This paper examined the distribution of ethnic pay disparities within the public sector and DHBs by analysing the population proportions of Māori, Pasifika and Other ethnicities earning over $NZ100,000 over 5-year intervals between 2001 to 2016. Data were obtained by a series of official information act requests. Linear regression analysis showed a statistically significant pattern of ethnic pay disparities across the public sector with fewer Māori and Pasifika staff employed in DHBs than their population proportion. Māori and Pasifika workers were less likely to be promoted or appointed to roles in the upper tiers of the public sector and DHBs. The authors commented that the data present an example of institutional racism and highlighted the need for more research to understand the dynamics and drivers of ethnic pay disparity.
The results presented in this paper align with recent calls for pay parity across disciplines (primary health care GPs and nurses with their DHB-employed colleagues), confirming that our system appears to value, and therefore pay, some more than others. Many of us may think it is not within our remit to address these. Remember that the average annual income for Māori in 2013 was $22.5k; the minimum wage pays $34.3k/year; and the minimum living wage was calculated at $46.5k/year in 2017. In my experience, ensuring that our workers receive at least the minimum living wage has made a huge difference to our staff and their whānau.
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.
Research Review publications are intended for New Zealand health professionals.
Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.
