbin, M., Douwes, J., Thompson, S. G., Harwood, M., Davis, A., Fink, J., Barber, P., Gommans, J., Cadilhac, D., et al. (2023) · International Journal of Stroke · doi:10.1177/17474930231164024 · Cited by 19
Predictive factors for entry to long-term residential care in octogenarian Māori and non-Māori in New Zealand, LiLACS NZ cohort
Holdaway, M., Wiles, J., Kerse, N., Wu, Z.-Q., Moyes, S., Connolly, M., Menzies, O., Teh, R., Muru‐Lanning, M., Gott, M., et al. (2021) · BMC Public Health · doi:10.1186/s12889-020-09786-z · Cited by 19
“Inequities in social determinants of health and healthcare access drive large health and mortality disparities between Māori and non-Māori [26, 27].”
Background
A kia ora, a wave and a smile: an urban marae-led response to COVID-19, a case study in manaakitanga
Davies, C., Timu-Parata, C., Stairmand, J., Robson, B., Kvalsvig, A., Lum, D., & Signal, V. (2022) · International Journal for Equity in Health · doi:10.1186/s12939-022-01667-8 · Cited by 18
Understanding longer-term disability outcomes for Māori and non-Māori after hospitalisation for injury: results from a longitudinal cohort study
Wyeth, E., Samaranayaka, A., Lambert, M. V., Tapsell, M., Anselm, D., Ellison, P., Harwood, M. L. N., METZGER, B. B., Wright-Tawha, T., & Derrett, S. (2018) · Public Health · doi:10.1016/j.puhe.2018.08.014 · Cited by 20
The Cancer Stories Project: narratives of encounters with cancer in Aotearoa, New Zealand
Egan, R., Llewellyn, R., Wood, S., Doherty, J. M., Albert, T., Walsh, C., Atkinson, K.-A., & Kerslake, P. (2016) · Psycho-Oncology · doi:10.1002/pon.3914 · Cited by 18
“While this study focused on individual accounts of cancer care and support, addressing the factors that empower patients to exert some control over their illness must acknowledge that access to health care is inequitable and is shaped by health literacy and organisational practices, as well as wider social, cultural,…”
Background
Barriers to and delays in accessing breast cancer care among New Zealand women: disparities by ethnicity
Ellison-Loschmann, L., Firestone, R., Aquilina, L., McKenzie, F., Gray, M., & Jeffreys, M. (2015) · BMC Health Services Research · doi:10.1186/s12913-015-1050-6 · Cited by 18
“Income, education, housing and employment are well recognized as key determinants of health [5, 10, 18, 31].”
BackgroundSelf-citation
What affects programme engagement for Māori families? A qualitative study of a family‐based, multidisciplinary healthy lifestyle programme for children and adolescents
Wild, C. E. K., Rawiri, N. T., Willing, E. J., Hofman, P., & Anderson, Y. C. (2020) · Journal of Paediatrics and Child Health · doi:10.1111/jpc.15309 · Cited by 17
Our story: a Māori perspective of flourishing whānau
Rolleston, A. K., McDonald, M., & Miskelly, P. (2021) · Kōtuitui New Zealand Journal of Social Sciences Online · doi:10.1080/1177083x.2021.1981955 · Cited by 16
“…widespread discriminatory practices such as the Tohunga Suppression Act which legislated against Māori using their traditional healing practices and forbidding the use of Te Reo (Māori language) (Pool 1991; Kunitz 1994; Durie 1998; Ellison-Loschmann and Pearce 2006).”
Method
Health Inequality as a Large-Scale Outcome of Complex Social Systems: Lessons for Action on the Sustainable Development Goals
Matheson, A. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17082684 · Cited by 25
“There is also clear evidence that Māori are systematically disadvantaged in terms of access to, and the journey through, the health system [37].”
