Māori in Aotearoa have higher incidence, prevalence and mortality from chronic disease. The dominant narrative in Aotearoa about the reasons for Māori ill health neglects to acknowledge the history of colonisation and failures of the health system, alongside the holistic view of health taken by Māori focusing on collective, whānau-based outcomes. In this article, we review health interventions for chronic disease that have a kaupapa Māori philosophical basis. Our findings demonstrate that there is no clear process in health service design, delivery, research and funding that values and understands mātauranga Māori. Western knowledge systems are inadequate for collecting and presenting Māori knowledge. Overall, we highlight that the tension between acknowledging that a “by Māori, for Māori” approach is best, and the difficulty in defining appropriate evidence collection methodology and outcome measures when funders and policy makers continue to require Western-centric interventions is an obstacle to improving Māori health outcomes.

中文翻译：

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看见看不见的人：kaupapa毛利人健康干预的证据

奥特罗阿的毛利人因慢性病的发病率，患病率和死亡率较高。奥特罗阿（Aotearoa）中关于毛利人健康不良的原因的主要叙述忽略了承认殖民化和卫生系统失败的历史，以及毛利人以整体卫生为基础的整体健康观。在本文中，我们回顾了具有kaupapa毛利人哲学基础的慢性病健康干预措施。我们的发现表明，在保健服务的设计，提供，研究和筹资方面，没有任何清晰的过程能够重视和理解毛陶朗加毛利人。西方知识体系不足以收集和展示毛利人的知识。总体而言，我们强调指出，承认“为毛利人而为毛利人”是最好的做法，