Harwood Matire, Tane Taria, Broome Laura, Carswell Peter, Selak Vanessa, Reid Jennifer, Light Phil, Stewart Tereki
Te Kupenga Hauora Māori, Faculty of Medical and Health Sciences, Auckland.
Mana Tū, National Hauora Coalition, Auckland.
N Z Med J. 2018 Nov 9;131(1485):76-83.
In 2017, the National Hauora Coalition, a Māori-led Primary Health Organisation (PHO), was awarded a Long-Term Conditions Partnership Research grant to test the effectiveness of Mana Tū: a whānau ora approach to type 2 diabetes. With moves to replicate aspects of it in programmes around New Zealand, it is timely to describe the rationale for Mana Tū and the key components of its unique model of care. Mana Tū was developed in response to current ethnic and social inequities in type 2 diabetes rates, outcomes and wider determinants. It attempts to address various system, service and patient factors that impact on the whānau's ability to 'mana tū' or 'stand with authority' when living with a long-term condition. Results, including clinical, implementation and cost-effectiveness data, will be collected and analysed over the next two years.
2017年,由毛利人主导的初级卫生组织(PHO)——国家健康联盟获得了一项长期疾病伙伴关系研究资助,以测试“玛纳图”(Mana Tū)的有效性:这是一种针对2型糖尿病的家庭健康护理方法。随着新西兰各地的项目纷纷效仿其部分内容,现在正是时候来描述“玛纳图”的基本原理及其独特护理模式的关键组成部分。“玛纳图”是针对目前2型糖尿病发病率、治疗结果及更广泛决定因素方面存在的种族和社会不平等现象而制定的。它试图解决各种系统、服务和患者因素,这些因素会影响家庭在患有长期疾病时“玛纳图”(即“坚定自主”)的能力。未来两年将收集并分析包括临床、实施情况和成本效益数据在内的结果。