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

 

Werewolf: Artificial Intelligence: Real Anxieties?

The movie Ex Machina feels so current there are powerful moments of recognition – despite the seemingly unlikely scenario of a walking, talking artificial intelligence (AI). Right now Google is enlisting its massive databases, drawing on the contents of every email and Internet search ever made, in the service of what has been called ‘the Manhattan Project of AI’. More>>

ALSO:

Open Source, Open Society: More Than Just Transparency

Bill Bennett: “Share and share alike” is the message parents drum into children. But once they grow up and move out into the wider world, the shutters start to come down. We’re trained to be closed. Dave Lane, president of the New Zealand Open Source Society, says that explains the discomfort people find when they first encounter the open world. More>>

ALSO:

Werewolf: Journalism, History And Forgetting

Compare that [the saturation coverage of WWI] not just with the thinly reported anniversaries last year of key battles in the New Zealand Wars, but with the coverage of the very consequential present-day efforts to remedy the damage those wars wrought, and the picture is pretty dismal. More>>

ALSO:

Werewolf: Climate Of Fear

New Zealand, promoting itself as an efficient producer, has been operating as a factory farm for overseas markets with increasing intensity ever since the introduction of refrigerated shipping in 1882. The costs to native forests and to bio-diversity have been outlandish. The discussion of impacts has been minimal... More>>

ALSO:

Greek Riddles: Gordon Campbell On The Recent Smackdown Over Greece

There had been a fortnight of fevered buildup. Yet here we are in the aftermath of the February 28 showdown between the new Syriza government in Greece and the European Union “troika” and… no-one seems entirely sure what happened. Did the asteroid miss Earth? More>>

ALSO:

Keith Rankin: Contribution Through Innovation

The economic contribution of businesses and people is often quite unrelated to their taxable incomes. EHome, as a relatively new company, may have never earned any taxable income. Its successors almost certainly will earn income and pay tax. Yet it was eHome itself who made the biggest contribution by starting the venture in the first place. More>>

ALSO:

Get More From Scoop

 
 
 
 
 
 
 
Top Scoops
Search Scoop  
 
 
Powered by Vodafone
NZ independent news