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Reducing ethnic inequities: Patterns of asthma medication use and hospital discharges in Māori in Aotearoa New Zealand

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Authors:
Summary:

Between 2019 and 2023, national dispensing of budesonide/ formoterol maintenance and/or reliever regimens markedly increased and asthma hospitalisations reduced in both Māori and non-Māori, with a greater reduction in asthma hospitalisations for Māori. Dispensing of budesonide/formoterol increased by 111% and 115% for Māori and non-Māori, respectively. Asthma hospital discharges reduced from 142.5 to 97.3 per 100,000 for Māori (absolute difference 45.2 per 100,000; 32% reduction) and from 49.4 to 37.9 per 100,000 for non Māori (absolute difference 11.5 per 100,000; 23% reduction). The study authors noted that despite the reduction in health inequities, asthma hospitalisation rates remained two and a half times greater for Māori compared with non-Māori.

Comment:
There have been a handful of PHARMAC decisions based on Māori-led research and/or expert opinion. One good example was funding of type 2 diabetes medicines (empagliflozin and dulaglutide) in 2021. But the combined asthma medication budesonide/formoterol was one of the first and as demonstrated here, there are sustained benefits for both Māori and non Māori. I want to acknowledge Cheryl Davies at Kōkiri Marae for her contribution in asthma research for Māori and I was happy to see her being recognised with the Health Research Council of New Zealand Te Tohu Rapuora Medal at the end of 2024 – ka rawe!
Reference: Respirology. 2024. doi: 10.1111/resp.14865. Epub ahead of print.
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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