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Ethnic disparities in access to publicly funded bariatric surgery in South Auckland, New Zealand

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From Māori Health Review Issue 86
Authors:
  • Rahiri JL, et al.
Summary:

Ethnic disparities in the receipt of publicly funded bariatric surgery were evident in the Counties Manukau Health service in a review of hospitalisation records between 1 January 2011 and 31 December 2017. From a total of 2519 referrals, 1051 patients underwent surgery; ethnicities were reported as Other European (68%), New Zealand European (63%), Asian (42%), Māori (41%) and Pacific (28%). Compared with people of European ethnicity, Māori and Pacific people had a significantly lower likelihood of receiving bariatric surgery with odds ratios of 0.53 (95% CI 0.42–0.68) and 0.3 (95% CI 0.23–0.40), respectively.

Comment:
As a GP working in South Auckland, it is frustrating that access into and through the bariatric surgery pathway varies. While I understand the need for some clinical limitations, these appear to vary by clinician. I wish we referrers had access to, and input into, the surgeon’s criteria because it is currently inequitable and importantly, really demoralising for the people being referred when their hopes are dashed at the door.
Reference: Obes Surg. 2020;10.1007/s11695-020-04608-y. [Epub ahead of print]
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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