Background
Long-term outcomes of patients with end-stage kidney disease due to membranoproliferative glomerulonephritis: an ANZDATA registry study
Wilson, G. J., Cho, Y., Teixiera-Pinto, A., Isbel, N., Campbell, S., Hawley, C., & Johnson, D. (2019) · BMC Nephrology · doi:10.1186/s12882-019-1605-6 · Cited by 16
Māori Men and the Indirect Procurement and Sharing of Prescription Medications
Hodgetts, D., Nikora, L., & Rua, M. (2011) · doi:10.1177/117718011100700207 · Cited by 16
“…at the feet of whänau, we would argue that family members believing they need to use deception to procure medications is an indictment on a health care system that struggles to be responsive to the needs of Mäori (cf. Crengle, Lay-Yee, Davis, & Pearson, 2005; Ellison-Loschmann & Pearce, 2006).”
Background
Epidemiology of Respiratory Allergies and Asthma
Douwes, J. E., & Pearce, N. E. (2013) · Springer eBooks · doi:10.1007/978-0-387-09834-0_50 · Cited by 11
“2007), or inadequate disease management and poor access to health care (Ellison-Loschmann and Pearce 2006).”
BackgroundSelf-citation
Let us unite against COVID-19 – a New Zealand perspective
Bandyopadhyay, G., & Meltzer, A. (2020) · Irish Journal of Psychological Medicine · doi:10.1017/ipm.2020.44 · Cited by 15
The Association Between Drug Burden Index (DBI) and Health-Related Outcomes: A Longitudinal Study of the ‘Oldest Old’ (LiLACS NZ)
Cardwell, K., Kerse, N. M., Ryan, C. A., Teh, R., Moyes, S. A., Menzies, O. H., Rolleston, A. K., Broad, J., & Hughes, C. M. (2020) · Drugs & Aging · doi:10.1007/s40266-019-00735-z · Cited by 19
Prevalence and predictors of psychological distress following injury: findings from a prospective cohort study
Richardson, A., Derrett, S., Samaranayaka, A., & Wyeth, E. (2021) · Injury Epidemiology · doi:10.1186/s40621-021-00337-7 · Cited by 14
“Disparities are likely attributable to a complex range of historical, socioeconomic, and lifestyle factors (Ellison-Loschmann and Pearce 2006); the process and consequences of colonisation (for Māori) (Robson and Harris 2007); differences in opportunities to access culturally appropriate healthcare…”
Background
Reducing Ethnic and Geographic Inequities to Optimise New Zealand Stroke Care (REGIONS Care): Protocol for a Nationwide Observational Study
Ranta, A., Thompson, S., Harwood, M., Cadilhac, D., Barber, P., Davis, A., Gommans, J., Fink, J., McNaughton, H., Denison, H., et al. (2020) · JMIR Research Protocols · doi:10.2196/25374 · Cited by 14
“Research from other countries shows that ethnic inequities exist in stroke service access and outcomes [10,11], and interpersonal and institutional racism have been shown to exist in general health care in New Zealand [12,13].”
Background
Cultural Diversity and the Importance of Communication, Cultural Competence, and Uncertainty in Radiography.
Chau, M. (2020) · Journal of Medical Imaging and Radiation Sciences · doi:10.1016/j.jmir.2020.04.005 · Cited by 14
What do indigenous communities want from their surgeons and surgical services: A systematic review
Koea, J., & Ronald, M. (2019) · Surgery · doi:10.1016/j.surg.2019.08.022 · Cited by 15
Real geographies and virtual landscapes: exploring the influence on place and space on mortality Lexis surfaces using shaded contour maps.
Minton, J. (2014) · Spatial and Spatio-temporal Epidemiology · doi:10.1016/j.sste.2014.04.003 · Cited by 14
Meeting the Needs of Maori with Diabetes: an Evaluation of a Nurse-Led Service
Janssen, J. (2008) · Nursing Praxis in Aotearoa New Zealand · doi:10.36951/ngpxnz.2014.008 · Cited by 14
A Co-Designed, Culturally-Tailored mHealth Tool to Support Healthy Lifestyles in Māori and Pasifika Communities in New Zealand: Protocol for a Cluster Randomized Controlled Trial
Verbiest, M., Borrell, S., Dalhousie, S., Tupa'i-Firestone, R., Funaki, T., Goodwin, D., Grey, J., Henry, A., Hughes, E., Humphrey, G., et al. (2018) · JMIR Research Protocols · doi:10.2196/10789 · Cited by 13
“Interventions designed for the general population tend to be less effective for Māori and Pasifika communities [5,6] and may contribute to increased health inequalities [7].”
