Specifically, Maori and Pacific Islander patients are given priority consideration to compensate for historic inequality in access to health care.
Te Whatu Ora – Health New Zealand, a national public health agency established in July 2022 to consolidate numerous regional health boards, introduced an “Equity Adjustor Score” that sets five factors to be considered in surgery priority lists.
The five factors are clinical priority, time already spent on wait lists, if the patient lives in a geographically isolated area, economic deprivation, and ethnicity. The highest scores for ethnicity are given to Maori and Pacific Island (or “Pasifika”) peoples.
A similar concept was introduced in the Wellington region in May 2020. Capital & Coast District Health Board medical officer John Tait insisted it was “unlikely that any other patients will be significantly affected as a result” of the rules prioritizing Maori and Pasifika candidates for surgery.
The NZ Herald said on Monday that several regional boards saw the Wuhan coronavirus pandemic as a “Big Bang opportunity to reset” the unequal healthcare system, as former Auckland board chair Pat Snedden said in May 2020. Various attempts to adjust medical access for ethnicity were introduced without much public fanfare during the pandemic.
After explaining that the ethnic score would be employed to assign slots “within a given clinical priority band” – in other words, with all other considerations of severity being equal, Maori and Pasifika patients would go first – Tait clarified that his health board would “increase planned surgery overall” to “offset” any inconvenience to other ethnicities.
The Equity Adjustor Score for Auckland was devised in February but was not implemented until this week.
Te Whatu Ora’s interim leader for Auckland, Dr. Mike Shepherd, said that Maori and Pasifika patients have a “longer pathway to get on a waiting list in our current system,” so the ethnic scoring is an effort to correct for that delay and put them on a...
A similar concept was introduced in the Wellington region in May 2020. Capital & Coast District Health Board medical officer John Tait insisted it was “unlikely that any other patients will be significantly affected as a result” of the rules prioritizing Maori and Pasifika candidates for surgery.
The NZ Herald said on Monday that several regional boards saw the Wuhan coronavirus pandemic as a “Big Bang opportunity to reset” the unequal healthcare system, as former Auckland board chair Pat Snedden said in May 2020. Various attempts to adjust medical access for ethnicity were introduced without much public fanfare during the pandemic.
After explaining that the ethnic score would be employed to assign slots “within a given clinical priority band” – in other words, with all other considerations of severity being equal, Maori and Pasifika patients would go first – Tait clarified that his health board would “increase planned surgery overall” to “offset” any inconvenience to other ethnicities.
The Equity Adjustor Score for Auckland was devised in February but was not implemented until this week.
Te Whatu Ora’s interim leader for Auckland, Dr. Mike Shepherd, said that Maori and Pasifika patients have a “longer pathway to get on a waiting list in our current system,” so the ethnic scoring is an effort to correct for that delay and put them on a...