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This ( https://systemreview.health.govt.nz/ ) is the Health & Disability System Review.
If you read it, you'll see two takes on the role & power of the Māori Health Authority.
On page 173, an "alternate view" is published - with stronger views on the Māori Health Authority controlling...
If you read it, you'll see two takes on the role & power of the Māori Health Authority.
On page 173, an "alternate view" is published - with stronger views on the Māori Health Authority controlling...
...the funding and commissioning of services for Māori.
This in the context (p.21) of "clear disparities in health outcomes for Māori. Life expectancy remains one key indicator. On average, Māori live seven years less than non-Māori non-Pacific people."
For Māori, these...
This in the context (p.21) of "clear disparities in health outcomes for Māori. Life expectancy remains one key indicator. On average, Māori live seven years less than non-Māori non-Pacific people."
For Māori, these...
..."inequities of health span the life course." (From the cradle to the grave.)
The Māori Expert Advisory Group felt the Review's response to this were "limited in their scope."
Yes, it's a start, and a welcome one given where we're at, but...
The Māori Expert Advisory Group felt the Review's response to this were "limited in their scope."
Yes, it's a start, and a welcome one given where we're at, but...
...(this quote from page 173)
"In summary the changes proposed in the report are positive and would be beneficial for Māori. The
Alternative View argues that the vision should be more ambitious. The recommendations, as they stand, do
not provide the opportunity.... (cont. over)
"In summary the changes proposed in the report are positive and would be beneficial for Māori. The
Alternative View argues that the vision should be more ambitious. The recommendations, as they stand, do
not provide the opportunity.... (cont. over)
... for Māori expertise to be fully empowered, they perpetuate universalist approaches that have not worked for Māori, and they fail to give expression to tino rangatiratanga because the Māori Health Authority has only a limited commissioning role and holds... (cont. over)
...what is, relatively speaking, a small & marginal budget."
(End of that long quote from page 173)
This view was unanimously endorsed by all six members of the Māori Expert Advisory Group, and by four of seven of the Expert Review Panel members.
But it's the "alternative"...
(End of that long quote from page 173)
This view was unanimously endorsed by all six members of the Māori Expert Advisory Group, and by four of seven of the Expert Review Panel members.
But it's the "alternative"...
...view, and the one formally advanced by the Review gives the Authority significantly less power.
Why?
We need to discuss why we keep acknowledging inequity, conceding inequity needs to be addressed, but tweaking our responses to it, within received or neutered structures...
Why?
We need to discuss why we keep acknowledging inequity, conceding inequity needs to be addressed, but tweaking our responses to it, within received or neutered structures...
...rather than confronting it, directly, with responses lead by the people most affected.
To end (from p 174)
"The time is right for action around a broader indigenous commissioning framework in NZ that would be world leading in addressing inequity at system & service levels."
To end (from p 174)
"The time is right for action around a broader indigenous commissioning framework in NZ that would be world leading in addressing inequity at system & service levels."
One final addition, for those tenacious souls amongst you who've ploughed through this far (thank you).
Here's Sharon Shea, Chair of the Māori Expert Advisory Group, talking about this on @Breakfaston1 yesterday. If you care about this, please watch: https://www.tvnz.co.nz/one-news/new-zealand/independent-m-ori-health-commissioning-body-left-govts-main-report-despite-gaining-majority-support
Here's Sharon Shea, Chair of the Māori Expert Advisory Group, talking about this on @Breakfaston1 yesterday. If you care about this, please watch: https://www.tvnz.co.nz/one-news/new-zealand/independent-m-ori-health-commissioning-body-left-govts-main-report-despite-gaining-majority-support
