Home > Review Articles > Ethnic disparities > Outcome measures for Māori with non-traumatic dental presentations: a retrospective observational study and Kaupapa Māori approach examining emergency department inequities

Outcome measures for Māori with non-traumatic dental presentations: a retrospective observational study and Kaupapa Māori approach examining emergency department inequities

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Authors:
Summary:

The first study using a Kaupapa Māori approach to examine emergency department non-traumatic dental presentations (NTDP) found barriers to accessing primary oral healthcare and a paucity of Kaupapa Māori initiatives. The study reviewed 2034 NTDP to the Christchurch emergency department between 2018 and 2020. Māori and Pacific peoples were over represented compared to local population estimates (27.0% and 6.9% vs 9.4% and 3.2%, respectively). Māori had the highest age-standardised incidence of hospital admission, but shorter length of stay compared with Pacific peoples and NZ Europeans (0.9 vs 3.8 and 2.0 days, respectively). Provision of high-quality, equitable care for Māori requires further action and accountability, concluded the study authors.

Comment:
Important that we continue to monitor this important health issue, as we now know that poor dental health affects pregnancy outcomes, nutrition and related conditions (diabetes, cardiovascular disease) and mental health (through pain and financial stress). I found this paper – Undoing structural racism in dentistry: Advocacy for dental therapy – really useful to unpick these issues, and to see how an Indigenous-led programme is delivering change.
Reference: N Z Med J. 2024;137(1599):16-26.
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.

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