Background
Understanding and responding to the cost and health impact of short-term health staffing in remote and rural Aboriginal and Torres Strait Islander community-controlled health services: a mixed methods study protocol
Fitts, M. S., Humphreys, J. S., Dunbar, T., Bourke, L., Mulholland, E., Guthridge, S. L., Zhao, Y., Jones, M. P., Boffa, J. D., Ramjan, M., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-043902 · Cited by 21
Indigenous perspectives on concepts and determinants of flourishing in a health and well-being context: a scoping review protocol
Nelson, V., Derrett, S., & Wyeth, E. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-045893 · Cited by 13
Analysis of Glaucoma Subtypes and Corresponding Demographics in a New Zealand Population
Mathan, J., Patel, D. V., McGhee, C., & Patel, H. Y. (2016) · Biomedicine hub · doi:10.1159/000453313 · Cited by 13
Obscure etiology, unusual disparity: the epidemiology of testicular cancer in New Zealand
Gurney, J., Sarfati, D., & Stanley, J. (2015) · Cancer Causes and Control · doi:10.1007/s10552-015-0533-4 · Cited by 13
“There is a known disparity between Māori and non-Māori in this regard, wherein Māori have poorer access to and through the healthcare system [26, 27].”
Background
Diagnosis of Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and Mycoplasma genitalium: an observational study of testing patterns, prevalence and co-infection rates in northern New Zealand.
Upton, A., Bissessor, L., Lowe, P., Wang, X.-Y., & McAuliffe, G. (2017) · Sexual Health · doi:10.1071/sh17110 · Cited by 12
Students’ Corner: Using Te Tiriti O Waitangi to identify and address racism, and achieve cultural safety in nursing
Oda, K., & Rameka, M. (2012) · Contemporary Nurse: health care across the lifespan · doi:10.5172/conu.2012.43.1.107 · Cited by 12
The nurse's role in improving health disparities experienced by the indigenous Māori of New Zealand.
Theunissen, K. (2011) · Contemporary Nurse: health care across the lifespan · doi:10.5172/conu.2011.281 · Cited by 12
Does affirmative action reduce disparities in healthcare use by Indigenous peoples? Evidence from Australia's Indigenous Practice Incentives Program.
Saxby, K., Byrnes, J., de New, S. C., Nghiem, S., & Petrie, D. (2023) · Health Economics · doi:10.1002/hec.4645 · Cited by 11
Ethnic differences in incidence and outcomes of acute aortic syndromes in the Midland-region of New Zealand.
Xu, W., Mani, K., & Khashram, M. (2021) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2021.08.066 · Cited by 11
Māori health outcomes in an intensive care unit in Aotearoa New Zealand
Slim, M., Lala, H. M., Barnes, N., & Martynoga, R. (2021) · Anaesthesia and Intensive Care · doi:10.1177/0310057x21989715 · Cited by 11
Synthetic cannabis: adverse events reported to the New Zealand Pharmacovigilance Centre
Robson, H., Braund, R., Glass, M., Ashton, J., & Tatley, M. (2020) · Clinical toxicology · doi:10.1080/15563650.2020.1828592 · Cited by 11
“M aori are the Indigenous people of New Zealand (NZ), and have historically experienced disparities in health status compared to non-M aori due to a number of systemic inequalities [10].”
Background
Ethnicity classification systems for public health surveys: experiences from HIV behavioural surveillance among men who have sex with men
Lachowsky, N., Saxton, P., Dickson, N., Hughes, A., Jones, R., Clark, T., Ho, E., Summerlee, A., & Dewey, C. (2020) · BMC Public Health · doi:10.1186/s12889-020-09517-4 · Cited by 11
Congenital left heart obstruction: ethnic variation in incidence and infant survival
Cloete, E., Sadler, L., Bloomfield, F., Crengle, S., Percival, T., & Gentles, T. (2019) · Archives of Disease in Childhood · doi:10.1136/archdischild-2018-315887 · Cited by 11
Motor neuron disease mortality rates in New Zealand 1992–2013
Cao, M.-Z. C., Chancellor, A., Charleston, A., Dragunow, M., & Scotter, E. (2018) · Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration · doi:10.1080/21678421.2018.1432660 · Cited by 11
“Both crude and age-standardized M aori MND mortality rates increased over 1992– 2013, which may relate, respectively, to rapidly increasing life expectancy for M aori (31) and improving MND case ascertainment due to increased healthcare access (32).”
