新西兰政府收到了一份针对养老护理系统的改革报告，提出40项建议，旨在建立更加整合、以人为中心的护理体系，并强化居家养老服务1。报告特别指出，毛利人在养老护理的获取和体验方面存在显著不公平——获得社区养老护理的毛利人数量约为非毛利人的一半，进入住宅护理的比例也约为一半1。
卫生副部长凯西·科斯特洛表示，当前的资金模式已经过时，系统过于分散1。改革建议强调需要建立更具文化回应性的系统，将文化安全融入从评估到服务提供的全过程1。报告指出，未来20年内，更多毛利人将需要住宅护理，且进入护理的毛利人可能面临更高、更复杂的照护需求1。此外，改革需要充分考虑毛利人对独立性、家族关系与社区联系、文化认同和地方连接的优先考虑1。官员们正在审视这些建议，为今后的政策制定和资金配置做出决策1。
New Zealand's government has received a comprehensive report on reforming the nation's strained aged-care system, which puts forward 40 recommendations aimed at creating a more integrated, person-centered approach and expanding services to support seniors aging in place 1. The reform agenda reflects growing concerns about systemic inequities, particularly affecting Māori communities who face significantly lower access to aged-care services.
The disparity in care access is stark: Māori people are approximately half as likely as non-Māori to receive community aged-care services and face similarly reduced access to residential care facilities 1. Looking ahead, the demand for residential care among Māori is projected to increase substantially over the next two decades, with incoming patients likely to present more complex health and support needs 1. Associate Health Minister Casey Costello has acknowledged that the current funding model is outdated and the system remains fragmented 1, signaling official recognition that meaningful change is necessary.
The reform proposals emphasize the need for culturally responsive care that integrates cultural safety throughout the entire system, from initial assessment to service delivery 1. Effective reform must prioritize Māori values around independence, family and community connections, cultural identity, and ties to place 1. Officials are now evaluating these recommendations to inform future policy decisions and resource allocation 1.
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