Understanding the context of hospital transfers and away-from-home hospitalisations for Māori

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dc.contributor.authorCormack, Donnaen_NZ
dc.contributor.authorMasters-Awatere, Bridgetteen_NZ
dc.contributor.authorLee, Arieren_NZ
dc.contributor.authorRata, Aramaen_NZ
dc.contributor.authorBoulton, Amohiaen_NZ
dc.coverage.spatialNew Zealanden_NZ
dc.date.accessioned2023-02-01T23:41:31Z
dc.date.available2023-02-01T23:41:31Z
dc.date.issued2022-11-11en_NZ
dc.description.abstractIn Aotearoa New Zealand, people regularly travel away from their home to receive hospital care. While the role of whānau support for patients in hospital is critical for Māori, there is little information about away-from-home hospitalisations. This paper describes the frequency and patterning of away-from-home hospitalisations and inter-hospital transfers for Māori. Data from the National Minimum Dataset (NMDS), for the 6-year period of 1 January 2009-31 December 2014, were analysed. Basic frequencies, means and descriptive statistics were produced using SAS software. We found that more than 10% of all routine hospitalisations constituted an away-from-home hospitalisation for Māori; that is, a hospitalisation that was in a district health board (DHB) other than the DHB of usual residence for the patient. One quarter (25.19%) of transfer hospitalisations were to a DHB other than the patient's DHB of domicile. Away-from-home hospital admissions increase for Māori as deprivation increases for both routine and transfer admissions, with over half of Māori hospital admissions among people who live in areas of high deprivation. This analysis aids in understanding away-from-home hospitalisations for Māori whānau, the characteristics associated with these types of hospitalisations and supports the development and implementation of policies which better meet whānau Māori needs. The cumulative impact of the need to travel to hospital for care, levels of poverty and a primarily reimbursement-based travel assistance system all perpetuate an unequal cost burden placed upon Māori whānau.en_NZ
dc.format.mimetypeapplication/pdf
dc.identifier.eissn1175-8716en_NZ
dc.identifier.urihttps://hdl.handle.net/10289/15478
dc.language.isoengen_NZ
dc.relation.isPartOfN Z Med Jen_NZ
dc.rightsThis article is published in the New Zealand Medical Journal. © NZMA. Used with permission.
dc.subjectHumansen_NZ
dc.subjectNative Hawaiian or Other Pacific Islanderen_NZ
dc.subjectNew Zealanden_NZ
dc.subjectHospitalizationen_NZ
dc.subjectHospitalsen_NZ
dc.titleUnderstanding the context of hospital transfers and away-from-home hospitalisations for Māorien_NZ
dc.typeJournal Article
pubs.begin-page41
pubs.elements-id300878
pubs.end-page50
pubs.issue1565en_NZ
pubs.organisational-group/Waikato
pubs.organisational-group/Waikato/2026 PBRF
pubs.organisational-group/Waikato/DASL
pubs.organisational-group/Waikato/DASL/2026 PBRF - DASL
pubs.organisational-group/Waikato/DASL/DALPS Academics
pubs.organisational-group/Waikato/DASL/SPSY
pubs.organisational-group/Waikato/DASL/SPSY/2026 PBRF - SPSY
pubs.organisational-group/Waikato/DASL/SPSY/MPRU
pubs.organisational-group/Waikato/DASL/SPSY/SPSY Academics
pubs.organisational-group/Waikato/FASS - Old
pubs.organisational-group/Waikato/FASS - Old/School of Psychology
pubs.organisational-group/Waikato/FASS - Old/School of Psychology/MPRU
pubs.publication-statusPublished onlineen_NZ
pubs.user.infoMasters-Awatere, Bridgette (bridgette.masters-awatere@waikato.ac.nz)
pubs.volume135en_NZ
uow.verification.statusverified
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