Achieving equitable outcomes for Māori women with cervical cancer in New Zealand: health provider views.

AIM

This study explored health provider views on changing survival disparities between Māori and non-Māori women, the management of cervical cancer in New Zealand, and achieving equitable outcomes from cervical cancer for Māori women.

METHODS

This research followed on from a cohort study of cervical cancer treatment and survival in New Zealand. Focus groups were undertaken with three provider groups in different regions working across the range of cervical cancer services. Focus group transcripts were analysed to identify key themes.

RESULTS

Providers were encouraged by the reported improvement in survival disparities between Māori and non-Māori women over time. The themes of discussion relating to cervical cancer management included: communication and education; screening; access to treatment; pathways through care; patient factors; and, system standards. Providers also suggested options for further improvements in the management of cervical cancer.

CONCLUSIONS

The focus groups identified that despite improvements over time in cervical cancer disparities between Māori and non-Māori and in the management of cervical cancer, further effort is required to achieve equitable outcomes for Māori, particularly in the areas of prevention and early detection.