ISSN 1178-6191

Maori Health Review

Making Education Easy Issue 106 – 2023

Maori Health Review

A scoping review of equity-focused implementation theories, models and frameworks in healthcare and their application in addressing ethnicity-related health inequities

Authors: Gustafson P et al.

Summary: A review of implementation science theories, models and frameworks (TMFs) may be used as a guide to TMF selection and to illustrate how TMFs have been used in equity-focused implementation activities. A total of 26 papers describing 15 TMFs and their operationalisation were included from analysis of literature published between January 2011 and April 2022. TMFs were categorised as determinant frameworks (n = 4), implementation theories (n = 1), process models (n = 6) and evaluation frameworks (n = 3). One framework contained elements of determinant, process and evaluation and was therefore classified as a ‘hybrid’ framework. An equity focus was present in 12 TMFs, and three were established TMFs applied in an equity context. Systems-level factors were at least partially considered in all TMFs, with macro-, meso- and micro-level influences on equity and implementation fully considered in five.

Comment: Really useful reference for grant applications, especially when thinking about how to make our research ‘translatable’ or, even better, transformative!

Reference: Implement Sci. 2023;18(1):51.


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Research Review publications are intended for New Zealand health professionals.

Reflections on the Prospective Outcomes of Injury Study (POIS; 2006-2023): how population-based research can address Māori outcomes and governance

Authors: Wyeth EH and Derrett S

Summary: The Prospective Outcomes of Injury Study (POIS) has influenced Accident Compensation Corporation (ACC) research strategy and outcomes focus, according to researchers from the Ngāi Tahu Māori Health Research Unit at Otago University, Dunedin. The study has provided disability, health, and wellbeing outcomes knowledge that was previously unavailable, especially for Māori, they noted. POIS recruited 2856 injured New Zealanders with an ACC entitlement claim between 2007 and 2009, of whom 20% were Māori. Detailed information was shared by participants (at 3, 12 and 24 months, and 12 years post-injury) regarding injury, socio-demographics, health, health services access, employment and wellbeing. In-depth interviews were also undertaken, and administrative data about injury-related hospitalisations, the sentinel injury and subsequent injuries were collected.

Comment: This reads as a reflection on undertaking Kaupapa Māori health research – the wider impacts on leadership and policy development, improvements to data collection, storage and analysis, but also how there is so much to do with tight timelines, budgets, and reporting requirements. How do we capture the relevant yet often ignored benefits of Kaupapa Māori research?

Reference: Front Res Metr Anal. 2023;8:1212827.


Maori Health Review
Maori Health Review