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Health equity and secukinumab for severe psoriasis in New Zealand

Making Education Easy

From Māori Health Review Issue 118
Authors:
  • Luo A et al.
Summary:

Dispensing for the biologic agent secukinumab was inequitable during the period it was funded only for severe psoriasis (October 2018 to April 2021), according to a study analysing Ministry of Health data. Individuals in the least socioeconomically deprived areas were more likely to receive secukinumab than those in the most socioeconomically deprived areas, with dispensing rates of 6.56 (95% confidence interval [CI] 5.61-7.51) and 4.00 (95% CI 3.29-4.71) per 100,000 population, respectively (p<0.0001). Māori, Pacific and Asian peoples were less likely to receive secukinumab, with dispensing rates of 3.27 (95% CI 2.56-3.99), 3.31 (95% CI 2.28-4.33) and 4.33 (95% CI 3.48-5.19), respectively, compared with a dispensing rate of 6.30 (95% CI 5.81-6.79) in European peoples (p<0.0001).

Comment:
Although the results may be unsurprising to some (unequal and inequitable treatment by ethnicity in Aotearoa), I like that the authors have acknowledged the importance of a robust infrastructure, to help deliver on equity. I think most of us GPs agree that addressing dermatology workforce shortages, particularly in rural/regional areas, will make a huge difference.
Reference: Australas J Dermatol. 2025;66(6):e342-e345.
Abstract
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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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