Primary health care in New Zealand: Who has access?

Jatrana, Santosh; Crampton, Peter

doi:10.1016/j.healthpol.2009.05.006

Cited by 81 publications

(98 citation statements)

References 37 publications

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“…The current study's findings are mixed, and appear conditional upon the maintenance of relational continuity with general practitioners and specialists. While supporting Jatrana and Crampton's conclusion that financial and economic circumstance represent determinants of inequitable access to healthcare, 49 this study also draws attention to material deprivation and psychosocial pathways. 50 The risk of exposure to interpersonal as well as institutional racism highlights the relationship between socially assigned ethnicity and socioeconomic status 51 and the direct psychosocial stress that racism engenders.…”

Section: Discussionsupporting

confidence: 52%

The significance of relational continuity of care for Māori patient engagement with predominantly non‐Māori doctors: findings from a qualitative study

Reid

Cormack

Crowe

2016

Australian and New Zealand Journal of Public Health

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Objective: This qualitative study explored self‐reported experiences of primary healthcare among a sample of urban Māori adults. This paper specifically focuses on the theme of relational continuity of care identified in participant discussions of access and engagement with their predominantly non‐Māori general practitioners (GPs). Methods: The study involved a purposively selected subsample (n=42) of the Christchurch Māori cohort of the Hauora Manawa Community Heart Study (n=244). Participants took part in in‐depth interviews, which were transcribed and analysed thematically. Results: Analysis identified compromised access to a preferred GP as a principal barrier to receiving quality and non‐discriminatory care from predominantly non‐Māori clinicians. In contrast to discussions of healthcare provided by usual GPs, episodic encounters with non‐regular clinicians were commonly framed as experiences discouraging utilisation and the perceived value of primary healthcare. Conclusions: Facilitating relational continuity of care for Māori patients and their clinicians may contribute towards mediating determinants of inequality at the clinical interface. Implications: Reducing significant health disparities between Māori and non‐Māori was a key goal of the reconfiguration of primary healthcare in the early 2000s. The role of relational continuity of care in achieving equitable inter‐ethnic health outcomes in primary healthcare settings is an important consideration.

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Section: Discussionsupporting

confidence: 52%

The significance of relational continuity of care for Māori patient engagement with predominantly non‐Māori doctors: findings from a qualitative study

Reid

Cormack

Crowe

2016

Australian and New Zealand Journal of Public Health

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“…Although immigrant women are more likely to utilize health care services than men due to women's longer life span and reproductive health needs (Parslow et al 2004), they are also more likely to postpone receiving health care because usually they have fewer financial resources to pay for health care (Jatrana and Crampton 2009;Ranji et al 2007). Other studies have reported that immigrant women often experience lower levels of education, precarious employment and irregular administrative status, which have been identified as barriers in accessing health care services (Grieco 2002;Marshall et al 2005).…”

Section: Introductionmentioning

confidence: 99%

Immigrant women’s perceptions and experiences of health care services: Insights from a focus group study

2010

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“…Visits to doctors are subsided but require a co-payment. And while these visits are further subsided for low income people, research reveals doctors' fees remains a significant barrier and deterrent to many, who consequently tend to utilize hospital emergency rooms when illnesses become acute, worsening health outcomes for marginalized families and communities (Jatrana and Crampton 2009). …”

Section: Neolibereal Frontiers Of Healthmentioning

confidence: 99%

Medical Anthropology in Aotearoa New Zealand: A Thoughtpiece

Trundle

2017

hcs

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In considering what makes New Zealand unique for medical anthropological focus, this think piece sets out four themes. These reflect New Zealand’s particular historical, political, social and cultural landscape, and reveal the relevance of local scholarship for wider global debates about health. By tracing the neoliberal reform of state healthcare, indigenous approaches to wellbeing, local cultural practices of health, and the complex ethics involved in health and illness, this paper spotlights the opportunities that New Zealand medical anthropology affords us for addressing the important health and wellbeing challenges that we face today.

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Primary health care in New Zealand: Who has access?

Cited by 81 publications

References 37 publications

The significance of relational continuity of care for Māori patient engagement with predominantly non‐Māori doctors: findings from a qualitative study

The significance of relational continuity of care for Māori patient engagement with predominantly non‐Māori doctors: findings from a qualitative study

Immigrant women’s perceptions and experiences of health care services: Insights from a focus group study

Medical Anthropology in Aotearoa New Zealand: A Thoughtpiece

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