Background
Educational, employment, and social participation of young adult graduates from the paediatric Southern Cochlear Implant Programme, New Zealand
Goh, T., Bird, P., Pearson, J., & Mustard, J. (2016) · Cochlear Implants International · doi:10.1179/1754762815y.0000000018 · Cited by 11
Non-financial barriers to primary health care services for Maori.
Jansen, P. (2009) · Journal of Primary Health Care · doi:10.1071/hc09240 · Cited by 11
School-based Streptococcal A Sore-throat Treatment Programs and Acute Rheumatic Fever Amongst Indigenous Māori: A Retrospective Cohort Study
Walsh, L., Innes-Smith, S., Wright, J., Michniewicz, T., Tozer, M., Humby, J., Ngata, R., Lennon, D., Scott-Jones, J., & Malcolm, J. (2020) · The Pediatric Infectious Disease Journal · doi:10.1097/inf.0000000000002770 · Cited by 10
Working at the interface between science and culture: The enablers and barriers to individual placement and support implementation in Aotearoa/New Zealand.
Priest, B., & Lockett, H. (2020) · Psychiatric rehabilitation journal · doi:10.1037/prj0000388 · Cited by 10
Profile of Gut Hormones, Pancreatic Hormones and Pro-inflammatory Cytokines in New Zealand Maori
Cervantes, A., Singh, R. G., Pendharkar, S. A., Bharmal, S. H., & Petrov, M. S. (2018) · Gastroenterology Research · doi:10.14740/gr1042w · Cited by 9
“That certain ethnicities, including indigenous populations, are over-represented in obesity and metabolic disease-related statistics is a well-recognized public health issue [3].”
Background
Determinants of ethnic differences in the uptake of child healthcare services in New Zealand: a decomposition analysis
Lewycka, S. O., Dasgupta, K., Plum, A., Clark, T. C., Hedges, M. R., & Pacheco, G. A. (2023) · International Journal for Equity in Health · doi:10.1186/s12939-022-01812-3 · Cited by 11
Technology-based Health Education Resources for Indigenous Adults: A Scoping Review
STOTZ, S. A., Hebert, L. E., Brega, A. G., Lockhart, S., Henderson, J. N., Roubideaux, Y. D., DeSanto, K., & MOORE, K. R. (2021) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2021.0066 · Cited by 9
Towards an Aboriginal Knowledge Place: Cultural Practices as a Pathway to Wellness in the Context of a Tertiary Hospital
Vance, A., McGaw, J., Winther, J., & Rayner, M. (2016) · doi:10.18357/ijih111201614989 · Cited by 9
“In New Zealand, efforts to improve cultural safety have resisted cultural awareness education, out of concern regarding ossifying stereotypes, in favour of increasing opportunities for Maori people to lead health care programs (Ellison-Loschmann & Pearce, 2006).”
Background
SARS-CoV-2 evolution has increased resistance to monoclonal antibodies and first-generation COVID-19 vaccines: Is there a future therapeutic role for soluble ACE2 receptors for COVID-19?
