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'It absolutely needs to move out of that structure': Māori with bipolar disorder identify structural barriers and propose solutions to reform the New Zealand mental health system.
- Source :
- Ethnicity & Health; Feb2023, Vol. 28 Issue 2, p234-256, 23p, 1 Diagram, 13 Charts
- Publication Year :
- 2023
-
Abstract
- This paper synthesises critique from Māori patients with Bipolar Disorder (BD) and their whānau to identify barriers and propose changes to improve the structure and function of the New Zealand mental health system. A qualitative Kaupapa Māori Research methodology was used. Twenty-four semi-structured interviews were completed with Māori patients with BD and members of their whānau. Structural, descriptive and pattern coding was completed using an adapted cultural competence framework to organise and analyse the data. Three key themes identified the impact of structural features of the New Zealand mental health system on health equity for Māori with BD. Themes involved the accessibility, delivery and scope of the current health system, and described how structural features influenced the quality, utility and availability of BD services for Māori patients and whānau. Structural barriers in the existing design, and potential changes to improve the accessibility, delivery and scope of BD services for Māori, were proposed including a redesign of operational, environmental, staffing, and navigation points (information, transition, fatigue) to better meet the needs of Māori with BD. A commitment to equity when implementing structural change is needed, including ongoing evaluation and refinement. This paper provides specific recommendations that should be considered in health service redesign to ensure the New Zealand mental health system meets the needs of Māori patients with BD and their whānau. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEDICAL quality control
HEALTH services accessibility
RESEARCH methodology
INTERVIEWING
QUALITATIVE research
PSYCHOSOCIAL factors
QUALITY assurance
QUESTIONNAIRES
SOUND recordings
DESCRIPTIVE statistics
RESEARCH funding
MAORI (New Zealand people)
JUDGMENT sampling
DATA analysis software
THEMATIC analysis
BIPOLAR disorder
MENTAL health services
MEDICAL coding
Subjects
Details
- Language :
- English
- ISSN :
- 13557858
- Volume :
- 28
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Ethnicity & Health
- Publication Type :
- Academic Journal
- Accession number :
- 161831930
- Full Text :
- https://doi.org/10.1080/13557858.2022.2027884