Healthcare based on need trickier than you think Mr Luxon

need stamp over the word ethicity

9 Oct 2024

Lucy O’Hagan

I was trying a break from the news last month, but the headline that punched through was “Christopher Luxon slams Hawke’s Bay doctors for prioritising young Māori and Pasifika” (RNZ, online 11 September). He went on to say he had a “very simple approach to healthcare, which is based off need, not ethnicity or race”.

Very simple indeed, Mr Luxon. Except you failed to say how you are going to assess need. Need is far from simple to define, Mr Luxon, and believe it or not, the health professionals you went on to call “out of line, out of order” have spent decades trying to work out how to direct healthcare to actual health need. It’s tricky.

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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.