Home > Review Articles > Is change in global self-rated health associated with change in affiliation with a primary care provider? Findings from a longitudinal study from New Zealand

Is change in global self-rated health associated with change in affiliation with a primary care provider? Findings from a longitudinal study from New Zealand

Making Education Easy

From Māori Health Review Issue 50
Authors:
  • Jatrana S et al.
Summary:

This investigation into the association of self-rated health and affiliation with a primary care provider (PCP) in New Zealand used data from a New Zealand panel study of 22,000 adults. In any given wave, the odds of being affiliated with a PCP were higher for those in good and fair/poor health relative to those in excellent health. Affiliation with a PCP increased for Europeans as health declined, whereas affiliation with a PCP decreased for Māori as health declined. These associations did not differ significantly by age or gender.

Comment:
The authors appear to have focused on the ‘behaviour of’ and ‘uptake of message by’ Māori/individuals. Tatau Kahukura identified systems factors (cost, couldn’t get an appointment and travel) as the three main reasons why Māori do not see a PCP despite health need.
Reference: Prev Med 2014;64C:32-36
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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