Ameratunga, R., Jordan, A., Lehnert, K., Leung, E. Y., Mears, E., Snell, R. G., Steele, R., & Woon, S. (2024) · Antiviral Research · doi:10.1016/j.antiviral.2024.105894 · Cited by 8
Ocular Antibiotic Utilisation across Aotearoa/New Zealand
Cheung, I. M. Y., Horsburgh, S., Ziaei, M., & Gokul, A. (2023) · Antibiotics · doi:10.3390/antibiotics12061007 · Cited by 8
Rethinking health services measurement for Indigenous populations
Mashford-Pringle, A., Ring, I., Al-yaman, F., Waldon, J., & Chino, M. (2019) · Statistical Journal of the IAOS · doi:10.3233/sji-180465 · Cited by 8
The Development of Elder-Governed Adjuvant Cultural Therapy for Aboriginal and/or Torres Strait Islander Young People With Mental Health Conditions
Vance, A. L. A., McGaw, J., O’Rorke, D., White, S., & Eades, S. (2024) · Qualitative Health Research · doi:10.1177/10497323241234010 · Cited by 7
“In New Zealand, efforts to improve cultural safety have resisted cultural awareness education, out of concern regarding ossifying stereotypes, in favour of increasing opportunities for Maori people to lead health care programs (Ellison-Loschmann & Pearce, 2006).”
Background
The impact of COVID-19 on clinical research at Australian and New Zealand universities: A qualitative study
Bhutkar, R., El-Den, S., O'Reilly, C. L., & Collins, J. (2023) · Collegian · doi:10.1016/j.colegn.2023.05.002 · Cited by 7
Suicide preceded by health services contact – A whole-of-population study in New Zealand 2013-2015
Chiang, A., Paynter, J., Edlin, R., & Exeter, D. (2021) · PLoS ONE · doi:10.1371/journal.pone.0261163 · Cited by 7
“Māori are also less likely to be referred for specialist care and more likely to report negative experiences when receiving care [43, 45].”
Background
He aha te mea nui o te ao? He tāngata! (What is the most important thing in the world? It is people!).
Masters-Awatere, B., Rarere, M., Gilbert, R., Manuel, C., & Scott, N. (2019) · Australian Journal of Primary Health · doi:10.1071/py19027 · Cited by 7
Incidence, Clinical Manifestations, and Severity of Juvenile Idiopathic Arthritis Among Maori and Pacific Island Children
Concannon, A., Reed, P., & Ostring, G. (2019) · Arthritis care & research · doi:10.1002/acr.23757 · Cited by 7
“01 Anti- CCP positive§ 13/65 (20) 3/11 (27) 2/11 (18) 3/6 (50) 5/37 (14) 2.”
BackgroundInfluential
The subjective experience of Polynesians in the Australian health system
Rodriguez, L. (2013) · doi:10.5172/hesr.2013.22.4.411 · Cited by 7
“The empirical data suggests this has not changed, and the reasons behind this reluctance to engage with the health system appear to remain the same as they were two decades ago (Ellison-Loschmann & Pearce, 2006).”
Result
Parallel systems in healthcare: Addressing Indigenous health equity in Canada
Sehgal, A., Kennedy, A. P., McGowan, K., & Crowshoe, L. L. (2025) · Global Public Health · doi:10.1080/17441692.2025.2452195 · Cited by 7
“Designed for and operated by Indigenous peoples, Indigenous PHC services are more likely than mainstream services to improve the health of Indigenous communities (Ellison-Loschmann & Pearce, 2006; Harfield et al., 2018).”
Preference-based measures of health-related quality of life in Indigenous people: a systematic review
Roy, L. M., Neill, A., Swampy, K., Auger, J., Campbell, S., Chatwood, S., Sayah, F. A., & Johnson, J. A. (2023) · Quality of Life Research · doi:10.1007/s11136-023-03499-7 · Cited by 7
“Indigenous people face distinct health needs and experience significant health inequalities [3–6], often stemming from the negative impacts of colonial systems [7].”
Background
A meta ethnography of the cultural constructs of menopause in indigenous women and the context of Aotearoa/New Zealand
Pikiao, K. B. N., Patricia Mcclunie-Trust, & Ātiawa, K. S. T. (2021) · Health Care for Women International · doi:10.1080/07399332.2021.1923717 · Cited by 6
A Systematic Literature Review of Physical Activity-Based Health Programs for Indigenous Women: Impacts on Physical Activity Levels, Obesity, and Community Building
Wicklum, S. C., Willis, E., Amson, A., McGuire, K., Crowshoe, L., McBrien, K., & Henderson, R. (2021) · SAGE Open · doi:10.1177/21582440211016845 · Cited by 6
“…communities, social, political, and environmental drivers have contributed to the increased burden of chronic disease for these otherwise diverse populations (Ellison-Loschmann & Pearce, 2006; Gracey & King, 2009; Public Health Agency of Canada, 2011b; Turin et al., 2016; United Nations, 2013).”
