Faculty of Health and Environmental Sciences, Auckland University of Technology.
Te Rōpū Whāriki, Massey University.
N Z Med J. 2021 Mar 26;134(1531):77-82.
The Health and Disability System Review (the 'Simpson Review') was an opportunity for health sector transformation, particularly in light of the recent damning WAI 2575 Waitangi Tribunal report released during the review process. There appears to have been a concerted effort to engage with the sector, an impressive Māori Expert Advisory Group and an extensive body of available scholarship documenting where improvements could be made. In this viewpoint, the authors, tangata whenua (Indigenous people of the land) and tangata Tiriti (people of te Tiriti) and health scholars and leaders undertook a high-level review of the Simpson Review report and analysed it against key elements of te Tiriti o Waitangi. The Simpson Review was an opportunity to share power, commit to Māori health and embed structural mechanisms, such as the proposed Māori health authority, to uphold te Tiriti o Waitangi. It was also an opportunity to recommit to health equity and eliminate institutional racism. We conclude that the Simpson Review did not take up these opportunities, but instead perpetuated further breaches of te Tiriti.
《健康与残疾系统审查报告》（以下简称“辛普森审查报告”）为医疗体系改革提供了契机，尤其是在审查过程中发布的、近期备受指责的怀唐伊法庭报告 WAI 2575 之后。审查似乎已经集中精力与该行业合作，建立了令人印象深刻的毛利专家咨询小组，并广泛利用了现有的学术文献，记录了可以改进的地方。在这篇观点文章中，作者作为土地的原住民和条约的人民，以及健康学者和领导者，对辛普森审查报告进行了高级别审查，并根据《怀唐伊条约》的关键要素对其进行了分析。辛普森审查报告提供了一个分享权力、致力于毛利人健康和嵌入结构机制的机会，例如拟议的毛利健康管理局，以维护《怀唐伊条约》。这也是重新致力于健康公平和消除制度性种族主义的机会。我们的结论是，辛普森审查报告没有抓住这些机会，反而进一步违反了《怀唐伊条约》。
