A window on the quality of Aotearoa New Zealand’s health care 2019

A view on Maori health equity
Maori people Health inequity Health systems New Zealand

The Minister of Health has stated that the health sector should commit to achieving health equity for Maori across the life course and to meeting the obligations of te Tiriti o Waitangi. This report aims to support the health system to meet these requirements.

Window 2019 provides an evidence-informed discussion, framed around three key questions: What are the health inequities between Maori and non-Maori? Why are there health inequities between Maori and non-Maori? How do we resolve health inequities between Maori and non-Maori, and advance Maori health?

Window 2019 analyses available health system data on equity of access to and quality of health services and the equity impact of quality improvement initiatives. It compares Maori and non-Maori data at five stages of the life course – maternity and birth, childhood, youth, adulthood and old age.

In reading and reflecting on Window 2019, it is important to take a systems view of health equity. This involves thinking about how systems create and maintain health equity and inequity, and how systems can be changed to better meet the needs of those they are not serving well. It is important to recognise that this document reflects the start of a conversation involving Maori, and the health and other sectors. We expect a range of work to emerge from this discussion, both for the Health Quality & Safety Commission and for others.

Throughout Window 2019, a range of views is presented in boxes from those with specific expertise in the issues briefly covered, including aspects of Maori health, advancing Maori health and protecting Maori health.

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