Goodwin Deborah Waireka Tuhi, Boulton Amohia, Stayner Cherie, Mann Jim
DBZ Consultancy Ltd, Hamilton, New Zealand.
Whakauae Research Services Ltd, Whanganui, New Zealand.
J R Soc N Z. 2025 Apr 2;55(6):2600-2614. doi: 10.1080/03036758.2025.2480207. eCollection 2025.
Current approaches to co-design with Māori and Pacific communities have varying success, highlighting the need for a clear and transparent understanding about the different ways that researchers and communities conceptualise and implement co-design. This study set out to identify key elements of co-designed research and health services important to working with, and achieving equity of health outcomes for, Māori and Pacific communities living in Aotearoa New Zealand. A qualitative evaluation of five research projects, which used co-design with partners from Māori and Pacific communities, involved interviews with researchers and community partners. A Kaupapa Māori framework developed to assess six principles important to Māori co-design was used, and data were coded and thematically analysed. Four additional principles of good co-design and nine lessons for improving the conduct of co-design research were identified. A conceptual model was developed, the Co-design Research Integrity Poutama, which defines increasing levels of co-design exemplified by greater levels of transparency and power-sharing. Authentic co-design of research and health services has a greater likelihood of achieving equitable health outcomes in Māori (the Indigenous People of Aotearoa New Zealand) and in other ethnicities experiencing similar inequities, notably Pacific Peoples, and to those experiencing racial and ethnic inequities worldwide.
目前与毛利族和太平洋岛民社区共同设计的方法取得的成功各不相同，这凸显了对研究人员和社区在概念化和实施共同设计方面的不同方式有清晰透明理解的必要性。本研究旨在确定共同设计的研究和卫生服务的关键要素，这些要素对于与生活在新西兰奥塔哥的毛利族和太平洋岛民社区合作以及实现健康结果公平至关重要。对五个研究项目进行了定性评估，这些项目与毛利族和太平洋岛民社区的合作伙伴采用了共同设计，涉及对研究人员和社区合作伙伴的访谈。使用了一个为评估对毛利族共同设计重要的六项原则而制定的毛利族框架，对数据进行了编码和主题分析。确定了共同设计的另外四项原则以及改进共同设计研究实施的九条经验教训。开发了一个概念模型——共同设计研究诚信波塔马，它定义了以更高透明度和权力分享为代表的共同设计水平的提升。研究和卫生服务的真正共同设计更有可能在毛利族（新西兰奥塔哥的原住民）以及其他经历类似不平等的种族（特别是太平洋岛民）以及全球经历种族和族裔不平等的人群中实现公平的健康结果。
