{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T03:12:09Z","timestamp":1778037129403,"version":"3.51.4"},"reference-count":0,"publisher":"Pasifika Medical Association Group","issue":"1634","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NZMJ"],"abstract":"<jats:p>The Crown\u2019s health workforce reforms, Putting Patients First: Modernising health workforce regulation (PPF),1 emerge in a political\nclimate that is actively dismantling M\u0101ori health gains, undermining tino rangatiratanga and reframing equity as \u201cneeds not race\u201d.\nUsing rapid Tiriti review\u2014an adaptation of critical Tiriti analysis\u2014we assessed the proposal\u2019s alignment with Te Tiriti o Waitangi. We\nfound that PPF did not align well with the preamble or the articles of Te Tiriti. There was no equity analysis; no acknowledgement of\nhauora as taonga, limited M\u0101ori involvement in decision making, erasure of tino rangatiratanga and entrenched health inequities were\ndisregarded. These findings highlight systemic silences and risk embedding monocultural practice, weakening accountability and\nfurther marginalising kaupapa M\u0101ori health models. We recommend that genuine patient-centred regulation must embed Te Tiriti, cultural\nsafety and antiracism into regulatory standards and governance. Without these commitments, health workforce regulation perpetuates\nrather than remedies inequities, failing M\u0101ori and the wider population.<\/jats:p>","DOI":"10.26635\/6965.7221","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T02:28:46Z","timestamp":1778034526000},"page":"79-85","source":"Crossref","is-referenced-by-count":0,"title":["Equity, regulation and Te Tiriti o Waitangi: a rapid review of Putting Patients First"],"prefix":"10.26635","volume":"139","author":[{"given":"Heather","family":"Came","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clive","family":"Aspin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Barnes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Baker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11177","published-online":{"date-parts":[[2026,5,8]]},"container-title":["New Zealand Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T02:28:49Z","timestamp":1778034529000},"score":1,"resource":{"primary":{"URL":"https:\/\/nzmj.org.nz\/journal\/vol-139-no-1634\/equity-regulation-and-te-tiriti-o-waitangi-a-rapid-review-of-putting-patients-first"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,8]]},"references-count":0,"journal-issue":{"issue":"1634","published-online":{"date-parts":[[2026,5,8]]}},"URL":"https:\/\/doi.org\/10.26635\/6965.7221","relation":{},"ISSN":["1175-8716"],"issn-type":[{"value":"1175-8716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,8]]}}}