Understanding disparities in postoperative mortality for Indigenous patients

Making Education Easy

Authors:

Gurney JK et al.

November 22, 2022

Summary:

This article presents a framework for understanding the drivers of disparities in postoperative mortality for Māori compared with non-Māori. The article authors recently published a national audit of 4,000,000 procedures undertaken between 2005 and 2017, showing considerable disparities in postoperative mortality for Māori. In the framework presented in this article, disparity drivers are conceptualised as operating in layers, with each factor leading to the next. Layers include structural factors, care system factors, care process factors, care team factors and patient factors

Comment:

A clear and comprehensive framework to understand Māori health inequities beyond the usual “it’s because of their co-morbidities” or “health service location”. Importantly, the authors hope to both inspire and rouse providers, funders and decision makers into appropriate action.

Reference: N Z Med J. 2022;135(1565):104-112.

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.