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Health in justice or health injustice? Indigenous Māori experiences of primary care following release from New Zealand prisons

Making Education Easy

Authors:
Summary:

A nationwide study examining the primary care experiences of Māori in the 12 months following release from prison found that services are not meeting their high health needs. Between 1 June 2021 and 31 May 2022, 7398 Māori were released from New Zealand prisons, of whom more than 50% experienced reimprisonment within 12 months. While 76% were enrolled with a primary health organisation, 24% did not have access to subsidised primary care. During the observation period, 47% had accessed primary care consults, 63% had received medication, and 23% had undergone a community laboratory test. In addition, 26% presented to an emergency department and 5% were admitted for ambulatory sensitive hospitalisations. There is an urgent need for culturally safe strategies that guarantee equitable access to high-quality primary care for Māori released from prison, the study authors concluded.

Comment:
People leaving prison experience the determinants for poor health and imprisonment — from substance misuse and mental health challenges to educational disadvantage and socioeconomic deprivation – which will also impact their ability to engage with primary care services. However, limited or poorly coordinated primary care is a major barrier to prevention and continuity of care, further entrenching health inequities.
Reference: Soc Sci Med. 2025;384:118543.
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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