Linked Life Data

11709880

Source:http://linkedlifedata.com/resource/pubmed/id/11709880

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2001-11-16
pubmed:abstractText
This paper provides a broad overview of the development of M?ori primary care services over the last decade and an outline of the current scope of M?ori primary care services. The paper also récognizes the number of challenges and opportunities that face M?ori providers and will briefly discuss three that are relevant to all providers: frameworks, information and effectiveness. Developing frameworks for contract specification and performance criteria that reflect M?ori models of health and well-being, intersectoral approaches and the use of kaupapa and tikanga M?ori in service development and delivery is a major challenge. Current approaches, while acknowledging these areas, for example in contracts, are based within the frameworks of a Western medical model. We have yet to clearly identify how we can meaningfully incorporate these philosophical and practical approaches to providing services into contractual arrangements. Providers have identified a need for information. The providers pass significant amounts of information to the funding agency, however many feel that very little information is returned from the funding agencies to the provider organizations. These providers could well use information feedback from the funding agency when they are reviewing and developing their services. There are also other types of information, for example having access to detailed local epidemiological and demographic information, that would be very useful to providers who are reviewing existing programs and developing new services. The third 'universal' challenge is the need to begin to collect information about how effective current M?ori health strategies are, and how effectively services are caring for M?ori clients. Developing information on effectiveness could utilize a multi-faceted approach, with information being collected at the provider level as well as at population level. Other questions relate to the effectiveness of our health promoting, disease preventing or disease management interventions. These points are relevant to all providers, but information on the effectiveness of mainstream health services is just as limited. The disparity between M?ori and non-Maori health status however, suggests that these services (both public and personal health services) have not been as effective as they could have been.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1015-7867
pubmed:author
pubmed:issnType
Print
pubmed:volume
7
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
48-53
pubmed:dateRevised
2009-7-13
pubmed:meshHeading
pubmed:year
2000
pubmed:articleTitle
The development of M?ori primary care services.
pubmed:affiliation
Johns Hopkins School of Public Health, Tomaiora Research Group, Private Bag 92019, Auckland.
pubmed:publicationType
Journal Article