Wyeth Emma H, Derrett Sarah
Ngāi Tahu Māori Health Research Unit, Division of Health Sciences, University of Otago, Dunedin, New Zealand.
Front Res Metr Anal. 2023 Sep 26;8:1212827. doi: 10.3389/frma.2023.1212827. eCollection 2023.
Injury is a leading cause of disability. Twenty years ago, we knew financial costs of injury were high but little was known about the short, medium and long-term outcomes after injury. In 2006, a Pilot Study and engagement with Māori across the country was undertaken to discuss the planned main study to understand how best to design a study that was meaningful and beneficial to Māori and policy-makers. Between 2007-2009, 2,856 injured New Zealanders (including 20% Māori) with an Accident Compensation Corporation (ACC) entitlement claim were recruited to the Prospective Outcomes of Injury Study (POIS). Participants shared detailed information (at 3, 12 and 24 months, and 12-years post-injury) about a broad range of topics including: the injury, socio-demographics, health, health services access, employment and wellbeing. Administrative data about injury-related hospitalisations, the sentinel injury and subsequent injuries were also collected, as well as in-depth qualitative interviews. This paper focuses on the why, how and impacts of POIS, especially in relation to Māori design and approaches, capability and capacity building, and leadership. Focusing on these aspects for Māori within POIS over time has ensured delivery of findings capable of informing and improving outcomes and policy. In particular, POIS has had considerable impact, influencing ACC's research strategy and outcomes' focus, and has provided disability, health, and wellbeing outcomes knowledge previously unavailable, especially for Māori.
伤害是导致残疾的主要原因。二十年前，我们知道伤害造成的经济成本很高，但对于伤害后的短期、中期和长期后果却知之甚少。2006年，开展了一项试点研究并与全国各地的毛利人进行了交流，以讨论计划中的主要研究，即了解如何最好地设计一项对毛利人和政策制定者有意义且有益的研究。在2007年至2009年期间，2856名有事故赔偿公司（ACC）权益索赔的受伤新西兰人（包括20%的毛利人）被招募到伤害前瞻性结果研究（POIS）中。参与者分享了关于广泛主题的详细信息（在受伤后3个月、12个月、24个月和12年），包括：伤害情况、社会人口统计学、健康状况、医疗服务获取情况、就业和幸福感。还收集了与伤害相关的住院治疗、标志性伤害和后续伤害的行政数据，以及深入的定性访谈。本文重点关注POIS的原因、方式和影响，特别是在毛利人的设计和方法、能力建设以及领导力方面。随着时间的推移，在POIS中关注毛利人的这些方面确保了研究结果能够为改善结果和政策提供信息。特别是，POIS产生了相当大的影响，影响了ACC的研究战略和对结果的关注，并提供了以前无法获得的残疾、健康和幸福感方面的结果知识，尤其是针对毛利人。
