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7 Introduction of M&x0101;ori and Pacific nurse navigators to improve equity in surgical pathway in Auckand, New Zealand
  1. Andrew Jones,
  2. Dawson Ward,
  3. Pauline Fakalata
  1. Auckland District Health Board, New Zealand


Background Health outcomes for M&x0102;ori and Pacific within New Zealand significantly poorer than for European New Zealanders. One identified inequity is the delay in receiving planned surgery. As a result of reduced surgery during the Covid-19 lockdown, these inequities were exacerbated.

Objectives Improve key metrics for M&x0102;ori and Pacific patients receiving surgery (increase volume receiving surgery, decrease waiting times and decrease cancellation of surgery as well as identify systemic barriers to equitable care delivery.

Methods Ten M&x0102;ori and ten Pacific nurse specialists were seconded to walk alongside patients awaiting surgery to identify and resolved immediate issues preventing progress. Care navigation by clinical staff, using M&x0102;ori and Pacific health models in their interactions, allows patients to progress through their pathway through active engagement with the services. It is also allows for the gathering of data (quantitative and narrative) to understand where processes need to change to ensure equitable and timely care is provided. Through the experiences of those currently on the surgical wait list, alternative surgical models of care can be defined.

Results Early results suggest that the key metrics (days waiting, proportion of surgeries completed for M&x0102;ori and Pacific patients and proportion of surgeries proceeding as planned) are improving. Qualitative feedback from patients and staff is clearly identifying opportunities as well as demonstrating the early value of having clinical staff supporting patients through their journey applying culturally safe and appropriate support.

Conclusions While still early in the development of the approach, initial results are highly promising and demonstrate that often what is missing in a patient‘s surgical journey is a consistent voice that provides certainty for patients and their families. Through the patient experiences gathered, service redesign will be possible that supports M&x0102;ori and Pacific patients to achieve the outcomes they want.

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