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Ethnic disparities in access to publicly funded bariatric surgery in South Auckland, New Zealand

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From Māori Health Review Issue 88
Authors:
  • Rahiri JL, et al.
Summary:

Māori were less likely to gain access to publicly funded bariatric surgery than New Zealand European or Other European patients in the Counties Manukau Health bariatric programme from 2011 to 2017. A total of 2519 patients were referred to the programme and 1051 patients received bariatric surgery. Of these 68% were Other European and 63% were New Zealand European compared with 42% Asian, 41% Māori and 28% Pacific (p<0.05). Differences in socio-demographics, comorbidity or attrition did not explain the significantly lower likelihood of Māori receiving bariatric surgery (OR 0.53; 95% CI 0.42–0.68).

Comment:
As a GP working in Counties, I’ve had a number of people return from the first step in the bariatric surgery pathway feeling despondent and judged. Jamie Lee has made some excellent recommendations here – I hope the clinical leaders take them on board. This research was undertaken as a part of Jamie Lee Rahiri’s PhD – I look forward to her graduation and acceptance of the Dean’s prize in December!
Reference: Obes Surg. 2020;30(9):3459-3465.
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.

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