News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 

Report calls for action on inequities in NZ’s health system

Report calls for action on inequities in New Zealand’s health system


Monday 29 July 2019

Aotearoa New Zealand’s health system must understand and address inequities in how Māori and non-Māori access and receive health services, says a report released today.

A window on the quality of Aotearoa New Zealand’s health care 2019 - a view on Māori health equity, published by the Health Quality & Safety Commission, highlights a number of areas where change is needed in the health system.

The Window is an annual report from the Commission and provides a snapshot of the quality of health care in this country. While equity has always been a component of the report’s analysis, this year’s report focuses solely on health equity for Māori.

Professor Alan Merry, chair of the Commission, says the report outlines why the health system must commit to equity and Māori health advancement. The sector needs to ensure services are where they are most needed and that they are appropriate to meet need, he says.

‘The report lays down a challenge for the health and disability sector to identify and remove institutional racism. Tools to do this include partnership models in decision making and a co-design approach to developing services with consumers and Māori communities.

‘We need to give our services, organisations and staff the knowledge, tools and official sanction to do this work.’

The report shows a pattern of inequities between Māori and non-Māori over their lifetimes.

‘From before birth through to old age we see inequity. Services are not as accessible for Māori, and even after services are accessed, Māori do not experience the same benefits as non-Māori,’ Professor Merry says.

Māori die on average seven years earlier than non-Māori, and are two-and-a-half times more likely to die from diseases that are potentially preventable with timely and effective health care. Māori get diseases commonly associated with older age earlier than non-Māori, and have higher rates of disability and multiple disability.

‘While broader social factors influence a person’s health, the patterns of inequities shown in this report suggest engagement with health services does not reduce inequity. In fact, the results suggest the health system creates further disadvantage for Māori.’

The report considers the harm for Māori from the intergenerational effects of colonisation, along with the failure to meet the requirements of Te Tiriti o Waitangi.

‘The presence of such inequities is highlighted in definitions of institutional racism. The challenge is moving from identifying these inequities, as this report does, to changing them.’

Professor Merry says while these issues are not new, the report’s data provides an evidence-informed discussion to support the health sector to understand where improvements need to be made.

‘Creating an awareness that institutional racism has severe effects - from psychological ill-health to physical harm to early death - is an important focus for improving the quality of health services.’

The report says a genuine commitment to Te Tiriti o Waitangi is required for the health system to achieve health equity for Māori.

‘The articles of Te Tiriti o Waitangi provide a framework to build and maintain appropriate long-term improvement.

‘Māori knowledge and worldviews, including Māori data and analysis approaches, can strengthen and broaden evidence bases for health care.

‘It is important Māori continue to use the health system while changes are made. This document reflects the start of a conversation involving Māori, the health sector, and other sectors,’ he says.

‘We expect a range of work to emerge from this discussion, both for the Commission and others.’

In the report’s foreword, Sir Mason Durie says ‘The report is clear. Action is needed on multiple fronts. A collective approach and a collective commitment are critical to remedying a situation that has lasted too long.’


Read the full report here: https://www.hqsc.govt.nz/our-programmes/health-quality-evaluation/publications-and-resources/publication/3721


ends

© Scoop Media

 
 
 
Culture Headlines | Health Headlines | Education Headlines

 

Howard Davis: Dryzabone - Robert Conolly's The Dry

After the terrible devastation caused by last year’s bushfires, which prompted hundreds of Australians to shelter in the ocean to escape incineration and destroyed uncountable amounts of wildlife, The Dry has been released during a totally different kind of dry spell. More>>


Howard Davis: Benjamin Ree's The Painter and The Thief

The Norwegian filmmaker had long been fascinated by art thieves who commit high-stakes crimes with a delicate touch when a chance Google search in 2015 uncovered a botched heist in Oslo. More>>


Howard Davis: Anna Coddington Beams

Anna Coddington's thin, wispy vocals fit her songs beautifully, providing a wonderful lilting quality that pervades her latest album, producing instant ear worms. More>>


Howard Davis: Hit the Road, Jack - Chloé Zhao's Nomadland

Nomadland is perhaps the ultimately 'road' movie as it follows a group of dispossessed and disenfranchised vagabonds who find a form of communal refuge in camp sites and trailer parks after the economic contraction of 2008. More>>

Howard Davis: Byrneing Down the House - Spike Lee's American Utopia

Lee does an admirable job capturing Byrne's stunning live performance of his latest album, but the real star of the show is the staging. More>>


Howard Davis: The Phoenix Foundation Friend Ship Tour Docks in Wellington

A sense of local pride was certainly running high at the Opera House on Saturday night, as the lads ran through a tasty little set drawn mostly from their latest album Friend Ship (splash out for Xmas on the shocking pink extra-thick vinyl edition). More>>


Howard Davis: Avantdale Bowling Club

Auckland rapper and MC Tom Scott brought his stunning jazz-infused Taite Music Prize-winning project Avantdale Bowling Club to the Opera House headlining Wellington's 2020 Jazz Festival. More>>

Howard Davis: Troy Kingi Rules The San Fran

The award-winning Northland musician performed songs from his new record The Ghost of Freddie Cesar, the fourth installment in his 10/10/10 series - ten albums in ten years in ten genres. More>>

 
 
 
 
 
 

LATEST HEADLINES

  • CULTURE
  • HEALTH
  • EDUCATION
 
 
  • Wellington
  • Christchurch
  • Auckland