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Ethnic differences in acute hospitalisations for otitis media and elective hospitalisations for ventilation tubes in New Zealand children aged 0–14 years

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Authors:
Summary:

These researchers investigated ethnic differences in acute hospital admissions for otitis media (OM) and elective admissions for ventilation tubes in New Zealand children aged 0–14 years. They also reviewed first attendances at Ear Nose and Throat (ENT) Outpatient appointments during 2007–2008 by ethnicity. Records were examined from all hospital admissions of children aged 0–14 years during 2002–2008 that met the following criteria: acute admissions with an ICD–10-AM primary diagnosis code of OM; elective admissions with a primary procedure code of ventilation tube insertion. Among 0–4 year olds, acute admissions for OM were more likely among Māori and Pacific children than European children. In contrast, both Māori and Pacific children had lower rates of elective admissions for ventilation tube insertion, with ethnic differences being most marked for children from the most deprived areas. In those aged 5–14 years, Māori and Pacific children again had higher acute OM admission rates than European children. However, in contrast to the younger age group, they also had higher rates of ventilation tube insertion. ENT outpatient data for children 0–4 years revealed similar first appointment rates for European and Māori children, but lower rates for Pacific and Asian children. For the 5–14 age group, first appointment rates were higher for Māori and Pacific children than for European children. However, Māori and Pacific children in both age groups had higher rates of non-attendance at their first ENT appointments than European children.

Comment:
The findings suggest potential barriers in access at the primary care level and to outpatient clinics (e.g. travel, parking costs, time off work, receipt of appointment) but a better understanding of the pathways in and through ‘otitis media management’ is required.
Reference: N Z Med J. 2015;128(1416):10-20
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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