A review of discharge data has highlighted the persistence of deprivation inequities in hospitalisation for medical conditions among Māori compared with non-Māori non-Pacific (NMNP) taitamariki. Data were extracted from the National Minimum Dataset Hospitalisation for the period 2000 to 2019. Hospitalisation rates were consistently higher for Māori than for NMNP aged <25 years over the study period. Māori taitamariki residing in the most deprived (quintile 5) areas were more likely than NMNP to be hospitalised for a medical condition at each study time point. Despite a reduction in deprivation inequities over time, ethnic difference in hospitalisations persisted.
This paper provides a compelling argument for Te Aka Whai Ora, and its partnerships with key stakeholders, including Te Whatu Ora, to address health inequities for Māori, in addition to the drivers of inequity.
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.
