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Understanding longer-term disability outcomes for Māori and non-Māori after hospitalisation for injury

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Authors:
Summary:

Access to healthcare was found to be an important factor for Māori to improve injury outcomes in a longitudinal cohort study of 375 Māori and 1824 non-Māori participants in the Prospective Outcomes of Injury Study. A total of 105 (28%) Māori and 446 (24%) non-Māori were hospitalised for their injury and 26% and 10% still experienced disability at 24 months after the injury, respectively. Factors contributing to disability outcomes at 24 months after injury were similar for Māori and non-Māori, except Māori reported trouble accessing healthcare services for their injury (RR 2.6; 95% CI 1.3–5.2). Other factors associated with an increased risk of disability 24 months after injury for Māori included hospitalisation for injury and not working for pay before their injury (RR 2.7; 95% CI 1.4–4.9) and experiencing disability before their injury (RR 3.1; 95% CI 1.6–5.8). Additional factors for non-Māori included inadequate household income before injury (RR 2.4; 95% CI 1.4–4.1), less than secondary school qualifications (RR 2.0; 95% CI 1.1–3.8), ≥2 chronic conditions (RR 3.5; 95% CI 2.0–6.4), and body mass index ≥30 kg/m2 (RR 2.4; 95% CI 1.3–4.4).

Comment:
Two important findings regarding access to and navigation through health and social care pathways in these papers from one study. Importantly these structural or system-level issues were associated with long-term consequences.
Reference: Public Health. 2019;176:118-127.
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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