New Zealand Māori quality improvement in health care: lessons from an ideal type

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Stephen A Buetow

Abstract

There is no single best approach to quality improvement. Quality improvement has been adapted from its predominantly Japanese origins to form distinct, hybrid systems embedded in national cultures. These systems have seldom been studied despite their potential internationally to inform the local management of health care organizations. This article suggests six lessons from an 'ideal type' of one such system, New Zealand Māori quality improvement in health care. Mapped against 'mainstream' concepts of quality improvement, the lessons are to: emulate the character of leaders in health care; encourage 'cultural governance'; operate the health care organization as a 'family'; move forward with eyes on the past; foster spiritual health; and respect everything for itself. These lessons support a global struggle by indigenous peoples to have their national cultures reflected in programmes to improve their health care, and have potential relevance to mainstream services. By increasing cultural competence, responsiveness to indigenous health needs, and awareness of insights from another culture, the lessons reveal opportunities to improve quality by incorporating aspects of a Māori ideal type.

Citations

Apr 12, 2008·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Harshad ThakurKanchan Mukherjee
Apr 3, 2014·Journal of Evaluation in Clinical Practice·Stephen Buetow
Jul 14, 2012·Journal of Clinical Nursing·Rebecca L Polzer Casarez, Joan C Engebretson
Jul 24, 2014·Psychological Science·Juanma de la FuenteDaniel Casasanto
Jul 13, 2006·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Samantha Hurst, Philip Nader
Jan 2, 2007·Health Care Analysis : HCA : Journal of Health Philosophy and Policy·Stephen Buetow, Peter Adams
Nov 29, 2017·Disability and Rehabilitation·Stephen A BuetowBrendan McCormack

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