‘I felt too whakamā to go to the doctor’ – how feelings of shame stop people seeking healthcare

20 Jul 2024

The Conversation

Health services struggle to provide affordable and nondiscriminatory healthcare to Māori, Pacific, disabled, and rainbow whānau, according to the latest NZ Health Survey.

Nearly a quarter of Māori reported unmet primary care needs over the past year, signalling deep cracks in the system.

It is important we understand these gaps in healthcare access and why healthcare remains out of reach for so many. Our earlier research suggests this is about more than cost and poor logistics.

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Academic Literature
New Zealand Pae Ora Healthcare Reforms 2022: Viable by Design? A Qualitative Study Using the Viable System Model

New Zealand Pae Ora Healthcare Reforms 2022: Viable by Design? A Qualitative Study Using the Viable System Model

The New Zealand (NZ) Pae Ora (Healthy Futures) health reforms came into effect in July 2022 with the establishment of Health New Zealand (HNZ) (Te Whatu Ora) and the Māori Health Authority (MHA) (Te Aka Whai Ora) – the organisations charged for healthcare provision...

Key issues

HEALTH SERVICES AND SYSTEMS

Covering developments in the provision, funding and organisation of health care services.

EQUITY

Exploring the impacts of the health system on minorities within the population, notably including Māori, Pacifica, Asians and LGBTQI.

DRUGS, DEVICE AND DIAGNOSTICS

Covering prescription medicines and medical devices.

PUBLIC HEALTH

Focusing on efforts to promote health and prevent disease through social and economic interventions.

DIGITAL HEALTH

Exploring the potential digital transformation to provide a more connected and accessible health system.

TE TIRITI

Monitoring how the health reforms and the performance of the health sector uphold Te Tiriti obligations.