‘It’s about having that knowledge, tino rangatiratanga!’ : understanding structural barriers to accessing aged residential care services among older Māori in New Zealand
Keelan, Karen
‘It’s about having that knowledge, tino rangatiratanga!’ : understanding structural barriers to accessing aged residential care services among older Māori in New Zealand Karen Keelan, Suzanne Pitama, Tim Wilkinson and Cameron Lacey - Taylor & Francis, 2024 - Kōtuitui: New Zealand Journal of Social Sciences Online .
Kōtuitui: New Zealand Journal of Social Sciences Online, 2024, 19(3): 335-353
New Zealand’s older Indigenous people (Māori) are underserved and underrepresented as consumers of aged residential care services (ARC). This study seeks to ascertain, from the perspectives of older Māori and whānau (family), the influence of structural factors that impact the process of seeking aged residential care. This study used a qualitative Kaupapa Māori research approach. In-depth interviews were undertaken with older Māori (n = 30) and whānau members (n = 18). Interviews were audio recorded and transcribed with themes identified using thematic analysis. Structural barriers related to ‘Navigation’ and ‘Service design and locality’ were identified by older Māori and whānau which provide insight into the oppressive nature of structural racism and highlighting various factors that affect older Māori and whānau access to ARC. Equity approaches that focus on optimising Māori access to ARC are needed in order to move ARC services towards equity. ARC services provide an important service for older New Zealanders. Our findings challenge and disrupt the universalistic nature that underpin New Zealand health structures. Health decision-makers should consider these findings to address the powerful and damaging effects structural racism has that compromise older Māori and whānau uptake and access to ARC services. (Authors' abstract). Record #8894
CULTURAL ISSUES
HAUORA
HEALTH
KAUMĀTUA
MĀORI
OLDER PEOPLE
RACISM
RANGAHAU MĀORI
RESIDENTIAL CARE
TE AO MĀORI
WHAKAHĀWEA IWI
NEW ZEALAND
‘It’s about having that knowledge, tino rangatiratanga!’ : understanding structural barriers to accessing aged residential care services among older Māori in New Zealand Karen Keelan, Suzanne Pitama, Tim Wilkinson and Cameron Lacey - Taylor & Francis, 2024 - Kōtuitui: New Zealand Journal of Social Sciences Online .
Kōtuitui: New Zealand Journal of Social Sciences Online, 2024, 19(3): 335-353
New Zealand’s older Indigenous people (Māori) are underserved and underrepresented as consumers of aged residential care services (ARC). This study seeks to ascertain, from the perspectives of older Māori and whānau (family), the influence of structural factors that impact the process of seeking aged residential care. This study used a qualitative Kaupapa Māori research approach. In-depth interviews were undertaken with older Māori (n = 30) and whānau members (n = 18). Interviews were audio recorded and transcribed with themes identified using thematic analysis. Structural barriers related to ‘Navigation’ and ‘Service design and locality’ were identified by older Māori and whānau which provide insight into the oppressive nature of structural racism and highlighting various factors that affect older Māori and whānau access to ARC. Equity approaches that focus on optimising Māori access to ARC are needed in order to move ARC services towards equity. ARC services provide an important service for older New Zealanders. Our findings challenge and disrupt the universalistic nature that underpin New Zealand health structures. Health decision-makers should consider these findings to address the powerful and damaging effects structural racism has that compromise older Māori and whānau uptake and access to ARC services. (Authors' abstract). Record #8894
CULTURAL ISSUES
HAUORA
HEALTH
KAUMĀTUA
MĀORI
OLDER PEOPLE
RACISM
RANGAHAU MĀORI
RESIDENTIAL CARE
TE AO MĀORI
WHAKAHĀWEA IWI
NEW ZEALAND