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Provision of care for diabetic retinopathy in New Zealand: are there ethnic disparities?

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Authors:
Summary:

There is a need to reduce barriers faced by Māori in accessing GP, optometry and retinopathy screening referrals, according to a retrospective audit of first specialist diabetic retinopathy clinic appointments at the Department of Ophthalmology, Te Whatu Ora Te Toka Tumai Auckland. Data from 388 patients was analysed, of whom 42% were European, 9.5% were Māori, 13.2% were Pasifika, 32.7% were Asian and 2% were Middle Eastern/Latin American/African. Compared with patients of other ethnicities, Māori patients were eligible for a significantly greater number of treatments (p=0.001). Across ethnicities, the comprehensiveness of history taking, examination, investigations and proportion of eligible treatments provided was similar but did not reach the gold standard of care.

Comment:
Although the evidence presented here is disheartening, I am pleased that we have non-Māori health researchers and providers working with Māori Hauora leaders to monitor ethnic inequities in Aotearoa and focus on the significant system/structural factors at play.
Reference: N Z Med J. 2024;137(1600):12-20.
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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