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In this episode of The Pathology Report, host Dr Mags Strauss is joined by Dr Matt Wheeler, a haematologist and general physician based in New Zealand, to explore the critical issue of Indigenous health disparities and discuss the potential of co-design in developing more equitable healthcare services.

They begin with an analysis of how traditional data-driven approaches often fall short in addressing the unique needs of Indigenous communities, highlighting the promise of co-design and Indigenous-led innovation as more culturally appropriate solutions.

Dr Wheeler shares his own professional journey and his commitment to clinical equity, emphasising the importance of decolonisation and de-learning in creating inclusive healthcare environments. Dr Wheeler and Dr Strauss discuss systemic racism and cultural biases within healthcare systems, particularly in pathology, where interactions can often lack cultural sensitivity.

This podcast also explores the current political and systemic challenges facing Indigenous healthcare in New Zealand, including the impact of disestablishing the Māori Health Authority and its implications for service design. Dr Wheeler speaks about the consequences of health inequity, noting how chronic stress from living in an unjust society can lead to poorer health outcomes. This, he says, highlights the importance of involving individuals with lived experience in designing healthcare services.

Dr Wheeler advocates for stronger Indigenous governance and leadership across healthcare, calling for systemic change to make this a reality. He highlights the importance of mentorship, noting that tailored support can help Māori Trainees navigate their careers while maintaining their cultural identities.

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The Pathology Report is produced by the Royal College of Pathologists of Australasia and is part of the Talking HealthTech Podcast Network.

Learn more about the RCPA at rcpa.edu.au and discover other shows in the network at talkinghealthtech.com/podcast/network.

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6 episodes