Suzanne Pitama
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View article: Kotahitanga—connection, unity, and belonging: perspectives of Māori mothers on a kaupapa Māori group intervention for perinatal mental health
Kotahitanga—connection, unity, and belonging: perspectives of Māori mothers on a kaupapa Māori group intervention for perinatal mental health Open
In Aotearoa New Zealand, perinatal mental health outcomes and maternal suicide rates demonstrate that Māori (the Indigenous peoples of New Zealand) mothers and birthing parents have the worst outcomes relative to other ethnic groups. Littl…
View article: Indigenous–non-Indigenous disparities in health and social outcomes 5 years after first episode psychosis: national cohort study
Indigenous–non-Indigenous disparities in health and social outcomes 5 years after first episode psychosis: national cohort study Open
Background There are ethnic differences, including differences related to indigeneity, in the incidence of first episode psychosis (FEP) and pathways into care, but research on ethnic disparities in outcomes following FEP is limited. Aims …
View article: Ethnic bias and the hidden curriculum: The impact of routine inclusion of ethnicity in medical education assessment
Ethnic bias and the hidden curriculum: The impact of routine inclusion of ethnicity in medical education assessment Open
Introduction: In 2012, the University of Otago Medical School in New Zealand amended high stakes examination questions to routinely include ethnicity. This policy change was prompted by the assessment committee, including the Māori subcomm…
View article: Protocol for Improving Care by FAster risk-STratification through use of high sensitivity point-of-care troponin in patients presenting with possible acute coronary syndrome in the EmeRgency department (ICare-FASTER): a stepped-wedge cluster randomised quality improvement initiative
Protocol for Improving Care by FAster risk-STratification through use of high sensitivity point-of-care troponin in patients presenting with possible acute coronary syndrome in the EmeRgency department (ICare-FASTER): a stepped-wedge cluster randomised quality improvement initiative Open
Introduction Clinical assessment in emergency departments (EDs) for possible acute myocardial infarction (AMI) requires at least one cardiac troponin (cTn) blood test. The turn-around time from blood draw to posting results in the clinical…
View article: Institutional pathways to psychosis for Indigenous Māori: A qualitative exploration of experiences
Institutional pathways to psychosis for Indigenous Māori: A qualitative exploration of experiences Open
Background: Inequities in the incidence and outcomes of first episode psychosis (FEP) for Indigenous peoples are impacted by multiple institutional systems. This study examines Indigenous experiences of these systems to gain an understandi…
View article: The Right to Equal Health: Best Practice Priorities for Māori with Bipolar Disorder from Staff Focus Groups
The Right to Equal Health: Best Practice Priorities for Māori with Bipolar Disorder from Staff Focus Groups Open
Bipolar disorder (BD) is a serious mental health condition that is clinically complex to monitor and manage. While best practice guidelines exist, they vary internationally lacking consensus. Indigenous peoples, including Māori in New Zeal…
View article: <i>“Thank you for Listening”</i> Kaupapa Māori Methodology as a Facilitator of Culturally Safe Research With Māori Mothers Experiencing Perinatal Mental Illness
<i>“Thank you for Listening”</i> Kaupapa Māori Methodology as a Facilitator of Culturally Safe Research With Māori Mothers Experiencing Perinatal Mental Illness Open
Māori are the Indigenous peoples of Aotearoa, New Zealand, and, similar to other Indigenous populations, face significant health inequities. Of concern, Māori mothers and birthing parents experience persistent and grave mental health inequ…
View article: ‘It’s about having that knowledge, tino rangatiratanga!’ Understanding structural barriers to accessing aged residential care services among older Māori in New Zealand
‘It’s about having that knowledge, tino rangatiratanga!’ Understanding structural barriers to accessing aged residential care services among older Māori in New Zealand Open
New Zealand’s older Indigenous people (Māori) are underserved and underrepresented as consumers of aged residential care services (ARC). This study seeks to ascertain, from the perspectives of older Māori and whānau (family), the influence…
View article: It's not special treatment… That's part of the Treaty of Waitangi! Organisational barriers to enhancing the Aged Residential Care environment for older Māori and Whānau in New Zealand
It's not special treatment… That's part of the Treaty of Waitangi! Organisational barriers to enhancing the Aged Residential Care environment for older Māori and Whānau in New Zealand Open
Background New Zealand's older Indigenous Māori people experience poorer health and reduced access to healthcare than their older non‐Māori counterparts. Organisational factors (such as leadership or workforce) may influence the attitudes …
View article: A bridge between: Te Ao Māori and Te Ara Paerangi
A bridge between: Te Ao Māori and Te Ara Paerangi Open
Purpose Aotearoa New Zealand’s Research, Science and Innovation (RSI) system is undergoing a ‘once in a generation’ reform known as Te Ara Paerangi Future Pathways (TAP). One of TAP’s four high-level goals is to embed Te Tiriti o Waitangi …
View article: Positioning Stakeholder Perspectives in COPD End-of-Life Care Using Critical Theory and Actor-Network Theory: A Methodological Approach
Positioning Stakeholder Perspectives in COPD End-of-Life Care Using Critical Theory and Actor-Network Theory: A Methodological Approach Open
Background Meaningful engagement with stakeholders in the provision of healthcare and services is recommended by the World Health Organisation. Culturally specific evaluation may enable deeper exploration of the critical views of people li…
View article: Racism, early psychosis, and institutional contact: A qualitative study of Indigenous experiences
Racism, early psychosis, and institutional contact: A qualitative study of Indigenous experiences Open
Background: There is evidence of Indigenous and ethnic minority inequities in the incidence and outcomes of early psychosis. Racism has been implicated as having an important role. Aim: To use Indigenous experiences to develop a more detai…
View article: Acute aortic syndrome: nationwide study of epidemiology, management, and outcomes
Acute aortic syndrome: nationwide study of epidemiology, management, and outcomes Open
Background Epidemiological studies on acute aortic syndrome (AAS) have relied largely on unverified administrative coding, leading to wide-ranging estimates of incidence. This study aimed to evaluate the incidence, management, and outcomes…
View article: Policy, system and service design influence on healthcare inequities for people with end-of-life chronic obstructive airways disease, their support people and health professionals.
