000			02865nab a22003617a 4500
999			_c8894 _d8894
005			20250625151711.0
008			240826s2024 -nz|| |||| 00| 0 eng d
040			_aAFVC
100			_aKeelan, Karen _913318
245			_a‘It’s about having that knowledge, tino rangatiratanga!’ : _cKaren Keelan, Suzanne Pitama, Tim Wilkinson and Cameron Lacey _bunderstanding structural barriers to accessing aged residential care services among older Māori in New Zealand
260			_bTaylor & Francis, _c2024
500			_aKōtuitui: New Zealand Journal of Social Sciences Online, 2024, 19(3): 335-353
520			_aNew 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
650			_aCULTURAL ISSUES _9177
650			_aHAUORA _9281
650			_aHEALTH _9283
650			_aKAUMĀTUA _95537
650			_aMĀORI _9357
650			_aOLDER PEOPLE _9414
650			_aRACISM _93087
650			_aRANGAHAU MĀORI _95532
650			_aRESIDENTIAL CARE _9500
650			_aTE AO MĀORI _912662
650			_aWHAKAHĀWEA IWI _97831
651			_aNEW ZEALAND _92588
700			_aPitama, Suzanne _913319
700			_aWilkinson, Tim _913320
700			_aLacey, Cameron _913321
773	0		_tKōtuitui: New Zealand Journal of Social Sciences Online, 2024, 19(3): 335-353
830			_94825 _aKōtuitui: New Zealand Journal of Social Sciences Online
856			_uhttps://doi.org/10.1080/1177083X.2023.2284132 _zDOI: 10.1080/1177083X.2023.2284132 (Open access)
942			_2ddc _cARTICLE _hnews130