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Equity in access to zero-fees and low-cost primary health care in Aotearoa New Zealand

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Authors:
Summary:

Results from repeated waves of the New Zealand Health Survey from 1996 to 2016 showed that the population accessing low-cost primary health care increased over the 20-year study period. Access to low-cost care was highest for Pacific people, but Māori and Asian people also accessed low-cost care more than people of European ethnicity. Access to low-cost care was strongly predicted by area-level deprivation in non-Māori, while Māori were more likely to access low-cost care at all levels of deprivation. The authors commented that ‘future policies to improve access should be fully aligned with the articles of Te Tiriti o Waitangi and should focus on equity’.

Comment:
Really important evidence here, demonstrating that current funding policies do not work for Māori when they attempt to access primary care. For too long we’ve focused on area-level deprivation (which is important, think your area code has more impact on health than genetic/DNA code) when clearly there are other ‘barriers’ to access that we must address.
Reference: Health Policy. 2020;124(11):1272- 1279.
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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