Home > Review Articles > Ethnic disparities > The enrolment gap and the COVID-19 pandemic: an exploration of routinely collected primary care enrolment data from 2016 to 2023 in Aotearoa New Zealand

The enrolment gap and the COVID-19 pandemic: an exploration of routinely collected primary care enrolment data from 2016 to 2023 in Aotearoa New Zealand

Making Education Easy

From Māori Health Review Issue 107
Authors:
  • Pledger M et al.
Summary:

An observational study has found that the COVID-19 pandemic was associated with changed patterns of primary health care (PHC) enrolment in New Zealand. The study analysed enrolments at PHCs between 2016 and 2023, with Poisson regression models used to determine whether changes in enrolment were due to the COVID-19 pandemic. In 2016, enrolment was lower for Māori, young people and the most deprived compared with their peers. Enrolment rates decreased over time for Māori and Pacific people, as well as for those who were the most deprived. Enrolment rates increased for young people, those with the lowest levels of socioeconomic deprivation and those in the “other” ethnic category, mainly European New Zealanders.

Comment:
Agree that COVID-19 and the lockdowns had an impact on PHO enrolments but there have also been major workforce issues across the sector including primary care which will have played a role also. Planning to understand these results better and address the inequities is required. International studies suggest marketing (‘Just do it – enrol now!’) and opportunistic enrollments are effective.
Reference: J Prim Health Care. 2023;15(4):316-323.
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.

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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