School of Pharmacy, University of Auckland, Auckland, New Zealand; and Waitemata District Health Board, Auckland, New Zealand; and Corresponding author. Email:
Te Kupenga Hauora Maori, University of Auckland, Auckland, New Zealand.
J Prim Health Care. 2021 Jun;13(2):124-131. doi: 10.1071/HC20114.
INTRODUCTION te Tiriti o Waitangi guarantees Māori the right to: self-determination, equitable health outcomes, be well informed, health care options, including kaupapa Māori and culturally safe mainstream services, and partnership in the health care journey. Despite integration of these principles into policy, there remains a lack of application in health service development, and health inequities remain. AIM We aimed to use te Tiriti o Waitangi to structure the development of a culturally safe health intervention, using as an exemplar pharmacist-facilitated medicines review for Māori older adults. METHODS Previous research undertaken by our group (a systematic review, and interviews with stakeholders including Māori older adults) was used to inform the aspects to include in the intervention. Kaupapa Māori theory was used to underpin the approach. Intended outcomes, requirements for change, and outcome measures to assess change were mapped to te Tiriti o Waitangi principles as a way to structure the pharmacist-facilitated medicines review intervention and research processes. RESULTS Findings from our previous research identified 12 intended intervention outcomes, including that the intervention be flexible to adapt to diverse needs in a way that is acceptable and culturally safe for Māori and that it supports Māori older adults to control and have confidence in their medicine treatment and wellbeing. DISCUSSION We present an approach to the development of a pharmacist-facilitated medicines review intervention for Māori older adults, structured around the principles of te Tiriti o Waitangi, to support the implementation of a culturally safe, pro-equity intervention.
引言
《怀唐伊条约》保障毛利人享有：自决权、公平的健康结果、充分知情、医疗保健选择，包括毛利人医疗保健和文化安全的主流服务，以及在医疗保健之旅中的合作。尽管这些原则已纳入政策，但在卫生服务发展中仍缺乏应用，健康不平等仍然存在。
目的
我们旨在使用《怀唐伊条约》来构建一种文化安全的健康干预措施，以毛利老年人的药剂师协助药物审查为例。
方法
我们小组之前进行的研究（系统评价和对包括毛利老年人在内的利益相关者的访谈）被用来为干预措施中包含的方面提供信息。毛利人理论被用来为方法提供支持。预期结果、变革要求和评估变革的衡量标准被映射到《怀唐伊条约》原则，以构建药剂师协助药物审查干预措施和研究过程。
结果
我们之前的研究结果确定了 12 个预期的干预结果，包括干预措施应具有灵活性，以适应不同的需求，同时对毛利人来说是可接受和文化安全的，并支持毛利老年人控制和对他们的药物治疗和健康充满信心。
讨论
我们提出了一种针对毛利老年人的药剂师协助药物审查干预措施的开发方法，该方法围绕《怀唐伊条约》的原则构建，以支持实施文化安全、促进公平的干预措施。
