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Understanding the context of hospital transfers and away-from-home hospitalisations for Māori

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Authors:
Summary:

A retrospective study has described the characteristics associated with away-from-home hospitalisations for Māori whānau, and supports the development of policies which better meet whānau Māori needs. The study used data from the National Minimum Dataset over the period 1 January 2009 to 31 December 2014. More than 10% of all routine hospitalisations constituted an away-from-home hospitalisation for Māori (i.e., hospitalisations in a different DHB area), and 25% of transfer hospitalisations were to a different DHB area. Awayfrom-home hospital admissions increased for Māori as deprivation increased for both routine and transfer admissions, with over half of Māori hospital admissions among those living in areas of high deprivation. The study authors noted that the cumulative impact of the need to travel to hospital for care, poverty and a primarily reimbursement-based travel assistance system perpetuate an unequal cost burden for Māori whānau.

Comment:
With the recent health system reforms, and potential to receive care wherever it is available, these results will be incredibly useful. As the authors suggest, the development and implementation of processes/policies that are safe and equitable is key. And as I always say, when we build it to get it right for Māori, others will also benefit.
Reference: N Z Med J. 2022;135(1565):41-50.
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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