This research was conducted by the School of Pharmacy, University of Otago, and explored the lived experience of 29 low-income people who struggle to pay prescription charges. The participants were recruited through organisations that provide services entirely or predominantly to low-income persons. All took part in semi-structured interviews. Approximately half of the cohort was Māori. Participants reported having to make difficult decisions when collecting their prescription medicines, such as selecting some medicines and leaving others, choosing medicines for mental health rather than physical health; cutting food consumption or eating less healthy food so as to pay for medicines; or collecting medicines for children and leaving those for adults. Participants also reported using strategies such as reducing doses to make prescriptions last longer and delaying picking up medicines; practices that result in suboptimal dosing or interrupted treatment.
As a GP in a very low cost access practice, I regularly see whānau coping with these difficult yet necessary decisions. The evidence, published here for all to see, is not only a useful resource but gives me hope that people are impassioned and committed to supporting Indigenous health care in ways that are non-victim blaming.
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.
