Health NZ drops tool that factored in ethnicity for waitlists, despite review findings

Photo of Health Minister Shane Reti

1 Aug 2024

RNZ

Health NZ will stop using an equity adjustor tool that prioritised ethnicity as one of five factors in non-urgent surgical waitlists after a review found it was “legally and ethically justifiable” but didn’t follow “best practice”.

The report, released to RNZ, recommended the tool continue to be used in the hospitals it’s already been rolled out in, but under strict conditions and on the basis improvements are made.

It also recommended no other hospitals adopt the algorithm for prioritising non-urgent surgical waitlists until a national strategy is designed and implemented.

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Academic LiteratureTe Tiriti
Alter Native title capitalised with a green koru in the background with two korus intertwined in the middle coming from the sides, the left one is white turned up and the right one is less opaque turned down
Decolonising outcome measurement: a systematic review of health and wellbeing measures for Māori

Decolonising outcome measurement: a systematic review of health and wellbeing measures for Māori

The objective of the study is to conduct a systematic review and methodological quality appraisal on studies reporting the development of health and wellbeing outcome measures for Māori (Indigenous people of New Zealand), identify common features and processes, and critically appraise the measures using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN).

Key issues

HEALTH SERVICES AND SYSTEMS

Covering developments in the provision, funding and organisation of health care services.

EQUITY

Exploring the impacts of the health system on minorities within the population, notably including Māori, Pacifica, Asians and LGBTQI.

DRUGS, DEVICE AND DIAGNOSTICS

Covering prescription medicines and medical devices.

PUBLIC HEALTH

Focusing on efforts to promote health and prevent disease through social and economic interventions.

DIGITAL HEALTH

Exploring the potential digital transformation to provide a more connected and accessible health system.

TE TIRITI

Monitoring how the health reforms and the performance of the health sector uphold Te Tiriti obligations.