Te Kupenga Hauora Māori, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Te Aka Whai Ora - Māori Health Authority, Auckland, New Zealand.
Front Public Health. 2024 Feb 9;12:1324239. doi: 10.3389/fpubh.2024.1324239. eCollection 2024.
In Aotearoa/New Zealand (NZ), the Indigenous Māori population have been more severely impacted than non-Māori throughout the COVID-19 pandemic, and less well served by NZ's COVID-19 response. This case-study describes an innovative Indigenous-led service delivery model, which was designed and implemented to improve the case and contact management of Māori with COVID-19 in Auckland. We outline the context in which the conventional public health case and contact management was failing Māori and the factors which enabled Indigenous innovation and leadership. We describe the details of the model and how the approach fundamentally differed to the conventional approach to care. Qualitative and quantitative data on impact of the model are shared, along with the key barriers and enablers in the implementation of the model. The Māori Regional Coordination Hub (MRCH) model offers a valuable alternative to the conventional public health case and contact management approach, and this case study highlights lessons which may be applicable to improving the design and delivery of public health services to other Indigenous and marginalized groups.
在新西兰（NZ），在整个 COVID-19 大流行期间，土著毛利人比非毛利人受到的影响更为严重，而且新西兰的 COVID-19 应对措施对他们的服务也不够完善。本案例研究描述了一种创新的以毛利人为主导的服务提供模式，该模式旨在改善奥克兰毛利人 COVID-19 的病例和接触者管理。我们概述了传统公共卫生病例和接触者管理对毛利人失效的背景，以及促成土著创新和领导力的因素。我们描述了该模式的细节，以及该方法与传统护理方法的根本区别。我们还分享了关于该模式影响的定性和定量数据，以及在实施该模式过程中的主要障碍和促进因素。毛利区域协调中心（MRCH）模式为传统的公共卫生病例和接触者管理方法提供了一种有价值的替代方法，本案例研究强调了可能适用于改善公共卫生服务设计和提供给其他土著和边缘化群体的经验教训。
