Little published on Indigenous approaches

There are limited publications on quality framework elements that are specifically relevant to Māori or other Indigenous peoples. One notable exception is a body of work from British Columbia (BC), Canada that identified nine core principles for an accessible and culturally appropriate complaints system (Health Quality BC, 2022).

There is a small (and growing) body of work that looks at the needs and aspirations of tāngata whaikaha Māori. Tāngata whaikaha Māori consider that quality services are accountable, accessible, and clearly communicated. The work of Ingham (2022) and others also emphasises the lack of cultural safety in many current services. There is a growing body of evidence on the use of cultural safety in health care as a dimension of ensuring quality at a practitioner and health organisation level.