Dataset Information

Ha Ora: secondary care barriers and enablers to early diagnosis of lung cancer for Maori communities.

ABSTRACT:

Background

Lung Cancer is the leading cause of cancer deaths in Aotearoa New Zealand. M?ori communities in particular have higher incidence and mortality rates from Lung Cancer. Diagnosis of lung cancer at an early stage can allow for curative treatment. This project aimed to document the barriers to early diagnosis and treatment of lung cancer in secondary care for M?ori communities.

Methods

This project used a kaupapa M?ori approach. Nine community hui (focus groups) and nine primary healthcare provider hui were carried out in five rural localities in the Midland region. Community hui included cancer patients, wh?nau (families), and other community members. Healthcare provider hui comprised staff members at the local primary healthcare centre, including General Practitioners and nurses. Hui data were thematically analysed.

Results

Barriers and enablers to early diagnosis of lung cancer were categorised into two broad themes: Specialist services and treatment, and wh?nau journey. The barriers and enablers that participants experienced in specialist services and treatment related to access to care, engagement with specialists, communication with specialist services and cultural values and respect, whereas barriers and enablers relating to the wh?nau journey focused on agency and the impact on wh?nau.

Conclusions

The study highlighted the need to improve communication within and across healthcare services, the importance of understanding the cultural needs of patients and wh?nau and a health system strategy that meets these needs. Findings also demonstrated the resilience of M?ori and the active efforts of wh?nau as carers to foster health literacy in future generations.

SUBMITTER: Kidd J

PROVIDER: S-EPMC7863263 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Hā Ora: secondary care barriers and enablers to early diagnosis of lung cancer for Māori communities.

Kidd Jacquie J Cassim Shemana S Rolleston Anna A Chepulis Lynne L Hokowhitu Brendan B Keenan Rawiri R Wong Janice J Firth Melissa M Middleton Karen K Aitken Denise D Lawrenson Ross R

BMC cancer 20210204 1

<h4>Background</h4>Lung Cancer is the leading cause of cancer deaths in Aotearoa New Zealand. Māori communities in particular have higher incidence and mortality rates from Lung Cancer. Diagnosis of lung cancer at an early stage can allow for curative treatment. This project aimed to document the barriers to early diagnosis and treatment of lung cancer in secondary care for Māori communities.<h4>Methods</h4>This project used a kaupapa Māori approach. Nine community hui (focus groups) and nine pr ...[more]

PMID: 33541294

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