Policy, system and service design influence on healthcare inequities for people with end-of-life chronic obstructive airways disease, their support people and health professionals. Open
Background : People with end-of-life chronic obstructive pulmonary disease (COPD) experience debilitating physical limitations, with a high mortality rate. Our research has shown health system design and delivery leads to inequitable outco…
View article: ‘People that suffer or have been through it know the answers’: Stakeholders’ perspectives on improving healthcare systems for end-of-life care in chronic obstructive airways disease
‘People that suffer or have been through it know the answers’: Stakeholders’ perspectives on improving healthcare systems for end-of-life care in chronic obstructive airways disease Open
Background: Chronic obstructive pulmonary disease (COPD) is a progressive and disabling lung condition with a high mortality. Our research has shown that health care for end-of-life COPD is poorly integrated. Involving people with end-of-l…
View article: Interviews with Indigenous Māori with type 1 diabetes using open-source automated insulin delivery in the CREATE randomised trial
Interviews with Indigenous Māori with type 1 diabetes using open-source automated insulin delivery in the CREATE randomised trial Open
Purpose Open-source automated insulin delivery (AID) is used by thousands of people with type 1 diabetes (T1D), but has unknown generalisability to marginalised ethnic groups. This study explored experiences of Indigenous Māori participant…
View article: Racism, early psychosis and institutional contact: a qualitative study of Indigenous experiences
Racism, early psychosis and institutional contact: a qualitative study of Indigenous experiences Open
There is evidence of Indigenous and ethnic minority inequities in the incidence and outcomes of early psychosis. racism has an important role. This study aimed to use Indigenous experiences to develop a more detailed understanding of how r…
View article: Stakeholders’ Perspectives on the Quality of End-of-Life Health Care Services for Chronic Obstructive Airways Disease: A Focus Group Study
Stakeholders’ Perspectives on the Quality of End-of-Life Health Care Services for Chronic Obstructive Airways Disease: A Focus Group Study Open
Stakeholders' perspectives of end-of-life care for COPD identified of core features of a health system network that enabled or impeded the actions of stakeholders and allocation of resources to provide quality care.
View article: Patient, carer and health professional experiences of end-of-life care services in chronic obstructive pulmonary disease: an interpretive synthesis of qualitative studies
Patient, carer and health professional experiences of end-of-life care services in chronic obstructive pulmonary disease: an interpretive synthesis of qualitative studies Open
The objective of this systematic literature review is to identify patients', carers' and health professionals' reported perspectives of end-of-life care services for severe chronic obstructive pulmonary diseases (COPD) and explore whether …
View article: Evolution of first episode psychosis diagnoses and health service use among young Māori and <scp>non‐Māori</scp>—A New Zealand national cohort study
Evolution of first episode psychosis diagnoses and health service use among young Māori and <span>non‐Māori</span>—A New Zealand national cohort study Open
Aims The validity of diagnostic classification in early psychosis has important implications for early intervention; however, it is unknown if previously found disparities between Māori (Indigenous people of New Zealand) and non‐Māori in f…
View article: “If we can just dream…” Māori talk about healthcare for bipolar disorder in New Zealand: A qualitative study privileging Indigenous voices on organisational transformation for health equity
“If we can just dream…” Māori talk about healthcare for bipolar disorder in New Zealand: A qualitative study privileging Indigenous voices on organisational transformation for health equity Open
Objectives This paper identifies barriers to equity and proposes changes to improve the organisation of healthcare in New Zealand for Māori with bipolar disorder (BD) and their families. Design A qualitative Kaupapa Māori methodology was u…