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Population-based funding formulae cultural coefficients: seeking a more equitable distribution of health dollars in New Zealand

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From Māori Health Review Issue 31
Authors:
  • Mellsop G et al
Summary:

The authors of this paper provide statistical evidence and argument for funds allocated to forensic services in New Zealand to take into account ethnic disparities in the use of the justice system. Forensic services take their clientele from the justice system. The authors state that the standard population-based funding formula, using a 2x multiplier for Māori, has no relationship to the reality. A new formula is proposed that takes into account the 7- to 8-fold differential rate of usage of the justice services by Māori.

Comment:
The paper provides a statistical foundation for the argument that disparity in funding equals disparity in service provision. There may be dispute about funds being better located in the primary sector. But this argument should not detract from the fact that Māori are currently over-represented in both the justice and forensic services and that there is the need for equity in the distribution of resources to this population.
Reference: N Z Med J. 2007;120(1251).
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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