Cultural safety and the medical profession in Aotearoa New Zealand: a training framework and the pursuit of Māori health equity.

The concept of cultural safety, developed in the training of nurses over 30 years ago, was adopted by the Medical Council of New Zealand in 2019. We report on the journey of the Medical Council of New Zealand, Te ORA (the Māori Medical Practitioners Association) and the Council of Medical Colleges, and our increasing understanding of cultural competence and cultural safety in promoting best outcomes for Māori patients over the years. We describe in detail the key components of a cultural safety training framework as a tool for medical colleges' training of registrars and the Continuing Professional Development (CPD) of specialist medical practitioners.

Māori experiences and perspectives of hospital treatment in the context of acute care.

Aim: Through exploring Māori experiences when presenting acutely to hospital, we aimed to identify specific aspects of culturally safe care that we could incorporate into healthcare professionals' training and hospital processes.

Methods: Using Kaupapa Māori approaches, we undertook semi-structured interviews and thematic analysis to collect and analyse data from diverse groups of Māori participants.

Results: We interviewed 17 participants, with 16 follow-up interviews.

A novel framework for Indigenous eye health care in New Zealand: Ngā Mata o te Ariki.

Clinical Relevance: Development of an Indigenous eye health framework could offer the opportunity for eye health professionals to enhance engagement with Indigenous populations.

Background: Indigenous populations globally experience disproportionately poorer eye health outcomes than non-Indigenous peoples. Incorporating Māori perspectives of eye care and pre-existing Indigenous models of health offers potential to enhance Māori experience and engagement with eye health services.

Competing interests: digital health and indigenous data sovereignty.

Digital health is increasingly promoting open health data. Although this open approach promises a number of benefits, it also leads to tensions with Indigenous data sovereignty movements led by Indigenous peoples around the world who are asserting control over the use of health data as a part of self-determination. Digital health has a role in improving access to services and delivering improved health outcomes for Indigenous communities.