Whariki Research Group, Massey University, Auckland, New Zealand.
Ethn Health. 2010;15(1):15-31. doi: 10.1080/13557850903374476.
Action Research can be a powerful tool for change and improvement in health services for indigenous people when utilised within an appropriate framework. The project Maori Utilisation & Experience of Ischaemic Heart Disease Management illustrates this convergence in its use of Kaupapa Maori Action Research methods in its efforts to improve the health and well-being of Maori within the northern region of Aotearoa/New Zealand. We outline the research processes and outcomes obtained through the application of 'by Maori for Maori' approaches to understanding Maori pathways and barriers to care for ischaemic heart disease. Maori understandings of their illness and experiences of treatment, and healthcare providers' perspectives on care of Maori with ischaemic heart disease, were combined into Maori-led actions to improve service provision. The paper examines critical factors in an action research approach to health service innovations and implications for efforts to reduce entrenched health disparities.
当在适当的框架内使用时，行动研究可以成为改善原住民健康服务的有力工具。项目“毛利人对缺血性心脏病管理的利用和经验”说明了在努力改善新西兰北岛毛利人健康和福祉时，其如何利用毛利行动研究方法来实现这一目标。我们概述了通过应用“为毛利人服务”的方法来理解毛利人在缺血性心脏病护理方面的途径和障碍的研究过程和结果。毛利人对自己疾病的理解以及对治疗的体验，以及医疗保健提供者对缺血性心脏病毛利人的护理观点，被结合成以毛利人为主导的行动，以改善服务提供。本文探讨了健康服务创新行动研究方法的关键因素，以及对减少根深蒂固的健康差距的努力的影响。
