Thompson Nasya, Glyn Tamara, Kerridge Donna, Koea Jonathan
Department of Surgery, University of Otago Christchurch, New Zealand.
Department of Surgery, Te Whatu Ora Health New Zealand Waitaha Canterbury, New Zealand.
ANZ J Surg. 2025 Mar;95(3):328-334. doi: 10.1111/ans.19238. Epub 2024 Sep 30.
This research investigates the potential for collaboration of Rongoā Māori, the Indigenous healing practices of Māori, with New Zealand's contemporary healthcare system. It aims to bridge the gap between Rongoā Māori and Western medicine by exploring the perspectives of practitioners from both fields, identifying barriers to integration, and highlighting potential areas for collaboration.
Qualitative interviews were conducted with both Rongoā practitioners and Western surgeons. The data collected were subjected to thematic analysis to extract key themes related to the integration process, challenges faced, and the potential for mutual recognition and respect between the two healing paradigms.
The study reveals a deep respect for Rongoā Māori among Western surgeons but identifies significant systemic barriers that impede its integration. These include bureaucratic challenges and the absence of clear referral pathways. Rongoā practitioners express concerns over being overlooked within the healthcare system and highlight a lack of awareness among healthcare professionals about their practices. Despite these challenges, there is a shared interest in collaborative approaches to healthcare that respect and incorporate Rongoā Māori.
The findings underscore the need for systemic changes to facilitate the integration of Rongoā Māori into mainstream healthcare, including the development of clear referral pathways and initiatives to raise awareness among healthcare professionals. The study highlights the need for a more collaborative healthcare approach that values the contributions of Rongoā Māori, aiming to improve patient care through holistic practices.
本研究调查了毛利族传统疗法（毛利人的本土治疗方法）与新西兰当代医疗体系合作的潜力。其目的是通过探索两个领域从业者的观点、识别整合障碍并突出潜在合作领域，弥合毛利族传统疗法与西医之间的差距。
对毛利族传统疗法从业者和西医外科医生进行了定性访谈。对收集到的数据进行主题分析，以提取与整合过程、面临的挑战以及两种治疗模式之间相互认可和尊重的潜力相关的关键主题。
该研究揭示了西医外科医生对毛利族传统疗法怀有深深的敬意，但也识别出阻碍其整合的重大系统性障碍。这些障碍包括官僚主义挑战以及缺乏明确的转诊途径。毛利族传统疗法从业者对在医疗体系中被忽视表示担忧，并强调医疗专业人员对其疗法缺乏认识。尽管存在这些挑战，但对于尊重并纳入毛利族传统疗法的合作性医疗方法，双方有着共同的兴趣。
研究结果强调需要进行系统性变革，以促进毛利族传统疗法融入主流医疗，包括制定明确的转诊途径以及开展提高医疗专业人员认识的举措。该研究突出了需要一种更具合作性的医疗方法，重视毛利族传统疗法的贡献，旨在通过整体疗法改善患者护理。