Background
The effect of spatial barriers on realised accessibility to heath services after a natural disaster.
Macrae, J., Kingham, S., & Griffin, E. (2015) · Health and Place · doi:10.1016/j.healthplace.2015.06.007 · Cited by 6
Vision impairment and differential access to eye health services in Aotearoa New Zealand: a scoping review
Rogers, J., Black, J., Harwood, M., Wilkinson, B., Kandel, H., & Ramke, J. (2024) · BMJ public health · doi:10.1136/bmjph-2023-000313 · Cited by 5
Living with Dementia in Aotearoa (LiDiA): A Feasibility Study for a Dementia Prevalence Study in Māori and Non-Māori Living in New Zealand
Martínez-Ruiz, A., Yates, S., Cheung, G., Dudley, M. D., Krishnamurthi, R., Fa’alau, F., Roberts, M. E., Taufa, S., Rodriguez, C. R., Kerse, N. M., et al. (2023) · Dementia · doi:10.1177/14713012231173012 · Cited by 5
“An example of such social determinants in the M (cid:1) aori community is the on-going effects of colonisation, such as dif ﬁ culties accessing health care services, low levels of education, and discrimination (Ellison-Loschmann & Pearce, 2006; Graham & Masters-Awatere, 2020).”
Background
Chlamydia trachomatis and Neisseria gonorrhoeae retesting and reinfection rates in New Zealand healthcare settings: implications for STI control.
Rose, S. B., Garrett, S., Stanley, J., & Pullon, S. (2019) · Sexually Transmitted Diseases · doi:10.1097/olq.0000000000001112 · Cited by 5
“The burden of infection in New Zealand is disproportionately carried by young people and particularly young Māori (the indigenous people of New Zealand) and Pacific peoples,(2) driven partly by inequitable access to appropriate health care.(6) There is now increasing recognition of the need to expand emphasis from scr…”
Background

Authors: Ellison-Loschmann, L., & Pearce, N.
Affiliations: The authors are with the Centre for Public Health Research, Massey University, Wellington Campus, Wellington, New Zealand. Lis Ellison-Loschmann is also with the Respiratory and Environmental Health Research Unit, Municipal Institute of Medical Research, Barcelona, Spain.
Municipal Institute for Medical Research (ES)
ORCID: Pearce, Neil
Venue: American Journal of Public Health
Publisher: American Public Health Association
Published: 2006-04
Volume: 96
Issue: 4
Pages: 612-617
ISSN: 0090-0036 (ISSN-L)
1541-0048
DOI: 10.2105/ajph.2005.070680
PMC: PMC1470538
OpenAlex: W2067088493
Cited by: 222
References: 0
Citations by year: 2026: 5 · 2025: 11 · 2024: 10 · 2023: 24 · 2022: 10 · 2021: 25 · 2020: 26 · 2019: 12 · 2018: 19 · 2017: 6 · 2016: 7 · 2015: 14 · 2014: 7 · 2013: 10 · 2012: 7
FWCI: 6.75
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: American Journal of Public Health (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
RePEc: Research Papers in Economics (submittedVersion)
DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics: Social Sciences › Health › Indigenous Health, Education, and Rights
Social Sciences › Health › Public Health and Social Inequalities
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Indigenous Health and Education
Keywords: Māori, Indigenous health, health disparities, health care access, primary care, secondary care, health service development, health care discrimination, socioeconomic factors, New Zealand
MeSH terms: Community Participation, Cultural Characteristics, Delivery of Health Care, Health Services Accessibility, Health Status, Health Surveys, Humans, Life Style, New Zealand, Socioeconomic Factors, Native Hawaiian or Other Pacific Islander

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Improving Access to Health Care Among New Zealand’s Maori Population

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Metadata

Record

About these checks