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Complementary and Alternative Medicine Studies · Journal article
Journal of Primary Health Care · August 3, 2026
Early or partial results. Treat as a signal, not a conclusion.
This qualitative study identifies four interconnected themes—Whakapono, Māramatanga, Kairangi, and Hauora—that underpin how Māori in primary care perceive antibiotic guideline use within systems of trust, power, and quality of care. The findings suggest that when guidelines are embedded in culturally safe and holistic models of care, they can support high-quality decision-making and confidence; however, the study is exploratory and does not evaluate guideline effectiveness or clinical outcomes.
Qualitative focus group study using inductive thematic analysis, grounded in Kaupapa Māori theory. Māori adults aged 18 years and over recruited from an urban Māori health provider in Aotearoa New Zealand.. Intervention: Exploration of Māori perspectives on antibiotic guideline use in primary care. n = 15. Urban Māori health provider, Aotearoa New Zealand.
Fifteen Māori participants attended focus groups Four interconnected themes identified: Whakapono (trust and confidence), Māramatanga (clarity and understanding), Kairangi (culturally safe and quality care), and Hauora (holistic health and wellbeing aspirations) Antibiotic guideline use is a relational practice situated within systems of trust, power and quality of care
Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
Clinicians and health system planners implementing antibiotic guidelines should recognize that guideline uptake and effectiveness among Māori depends on cultural safety, clarity, trust, and alignment with holistic health aspirations. This study suggests barriers to guideline use extend beyond clinical knowledge to relational and systemic factors.
A small qualitative study from a single urban Māori health provider that explores perspectives on antibiotic guideline use; generates themes for future implementation but does not evaluate clinical outcomes or guideline effectiveness.
As stated by the source record.
Quoted from the source exactly as published.
Clinicians and health system planners implementing antibiotic guidelines should recognize that guideline uptake and effectiveness among Māori depends on cultural safety, clarity, trust, and alignment with holistic health aspirations. This study suggests barriers to guideline use extend beyond clinical knowledge to relational and systemic factors.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
INTRODUCTION: Māori in Aotearoa New Zealand (NZ) experience large and persistent inequities in infectious diseases and antimicrobial resistance. Appropriate antibiotic prescribing is one component of effective care that can be supported by the use of antibiotic guidelines. AIM: This study aimed to gain insights into the perspectives of Māori regarding antibiotic guideline use in primary care and explore alignment with their expectations and aspirations for health and wellbeing. METHODS: Qualitative research methods were grounded in Kaupapa Māori theory and practice, supporting critical analysis that prioritised Māori and Māori knowledge. Participants aged 18 years and over who identified as Māori were recruited from an urban Māori health provider to attend a focus group. Sub-themes and themes were identified through inductive thematic analysis. RESULTS: Fifteen Māori participants attended focus groups. Four interconnected themes that underpin the use of antibiotic guidelines in primary care were identified: Whakapono (trust and confidence), Māramatanga (clarity and understanding), Kairangi (culturally safe and quality care) and Hauora (holistic health and wellbeing aspirations). DISCUSSION: Antibiotic guideline use is a relational practice situated within systems of trust, power and quality of care. When used within culturally safe, respectful and holistic models of care, guidelines can support high-quality care, build understanding and strengthen confidence in antibiotic decision-making. As NZ implements its first national antibiotic guidelines Te Whata Kura, there is a critical opportunity to ensure that use is culturally safe, barriers to access are addressed and that rongoā Māori (the traditional healing system of Māori) is accessible alongside biomedical approaches.
Taken from the source record, never inferred. Follow any of these and new work involving them reaches your briefing.