Book Reviews | Gordon Campbell | News Flashes | Scoop Features | Scoop Video | Strange & Bizarre | Search

 


Lancet: Social determinants of health and outcomes in NZ

Lancet Editorial: Social determinants of health and outcomes in New Zealand


http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)60444-9/fulltext
The Lancet, Volume 379, Issue 9821, Page 1075, 24 March 2012


In this issue of The Lancet, Michael Baker and colleagues analyse more than 5 million hospital admissions in New Zealand for infectious diseases. Two messages stand out. First, hospitalisations ascribed to infection have risen in both absolute terms (by more than 25 000 per year) and as a proportion of overall acute admissions (from 20•5% in 1989—93 to 26•6% in 2004—08). Second, the risk of hospitalisation for serious infectious diseases in New Zealand is borne disproportionately by Māori and Pacific peoples and by those who are socioeconomically disadvantaged. These groups had on average more than twice the risk of admission compared with wealthier non-Indigenous populations. The apparent widening of long-standing health disparities based on economic position and ethnicity in a country that has repeatedly tried to narrow differences is disappointing and prompts questions about the effectiveness of current policies for health equity.

[…]

After Baker and colleagues' report was published online on Feb 20, New Zealand's Prime Minister John Key agreed that some social determinants may have contributed to adverse outcomes among his country's Indigenous peoples. How this acknowledgement will be translated fully into action, and that action into improved clinical outcomes of relevance to communities and clinicians, is awaited.

Despite a small research budget, New Zealand has set an example by measuring health disparities for several outcomes in its population. By doing so, such disparities have rightly informed political debate and policy about health in vulnerable populations. To better identify and respond to the health needs of New Zealand's population as a whole, researchers in the future will have to go beyond analysing retrospective administrative data recorded by hospitals, and consider prospective studies in primary care, where most treatments are provided and unmet needs are greater as a result of co-payments.

[…]

Full Editorial: Social determinants of health and outcomes in New Zealand : The Lancet

********

© Scoop Media

 
 
 
 
 
Top Scoops Headlines

 

Syed Atiq ul Hassan: Eye-Opener For Islamic Community

An event of siege, terror and killing carried out by Haron Monis in the heart of Sydney business district has been an eye-opener for the Islamic Community in Australia. Haron was shot down before he killed two innocent people, a lawyer and a manager ... More>>

Jonathan Cook: US Feels The Heat On Palestine Vote At UN

The floodgates have begun to open across Europe on recognition of Palestinian statehood. On 12 December the Portuguese parliament became the latest European legislature to call on its government to back statehood, joining Sweden, Britain, Ireland, France ... More>>

ALSO:


Fightback: MANA Movement Regroups, Call For Mana Wahine Policy

In the wake of this years’ electoral defeat, the MANA Movement is regrouping. On November 29th, Fightback members attended a Members’ Hui in Tāmaki/Auckland, with around 70 attending from around the country. More>>

Ramzy Baroud: The Mockingjay Of Palestine: “If We Burn, You Burn With Us”

Raed Mu’anis was my best friend. The small scar on top of his left eyebrow was my doing at the age of five. I urged him to quit hanging on a rope where my mother was drying our laundry. He wouldn’t listen, so I threw a rock at him. More>>

ALSO:

Don Franks: Future Of Work Commission: Labour's Shrewd Move

Lunging boldly towards John Key, shouting 'Cut the crap!' - Andrew Little was great, wasn't he? Labour's new leader spoke for many people fed up with Key's flippant arrogant deceit. Andrew Little nailing the Prime minister on lying about contacting a rightwing ... More>>

Asia-Pacific Journal: MSG Headache, West Papuan Heartache? Indonesia’s Melanesian Foray

Asia and the Pacific--these two geographic, political and cultural regions encompass entire life-worlds, cosmologies and cultures. Yet Indonesia’s recent enthusiastic outreach to Melanesia indicates an attempt to bridge both the constructed and actual ... More>>

Valerie Morse: The Security State: We Should Not Be Surprised, But We Should Be Worried

On the very day that the Inspector-General of Intelligence and Security released her report into the actions of people the Prime Minister’s office in leaking classified Security Intelligence Service (NZSIS) documents to right-wing smearmonger Cameron ... More>>

Ramzy Baroud: PFLP Soul-Searching: Rise And Fall Of Palestine’s Socialists

When news reports alleged that the two cousins behind the Jerusalem synagogue attack on 18 November were affiliated with the Popular Front for the Liberation of Palestine, a level of confusion reigned. Why the PFLP? Why now? More>>

Get More From Scoop

 
 
 
 
 
 
 
Top Scoops
Search Scoop  
 
 
Powered by Vodafone
NZ independent news