Ngāi Tahu Māori Health Research Unit, Preventive and Social Medicine, University of Otago, Dunedin Campus, Dunedin, New Zealand.
General Practice and Rural Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
BMJ Open. 2022 Feb 1;12(2):e048252. doi: 10.1136/bmjopen-2020-048252.
Injury accounts for 10% of the global burden of disease. While the literature is scarce, research investigating injury among Indigenous populations has found incidence and prevalence rates are higher, compared with non-Indigenous populations. New Zealand is no exception; Māori have higher rates of injury and disability compared with non-Māori. Given the burden of injury for Māori, this scoping review aims to identify, understand and map available literature related to the barriers and facilitators to accessing injury-related healthcare for Māori in New Zealand.
A scoping review will be conducted to identify the relevant literature and provide an opportunity to highlight key concepts and research gaps in the literature. This work will be guided by the scoping review framework developed by Arksey and O'Malley and will be underpinned by Kaupapa Māori research principles. The overall project is also be guided by a Māori advisory group. Database searches, for example, MEDLINE (Ovid), Scopus and Embase, will be used to identify empirical literature, and Google, New Zealand government websites and relevant non-government organisations will be used to identify relevant grey literature.
To the best of our knowledge, this scoping review is the first to systematically examine the currently available literature relating to the barriers and facilitators of accessing injury-related healthcare for Māori in New Zealand. Ethical approval was not required for this scoping review. Dissemination will include publication of the scoping review findings in a peer-reviewed journal, as well as presentations at conferences, to the project's advisory group, and staff working in the field of Māori disability and rehabilitation.
伤害占全球疾病负担的 10%。尽管相关文献较少，但针对原住民群体的研究发现，与非原住民群体相比，原住民群体的伤害发生率和患病率更高。新西兰也不例外；与非毛利人相比，毛利人受伤和残疾的比率更高。鉴于毛利人所受伤害的负担，本范围界定审查旨在确定、了解和绘制新西兰毛利人获得与伤害相关的医疗保健的障碍和促进因素的相关文献。
将进行范围界定审查，以确定相关文献，并有机会突出文献中的关键概念和研究空白。这项工作将遵循由 Arksey 和 O'Malley 制定的范围界定审查框架，并以毛利研究原则为基础。整个项目还将由一个毛利顾问小组指导。将使用数据库搜索（例如，Ovid 中的 MEDLINE、Scopus 和 Embase）来确定实证文献，并且将使用 Google、新西兰政府网站和相关的非政府组织来确定相关的灰色文献。
据我们所知，这是首次系统地审查目前有关新西兰毛利人获得与伤害相关的医疗保健的障碍和促进因素的现有文献的范围界定审查。本范围界定审查不需要伦理批准。传播将包括在同行评议期刊上发表范围界定审查结果，以及在会议上向项目咨询小组以及从事毛利人残疾和康复工作的人员进行陈述。
