Manawa Ora - The Centre for Health, Tauranga, New Zealand.
Aust J Rural Health. 2022 Dec;30(6):830-835. doi: 10.1111/ajr.12916. Epub 2022 Sep 13.
To provide knowledge and recommendations for researchers, health professionals and policymakers on navigating between science and mātauranga (knowledge) Māori when using co-design methodologies.
It is well known that the health system in Aotearoa/New Zealand does not provide culturally responsive services, programmes or approaches. Indigenous, remote and vulnerable populations that are not well served by medical and scientific models would be better served by the underlying premise of co-design methodology. However, co-design is a Western methodology. Mahitahi is presented here as a culturally responsive method of co-design that builds approaches by utilising the worldview of the people that the health system most needs to have impact upon. Co-design and mahitahi have synergies, and working at the interface between Western and Māori knowledge systems can provide innovative solutions that draw on the strengths of both approaches.
Authors will outline the benefit co-design processes have for improving health outcomes for remote and vulnerable populations. Mahitahi will be described and the synergies with co-design emphasised with important distinctions also highlighted. The use of Indigenous knowledge systems, using Māori as the case example, will be outlined.
Recommendations will be provided to guide researchers, health professionals and policy makers when planning a co-design approach with remote and vulnerable communities.
为研究人员、卫生专业人员和政策制定者提供在使用共同设计方法时在科学和毛利知识（知识）之间进行导航的知识和建议。
众所周知，新西兰的医疗体系并没有提供文化上响应的服务、计划或方法。那些无法从医疗和科学模式中得到良好服务的土著、偏远和弱势人群，将从共同设计方法的基本前提中得到更好的服务。然而，共同设计是一种西方方法。 Mahitahi 在这里被提出作为一种对文化有响应的共同设计方法，通过利用医疗体系最需要产生影响的人群的世界观来构建方法。共同设计和 Mahitahi 具有协同作用，在西方和毛利知识体系之间的接口上工作可以提供创新的解决方案，利用两种方法的优势。
作者将概述共同设计过程对改善偏远和弱势人群的健康结果的益处。将描述 Mahitahi，并强调与共同设计的协同作用，同时也突出重要的区别。将概述使用土著知识系统，以毛利人为案例，来描述使用方法。
将为研究人员、卫生专业人员和政策制定者在与偏远和弱势社区规划共同设计方法时提供建议。
