There are spatial inequities in physiotherapy care in New Zealand, according to a study that matched physiotherapist location data with 2018 Census data. The study used data for 5582 physiotherapists (92% of all physiotherapists registered in New Zealand in March 2022). Specific locations were identified where health need is high but access to physiotherapy is low (<0.94 to 9.06 per 10,000 population). Low access to physiotherapy was significantly associated with a high Māori population and rural location.
Although we know access isn’t just about ‘spatial equity’ the authors rightly point out that spatial inequities reflect structural issues including “legacy policies, a largely private primary care sector, and a demographically unrepresentative workforce. Spatial accessibility, as one part of this picture, can be examined to helpfully start to unpack the problem”.
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.
