POIS-10 Māori: Outcomes and Experiences in the Decade Following Injury.

Emma H Wyeth,Helen Harcombe,Sue Crengle,Sarah Derrett,John Bourke,Vicky Nelson,Gabrielle Davie

doi:10.3390/mps4020037

Emma H Wyeth, Helen Harcombe + Show 5 more

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https://doi.org/10.3390/mps4020037

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Abstract

Injury-related disability burden extends well beyond two years post-injury, especially for Māori (Indigenous) New Zealanders. Māori also experience greater difficulty accessing health services. This prospective cohort study extension uses mixed-methods and aims to understand and identify factors contributing to long-term experiences and outcomes (positive and negative) at 12 years post-injury for injured Māori and their whānau (families), and explore the barriers and facilitators to whānau flourishing, and access to health and rehabilitation services. Five hundred and sixty-six Māori, who were injured between 2007–2009, participated in the Prospective Outcomes of Injury Study (POIS). Of these, 544 consented to long-term follow up, and will be invited to participate in a POIS-10 Māori interview at 12 years post-injury. We anticipate a 65% follow-up rate (~n = 350). Aligned with the Meihana Model, interviews will collect information about multiple inter-related dimensions. Administrative injury and hospitalisation data up to 12 years post-injury will also be collected. Regression models will be developed to examine predictors of long-term health and disability outcomes, after adjusting for a range of confounders. POIS-10 Māori will identify key points in the injury and rehabilitation pathway to inform future interventions to improve post-injury outcomes for Māori and whānau, and will highlight the support required for Māori flourishing post-injury.

Highlights

Introduction published maps and institutional affilInjury is responsible for one-third of disability in New Zealand and is costly [1,2,3]
Given the known burden at 24 months post-injury, it is critical that we investigate long-term outcomes for injured Māori
We will combine Prospective Outcomes of Injury Study (POIS) data with that obtained in POIS-10 Māori to develop regression models [58], for each key outcome at 12 years post-sentinel injury event (SIE)

Summary

Introduction

Introduction published maps and institutional affilInjury is responsible for one-third of disability in New Zealand and is costly [1,2,3]. Māori (Indigenous New Zealanders) are more likely to experience disability and poor health outcomes in the years following injury compared to non-Māori [1,3,4,5]. Government agencies, such as ACC and the Ministry of Social. Development, are working collaboratively to increase understanding of the long-term impacts of injury on well-being outcomes across the life course Despite these efforts, Māori experience inequities in access to ACC-funded services, with lower rates of receipt for almost all of the range of services funded, compared to non-Māori [6,7].

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