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Rangahau · Doctoral thesis

Equitable access to medicines and pharmacist services for older Māori

About this research

Joanna Hikaka (Ngāruahine), University of Auckland

The aim of my research was to develop a pharmacist-facilitated medicines review intervention for Māori older adults in Waitematā DHB. Literature reviews undertaken as part of the thesis showed that older Māori do not have the same opportunity to access or to benefit from medicines and pharmacist services as older non-Māori in Aotearoa.  Interviews with key stakeholders, including older Māori, were undertaken and findings from these were used to develop a medicines review intervention, delivered by a Māori pharmacist. 

A kaupapa Māori theoretical framework was applied to the research. The intervention was structured around the principles of Te Tiriti o Waitangi and was tested in a feasibility study. The intervention was acceptable to participants who valued the increase in medicines knowledge and control of their health journey. The acknowledged the pharmacist as having clinical expertise and an advocacy role and expressed that the by Māori, for Māori model of care was important.This research sets a foundation for understanding equitable medicines access for older Māori and presents a pro-equity health intervention aimed to support the achievement of Māori health equity.

Joanna Hikaka (Ngāruahine), University of Auckland

The aim of my research was to develop a pharmacist-facilitated medicines review intervention for Māori older adults in Waitematā DHB. Literature reviews undertaken as part of the thesis showed that older Māori do not have the same opportunity to access or to benefit from medicines and pharmacist services as older non-Māori in Aotearoa.  Interviews with key stakeholders, including older Māori, were undertaken and findings from these were used to develop a medicines review intervention, delivered by a Māori pharmacist. 

A kaupapa Māori theoretical framework was applied to the research. The intervention was structured around the principles of Te Tiriti o Waitangi and was tested in a feasibility study. The intervention was acceptable to participants who valued the increase in medicines knowledge and control of their health journey. The acknowledged the pharmacist as having clinical expertise and an advocacy role and expressed that the by Māori, for Māori model of care was important.This research sets a foundation for understanding equitable medicines access for older Māori and presents a pro-equity health intervention aimed to support the achievement of Māori health equity.

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