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The Choosing Wisely campaign and shared decision-making with Māori
David Tipene-Leach1, Anna Adcock2, Sally Abel3
1Public Health Physician, Research Professor, Eastern Institute of Technology.
The New Zealand Medical Journal
|June 21, 2022
Summary
Choosing Wisely initiatives need early Māori consultation to prevent increasing health inequities. Incorporating Māori knowledge and Treaty principles is crucial for effective shared decision-making and equitable healthcare for Indigenous populations.
Area of Science:
- Health Services Research
- Indigenous Health
- Shared Decision-Making
Background:
- Choosing Wisely aims to reduce unnecessary medical tests and treatments.
- Shared decision-making is a key component of patient-centered care.
- The program's impact on Indigenous populations requires specific consideration.
Purpose of the Study:
- To explore Māori patients/consumers and health practitioners' perspectives on Choosing Wisely.
- To investigate shared decision-making dynamics between Māori and medical practitioners.
Main Methods:
- Qualitative study utilizing semi-structured, in-depth interviews.
- Eight Māori consumers and seven Māori health practitioners participated.
- Inductive thematic analysis was employed for data interpretation.
Main Results:
- Feedback highlighted a lack of Māori participation in governance and the need for culturally appropriate health messaging.
- Key themes included patient trust, autonomy, and the importance of advocacy and support during consultations.
- Participant feedback covered consumer, practitioner, organizational, and health system levels.
Conclusions:
- Choosing Wisely New Zealand acknowledged potential inequities for Indigenous populations.
- Early and ongoing consultation with Māori is essential.
- Integrating Treaty principles, Māori knowledge, and customs is vital for program success and equity.
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